PATIENT WITH DIFFICULTY AMBULATING DUE TO PAIN AND STIFFNESS ON BOTH KNEES AND SHOULDERS.

SHE IS USING WALKER OR ASSISTANCE OF ANOTHER PERSON TO AMBULATE SAFELY. PATIENT GETS SOB
ON MODERATE EXERTION, NEEDS REST IN BETWEEN WHEN AMBULATING MORE THAN 20 FEET. NEEDS
ASSISTANCE OF ANOTHER PERSON TO COMPLETE HER DAILY ACTIVITIES AND TO SAFELY LEAVE HOME.
PATIENT ALSO WITH DECREASED STRENGTH AND ENDURANCE AND UNSAFE TO NEGOTIATE STAIRS AND
WALK ON UNEVEN WALKWAYS.