NRNP 6531 Week 10 iHuman Assignment - Erin Davis
Course : Walden
Contributed : Andy Gutierrez
- $20.00
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Observations: Appears withdrawn, but a bit on edge.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.
- 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?
- Like what?
- Don’t all headaches come and go.
- Uh, no, I don’t think so.
- They build up pretty slowly.
- Sometimes, yes, sometimes no. It’s hard to remember each one.
- I’m getting them more often I guess.
- Oh, you know, I’ve seen doctors before. I take acetaminophen or ibuprofen or both. I haven’t taken anything today. I wanted to be checked out without it……….. Continue
