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Neurologic Function assessment
Leah Smith, an 87-year-old patient, is at the clinic receiving an annual physical checkup. The patient is wearing a sweater but complains that the room is cold. The thermostat reads 70°F. The patient has a slow, wide-based gait, and she is flexed forward slightly when she walks. She opens her purse and tries to find the bottle of herbals she bought to make sure it is alright to take the supplement and has problems locating it by feeling for the bottle. She states that she is all thumbs. She complains that food does not smell or taste like she remembered it smelling and tasting 10 years ago. She wonders if it is because she used to grow her food and that is why it had a better taste and smell. She also stated that her family is concerned because she does not seem to have enough peripheral vision to drive, and she wiped out the mailbox yesterday when backing out of the driveway. The nurse performs a neurologic exam.
Group 2: What additional areas should the nurse assess for changes, and what findings reflect normal aging? Provide one example in the discussion.


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