Source and reliability: Patient reliable.
Chief complaint: “My left hip hurt.”
Present illness: Left hip started hurting since yesterday, it is constant pain. She rated 4/10. The pain feels dull that does not radiate to anywhere. The pain is aggravated by stationary sitting, and it is relieved by “up and moving around”. She has not taken anything for the left hip pain. She has no other associated functional inability related to her complaints. Able to perform activities of daily living without restriction. Patient expressed that she is not concerned about the left hip pain, …show more content…
She finished high school and was married at age of 19. She worked on the assembly line (with repetitive motion) at the Lamberts manufacturing company and was retired there. The company is now closed. She has been living in surrounding small towns since she was married. She has two living children. Her husband past away in his 60’s from brain cancer. She has not been remarried. She receives retirement funds from her husband’s military benefit, and she is finically stable. Her children are married. Her son lives in a nearby small town and her daughter lives about 3 hours away in a different state. She has one sister that live close by. She goes to the same church with her sister. She has many friends. She is very involved in church activities, goes to church on Wednesdays and Sundays. She volunteers at the local church. She states “I like to keep myself busy”. She has consistent sleeping schedule. She is up at 6 am and is usually in bed at about 10:30 pm. She has consistent meal schedules, she eats breakfast in the morning about 7am, has lunch at 11:30 am, has dinner at 4:30 pm. She cooks at home majority of the time, and does eat out on Sundays after church with family and