Mrs. Smith
The general impression of Mrs. Smith so far are that she is nearing an end-of-life phase: she is becoming weaker, tired, does not feel like going out much, and experiences a general sadness -- though she says she does not feel "sad exactly." Her general mood is pensive, somewhat concerned about her frailty -- definitely concerned about having another fall like she had last year and becoming dependent upon caretakers. Her fears are founded on the experience of friends and just an overall awareness of the fact that she is aging -- now 80 -- and will not be able to live independently forever. This is no doubt causing some slight depression -- which is not uncommon or unusual in seniors at this age (Shulman, 2007). Likewise her gait pattern -- slow, "reduced walking speed, arm swing and vertical head movements" are indicative of "sadness and depression" (Michalak et al., 2009). This would bear out the sense that she is feeling dysphoric lately, withdrawing from society, not going to the store, not seeing friends as much as she used to. She is aging and perhaps beginning to reflect a little more on the uncertainty of what lies ahead than living in the present, in the here and now.
What else I would like to know about Mrs. Smith is her daily routine, who manages her meal preparations, her daily medications (if any -- so as to prevent accidental overdose), what percent of
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