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Miller can put just enough weight on her right leg touse a walker, but is not stable and the pain is too muchto bear weight for any walking distance; needs assistancewith bathing, cooking, and dressing; is not eating verywell and seems to choke easily, especially when she isdrinking, and that she complains frequently of a “drymouth.” Uses bed pads to manage a small amount ofincontinence during the night, and daughter gets her upat 3:00 AM to bedside commode. Elderly individuals who are asymp-tomatic from a hearing perspective should be screenedfor hearing loss, preferably with the whispered voice test(Uhlmann et al., 1980; Pirozzo et al., 2003; Bagai et al.,2006), the calibrated finger rub auditory screening test(CALFRAST; Torres-Russotto et al., 2009), or a handheldaudiometer.

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