Fall risk assessment

Topic: Fundamentals

Scoring a client's likelihood of falling with a validated tool on admission, after any change in condition and at regular intervals. In Türkiye the Ministry of Health publishes the Itaki scale for adults and the Harizmi scale for children, and institutions may use other validated tools such as the Morse Fall Scale. Previous falls, gait problems, sedating drugs and confusion raise the risk. Core precautions: bed low and locked, call light within reach, nonslip footwear and good lighting.

Also known as:
Fall risk, Morse Fall Scale, Itaki Fall Risk Scale

What does Fall risk assessment mean?

Fall risk assessment is part of the Fundamentals topic in nursing. Students meet it in class, on clinical placements and while preparing for exams.

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