Focused Exam: PTSD Completed Shadow_Health Spring 2020 [38 of 39]

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