Abigail Harris – Depression
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports feeling excessively weak
(Found)
Pro Tip: A
... [Show More] patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Do you feel weak?
Finding:
Reports fatigue and sleepiness
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief
complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
Are you fatigued?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports symptoms have been happening for past month
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often have you felt fatigued?
Finding:
Reports symptoms have been increasing in the past week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did the discomfort start gradually?
Finding:
Reports unable to get out of bed every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Can you get out of bed?
Finding:
Asked about frequency, duration, and timing of symptoms
Finding:
Reports feeling fatigued every morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the morning?
Finding:
Reports feeling slightly more energetic in the afternoon
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Are you tired in the afternoon?
Finding:
Asked about aggravating factors of symptoms
Finding:
Reports feeling is worse in the morning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When do the symptoms feel worse?
Finding:
Reports no known triggers
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What makes your symptoms worse?
Finding:
Asked about treatment and relieving factors of symptoms
Finding:
Reports that lying down feels best when fatigued
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of
their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms,
such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What relieves your symptoms?
Depression Screening
Finding:
Asked about pleasure and interest in typical activities
Finding:
Reports loss of interest in typical activities
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you have little interest in doing things?
Finding:
Reports not taking pleasure in things that typically would
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you not find pleasure in things you used to like?
Finding:
Asked about feelings of depression
Finding:
Denies sadness or depression
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you feel sad or depressed?
Finding:
Denies feeling hopeless
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you ever feel hopeless?
Finding:
Asked about sleep
Finding:
Reports light sleep
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How much sleep do you get a night?
Finding:
Reports insomnia
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Have you ever had insomnia?
Finding:
Reports trouble falling asleep
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you have trouble falling asleep?
Finding:
Reports trouble staying asleep
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you have problems staying asleep?
Finding:
Followed up on frequency of low energy
Finding:
Reports feeling low energy nearly every day
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often have you felt you had low energy?
Finding:
Asked about appetite and eating
Finding:
Reports loss of appetite
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Have you lost your appetite?
Finding:
Denies overeating
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you overeat?
Finding:
Asked about self-concept
Finding:
Reports feeling bad about herself
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you feel bad about yourself?
Finding:
Reports feeling guilty
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Do you ever feel guilty?
Finding:
Reports feeling embarrassed
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Have you been feeling embarrassed?
Finding:
Asked about changes in concentration
Finding:
Reports trouble concentrating
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Have you been having trouble concentrating?
Finding:
Asked about changes in speed with moving or speaking
Finding:
Denies speaking too slowly
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often how often have you spoke so slowly that other people noticed?
Finding:
Denies speaking too quickly
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often have you spoke quickly enough that other people noticed?
Finding:
Denies moving too slowly
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often have you moved slowly enough that other people noticed
Finding:
Denies moving too quickly
(Available)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often have you moved quickly enough that other people noticed?
Finding:
Asked about suicidal ideation and self-harm
Finding:
Reports "it would be ok if I didn't wake up"
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
How often have you felt like you would rather be dead?
Finding:
Denies wanting to hurt herself
(Found)
Pro Tip: Screening a patient for the symptoms of depression can lead to recommendations for treatment and referrals.
Depression can present with symptoms that affect sleep or appetite. These screenings can also uncover if a patient is at
risk for self-harm.
Example Question:
Have you ever thought [Show Less]