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70s 80s 90s adult age aged aging arthritis assist balance cane care caucasian close disability disease elder elderly female finger fingers generation geriatric grand grandma grandmother grasp hand hands health healthcare hold human knuckle knuckles lady medicine mother old older palm palms parent patient pensioner people person retired retiremant senior shaking skin stick strength support terminal terminally thumb thumbs tired vein veins white woman wrinkle wrinkled wrinkles wrist wrists years