NR509 Week 6 iHuman: Perry Soloman

NR509 Week 6 iHuman: Perry Soloman

For 100% accurate patient encounter questions, physical assessment activities, EHR entries, problem statement, and management plan, please purchase this simulation at $20 only.

Patient encounter questions

Physical assessment activities

Problem statement

Perry Soloman an undergraduate student aged 26 visited the clinic because her periodic head pain had increased during the last few months. Her headache symptoms had progressively worsened during the past months yet she did not currently have one when visiting the clinic. The……….

Electronic Health Record (EHR) Entry

Patient Information:

• Patient Name: Perry Soloman
• Age: 26
• Sex: Female
• Occupation: Undergraduate Student

Chief Complaint (CC):

Increased severity and frequency of headaches over the past few months.

History of Present Illness (HPI):

K.P. presents with worsening periodic headaches over the last few months. The pain is localized behind the left eye and is described as throbbing, reaching a severity of 8-10/10, which significantly impacts daily functioning. Initially, Tylenol and ibuprofen provided relief, but they are no longer effective. The patient currently manages the headaches by resting in a dark, quiet room.

The headaches are associated with nausea, vomiting, and photophobia. She reports increased academic and work-related stress and consumes 2-3 glasses of red wine to help cope. She notes that her mother experiences similar headaches.

Past Medical History (PMH):

• No previous diagnosis of migraines.
• No history of chronic illnesses such as hypertension, diabetes, or cardiovascular disease.
• No known history of neurological disorders.

Medication Allergies:

• No known drug allergies (NKDA)………….

Management Plan

Pharmacologic care

The patient should first take naproxen 500 mg together with sumatriptan 50 mg as one dose followed by a second dose if required two hours later but not exceeding 200 mg daily. The recommended dosage of metoclopramide for treating nausea and vomiting stands at 10 mg which patients take orally and requires repetition every six to eight hours yet the overall daily limit should remain below 45 mg. The patient needs a referral to………………….please purchase the entire simulation at $2o only