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Morse Falls Scale Assessment for Long Term Care Facilities
Procedure:
Obtain a Morse Fall Scale Score by using the variables and numeric values listed in the Morse Fall Scale table below. (Note: Each
variable
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How to fill out morse falls scale assessment

How to fill out the Morse Falls Scale assessment:
01
Ensure you have a copy of the Morse Falls Scale assessment form.
02
Begin by recording the patient's name, age, and date of assessment at the top of the form.
03
Assess the patient's history of falling. Determine if they have had any previous falls in the last 3 months or hospitalizations due to falls in the last 6 months.
04
Evaluate the patient's secondary diagnosis. This refers to any medical condition that may contribute to the risk of falling, such as neurological disorders or muscle weakness.
05
Assess any ambulatory aid the patient uses, such as a cane or walker, and record it on the form.
06
Evaluate the patient's intravenous therapy, specifically looking for the presence of tubes, lines, or catheters that may increase the risk of falling.
07
Determine the patient's gait and balance. Observe their ability to walk independently, with the use of assistive devices, or if they require assistance from others.
08
Assess the patient's mental status. Use a cognitive screening tool, such as the Mini-Mental State Examination, to evaluate their mental function and orientation.
09
Record whether the patient was taking any psychoactive medications, such as sedatives or antidepressants, which may increase the risk of falling.
10
Evaluate the patient's current mobility, considering their ability to get up from a chair, transfer from bed to chair, or walk without assistance.
11
Calculate the patient's total score based on their responses to each item on the assessment form.
12
Finally, interpret the total score to determine the risk category: no risk (0-24), low risk (25-44), moderate risk (45-65), or high risk (>65).
Who needs Morse Falls Scale assessment:
01
Elderly individuals who are at increased risk of falling, especially those with a history of falls or hospitalizations due to falls.
02
Patients with secondary medical diagnoses that may contribute to the risk of falling, such as Parkinson's disease, stroke, or muscle weakness.
03
Individuals who have recently undergone surgery or are receiving intravenous therapy.
04
Those who require the use of ambulatory aids, such as canes, walkers, or wheelchairs.
05
Patients taking psychoactive medications, as these drugs can affect balance and increase the risk of falling.
06
Individuals with cognitive impairment or decreased mental function.
07
Those with limited mobility or difficulty in performing daily activities without assistance.
08
Healthcare professionals who need to assess the risk of falling in their patients in order to prevent falls and ensure patient safety.
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What is morse falls scale assessment?
The Morse Falls Scale assessment is a tool used to assess a patient's risk of falling.
Who is required to file morse falls scale assessment?
Healthcare professionals and facilities are required to conduct and file the Morse Falls Scale assessment for patients.
How to fill out morse falls scale assessment?
The Morse Falls Scale assessment can be filled out by evaluating six different criteria related to a patient's risk of falling.
What is the purpose of morse falls scale assessment?
The purpose of the Morse Falls Scale assessment is to identify patients at risk of falling in order to prevent fall-related injuries.
What information must be reported on morse falls scale assessment?
The Morse Falls Scale assessment typically includes information such as the patient's gait, mental status, history of falling, and use of walking aids.
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