*NURSING > QUESTIONS & ANSWERS > Chamberlain College of Nursing - NR 603 week 4 SOAP. NR603 wk4 Soap: SOLVED and Graded A (All)
J. E. 14 Yr. Old F S: CC: Headache HPI: Patient is a 14 year old female who was brought in to the clinic by her mom for complain of headache, with onset of about 1-2 weeks. Patient reports gettin... g headaches that sometimes last 1-2 days. Pt. reports headache symptoms as pulsing. She rates her pain “3” out of 5 and not relieved with Ibuprofen/Naprosyn. She reports associated symptoms as: occasional upset stomach. She denies any aura or trigger. Julia reports that sleep helps, as well as Mine Craft game helps distract her. TV hurts her eyes. She says that her mom thinks so much time on computer and looking at her phone is causing her headache. PMHx: overall health as good. Childhood/previous illnesses: None. Chronic illnesses: None. Surgeries: None. Hospitalizations: None. Immunizations: UTD; receives flu shot annually. Allergies: Seasonal. Blood transfusions: None. Current medications: None. LMP: One week ago. Reference Carezzato, N. L., & Hortense, P. (2014). Migraine: etiology, risk, triggering, aggravating factors and clinical manifestations. Revista Da Rede de Enfermagem Do Nordeste, 15(2), 334–342. doi:10.15253/2175-6783.2014000200019 Hysing, M., Pallesen, S., Stormark, K. M., Lundervold, A. J. and Sivertsen, B. (2013), Sleep patterns and insomnia among adolescents: a population-based study. Journal of Sleep Research , 22: 549–556. doi:10.1111/jsr. Nguyen, R. H., Ford, S., Calhoun, A. H., Holden, J. K., Gracely, R. H., & Tommerdahl, M. (2013). Neurosensory assessments of migraine. Brain Research, 1498, 50–58. doi:10.1016/j.brainres.2012.12.043 Olesen, J. (2014). Problem areas in the international classification of headache disorders, 3rd edition (beta). Cephalalgia, 34(14), 1193–1199. doi:10.1177/0333102414534327 Stefan,E.(2013).The Efficacy of Triptans in childhood and adolescence Migraine. Current Pain Headache Reports. 17(7). doi:10.1007/s11916-013-0342-y, Tepper, D. (2014), Episodic acute migraine treatment. Headache: The Journal of Head and Face Pain, 54: 1681–1682. doi:10.1111/head.12474 The International Classification of Headache Disorders, 3rd edition (2013). Cephalalgia, 33(9), 629–808. doi:10.1177/0333102413485658 [Show More]
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