Focused Exam: PTSD Results | Turned In

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Focused Exam: PTSD Results | Turned In8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 1/6 Focused Exam: PTSD Results | Turned In C4 ... 87 Psych/Mental Health Clinical - Aug 2018, C487 Return to Assignment Your Results Reopen Lab Pass Indicates an item that you found. Indicates an item that is available to be found. Catego ry Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint Established chief complain00.0%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies Documentation SBAR Overview video Reflections Student Survey Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 2/6 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 Reports average wake time of 7 AM Reports sleeping an average of 4 or 5 hours a night Reports sleeping alone in a quiet room Asked about patterns for sleep problems Reports that stress and anxiety exacerbate sleep problems Past Medical History Asked about existing health conditions Reports hypertension diagnosis Followed up on hypertension diagnosis Diagnosed age 45 Asked about history of mental health Reports PTSD diagnosis Followed up about symptoms of PTSD diagnosis Reports depression accompanies PTSD diagnosis Reports anxiety as a symptom of PTSD Reports sleep problems are a symptom of PTSD diagnosis Followed up on onset of PTSD Reports diagnosis age 35 Reports PTSD cause is military sexual assault Reports MST was at age 23 Reports event involved commanding officer and ostracization from unit Reports left military at 28, but did not seek immediate care Followed up on aggravating factors for PTSD Reports stress triggers PTSD symptoms Reports avoiding crowds or most social situations https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 3/6 Reports fear of "losing control" of a situation Reports discussing event is triggering Reports difficulties with relationships and emotional/physical intimacy Asked about non-medication coping strategies Reveals belief that she has a moderate level of self-care Reports therapy dog helps Reports smoking helps Reports avoiding stimulating environments when anxious or stressed Asked about suicidal ideation and selfharm Reports occasional feelings that "sometimes I feel like life is not worth living" Denies active suicidal ideation or selfharm Followed up on suicide planning Denies suicide planning Reports suicidal ideation is a symptom of depression Asked about past suicide attempts Denies past suicide attempts Asked about homicidal ideation Denies homicidal ideation Asked about previous psychiatric hospitalizations Denies past psychiatric admissions Home Medications Asked about home medications Reports medication for hypertension Reports medication for depression Reports medication for anxiety Denies taking vitamins Denies taking herbal supplements Asked about medication regimen adherence Reports using a smartphone app to manage medications Denies missing doses of medication Denies missing doses of medication because of side effects Denies difficulty obtaining medications because of finances Denies difficulty obtaining medications because of transportation https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 4/6 Followed up on last dose of home medications Reports taking all medications as scheduled today Denies taking blood pressure medication today - not scheduled until evening Reports taking medication for depression this morning as scheduled Reports taking medication for anxiety this morning as scheduled Followed up on medication for hypertension Reports taking losartan Reports losartan dosage: 100 mg Reports losartan frequency: 1x daily Denies losartan side effects Followed up on medication for anxiety Reports taking buspirone HCL Reports buspirone HCL dosage: 30 mg Reports buspirone HCL frequency: 15mg pill twice daily Denies buspirone HCL side effects Reports taking buspirone HCL for 1 year Reports buspirone HCL is effective in reducing anxiety Followed up on medication for depression Reports taking bupropion HCL Reports bupropion HCL dosage: 150 mg Reports bupropion HCL frequency: twice daily Denies bupropion HCL side effects Reports taking bupropion HCL for 1 year Reports taking various antidepressants in the past Reports bupropion HCL is effective for treating depression Social History Asked about occupation and education Reports working as a grant writer Reports undergraduate degree in English Asked about illicit drug use Denies illicit drug use Asked about alcohol use Reports rare alcohol use Followed up on alcohol use Reports drinking less than once a month Reports drinking 1 - 2 drinks in a sitting https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 5/6 Asked about tobacco and nicotine use Reports cigarette smoking Followed up on cigarette smoking Reports smoking 3 - 4 cigarettes a day Reports started smoking in her early twenties Reports quitting on and off over the last 20 years Asked about living situation, safety, and support system Reports being single Reports living alone but has service dog Reports feeling safe at home Asked about activity level and exercise Reports moderate activity level Reports past bike riding, although she doesn't ride her bike anymore Reports walking service dog daily Reports decreasing activity level Asked about diet Reports eating mostly carry-out food Reports breakfast is typically a yogurt Reports lunch is typically a sandwich or burger Reports dinner is typically fast food Reports enjoying comfort foods when stressed Denies binge-eating but feels like she eats more than she should Denies eating a low-salt diet Asked about appetite Reports loss of appetite Asked about last menstrual period Reports having menstrual periods (has not yet reached menopause) Reports LMP was 2 weeks ago Reports periods are becoming irregular Asked about recent sexual activity Reports not currently sexually active Reports last sexual activity was more than a year ago Review of Systems Asked about general symptoms Reports weight gain Denies fever Denies chills Denies night sweats https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com8/28/2018 Focused Exam: PTSD | Completed | Shadow Health https://wgu.shadowhealth.com/assignment_attempts/3743701 6/6 Followed up on weight gain Reports gaining 20 lbs Reports weight gain occurred over last 2 years Reports weight gain was unintentional Asked about review of systems for gastrointestinal Denies nausea Denies abdominal pain Denies difficulty swallowing Denies vomiting Denies constipation Denies diarrhea Denies changes in stool or bowel patterns Asked about review of systems for neurological Denies weakness Denies headaches Denies syncope, dizziness, fainting, or vertigo Denies changes in coordination Denies changes in memory Denies recent falls Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health 2018 ® https://www.coursehero.com/file/38097452/Focused-Exam-PTSD-Completed-Shadow-Health-objectivepdf/ This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org [Show More]

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