This case study report presents a comprehensive analysis of a 71-year-old female patient, addressing her medical history, current conditions (arthritis, dyskinesia, postural instability), medications, and lifestyle factors. The report details nursing assessments using the Barthel index and PDQ-39, revealing severe dependency and poor health. It includes a review of the patient's history, assessment of cues related to physiology, pharmacology and the identification of key nursing problems, such as arthritis and resting tremor. The study also proposes SMART goals for pain management and outlines nursing interventions, including analgesic therapy, with rationales based on relevant literature. The case study emphasizes the importance of clinical reasoning in the context of nursing practice and patient care.