Week 7 Responses

Week 7 Responses

Victoria Abolarin Week 7- Initial postCOLLAPSE

Questions to ask

  1. How would you describe the way you are feeling today- Open-ended questions allow for further conversation which leads to in-depth knowledge of the situation. This patient will be able to explain her condition more with a question like this
  2. How would you describe your typical day and bedtime routine- This patient is in the clinic with complaints of insomnia, since Environmental factors can affect sleep pattern, It is important to rule out any of that before focusing on physiological causes. Daily activities can expose information that can affect the patient’s sleep pattern
  3. When did you start having problems sleeping- This question will help understand whether this is an acute or chronic problem? The length of time will also help understand the level of other system involvement.

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People to interview

I would like to speak with the neighbors, children, other close family members and caregivers, friends, or anyone that works inside the home. It will also be beneficial to know how this patient spends most of her time. Some people volunteer or have religious involvement.

Physical exam and diagnostic test

sleep study- A sleep study will assess the patient’s sleep pattern; this patient already has comorbidities that can further worsen her health. Hollsen et al., (2020) explain that patients with a sleep disorder also have an increased risk of depression and cardiovascular disease.

urine culture to test urinary tract infection- Elderly patients do not have the typical symptoms seen in patients, so healthcare providers need to look for other signs. Dexter and Mortimore (2021) state that older people are more vulnerable due to low immunity and should be assessed for possible infection

Comprehensive metabolic panel- To assess for any underlying conditions. Due to the medications, this patient is already taking, I will like to know her kidney and liver function.

Sleep diary- Since this is her first complaint, I will suggest the patient keep a sleep diary which will be further discussed at the next visit.

Pharmacological agent