Notes

Osteoarthritis (OA): She has advanced OA in both knees, leading to frequent pain and difficulty walking or standing for extended periods. She experiences knee pain (level 6, 7 times per week) and back pain (level 5, 3 times per week). Although she needs knee replacement surgery, she has declined the procedure.

Diabetes Type 2: The client manages her diabetes with oral medications and has diabetic neuropathy, which causes numbness and weakness in her limbs.

High Blood Pressure and High Cholesterol: Both conditions are being managed, but they contribute to her overall health limitations.

Gastroesophageal Reflux Disease (GERD): Diagnosed after experiencing bloating and poor appetite, this condition further affects her digestion and health.

Memory and Cognitive Decline: The client reports forgetfulness, including forgetting to turn off the stove and needing reminders for medications and appointments. However, her judgment and orientation are intact, with only mild memory impairment.

Additional Symptoms: She experiences dizziness in the mornings, hand and finger numbness, leg cramps at night, headaches, and frequent urination. These symptoms limit her ability to perform daily tasks independently.

Overall, the client's health conditions significantly impact her mobility, physical abilities, and memory, requiring substantial assistance for daily activities.