Reports checking blood sugar once a day
Reports checking sugar in the morning
Reports using glucometer
Reports blood sugar number is usually
around 90
Reports having adequate supplies
Asked about asthma symptoms
Denies change in asthma symptoms
Reports belief that asthma is well-
controlled
Denies current asthma symptoms
Reports last use of Proventil inhaler was
yesterday
Asked about vision
Reports optometrist visit
Reports last optometrist visit was 3
months ago
Reports recently prescribed eyeglasses
Reports that glasses improve overall
vision
Asked about reproductive system
Reports last menstrual period was 2
weeks ago
Reports menstrual cycle is normal
Reports rare cramping
Asked about breast health
Reports doing occasional breast exams
Denies having a mammogram
Denies changes to breasts
Denies history of breast cancer
Asked about weight changes
Reports recent weight loss
Reports weight loss of about 10 pounds
Psychosocial History
Asked about diet
Reports a typical breakfast is smoothie
with probiotic yogurt or egg on wheat toast
with probiotic yogurt

Reports a typical lunch is dinner leftovers
or tuna or chicken sandwich on wheat
bread
Reports a typical dinner is vegetables
with a protein and brown rice or quinoa
Reports a typical snack is carrot sticks or
an apple
Asked about caffeine intake
Denies drinking coffee
Reports only caffeine is diet Coke
Reports drinking 2 diet Cokes per day
Asked about alcohol intake
Reports drinking 2-3 nights per month
Reports having 2 or 3 drinks when out


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- Fall '17
- Combined oral contraceptive pill, Reports diabetes medication dose, Reports inhaler