Focused_Exam__PTSD___In_ Progress_Attempt___Shadow_Health
Focused Exam: PTSD Results | Turned In C487 Psych/Mental Health Clinical - Aug 2018, C487 Return to Assignment Your Results Reopen Lab Pass Flowsheets Documentation Nursing Admitting Note Student Documentation Model Documentation Chief Complaint not being able to sleep, trouble following asleep Ms. Diaz presented at the clinic with severe sleep issues that she said were impacting her life. She claimed she was unable to rest and was suffering from insomnia, nightmares, and frequent waking. History of Present Illness cant sleep until 2 or 3 in the morning, too nervous to sleep, only getting four or five hours of sleep per night, history of PTSD Nicole is a 48 year-old Cuban American woman with a history of hypertension and post-traumatic stress disorder. Allergies nkda NKA Past Medical History htn, ptsd HTN diagnosed age 45 PTSD diagnosed age 35 stemming from a sexual assault during her military service Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies Documentation SBAR Overview video Reflections Student Survey Documentation / Electronic Health Record This study source was downloaded by from CourseH on :42:45 GMT -05:00
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