iHuman Reflection Worksheet – Week 5
Physical Health Assessment – NR 509 –
Chamberlain University (2025/2026)
Reflection on iHuman Case: Amanda A. Wheaton
Introduction
The iHuman case of Amanda A. Wheaton, a 28-year-old female presenting with fatigue and
irregular menses, provided a valuable opportunity to apply advanced health assessment skills in a
simulated primary care setting. This reflection evaluates my performance in history-taking,
physical examination, clinical reasoning, and development of a patient-centered plan of care. The
case challenged me to integrate evidence-based practice, cultural considerations, and patient
education while navigating diagnostic complexities. Below, I discuss my approach, strengths,
challenges, and lessons learned, aligning with NR 509 course objectives to enhance diagnostic
accuracy and holistic care.
Case Summary
Amanda A. Wheaton presented with a 3-month history of fatigue, weight gain (8 pounds),
irregular menses (every 6–8 weeks, lighter flow), dry skin, constipation, and difficulty
concentrating. She is a 28-year-old graphic designer with no significant past medical history,
taking oral contraceptives, with a family history of hypothyroidism and type 2 diabetes. My
assessment included a thorough history using the OLDCARTS framework, a head-to-toe
physical exam revealing a slightly enlarged thyroid, and formulation of differential diagnoses
(hypothyroidism, PCOS, anemia, depression, vitamin D deficiency). The final diagnosis was
primary hypothyroidism, supported by clinical findings and family history. The plan of care
included thyroid function tests, levothyroxine initiation, dietary counseling, and follow-up.
[Note: The case summary would be expanded to 3 pages with a detailed narrative of the patient
encounter, including verbatim patient quotes, a timeline of symptom progression, and integration
of social determinants of health, supported by Healthy People 2030 (2021).]
Strengths in Assessment
My history-taking was comprehensive, using open-ended questions to elicit Ms. Wheaton’s
symptoms and OLDCARTS to characterize fatigue and menstrual irregularities. I explored
psychosocial factors (e.g., occupational stress, urban lifestyle) and family history, which guided
my suspicion of hypothyroidism. The physical exam was systematic, covering all systems, with
Physical Health Assessment – NR 509 –
Chamberlain University (2025/2026)
Reflection on iHuman Case: Amanda A. Wheaton
Introduction
The iHuman case of Amanda A. Wheaton, a 28-year-old female presenting with fatigue and
irregular menses, provided a valuable opportunity to apply advanced health assessment skills in a
simulated primary care setting. This reflection evaluates my performance in history-taking,
physical examination, clinical reasoning, and development of a patient-centered plan of care. The
case challenged me to integrate evidence-based practice, cultural considerations, and patient
education while navigating diagnostic complexities. Below, I discuss my approach, strengths,
challenges, and lessons learned, aligning with NR 509 course objectives to enhance diagnostic
accuracy and holistic care.
Case Summary
Amanda A. Wheaton presented with a 3-month history of fatigue, weight gain (8 pounds),
irregular menses (every 6–8 weeks, lighter flow), dry skin, constipation, and difficulty
concentrating. She is a 28-year-old graphic designer with no significant past medical history,
taking oral contraceptives, with a family history of hypothyroidism and type 2 diabetes. My
assessment included a thorough history using the OLDCARTS framework, a head-to-toe
physical exam revealing a slightly enlarged thyroid, and formulation of differential diagnoses
(hypothyroidism, PCOS, anemia, depression, vitamin D deficiency). The final diagnosis was
primary hypothyroidism, supported by clinical findings and family history. The plan of care
included thyroid function tests, levothyroxine initiation, dietary counseling, and follow-up.
[Note: The case summary would be expanded to 3 pages with a detailed narrative of the patient
encounter, including verbatim patient quotes, a timeline of symptom progression, and integration
of social determinants of health, supported by Healthy People 2030 (2021).]
Strengths in Assessment
My history-taking was comprehensive, using open-ended questions to elicit Ms. Wheaton’s
symptoms and OLDCARTS to characterize fatigue and menstrual irregularities. I explored
psychosocial factors (e.g., occupational stress, urban lifestyle) and family history, which guided
my suspicion of hypothyroidism. The physical exam was systematic, covering all systems, with
