Journal of Rural Community Nursing Practice
Vol. 4 No. 1 (2026): March

Comprehensive Fall Risk Assessment in an Older Adult Male with Diabetes Mellitus, Hypertension, and a History of Transient Ischemic Attack Using the Morse Fall Scale and Berg Balance Test: A Case Report

Ummi Malikal Balqis (Faculty of Nursing, Universitas Jember, Indonesia)
Rizkiyani Istifada (Faculty of Nursing, Universitas Jember, Indonesia)
Agnestria Winarto (Faculty of Nursing, Universitas Jember, Indonesia)
Lailiyatul Munawaroh (Faculty of Nursing, Universitas Jember, Indonesia)



Article Info

Publish Date
28 Mar 2026

Abstract

Background: Fall risk in older adults is a multifactorial condition associated with balance impairment, muscle weakness, and chronic as well as neurological diseases, requiring a comprehensive assessment. Purpose: This case report aims to analyze fall risk in an older adult with chronic comorbidities using the Morse Fall Scale (MFS) and the Berg Balance Test (BBT). Method: A descriptive case study was conducted on a 70-year-old older adult male with a history of diabetes mellitus, hypertension, and a transient ischemic attack (TIA) in 2025, accompanied by left upper extremity weakness with a muscle strength of 4. Assessment was performed through direct clinical examination using the MFS and BBT instruments. Results: The patient scored 35 on the MFS, indicating a moderate fall risk, and 38 out of 56 on the BBT, indicating moderate balance impairment, particularly in dynamic activities. Conclusions: These findings suggest that the patient’s fall risk is influenced by a combination of post-TIA neurological factors, muscle strength imbalance, and chronic diseases. The combined use of the MFS and BBT provides a comprehensive overview of fall risk, serving as a basis for planning targeted and sustainable nursing interventions.

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Journal Info

Abbrev

JRCNP

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

The Journal of Rural Community Nursing Practice (JRCNP) focuses on providing access to scientific information sources based on up-to-date and evidence-based results of research and engagement practices in rural areas around the world. This journal can be used by nurses, both as nurse educators, ...