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  2. Morse Fall Scale - Wikipedia

    en.wikipedia.org/wiki/Morse_Fall_Scale

    assess individuals risk of fall The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient ’s likelihood of falling . [ 1 ] A large majority of nurses (82.9%) rate the scale as “quick and easy to use,” and 54% estimated that it took less than 3 minutes to rate a patient.

  3. Gait Abnormality Rating Scale - Wikipedia

    en.wikipedia.org/wiki/Gait_Abnormality_Rating_Scale

    Each item has a score range from 0 (good function) to 3 (poor function). [ 6 ] The total GARS score is the sum of the 16 individual facets, and the total score represents a rank ordering of risk for falling, based on the number of gait abnormalities recognized and the severity of any gait abnormality identified.

  4. Berg Balance Scale - Wikipedia

    en.wikipedia.org/wiki/Berg_Balance_Scale

    Alternatively, the BBS can be used as a multilevel tool, with the risk of multiple falls increasing below a score of 45 and a significant increase below 40. [10] In the original study, the value of 45 points was used to calculate relative risk estimates to demonstrate predictive validity, [2] and a score of 45 has been shown to be an appropriate cut-off for safe independent ambulation and the ...

  5. Braden Scale for Predicting Pressure Ulcer Risk - Wikipedia

    en.wikipedia.org/wiki/Braden_Scale_for...

    A score of 23 means there is no risk for developing a pressure ulcer while the lowest possible score of 6 points represents the severest risk for developing a pressure ulcer. [6] The Braden Scale assessment score scale: Very High Risk: Total Score 9 or less; High Risk: Total Score 10–12; Moderate Risk: Total Score 13–14; Mild Risk: Total ...

  6. Timed Up and Go test - Wikipedia

    en.wikipedia.org/wiki/Timed_Up_and_Go_test

    The Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance. [1]It uses the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees.

  7. Tinetti test - Wikipedia

    en.wikipedia.org/wiki/Tinetti_Test

    The Tinetti Test (TT), or Performance Oriented Mobility Assessment (POMA), is a common clinical test for assessing a person's static and dynamic balance abilities. [1] It is named after one of the inventors, Mary Tinetti .

  8. Falls in older adults - Wikipedia

    en.wikipedia.org/wiki/Falls_in_older_adults

    Nurses complete a valid fall risk assessment scale. From that, a software package develops customized fall prevention interventions to address patients' specific determinants of fall risk. The kit also has bed posters with brief text and an accompanying icon, patient education handouts, and plans of care, all communicating patient-specific ...

  9. Fall prevention - Wikipedia

    en.wikipedia.org/wiki/Fall_prevention

    Insufficient evidence exists that any fall risk screening instrument is adequate for predicting falls. [4] While the strongest predictors of fall risk tend to include a history of falls during the past year, gait, and balance abnormalities, [5] existing models show a strong bias and therefore mostly fail to differentiate between adults that are at low risk and high risk of falling.

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