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Table 1 A modified Morse scale for risk assessment used in the Chaim Sheba Medical Center

From: Risk of falling among hospitalized patients with high modified Morse scores could be further Stratified

Category

Score for "Yes"

Score for "No"

Does the patient take more than 4 different medications?

1

0

Treatment with specific medications (cumulative score)

 Anti-histamine

1

0

 Anti-hypertensive

1

0

 Diuretics

1

0

 Medications interfering with the state of alertness

1

0

 Psychiatric medications

1

0

 Laxatives

1

0

 Anti-diabetic medications

1

0

Level of consciousness

 Mild confusion

1

0

 Confused

1

0

 Vaguely conscious

1

0

 Unconscious

1

0

 Sedated

1

0

 Under the influence of medications

1

0

Cognitive state

 Difficulties in orientation, time

1

0

 Difficulties in orientation, place

1

0

 Difficulties in orientation, people

1

0

 Memory problems

1

0

Vision

 Normal/Sedated

0

 

 Difficulties in vision

1

0

 Eyeglasses all day long

1

0

 Blindness

1

0

Hearing

 Normal/Sedated

0

 

 Difficulties in hearing

1

0

 Hearing aid all day long

  

 Deafness

1

0

Mobility

 Fully independent/bedridden

0

 

 Needs little help

1

0

 Needs significant help

1

0

 Needs much help

1

0

Walking and stability

 Walks stably

0

 

 Weakness

1

0

 Instability

1

0

 Paralyzed

1

0

 Bedridden

1

0

 Wheelchair

1

0

 Patient attached to limiting equipment (e.g., infusion set apparatus)

1

0

Use of mobility aids

 Does not use

0

 

 Cane

1

0

 Walks with the help of the nursing staff

1

0

 Walker

1

0

 Wheelchair

1

0

 Crutches

1

0

 Amputation/Artificial limb

1

0

History of falling during the past 6 months

9

0

Difficulty in getting out of a bed or a chair

1

0

Patient feels weaker than before

1

0

Patient feels dizzy

1

0

Patient has decreased leg sensation

1

0

Did the patient undergo general anesthesia during the past 24 hours?

1

0

Urgency and a high frequency of the need to go to the toilet

1

0

Does the patient go to the toilet during the night-time?

1

0