Depression
Abigail Harris – Depression
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports feeling excessively
weak (Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you feel weak?
Finding:
Reports fatigue and
sleepiness (Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Are you fatigued?
History of Present
Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports symptoms have been happening for past
month (Found)
,Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or
symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often have you felt fatigued?
Finding:
Reports symptoms have been increasing in the past
week (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did the discomfort start gradually?
Finding:
Reports unable to get out of bed every
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Can you get out of bed?
Finding:
Asked about frequency, duration, and timing of symptoms
Finding:
Reports feeling fatigued every
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the morning?
Finding:
Reports feeling slightly more energetic in the
afternoon (Found)
,Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or
symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the afternoon?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports feeling is worse in the
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When do the symptoms feel worse?
Finding:
Reports no known
triggers (Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What makes your symptoms worse?
Finding:
Asked about treatment and relieving factors of symptoms
Finding:
Reports that lying down feels best when
fatigued (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What relieves your
symptoms? Depression
Screening
, Finding:
Asked about pleasure and interest in typical activities
Finding:
Reports loss of interest in typical
activities (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you have little interest in doing things?
Finding:
Reports not taking pleasure in things that typically
would (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you not find pleasure in things you used to like?
Finding:
Asked about feelings of depression
Finding:
Denies sadness or
depression (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you feel sad or depressed?
Finding:
Denies feeling hopeless
(Available)
Abigail Harris – Depression
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports feeling excessively
weak (Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you feel weak?
Finding:
Reports fatigue and
sleepiness (Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Are you fatigued?
History of Present
Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports symptoms have been happening for past
month (Found)
,Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or
symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often have you felt fatigued?
Finding:
Reports symptoms have been increasing in the past
week (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did the discomfort start gradually?
Finding:
Reports unable to get out of bed every
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Can you get out of bed?
Finding:
Asked about frequency, duration, and timing of symptoms
Finding:
Reports feeling fatigued every
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the morning?
Finding:
Reports feeling slightly more energetic in the
afternoon (Found)
,Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or
symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the afternoon?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports feeling is worse in the
morning (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When do the symptoms feel worse?
Finding:
Reports no known
triggers (Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What makes your symptoms worse?
Finding:
Asked about treatment and relieving factors of symptoms
Finding:
Reports that lying down feels best when
fatigued (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What relieves your
symptoms? Depression
Screening
, Finding:
Asked about pleasure and interest in typical activities
Finding:
Reports loss of interest in typical
activities (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you have little interest in doing things?
Finding:
Reports not taking pleasure in things that typically
would (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you not find pleasure in things you used to like?
Finding:
Asked about feelings of depression
Finding:
Denies sadness or
depression (Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is
at risk for self-harm.
Example Question:
Do you feel sad or depressed?
Finding:
Denies feeling hopeless
(Available)
