NR603 week1 Soap Chamberlain College of Nursing

NR603 week1 Soap Chamberlain College of Nursing Ed, 19yr M. S: CC: “Not feeling well”, Fatigue. HPI: This is a 19yr old second semester college student, who comes into the clinic with complaint of fatigue for the past 2 months. He reports difficulty getting up for class, feeling down and is not doing well in his courses. He reports that he doesn’t enjoy the activities that he used to. He reports that he goes out at night with friends but have no energy to get up in the morning anymore. Ed reports being in general good health and denies any health conditions. He denies using any medication currently. OLDCART/ROS When did you start feeling fatigue? (2 months ago) How often does it occur? ongoing What does it feel like? difficulty getting up for class, feeling down and is not doing well in his courses. Does not enjoy the activities that he used to What factors makes your fatigue worse? goes out at night with friends but have no energy to get up in the morning anymore. What factors improve your fatigue? none How severe are your symptoms? Drinking alcohol three to four times per week and coming home after 2 am on those nights. He sleeps 4 to 6 hours a night at this time. Do you experience blurred vision, headaches? Have you had any recent weight loss? Nausea, vomiting, diarrhea? Do you experience shortness of breath with minimal or moderate exertion at rest, walking, eating, or talking?. Do you have any history or family history of cardiac