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Clinicalskills Ptconectinitial Eval
Clinicalskills Ptconectinitial Eval
Patient lives in a one-story home with stairs only to get to basement. Patient reports no difficulty with
stairs but doesn’t like to look down them as she descends. She does not often need access to the
basement as it is used for storage. She lives with her husband, and 3 of her 4 adult children live in the
area. Patient had no falls in the past year, but reported tripping over objects occasionally, and bumping
into husband when walking next to him.
PMH: High blood pressure, Lumbar fusion, Rotator Cuff Tear of R UE, Bilateral Carpal Tunnel
Syndrome.
Medications: Eliquis (Apixaban - anticoagulant medication - prevent blood clots and stroke in atrial
fibrillation patients), Synthroid (Levothyroxine – hypothyroidism), Spironolactone (Diuretic for high
blood pressure), Coreg (Carvedilol – Beta blocker for high blood pressure and heart failure), Potassium,
Pramipexole (Dopamine promotor for Parkinson’s Disease), Sinemet (Levodopa – Treat Parkinson’s
Disease), Vitamin B2, Zioptan (Tafluprost – Glaucoma medication).
Current/Prior level of function: Prior to patient’s PD diagnosis, her and her husband lived on a farm
where she helped with the farm work. She has not had this level of activity since moving into town.
Now, patient attends the exercise class MOVE! For Health weekly but does not attend other exercise
classes. Occasionally, the patient will try to walk around the block but typically has to cut her walk short
due to back and hip pain. Patient does not work and reports no other hobbies.
Patient goals:
1. Decrease low back and bilateral hip pain
2. Be able to walk around the block without stopping for pain
3. Get on a schedule for taking medication daily