Abigail Harris – Depression
PSYCH C487 - SHADOW
HEALTH ABIGAIL HARRIS-
DEPRESSION
,Abigail Harris – Depression
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports feeling excessively weak
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you feel weak?
Finding:
Reports fatigue and sleepiness
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Are you fatigued?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
,Finding:
Reports symptoms have been happening for past month
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
How often have you felt fatigued?
Finding:
Reports symptoms have been increasing in the past week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did the discomfort start gradually?
Finding:
Reports unable to get out of bed every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Can you get out of bed?
Finding:
Asked about frequency, duration, and timing of symptoms
Finding:
, Reports feeling fatigued every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Are you tired in the morning?
Finding:
Reports feeling slightly more energetic in the afternoon
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Are you tired in the afternoon?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports feeling is worse in the morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When do the symptoms feel worse?
Finding:
Reports no known triggers
(Available)
PSYCH C487 - SHADOW
HEALTH ABIGAIL HARRIS-
DEPRESSION
,Abigail Harris – Depression
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports feeling excessively weak
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you feel weak?
Finding:
Reports fatigue and sleepiness
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Are you fatigued?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
,Finding:
Reports symptoms have been happening for past month
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
How often have you felt fatigued?
Finding:
Reports symptoms have been increasing in the past week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did the discomfort start gradually?
Finding:
Reports unable to get out of bed every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Can you get out of bed?
Finding:
Asked about frequency, duration, and timing of symptoms
Finding:
, Reports feeling fatigued every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Are you tired in the morning?
Finding:
Reports feeling slightly more energetic in the afternoon
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Are you tired in the afternoon?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports feeling is worse in the morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When do the symptoms feel worse?
Finding:
Reports no known triggers
(Available)
