Accurate Morse Fall Scale assessment requires systematic evaluation of each component and integration with overall clinical judgment. Follow this structured approach to ensure reliable fall risk assessment and appropriate intervention planning.
1. History of Falls Assessment
Begin by thoroughly reviewing the patient's medical history and recent events. Document any falls that occurred within the last 3 months, including falls at home, in the community, or in healthcare settings. Consider the circumstances, frequency, and consequences of previous falls. A single fall within 3 months scores 25 points, while no falls scores 0 points. This component has the highest weight due to its strong predictive value.
2. Secondary Diagnosis Evaluation
Review the patient's complete medical history to identify secondary diagnoses beyond the primary reason for admission. Consider chronic conditions such as diabetes, heart disease, neurological disorders, arthritis, and other conditions that may affect mobility, balance, or cognitive function. The presence of one or more secondary diagnoses scores 15 points, while no secondary diagnoses scores 0 points.
3. Ambulatory Aid Assessment
Observe and document the patient's use of walking assistance devices. Patients who use no aids, are on bed rest, or receive nurse assistance score 0 points. Patients using crutches, canes, or walkers score 15 points. Patients who use furniture (chairs, tables, walls) for support score 30 points. This assessment reflects the patient's mobility limitations and stability needs.
4. IV Therapy Evaluation
Check for the presence of intravenous therapy, including peripheral IV lines, central lines, or heparin locks. The presence of any IV therapy scores 20 points, while no IV therapy scores 0 points. IV therapy can restrict mobility, cause discomfort, and create obstacles that increase fall risk.
5. Gait Assessment
Observe the patient's walking pattern, balance, and stability. Normal gait, bed rest, or immobile patients score 0 points. Patients with weak gait (shuffling, unsteady, requires assistance) score 10 points. Patients with impaired gait (staggering, unable to walk without assistance) score 20 points. This assessment should be performed when the patient is ambulating.
6. Mental Status Evaluation
Assess the patient's cognitive function and awareness of their physical limitations. Patients who are oriented to their own ability and limitations score 0 points. Patients who overestimate their abilities or forget their limitations score 15 points. This assessment considers memory, judgment, and safety awareness.