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Evaluation

Are you evaluating an adult?

Age of the adult

years

Does the patient have a history of ...

• cerebrovascular accident or transient ischemia attack (TIA)?

• impaired cognition (demention, Alzheimer’s disease, other)?

• recurrent falls?

• diabetes mellitus not controlled by diet?

• syncope or blackouts?

• a psychotic disorder (bipolar disease, paranoia, schizophrenia, PTSD)?

• thyroid disease?

• seizures?

• depression?

• malignancy?

• decubitus ulcer?

• congestive heart disease (CHF)?

• cardiac disease (coronary artery disease, aortic stenosis, mitral valve prolapse, arrhythmia)?

• myocardial infarction?

• urinary incontinence?

• Parkinson’s disease?

• acute or chronic renal disease?

• respiratory disease (COPD, emphysema, obstructive sleep apnea, bronchitis, etc)?

Select the appropriate answer to indicate ambulatory status

Ambulatory status

Results

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