Focused Exam: PTSD Results | Turned In C487 Psych/Mental Health Clinical - Aug 2018, C487

Focused Exam: PTSD Results | Turned In C487 Psych/Mental Health Clinical - Aug 2018, C487 Return to Assignment Your Results Reopen Lab Pass Subjective Data Collection: 39 of 39 (100.0%) Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Indicates an item that you found. Indicates an item that is available to be found. Catego ry Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint Established chief complaint Reports sleep problems History of Present Illness Asked about onset and frequency of sleep problems Reports sleep problems for the past 10+ years Reports having problems sleeping most nights of the week Asked about sleep quality and characteristics Reports recent sleep problems include nightmares Reports falling asleep often takes more than an hour Reports waking up two or three times during the night for "at least ten minutes" Reports waking in the morning feeling "out of it" and not rested Reports frequent snoring Asked about sleep habits Reports going to bed "around midnight," but feeling "too nervous" to sleep Reports actually falling asleep at 2 or 3 AM Reports checking her windows and doors twice before going to bed Reports no screen use (television or computer) before bed Reports average wake time of 7 AM Reports sleeping an average of 4 or 5 hours a night Reports sleeping alone in a quiet room Asked about patterns for sleep problems Reports that stress and anxiety exacerbate sleep problems Past Medical History Asked about existing health conditions Reports hypertension diagnosis Followed up on hypertension diagnosis Diagnosed age 45 Asked about history of mental health Reports PTSD diagnosis Followed up about symptoms of PTSD diagnosis Reports depression accompanies PTSD diagnosis Reports anxiety as a symptom of PTSD Reports sleep problems are a symptom of PTSD diagnosis Followed up on onset of PTSD Reports diagnosis age 35 Reports PTSD cause is military sexual assault Reports MST was at age 23 Reports event involved commanding officer and ostracization from unit Reports left military at 28, but did not seek immediate care Followed up on aggravating factors for PTSD Reports stress triggers PTSD symptoms Reports avoiding crowds or most social situations