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Mrs. L is an 82-year-old woman referred to outpatient physic…

Posted byAnonymous April 20, 2026April 20, 2026

Questions

Mrs. L is аn 82-yeаr-оld wоmаn referred tо outpatient physical therapy following a decline in balance and increased fear of falling. Her medical history is significant for presbycusis, early cataracts, hypertension, and osteoarthritis of both knees. She lives alone in a single-story home and reports that remaining independent is "very important" to her. During the initial evaluation, Mrs. L frequently nods while you are explaining the plan of care but inconsistently follows verbal instructions for sit-to-stand transfers. At times she initiates movement before the instruction is complete. The clinic environment is busy, with multiple patients exercising and overhead music playing. Which observation during the evaluation would MOST strongly suggest that Mrs. L’s communication difficulty is related to hearing loss rather than cognitive impairment?

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