NRNP 6531 Week 10 iHuman Assignment - Erin Davis

Course : Walden
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  • NRNP 6531 Week 10 iHuman Assignment - Erin Davis

Week 10 iHuman Assignment –

 

Erin Davis

20- year-old female 5’6” 115 lbs.

Reason for encounter: Headache

Observations: Appears withdrawn, but a bit on edge. Looks away. Poor eye contact.

Skin is warm and dry.

Questions:

• How can I help you today?

• I have a bad headache.

• When did your headache start?

• I don’t know, a while ago.

• What are the events surrounding the start of your headache?

• I don’t know, but this morning things got a little stressful…Oh, you know, like my boyfriend was angry that I was taking too long to shower and that I hadn’t gotten the

cerebral he likes to have (looks away).

• Where more precisely is the pain in your head?

• Everywhere.

• How severe (1-10 scale) is your headache?

• I don’t know…that’s hard to say

• Have you had a headache like this before?

• Yeah I’ve had these before.

• Is this the worst headache of your life?

• No, I’ve had headaches like this before, and worse ones too.

• What does the pain in your back feel like?

• It’s kind of dull, like a bad pressure. Kind of like if there were a tight circle or cap around my head.

• How often do you have headaches like this?

• Maybe, like, about 3 times a week.

• How long does your headache last?

• I don’t know

• Does anything make your headache better or worse?

• No, I don’t think so.

• Does the pain in your head someplace else?

• No, its just a headache. Where would it go?

• Is there a pattern to when your headache occurs?

• Yeah, no…not really.

• Do you have any symptoms that occur at the same time as your headache? ……… Continue

 

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