Patient: John Larsen – Anxiety and Panic Attack with SBAR and assessment Chief Complaint | Finding: Established chief complaint Finding: Reports that he felt like he was "smothering" - sense... of chest pressure (Found)Where do you feel the smothering sensation? Finding: Reports feeling rapid heartbeat (Found) Can you describe the smothering sensation Reports sweating and shivering Example Question: Can you describe the smothering sensation? Finding: Reports shortness of breath Example Question: Do you ever get short of breath? History of Present Illness Finding: Asked about onset and duration of symptoms Finding: Reports feeling started last night Example Question: When did the smothering sensation start? Finding: Reports feeling began at 3 am Example Question: When did the smothering sensation start? Finding: Reports that feeling has been constant since onset Example Question: Has the smothering sensation been constant? Finding: Asked about aggravating factors of symptoms Finding: Reports that movement or anything besides resting seems to make the symptoms worse Example Question: What makes the smothering sensation worse? Finding: Asked about relieving factors of symptoms Finding: Reports trying to take deep breaths Example Question: What makes the smothering sensation better? Finding: Reports resting to try to feel calmer How do you treat your symptoms? Anxiety Screening Finding: Asked about anxiety Finding: Reports excessive worry Example Question: Have you been unreasonably worried? Finding: Reports worry frequency as occurring more days that not Example Question: Do you experience excessive worry more days than not? Finding: Reports excessive worry has happened for at least the last 6 months Example Question: Have you been troubled by excessive worry for the last six months? Finding: Reports unreasonable worry about work Example Question: Are you unreasonably troubled by work? Finding: Reports unreasonable worry about health Example Question: Are you troubled by unreasonable worry about your health? Finding: Reports occasionally feeling unable to control worry Example Question: Are you feeling troubled by worrying uncontrollably? Finding: Asked about restlessness Finding: Reports occasional restlessness Example Question: Are you bothered by restlessness? Finding: Reports occasionally feeling "keyed up" or "on edge" Example Question: Have you been feeling on edge lately? Finding: Denies feeling easily tired Example Question: Do you tire easily? Finding: Denies problems concentrating Example Question: Have you been having trouble concentrating? Finding: Reports occasional irritability Example Question: Have you felt more irritable lately? Finding: Denies muscle tension Example Question: Are your muscles ever tense? Finding: Denies anxiety interferes with daily life Example Question: Does your anxiety interfere with your daily life? Finding: Asked about changes in sleeping habits Finding: Reports trouble getting to sleep (due to worry) Example Question: Do you find it hard to go to sleep? Finding: Reports unsatisfying sleep Example Question: Do you have unsatisfying sleep? Finding: Followed up on changes in sleep habits [Show More]
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