Pre Brief
Tina’s recent sleep disturbance has lasted a month. She states that her sleep is “shallow and not restful”. She complains of difficulty falling asleep at least 5 nights per week, but states that she is able to stay asleep without difficulty. On average she sleeps 4 or 5 hours per night and awakens at 8:00 AM daily. She does not take any prescription or over the counter sleep aids. This case study is an opportunity for you to ask probing interview questions and take a thorough history of the presenting complaint. Be sure to compile a list of positive and negative findings during the patient interview to support each potential differential diagnosis.
Reason for visit:
Patient presents complaining of sleep problems and feelings of anxiety.
Results Included
:
Transcript
Subjective
Data
Collection
Education
and
Empathy
Documentation
Life
Span
Review
Questions
Self
Reflection
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