![]() A score of 25-50 (low risk) signifies that standard fall prevention interventions should be initiated. An MFS score of 0-24 (no risk) means no interventions are needed. It uses a point scale system that checks on the six variables (history of falling within the three months, secondary diagnosis, use of assistive devices, IV/ heparin lock, gait/transferring, and mental status. The Morse Fall Scale (MFS) is a simple fall risk assessment tool commonly used among health care facilities. Assess the client’s ability to ambulate and identify the risk for falls.Īlterations in mobility secondary to muscle weakness, paralysis, poor balance, and lack of coordination increase the risk of falls. For example, a client with an olfactory impairment might be unable to detect a gas leak, or an individual with a deteriorating vision may be prone to slip or fall.Ģ. Loss or impairment of senses ( vision, taste, hearing, smell, and touch) may affect how a person responds to environmental stimuli that place them at risk for injuries and falls.
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