iHuman Case Study: 65-Year-Old Female
with Sleeping Difficulties (Class 6531) -
Expert Guide based on Mary Jo Goolsby
and Laurie Grubbs 5th Edition - Updated
for 2025/2026 to Help You Pass on Your
First Attempt
Here is a comprehensive guide for the **i-Human Case Study** featuring a **65-year-old female with
sleeping difficulties** for **NURS/CLASS 6531 Week 9** (2025/2026 academic year). This information is
synthesized from multiple verified case study documents .
,---
## 📋 Case Overview
| Parameter | Details |
| :--- | :--- |
| **Course** | NURS/CLASS 6531 – Advanced Practice Nursing / Primary Care |
| **Week** | 9 |
| **Patient Name** | Mary Johnson (also appears as Margaret Johnson or Mrs. J.D. in some versions) |
| **Age** | 65 years |
| **Sex** | Female |
| **Setting** | Outpatient Primary Care Clinic (with X-ray, ECG, and laboratory capabilities) |
| **Reason for Encounter** | "Trouble sleeping" |
### Patient Demographics
| Parameter | Value |
| :--- | :--- |
| **Height** | 5'2" - 5'4" (157-163 cm) |
| **Weight** | 145-150 lbs (65.8-68 kg) |
| **BMI** | 25.5-26.5 kg/m² (overweight) |
| **Living Situation** | Lives alone (widowed) |
| **Former Occupation** | Retired elementary school teacher |
| **Insurance** | Medicare |
, ---
## 1. Subjective Data (History of Present Illness)
### Chief Complaint (CC)
*"I just can't sleep anymore."* or *"I can't sleep like I used to. I either take forever to fall asleep, or I
wake up way too early and can't get back to sleep."*
### History of Present Illness (HPI)
The patient is a 65-year-old woman presenting with persistent sleep disturbances. There are **two
common case variations** in the duration of symptoms:
| Duration Variation | Details |
| :--- | :--- |
| **3-month onset** | Symptoms began insidiously 3 months ago |
| **5-6 year chronic** | Insomnia present for 5-6 years, with progressive worsening over past 6 months
|
**Key Symptom Characteristics:**
| Characteristic | Details |
| :--- | :--- |
| **Onset** | Gradual, progressive |
| **Frequency** | 5-6 nights per week |
with Sleeping Difficulties (Class 6531) -
Expert Guide based on Mary Jo Goolsby
and Laurie Grubbs 5th Edition - Updated
for 2025/2026 to Help You Pass on Your
First Attempt
Here is a comprehensive guide for the **i-Human Case Study** featuring a **65-year-old female with
sleeping difficulties** for **NURS/CLASS 6531 Week 9** (2025/2026 academic year). This information is
synthesized from multiple verified case study documents .
,---
## 📋 Case Overview
| Parameter | Details |
| :--- | :--- |
| **Course** | NURS/CLASS 6531 – Advanced Practice Nursing / Primary Care |
| **Week** | 9 |
| **Patient Name** | Mary Johnson (also appears as Margaret Johnson or Mrs. J.D. in some versions) |
| **Age** | 65 years |
| **Sex** | Female |
| **Setting** | Outpatient Primary Care Clinic (with X-ray, ECG, and laboratory capabilities) |
| **Reason for Encounter** | "Trouble sleeping" |
### Patient Demographics
| Parameter | Value |
| :--- | :--- |
| **Height** | 5'2" - 5'4" (157-163 cm) |
| **Weight** | 145-150 lbs (65.8-68 kg) |
| **BMI** | 25.5-26.5 kg/m² (overweight) |
| **Living Situation** | Lives alone (widowed) |
| **Former Occupation** | Retired elementary school teacher |
| **Insurance** | Medicare |
, ---
## 1. Subjective Data (History of Present Illness)
### Chief Complaint (CC)
*"I just can't sleep anymore."* or *"I can't sleep like I used to. I either take forever to fall asleep, or I
wake up way too early and can't get back to sleep."*
### History of Present Illness (HPI)
The patient is a 65-year-old woman presenting with persistent sleep disturbances. There are **two
common case variations** in the duration of symptoms:
| Duration Variation | Details |
| :--- | :--- |
| **3-month onset** | Symptoms began insidiously 3 months ago |
| **5-6 year chronic** | Insomnia present for 5-6 years, with progressive worsening over past 6 months
|
**Key Symptom Characteristics:**
| Characteristic | Details |
| :--- | :--- |
| **Onset** | Gradual, progressive |
| **Frequency** | 5-6 nights per week |
