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Evaluation

Are you evaluating a patient who has had a hip fracture?

Age of the patient

years

Was the patient a nursing home resident before the fracture?

Was the patient discharged to a nursing home after the fracture?

Is the patient married?

Is the patient incontinent in urine?

Is the patient incontinent in stool?

Is the patient dependent in ambulation?

Score on the Mini-Mental Status Exam (enter from 0 to 30)

Results

Please fill out required fields.