Dresses self or sometimes uses assistive devices or need help from others because of her joint stiffness. Has to select clothes in store or catalog that are easy to put on and fasten - has pull on pants and skirt, velcro fastened shoes. Daughter takes her to hairdresser weekly for shampoo and set. Manages toileting by self. Toilet is near her sleeping area.
Does not know her blood pressure but knows it was high when doctor prescribed Pills. BP = 160/90 mm of Hg both arms, regular cuff. Apical and radial P 88 bpm, regular. R 18 breath per min sitting. Walked briskly four times back and forth small living room approximately 40 feet . Posturals within ten points, no dizziness. Does not report orthopnea, no recent dyspnea . Lung sounds clear. Peripheral pulses palpable. Finger and toe capillary refill good.
- Sedentary life style; limited exercise but demonstrated good response to activity
- No Cigarette smoking
- Obesity: high end weight to height ration for older years
- Hypertension: being treated with diuretics and antihypertensive, BP within range for age
- Family history; "stroke" deaths of sisters
Posture straight, no kyphosis or scoliosis. Finger joints enlarged but not painful or misaligned. Can move all joints slowly but reports stiffness in morning. Equal hand grasp and leg raising. Gait broad based, hand swing coordinated. Writes name slowly and legibly. Right handed.
Awakened times three to void. Sleep onset easy, after 10 P.M. news, awakens 6 A.M., same as when she worked. Does not feel well rested and look fatigue.