Numbness and Pain

Nursing
Student Name
Institution Affiliation
Case Study 2: Numbness and Pain
A 47-year-old obese female complains of pain in her right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. She has been frustrated because the pain causes her to drop her hair-styling tools.
Review of the Case Study
Patient’s initials: FM
Age: 47 years
Gender: Female
Race: Not specified.
Subjective Data
Chief Complaint (CC)
She experiences an uncomfortable pain on her right wrist. She has also been experiencing tingling and numbness in the thumb, index and middle fingers for the past two weeks.
History of Present Illness (HPI)
The patient has been experiencing pain in her right wrist and fingers for the past two weeks. The pain has become unbearable and is affecting her work. It makes her drop her hair-styling tools. To ascertain the extent and history of the condition, it is imperative to ask a series of questions including the below.
* Have you been involved in any strenuous activities of heavy lifting recently?
* When did you first notice the pain on your wrist?
* Have you been involved in an accident in the past where your hand was injured?
* Do you feel pain in other parts of the body?
* Is anyone subjecting you to torture or mistreating you?
Medications
She is not taking any medications
Allergies
Are you allergic to any food or medication?
Past Medical History
* Have you been diagnosed with arthritis?
* Have you been involved in a car accident?
* Is there a history of cardiac, neurological and muscular diseases in your family?

Past Surgical History (PSH)

She has not undergone surgery in the past.
Sexual History
* Are you married?
* Do you have children?
* Do you have active sex life?
Personal/ Social History:
* What is your occupation and some of your hobbies?
* Do you exercise regularly and do you engage in weight lifting?
* Do you smoke or drink alcohol? If so, in what quantities?
Immunization History
* When did you have your last tetanus shot?
* Are your immunizations up to date?
Review of Systems (ROS)
General
Throat
Skin
Cardiovascular
Respiratory
Gastrointestinal
Neurological
Hematologic
Lymphatics
Psychiatric
She is complaining of pain in her right wrist and tingling and numbness in her fingers.
None
No rash or itching.
No chest pain or discomfort.
No complaints.
No abdominal issues
Tingling and numbness in her fingers in her right hand.
No complaints
No history of splenectomy.
The issue is affecting her work. She keeps dropping her hair-styling tools.
Objective Data
Physical Exam: She has a weight issue since she is obese. Her height has not been specified but should be recorded. It is important to determine her exact weight and height to recommend the amount of pounds she should lose to become healthy.
General Examination: The general examinations will check her body temperature and discoloration in her eyes. Th...