Fall Risk |
fall risk score morse gait ambulatory status scale mental falling secondary diagnosis total oriented history aid ability iv lock bedrest |
Bedside Condition |
bed resting monitor noted distress continue complaints quietly sleeping bedside discomfort comfortably watching tv lying remains vss received unlabored sitting |
Bedside Assist |
bed call reach light position fall low side locked rails safety assistance lowest room free risk precautions environment monitor place |
Home Care |
home care services health va referral agency community nursing service aide hospice hha skilled referred fax visits medicare fee start |
Family Assist |
daughter son home called spoke father call family states law dtr living told stated lives assisted daughters dementia received aware |
Mobility Assist |
walker cane gait wheelchair ambulation steady ambulates ambulating walking unsteady equipment device home ambulate falls walk assistance balance scooter mobility |
Cognitive Status |
memory cognitive average speech evaluation range difficulty recall words communication functioning task attention dementia information impaired ability deficits accuracy impairment |
Shoe-wear Ability |
shoes wear issued fit size instructed wearing prosthetics proper device equipment care stockings compression shoe hose wheelchair scooter measured order |