,I-Human Case Week #9: 65-Year-Old Female Patient Presenting with Trouble Sleeping (Class 6531)
65-Year-Old Female with Trouble Sleeping
---
Chief Complaint (CC)
“I haven’t been able to sleep well for the past few months.”
---
History of Present Illness (HPI)
The patient is a 65-year-old female who presents with complaints of persistent difficulty sleeping for
approximately 3 months. She reports trouble both initiating sleep (sleep onset insomnia) and
maintaining sleep (frequent awakenings during the night).
She states that she typically goes to bed around 10:00 PM, but it often takes her 1–2 hours to fall asleep.
Even after falling asleep, she wakes up multiple times during the night, sometimes staying awake for
long periods. She estimates she sleeps only 3–4 hours per night on average.
, The patient reports:
Feeling unrefreshed in the morning
Experiencing daytime fatigue
Difficulty concentrating during the day
Occasional irritability
She denies:
Loud snoring
Witnessed apneas
Sudden awakenings gasping for air
However, she admits to:
Increased worry and stress, especially about health and finances
Watching TV in bed frequently
65-Year-Old Female with Trouble Sleeping
---
Chief Complaint (CC)
“I haven’t been able to sleep well for the past few months.”
---
History of Present Illness (HPI)
The patient is a 65-year-old female who presents with complaints of persistent difficulty sleeping for
approximately 3 months. She reports trouble both initiating sleep (sleep onset insomnia) and
maintaining sleep (frequent awakenings during the night).
She states that she typically goes to bed around 10:00 PM, but it often takes her 1–2 hours to fall asleep.
Even after falling asleep, she wakes up multiple times during the night, sometimes staying awake for
long periods. She estimates she sleeps only 3–4 hours per night on average.
, The patient reports:
Feeling unrefreshed in the morning
Experiencing daytime fatigue
Difficulty concentrating during the day
Occasional irritability
She denies:
Loud snoring
Witnessed apneas
Sudden awakenings gasping for air
However, she admits to:
Increased worry and stress, especially about health and finances
Watching TV in bed frequently
