NURS 6152B Section 200 Mabel Johnson
(Completed) Latest Spring 2021 /
NURS6152B Section 200 Mabel Johnson
(Completed) Latest Spring 2021
, Anam Maredia
NURS 6152
B
Section 200
Mabel Johnson
A. History (Subjective) (S)
1. Identifying data (ID): Mabel Johnson, a 76-year-old African
American female that resides in an apartment on the second
floor.
2. Chief complaint (CC): “I am having pain in my knees and I am
ready to do something about it. That is why they sent me to you.
My knees have been getting worse over the past couple of
years. They hurt when I walk for more than a block and when I
climb stairs. “
3. History of present illness (HPI)
a. Analysis of symptom/complaint:
Ms. Mable Johnson complains of pain in her knees that stared
about five years ago but has gotten worse over time. The location
of her pain is inside her knees, and the pain in her right knee is
worse. The pain in her right knee radiates down to her ankle. Ms.
Johnson describes the pain in her knees as stiff and achy. They
are stiff in the morning for about 15-20 minutes. Cold weather and
exercise makes her knee pain worse. She hasn’t found anything
that helps with the pain. Ms. Johnson states that her pain level is
usually about a 4 or 5 out of 10, and sometimes it is a 7 or 8 out of
10. Associated symptoms with the pain are swelling in her knees
and sometimes her finger knuckles.
b. Impact on lifestyle
Ms. Johnson has trouble getting around due the pain in her
knees. Ms. Johnson states, “I have to walk up the stairs to get to
it. Thank goodness I don’t live on the 3rd floor. It’s getting harder
and harder to get up those stairs. My daughter usually has to
come help me.”
c. Include significant chronic health disorders that impact on
the current chief complaint.
Ms. Johnson has a past medical history of peptic ulcer disease with
GI bleed from Ibuprofen use, chronic kidney disease, and
hypertension.
4. Allergies: Ms. Johnson denies allergies to medication,
food, pollens and pet dander (environmental).
5. Immunizations: Up to date
(Completed) Latest Spring 2021 /
NURS6152B Section 200 Mabel Johnson
(Completed) Latest Spring 2021
, Anam Maredia
NURS 6152
B
Section 200
Mabel Johnson
A. History (Subjective) (S)
1. Identifying data (ID): Mabel Johnson, a 76-year-old African
American female that resides in an apartment on the second
floor.
2. Chief complaint (CC): “I am having pain in my knees and I am
ready to do something about it. That is why they sent me to you.
My knees have been getting worse over the past couple of
years. They hurt when I walk for more than a block and when I
climb stairs. “
3. History of present illness (HPI)
a. Analysis of symptom/complaint:
Ms. Mable Johnson complains of pain in her knees that stared
about five years ago but has gotten worse over time. The location
of her pain is inside her knees, and the pain in her right knee is
worse. The pain in her right knee radiates down to her ankle. Ms.
Johnson describes the pain in her knees as stiff and achy. They
are stiff in the morning for about 15-20 minutes. Cold weather and
exercise makes her knee pain worse. She hasn’t found anything
that helps with the pain. Ms. Johnson states that her pain level is
usually about a 4 or 5 out of 10, and sometimes it is a 7 or 8 out of
10. Associated symptoms with the pain are swelling in her knees
and sometimes her finger knuckles.
b. Impact on lifestyle
Ms. Johnson has trouble getting around due the pain in her
knees. Ms. Johnson states, “I have to walk up the stairs to get to
it. Thank goodness I don’t live on the 3rd floor. It’s getting harder
and harder to get up those stairs. My daughter usually has to
come help me.”
c. Include significant chronic health disorders that impact on
the current chief complaint.
Ms. Johnson has a past medical history of peptic ulcer disease with
GI bleed from Ibuprofen use, chronic kidney disease, and
hypertension.
4. Allergies: Ms. Johnson denies allergies to medication,
food, pollens and pet dander (environmental).
5. Immunizations: Up to date
