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NR603 Week 6 Case Summary.

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NR603 Week 6 Case Summary. Week 6: Case Presentation Chamberlain University NR603: Advanced Clinical Diagnosis and Practice Across Lifespan March 2018 SOAP Week 6 Patient Information: S.C., 48-year-old female, Caucasian, insurance unknown. (S) Subjective: CC: "increasing weight despite dieting" HPI: 48-year-old white woman complaining of increasing weight gain despite diet over past 4 months. Has less energy than usual, decreased interest in usual activities, less able to complete routine tasks, and generally slowed up. Dissatisfied with her overall appearance and inability to lose weight. Current Medications: Denies prescription medication. Takes daily multivitamin for last month. Allergies: NKDA. PMHx: HTN. PSHx: Denies past surgeries. Hospitalization for childbirth x2. G2P2. Childhood Illnesses: None reported. Immunization Hx: Unsure of immunization status. No recent influenza, tetanus. Other Screenings: Not reported. Soc Hx: The patient reported that she had recently quit smoking ‘cold turkey’ and had successfully maintained abstinence for four months. She reported quitting smoking following the death of her mother because she died of cancer. She quit smoking without any professional help and without the use of any nicotine replacements or medications to assist with the smoking cessation. she began smoking at age 18, that she had successfully quit smoking upon becoming pregnant at age 24, but resumed when she returned to work 11 years ago. She reported a daily smoking frequency of 15 to 20 cigarettes per day. She reported no serious efforts to stop smoking dur

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Running head: WEEK 6: SUMMARY 1



NR603 Week 6 Case Summary.




Week 6: Case
Presentation Chamberlain
University
NR603: Advanced Clinical Diagnosis and Practice Across
Lifespan March 2018




SOAP Week 6
Patient Information:
S.C., 48-year-old female, Caucasian, insurance unknown.
(S) Subjective:
CC: "increasing weight despite dieting"
HPI: 48-year-old white woman complaining of increasing weight gain despite diet over past 4 months.

Has less energy than usual, decreased interest in usual activities, less able to complete routine tasks, and

generally slowed up. Dissatisfied with her overall appearance and inability to lose weight.
Current Medications:
Denies prescription medication. Takes daily multivitamin for last month.
Allergies: NKDA.
PMHx: HTN.
PSHx: Denies past surgeries. Hospitalization for childbirth x2. G2P2.
Childhood Illnesses: None reported.
Immunization Hx: Unsure of immunization status. No recent influenza, tetanus.
Other Screenings: Not reported.
Soc Hx: The patient reported that she had recently quit smoking ‘cold turkey’ and had successfully

maintained abstinence for four months. She reported quitting smoking following the death of her

mother because she died of cancer. She quit smoking without any professional help and without the


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, Running head: WEEK 6: SUMMARY 2
use of any nicotine replacements or medications to assist with the smoking cessation. she began

smoking at




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