PERL, 2-3 mm bilateral. No slurring of speech. At risk for injury related to dysphagia, on soft-thick dysphagia diet, feeds self with assistance. Grips unequal, strong on right, weak on left. Has a saline lock R forearm, flush q 8 hours, patent and intact, site free from redness or drainage.
Lung sounds clear in all lung fields.
Bowel sounds active in all 4 quads, abd non-tender to palpation. Has a history of constipation. Urine clear yellow. Uses urinal, has occasional episodes of incontinence. Peri-area skin currently clear and intact, with no areas of redness.