HEALTH FOCUSED EXAM ON ALCOHOL ABUSE, REAL PATIENT ASSESSMENT-subjective Data,2023 100% guarantee

History of Present Illness Followed up on details of car accident Reports loss of consciousness Reports being unsure of how the accident happened Reports wearing seatbelt Reports being the driver - no other passengers in car Reports was told she would get a ticket for DUI 1/8 Followed up on alcohol use just prior to car accident Reports drinking before accident Reports being unsure of how many drinks - "at least 5" Reports was drinking with friends at a party Reports left party to drive home because she was mad at her girlfriend and could not take any more Asked about driving impaired Reports knew she was driving under the influence but did not care Reports have driven in past after drinking, but this time she did not care if she injured herself Followed up on impaired driving - risk for self harm Reports has had enough of life and did not care if she got hurt/died Reports had not thought about self harm before accident Reports since accident, not sure what to think about what she did Asked about onset and duration of pain Reports pain started immediately after accident Reports accident was last night Reports accident was at 10 pm Asked about location of pain Reports pain is in right wrist Asked about aggravating factors of pain Reports increased pain when bending or twisting (R) wrist Reports increased pain when trying to lift items, even small ones such as a hairbrush Asked about treatment and relieving factors of pain Reports rest improves pain Reports ibuprofen has significantly reduced pain Reports wearing sling helps Asked about characteristics of pain Reports pain is aching Denies sharp or shooting pain Asked about severity of pain Reports current pain level is 2/10 Reports pain without medication was 8/10 Past Medical History 2/8 Asked about existing health conditions Reports no known health problems Asked about history of mental health Denies previous history of mental illness diagnoses Denies past depression Reports feeling anxious over the past six months - has not sought treatment/counseling Reports can not deal with stress of school and life in general Reports that she does not care what happens to her anymore (passive suicidal ideation)