OLDER ADULT FEMALE PRESENTING WITH
CHRONIC TROUBLE SLEEPING DAYTIME FATIGUE
AND FUNCTIONAL IMPAIRMENT IN PRIMARY CARE
,PATIENT INFORMATION
Name: Withheld for privacy
Age: 62 years
Gender: Female
Height: 5’5” (165 cm)
Weight: 182 lb (82.6 kg)
BMI: 30.3 kg/m² (Obesity Class I)
Course: NR-601 – Primary Care of the Maturing and Aged Family
Clinical Setting: Outpatient primary care clinic with laboratory capabilities
Encounter Type: Routine outpatient visit
, REASON FOR ENCOUNTER (TABLE FORMAT)
Component Details
Chief Complaint “I can’t sleep through the night.”
Onset Gradual onset over the past 6–8 months
Duration Nightly sleep disturbance
Pattern Difficulty maintaining sleep, frequent awakenings
Associated Symptoms Daytime fatigue, poor concentration, irritability
Impact on Life Reduced energy, difficulty completing daily activities