Assignment task:
Patient Information: Mrs. Dorothy L., an 82-year-old woman, presents to the clinic with complaints of difficulty falling asleep and staying asleep for the past several months. She reports waking up frequently during the night, often staying awake for an hour or more before being able to fall back asleep. Mrs. L. has been retired for over 20 years and spends most of her days watching TV or reading. She lives alone and occasionally feels lonely but denies any significant mood disturbances. Her sleep hygiene consists of going to bed at 9:00 PM and waking at 5:30 AM, but she often lies awake for long periods at night. She does not drink alcohol but does consume 2-3 cups of coffee during the day, usually stopping by mid-afternoon. Mrs. L. reports feeling fatigued during the day but does not take naps. She has a history of hypertension, managed with lisinopril, and osteoarthritis, for which she takes acetaminophen. Her daughter, who lives nearby, mentions that Mrs. L. has become more forgetful lately and sometimes appears confused, though Mrs. L. attributes this to lack of sleep. Mental Status Examination: Appearance: Neatly dressed, well-groomed. Mood: Neutral. Affect: Congruent, mildly anxious. Speech: Normal rate and tone. Need Assignment Help?