Health Care > iHuman > iHuman Week 4 - Jennifer Alberson, 65 year old female - CC:trouble sleeping (All)

iHuman Week 4 - Jennifer Alberson, 65 year old female - CC:trouble sleeping

Document Content and Description Below

Subjective Jennifer Alberson Chief complaint: trouble sleeping History of present Illness: Patient is a 65 year old female. Patient presents with complaints of trouble sleeping. Stared a couple m... onths ago and was intermittent. Now it is multiple times a week. Patient has problems both falling asleep and staying asleep. Patient tosses and turns for 1-2 hours trying to go to sleep then wakes up at 2- 3AM and has trouble going back to sleep. Patient is a light sleeper and awakes with noise. Review of system: Constitutional: Patient reports feelings of nerviousness. Denies depression, anxiety. Increase in weight loss. Denies fevers Head/ neck: she has occasional headaches. Denies a decrease in ROM in the neck. Denies vertigo or dizziness. Denies any pain in the neck. EENT: denies sinus pain or pressure. Positive for nasal congestion and runny nose. Denies ear pain or pressure. Negative for tongue or lip swelling. Able to handle oral secretions. Denies changes in vision. Denies double vision or blurriness. Cardiac: palpitations, Respiratory: denies chest pain or pressure. Denies chest tightness GI: Has feelings of heart burn. Has frequient bowel movements. Denies abdominal pain, nausea or vomiting. Heme/ Lymph: Denies swollen lymph nodes or bruising. Skin: denies skin color changes, rashes, or open wounds. Patient states hair is thinning Muscular: denies change in gait. Denies pain in arms and forearms. denies muscle weakness of the legs or feet. Denies pain of the legs or feet, denies stiffness. Medical history: none This study source was downloaded by 100000832361371 from CourseHero.com on 07-21-2022 03:32:37 GMT -05:00 https://www.coursehero.com/file/71016159/ihuman-week-4docx/ IHUMAN WEEK 4 JENNIFER ALBERSON, 65Y/O FEMALE CC TROUBLESLEEPING Surgical history: none Family history: grandmother had thyroid problems Social history: goes out with friends, walks daily, plays tennis ever weekend, retired Allergies: none Medications: calcium and multivitamin Objective: VS: height: 5’7” weight: 126 pounds oxygen stat: 94%, temperature is 99 degrees, BP 130/72, heart rate 102 respirations 14 Constitutional: alert and oriented X3 and age appropriate. no distress noted, non-toxic appearing. Head/ neck: normocephalic, full ROM in the neck. No facial swelling or erythematic. Denies pain in the neck. Anterior and posterior cervical lymph nodes are not swollen. Thyroid is enlarged EENT: Ears: TM’s are pearly grey bilaterally with visible landmarks and light reflex. Ear canals are patent. Eyes: PEERLA, sclera’s are white in color. Nose/Sinus: no sinus pain upon palpation, nostrils are patent with no erythema or drainage noted. Throat: no hoarseness or erythema. No bleeding or ulcers noted. Uvula with proper movement and no swelling. [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages

Add to cart

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

We Accept:

We Accept

Reviews( 0 )

$7.00

Add to cart

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
43
0

Document information


Connected school, study & course


About the document


Uploaded On

Jul 21, 2022

Number of pages

4

Written in

Seller


seller-icon
Crum

Member since 2 years

61 Documents Sold


Additional information

This document has been written for:

Uploaded

Jul 21, 2022

Downloads

 0

Views

 43

Document Keyword Tags

Recommended For You

Get more on iHuman »
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·