The client was alert and fully oriented.

Affect was flat, and the client appeared withdrawn.

The client reported full adherence to their prescribed medications.

The client reported that they missed two physical therapy appointments.

Education was reinforced with the use of the cane.

The client reported that they removed the cane's rubber tip because it left marks on their flooring.

The client ambulated with the cane and held it in their right hand.

The elbow was flexed 30 degrees.

The client advanced the cane 12-14 inches (30-36 cm) with each step.

The client initially advanced the left leg, then the cane.