I-Human Case Study: Jacqueline Russell | Adult
Female With Fatigue, Comprehensive Clinical
Assessment, and Care Plan
I-Human case study of Jacqueline Russell presenting with fatigue. Includes a detailed SOAP
note, diagnostic evaluation, differential diagnoses, and evidence-based treatment plan
designed for nursing and healthcare students.
• I-Human case study Jacqueline Russell
• Jacqueline Russell I-Human fatigue case
• I-Human fatigue SOAP note
• Adult fatigue nursing case study
Patient Information
• Name: Jacqueline Russell
• Age: 46 years
• Sex: Female
• Date: [Simulation Date]
• Setting: Primary Care / Outpatient Clinic
• Source of History: Patient (reliable historian)
S – Subjective
Chief Complaint (CC):
, “I’ve been feeling extremely tired all the time.”
History of Present Illness (HPI):
Jacqueline Russell is a 46-year-old female who presents with complaints of persistent fatigue for
approximately 3 months. She describes the fatigue as constant, present daily, and not relieved by
rest or sleep. She reports feeling exhausted by mid-day and struggling to complete work and
household responsibilities.
She reports associated difficulty concentrating, decreased motivation, and intermittent
headaches. She denies shortness of breath at rest, chest pain, syncope, fever, or recent illness. She
states her sleep averages 6 hours per night, but she wakes feeling unrefreshed.
She reports heavy menstrual periods over the past year, lasting 6–7 days with moderate to heavy
flow. No recent weight loss or gain. No recent medication changes.
Associated Symptoms:
• Generalized weakness
• Decreased energy
• Difficulty concentrating
• Headaches
• Cold intolerance
Denies:
• Fever or night sweats
• Chest pain
• Palpitations
• Dyspnea at rest
• Depression or suicidal ideation
Past Medical History (PMH):
• Hypothyroidism (well controlled)
• Hyperlipidemia
Past Surgical History (PSH):
• Cesarean section ×1
/
Female With Fatigue, Comprehensive Clinical
Assessment, and Care Plan
I-Human case study of Jacqueline Russell presenting with fatigue. Includes a detailed SOAP
note, diagnostic evaluation, differential diagnoses, and evidence-based treatment plan
designed for nursing and healthcare students.
• I-Human case study Jacqueline Russell
• Jacqueline Russell I-Human fatigue case
• I-Human fatigue SOAP note
• Adult fatigue nursing case study
Patient Information
• Name: Jacqueline Russell
• Age: 46 years
• Sex: Female
• Date: [Simulation Date]
• Setting: Primary Care / Outpatient Clinic
• Source of History: Patient (reliable historian)
S – Subjective
Chief Complaint (CC):
, “I’ve been feeling extremely tired all the time.”
History of Present Illness (HPI):
Jacqueline Russell is a 46-year-old female who presents with complaints of persistent fatigue for
approximately 3 months. She describes the fatigue as constant, present daily, and not relieved by
rest or sleep. She reports feeling exhausted by mid-day and struggling to complete work and
household responsibilities.
She reports associated difficulty concentrating, decreased motivation, and intermittent
headaches. She denies shortness of breath at rest, chest pain, syncope, fever, or recent illness. She
states her sleep averages 6 hours per night, but she wakes feeling unrefreshed.
She reports heavy menstrual periods over the past year, lasting 6–7 days with moderate to heavy
flow. No recent weight loss or gain. No recent medication changes.
Associated Symptoms:
• Generalized weakness
• Decreased energy
• Difficulty concentrating
• Headaches
• Cold intolerance
Denies:
• Fever or night sweats
• Chest pain
• Palpitations
• Dyspnea at rest
• Depression or suicidal ideation
Past Medical History (PMH):
• Hypothyroidism (well controlled)
• Hyperlipidemia
Past Surgical History (PSH):
• Cesarean section ×1
/
