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The Morse Falls Scale is a Fall Risk Assessment tool that predicts the likelihood that a patient will fall.
BEST PRACTICE APPROACH: In acute care, a best practice approach incorporates use of the Hendrich II Fall Risk ModelTM, which is quick to administer and provides a determination of risk for falling based on gender, mental and emotional status, symptoms of dizziness, and known categories of medications increasing risk.
The best fall risk assessment tool is often determined by the specific needs of the patient and the setting in which the assessment is taking place. Some commonly used tools include the Timed Up and Go Test (TUG), Morse Fall Scale, and Hendrich II Fall Risk Model.
The Morse Falls Scale is a Fall Risk Assessment tool that predicts the likelihood that a patient will fall. ➢ Should be done at least once a day and with change in patient status. ➢ Provides the information needed to tailor interventions to prevent falls.
The four common risk assessment tools are: risk matrix, decision tree, failure modes and effects analysis (FMEA), and bowtie model. Other risk assessment techniques include the what-if analysis, failure tree analysis, Layer of Protection Analysis (LOPA) and Hazard and Operability (HAZOP) analysis.
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This tool consists of 8 weighted items: confusion/disorientation/impulsivity (score = 4), symptomatic depression (score = 2), altered elimination (score = 1), dizziness or vertigo (score = 1), male sex (score = 1), antiepileptic prescription (score = 2), benzodiazepine prescription (score = 1) and get up from chair
Berg Balance Scale score (50 points), Timed Up and Go times (12 seconds), and 5 times sit-to-stand times (12) seconds are currently the most evidence-supported functional measures to determine individual risk of future falls.

hendrich fall risk assessment