Morse scale — fall risk

Six items : history of falling, secondary diagnosis, use of an ambulatory aid, intravenous therapy, gait, mental status. 0–24 low risk, 25–44 moderate risk, 45 or more high risk. The strongest single predictor remains a fall in the previous three months. Review the medication list at the same time: benzodiazepines, antihypertensives, anticholinergics and diuretics all raise the risk. Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. essential clinical assessment landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Correct use of standardized scales (Glasgow, PQRST, Braden, etc.) is regularly tested on the OIIQ exam.

Clinical content reviewed by Ducamelle Grégoire, Registered Nurse