Use the fоllоwing cаse tо аnswer questions 29-36 Ethyl is а 90-year-old female who was admitted to the hospital last night with a diagnosis of pneumonia. The physical therapist received orders to evaluate and treat this patient to improve mobility. History and Examination Findings: History: She is retired and lives by herself in a 1-bedroom apartment in an assisted living facility. Her husband died last year, and she reports to you several times that she is “lost without him.” Her past medical history reveals that she wears glasses, has macular degeneration, has hearing aids, uses a 4 wheeled walker for ambulation, does not drive, has had 3 spinal compression fractures and a hip fracture within the last 5 years, is being hospitalized for pneumonia for the 3rd time in the last 6 months, and has high cholesterol. Ethyl is 5 feet 3 and Weighs 85 pounds. (BMI 15.1) 2 years ago her BMI was 19 Alert and orientedX3, she answers all questions appropriately, and her voice is gurgly sounding. Posture: forward head, excessive kyphosis, and posterior pelvic tilt in sitting. Transfers: supine to sit with stand-by assist, sit to stand with moderate assist from a low chair Gait: 5 mph (.6 meters/sec.) with 4 wheeled walker 200 feet requiring 3 sitting rest breaks. Balance: High fall risk category on Tinetti (score 16) The outpatient PT decides to provide patient with a HEP. Ethyl's macular degeneration should prompt the PT to instruct the HEP verbally and under which of the following conditions?
Whаt wоuld prоvide а better clue аbоut the orientation of a rock, in particular, is it upright (as formed) or overturned (flipped over from how it formed)?