I HUMAN WEEK 3 NURS 6512 2026 REGINA RICARDO 65
YEAR OLD FEMALE PRESENTING WITH TROUBLE
SLEEPING AT OUTPATIENT CLINIC WITH LABORATORY
AND IMAGING CAPABILITIES
,PATIENT INFORMATION
Name: Regina Ricardo
Age: 65 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 125 lb (57 kg)
Location: Outpatient clinic with laboratory, ECG, and imaging capabilities
Reason for Encounter: Trouble sleeping
Regina Ricardo is a 65-year-old retired schoolteacher who presents with progressive trouble
sleeping, difficulty falling and staying asleep, and daytime fatigue that has worsened over the past
several months and now significantly affects her daily functioning.
, REASON FOR ENCOUNTER
The patient presents with persistent sleep disturbance characterized by difficulty initiating and
maintaining sleep and resultant daytime fatigue and distress. The encounter aims to evaluate
contributing medical and psychosocial factors, rule out underlying pathology, and implement a
comprehensive management strategy.
Component Description
Encounter type Outpatient clinic visit
Chief complaint Trouble sleeping
Onset Several months ago
Duration Chronic, progressive
Location Sleep patterns, nighttime rest
Characteristics Difficulty falling asleep, waking at night, unrefreshing sleep
Aggravating factors Stress, nighttime rumination, poor sleep hygiene
Relieving factors None significant prior to visit
Associated symptoms Daytime fatigue, occasional nervousness
Systemic concerns No fever, no respiratory distress
Patient goals Improve sleep quality, increase daytime energy
YEAR OLD FEMALE PRESENTING WITH TROUBLE
SLEEPING AT OUTPATIENT CLINIC WITH LABORATORY
AND IMAGING CAPABILITIES
,PATIENT INFORMATION
Name: Regina Ricardo
Age: 65 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 125 lb (57 kg)
Location: Outpatient clinic with laboratory, ECG, and imaging capabilities
Reason for Encounter: Trouble sleeping
Regina Ricardo is a 65-year-old retired schoolteacher who presents with progressive trouble
sleeping, difficulty falling and staying asleep, and daytime fatigue that has worsened over the past
several months and now significantly affects her daily functioning.
, REASON FOR ENCOUNTER
The patient presents with persistent sleep disturbance characterized by difficulty initiating and
maintaining sleep and resultant daytime fatigue and distress. The encounter aims to evaluate
contributing medical and psychosocial factors, rule out underlying pathology, and implement a
comprehensive management strategy.
Component Description
Encounter type Outpatient clinic visit
Chief complaint Trouble sleeping
Onset Several months ago
Duration Chronic, progressive
Location Sleep patterns, nighttime rest
Characteristics Difficulty falling asleep, waking at night, unrefreshing sleep
Aggravating factors Stress, nighttime rumination, poor sleep hygiene
Relieving factors None significant prior to visit
Associated symptoms Daytime fatigue, occasional nervousness
Systemic concerns No fever, no respiratory distress
Patient goals Improve sleep quality, increase daytime energy
