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Leah Smith, an 87-year-old patient, is at the clinic receiving an an.pdf

The patient, an 87-year-old woman, is receiving her annual physical checkup. She complains that the examination room feels cold even though the thermostat reads 70F. The patient walks slowly and is slightly hunched over. She has difficulty locating items in her purse. The patient also reports decreased senses of smell and taste compared to 10 years ago. Her family is concerned about her ability to drive safely due to possible vision issues. The nurse will perform a neurologic examination on the patient.

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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 70F. 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.
1. Explain the changes in the patients neurologic function that are related to aging and what risks
the patient has related to age-related changes.
2. Because age-related changes have an impact on the neurologic assessment, for what
additional areas should the nurse assess the patient, and what findings reflect normal aging?
What neurologic assessment findings do not change with aging?
3. After reviewing this case study, how will it change or guide your nursing care in the clinical
setting?

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  • 1. 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 70F. 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. 1. Explain the changes in the patients neurologic function that are related to aging and what risks the patient has related to age-related changes. 2. Because age-related changes have an impact on the neurologic assessment, for what additional areas should the nurse assess the patient, and what findings reflect normal aging? What neurologic assessment findings do not change with aging? 3. After reviewing this case study, how will it change or guide your nursing care in the clinical setting?