Symptoms And Treatments Of An Undergraduate Student

Sleep Issue: Client has trouble to sleep while she is traveling, particularly when she had to share bed/room with her travel companions. She felt she was becoming a burden to her travel companions, and she is worrying others may think she is weird. Client also said she has trouble to sleep when someone is visiting her house as well, this includes her parents visiting. Client reflected she has a particular sleep routine.

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and will be too tired to perform activities surrounding daily living. We have to assess the risk factors contributing to the problems of sleep disturbance and these might be “related to poor sleep hygiene, including an irregular sleep schedule, environmental noise or light, and the use of stimulants” (Mauk, 2014, p. 581). If the sleeping pattern is not assessed, possible complications will happen, such as falls that could lead to bodily injuries.

Susan Ambrose is a 35-year-old nursing student, a single mother with two children, and she works part-time as a nursing technician at night in the local hospital. Over a period of 6 months, Susan has had increasing problems sleeping. She has had trouble getting to sleep at night and also, at times, waking up in the middle of the night. She is feeling exhausted most of the time now and is having trouble functioning and studying for her courses. Her friends tell her to just see her physician for sleeping pills. In addition, she is now in what is thought to be the hardest semester in her nursing program. Her grade is presently a 2.5, but she is used to getting 3.5s and 4.0s. In addition, her youngest child has developed chronic ear infections―ah, the joys of being a mother and a nursing student.

It is our pleasure to see and provide FTS for Ms. Jennifer Mullins. She is a 19yo, G1 P0, with EDD by an 8-week 1-day ultrasound performed in your office giving an EDD of 12/25/17. Her past medical history is notable for morbid obesity with a prepregnancy BMI of 45. She takes prenatal vitamins, denies any surgical history, is normotensive with a normal urine dip here. This is her 1st pregnancy. Her social history is negative x3. Her family history is notable for breast cancer, HTN, diabetes in her maternal grandmother, and heart disease in her as well. She has having occasional nausea, vomiting, and heartburn and says that the Diclegis is not working at all and would like a different prescription.

There is quite a singificant psychological component here with some psychophysiological insomnia related to his underlying anxiety. Moving forward, treatment of this will be of paramount importance. Alongside this, there are some sleep hygiene strategies that he can work on and we have discussed these in detail and I have given him some written information for this. Alongside this, we have also started discussion about a sleep study to assess whether or not there is any other underlying sleep disorder that could be contributing to his sleep difficulties and also his unrefreshing sleep even on nights when he is sleeping

His personable character and approachable nature displayed a lot of skills that are expected from every professional nurse. His passion for traveling across the world can inspire healthcare professionals to appreciate their jobs. This is a display of his capability to interact with people from all walks of life either as fellow professionals, learners, or as patients. This fact is important in the nursing career since sometimes patients, as well as employees, can prove to be difficult to work with. One needs to be equipped with a variety of social skills and communication skills to be able to handle them without bringing about any challenges.

Medical: Wellness Coach asked Mr. Hallet how was his day and he said he was doing well. He also express that he been taking his medication but the sleep pills is causing to have irregular patterns of sleep. Mr. Hallet has been falling to sleep everywhere even while traveling on public transportation. He also stated that the sleep pills are causing him to even fall asleep during the work hours. Wellness Coach and Family Counselor Clair Arzon discuss with Mr. Hallet that maybe creating sleep pattern will then decrease the irregular sleeping. He express that he has tried everything. Family Counselor Ms. Arzon inform Mr. Hallet to try not taking the sleeping pills for a few days to see how his sleep habits will be. If he gets sleepy then to take walks or drink water to help keep Mr. Hallet up during the day and when bedtime come try turning the TV off therefore you can relax.

Suggestions were discuss with the patient about dealing with this current stress. Even though, suggestion were mentioned by this writer, the patient struggle with creating a plan for this stressors to avoid

The development area of stress-induced sleep disturbance could hence be targeted effectively through this initiative. Such personalised and specialised support may not be possible within the broader purposes commonly characteristic of therapies delivered within group settings

Per progress report dated 5/2/16, the patient complains of sleep problems, anxiety, intrusive thoughts, and low self-esteem. Objective findings include depression, crying spells, and anxiety. Techniques and interventions used in sessions included assessing the patient’s current level of functioning. Support and empathetic listening, and exploring values were done.

Mrs C.P. is a 54-year-old Caucasian female came to the clinic with complaints of abnormal vaginal bleeding associated with abdominal bloating, swelling, painful bowel movements, pelvic pain during the menstrual cycle, painful intercourse, pain in the lower back, breast tenderness, nausea and vomiting. She is married, lives with her husband, and has no children. She does work for Lee County School Board at Lee County in Florida. She is an established patient at Millennium Physician Group. Today, she came to the office for her annual gynecologic care visit. She didn’t take any medication for her symptoms. Her past medical history includes depression, headache/ migraines, osteopenia/osteoporosis, Chronic kidney disease stage 4, and allergic rhinitis.

This 72-year-old white male with progressive microscopic iron deficiency anemia on whom I asked to consult on. The patient is asymptomatic from the GI perspective. He has a history of reflux but this is controlled with omeprazole. There is no abdominal pain, change in bowel habits, weight loss or visible blood per rectum. He has mental forgetfulness and is not a good historian. He also has an active right inguinal hernia that is undergoing evaluation for possible hernia repair.

Physically Hailey has changed from school induced stress. Whether it be from drama between friends, homework, or studying to try to get a passing grade. Most teacher will give out homework, and each of them will ask to spend a good amount of time on the work they have given. The problem these students encounter with that, however, is that when they have four to five teachers a day telling them to spend one to two hours on that one subject it all adds up, and that student ends up spending their whole night working on homework. If that student is like Hailey, then it is very probable that that student did not get much sleep. Some problems that occur with people that do not get enough sleep. When a person goes with little or no sleep their body will begin to shut down, this is what Hailey’s body is doing. A few examples of the symptoms caused by sleep deprivation include the lack of energy thought the day, yawing, excessive irritability and is the case is severe enough it can cause a lack in coordination, balance and the ability to make decisions. Fortunately for Hailey she has not yet come to that point, however, only time may tell she could come to that point

Ms. A presented for an assessment as a 28-year-old married executive. Her primary complaints included "nervousness" and difficulty sleeping. Throughout an assessment the clinician will collect the required information in regards to the client's history as well as family history (Kelsey, et al., 2006). There will also be an emphasis placed on substance use as well as all prescribed and over the counter medication used; as this could be a possible reason for the