No. Items Scale

View the video online

Download to computer to view

Download to Pocket PC to view
1. History of Fall No = 0
Yes = 25
2. Secondary Diagnosis No = 0
Yes = 15
3. Ambulatory Aid None/bedrest/nurse assist = 0

Crutches/cane/walker = 15

Furniture = 30

4. Intravenous Therapy/ No = 0
¡@ Heparin Lock Yes = 20
5. Gait Normal/bedrest/wheelchair = 0

Weak = 10

Impaired = 20

6. Mental Status Oriented to own ability = 0
¡@ ¡@ Overestimated/forgets limitation = 15
Nursing Care Plan - Patient at Risk for Fall Form
Patient Fall Incident Report Form
Home Menu Home Video
Introduction Menu Definition of Fall Types of Fall Fall Rate
Overview Menu What Is Fall ? Myths & Facts Impact of Patient Fall Definitions Who Will Fall ? At risk
Nursing Care Menu Multidimensional Approach Prevention Guidelines Accidental Falls Anticipated Physiological Falls Unanticipated Physiological Falls Prevention Program Enhance Awareness Standard Care Plan Strategies Nursing Diagnosis Nursing Interventions Use of Restraint and Bed Rails Importance of Documentation
Morse Fall Scale Menu Introduction History of Fall Secondary Diagnosis Ambulatory Aid IV Therapy/Heparin Lock Gait Mental Status Case Study
Report Menu Classification of Severity Evaluation Samples Crucial Factors