Candelaria Schaefer =================== Race: White Ethnicity: Non-Hispanic Gender: F Age: 37 Birth Date: 1985-03-18 Marital Status: M -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-10-03[STOPPED] : Amoxicillin 250 MG / Clavulanate 125 MG Oral Tablet for Viral sinusitis (disorder) 2021-04-05[STOPPED] : Kyleena 19.5 MG Intrauterine System -------------------------------------------------------------------------------- CONDITIONS: 2022-10-03 - 2022-10-30 : Viral sinusitis (disorder) 2022-06-06 - : Full-time employment (finding) 2020-07-20 - 2021-02-22 : Normal pregnancy 2019-06-03 - 2022-06-06 : Victim of intimate partner abuse (finding) 2019-06-03 - 2022-06-06 : Stress (finding) 2019-06-03 - 2022-06-06 : Full-time employment (finding) 2016-05-30 - 2019-06-03 : Full-time employment (finding) 2013-11-18 - : Tubal pregnancy 2013-05-27 - 2022-06-06 : Social isolation (finding) 2010-05-24 - 2013-05-27 : Full-time employment (finding) 2010-05-24 - : Body mass index 30+ - obesity (finding) 2007-12-17 - 2010-05-24 : Full-time employment (finding) 2007-05-21 - 2007-12-17 : Full-time employment (finding) 2006-12-18 - : Miscarriage in first trimester 2003-05-12 - 2004-05-17 : Full-time employment (finding) 2003-05-12 - : Only received primary school education (finding) -------------------------------------------------------------------------------- CARE PLANS: 2020-07-20[STOPPED] : Routine antenatal care Activity: Antenatal education Activity: Antenatal risk assessment Activity: Antenatal blood tests -------------------------------------------------------------------------------- REPORTS: 2022-06-06 : Drug Abuse Screening Test-10 [DAST-10] - Total score [DAST-10] 1.0 {score} 2022-06-06 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} 2022-06-06 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} 2022-06-06 : Lipid Panel - Total Cholesterol 192.9 mg/dL - Triglycerides 106.8 mg/dL - Low Density Lipoprotein Cholesterol 123.4 mg/dL - High Density Lipoprotein Cholesterol 48.1 mg/dL -------------------------------------------------------------------------------- OBSERVATIONS: 2022-06-06 : Total score [DAST-10] 1.0 {score} 2022-06-06 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} 2022-06-06 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} 2022-06-06 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] - In the past year, have you been afraid of your partner or ex-partner? No - Do you feel physically and emotionally safe where you currently live? Yes - Are you a refugee? No - In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No - Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Not at all - How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 5 or more times a week - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No - In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? I choose not to answer this question - During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 60841 /a - What is your main insurance? Private insurance - What is your current work situation? Full-time work - What is the highest level of school that you have finished? Less than high school degree - What address do you live at? 782 Wintheiser Meadow - Are you worried about losing your housing? No - What is your housing situation today? I have housing - How many family members, including yourself, do you currently live with? 7.0 {#} - What language are you most comfortable speaking? English - Have you been discharged from the armed forces of the United States? No - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No - Which race(s) are you? White - Are you Hispanic or Latino? No 2022-06-06 : Tobacco smoking status Never smoked tobacco (finding) 2022-06-06 : High Density Lipoprotein Cholesterol 48.1 mg/dL 2022-06-06 : Low Density Lipoprotein Cholesterol 123.4 mg/dL 2022-06-06 : Triglycerides 106.8 mg/dL 2022-06-06 : Total Cholesterol 192.9 mg/dL 2022-06-06 : Respiratory rate 14.0 /min 2022-06-06 : Heart rate 61.0 /min 2022-06-06 : Blood Pressure - Diastolic Blood Pressure 81.0 mm[Hg] - Systolic Blood Pressure 107.0 mm[Hg] 2022-06-06 : Body Mass Index 30.1 kg/m2 2022-06-06 : Body Weight 67.7 kg 2022-06-06 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} 2022-06-06 : Body Height 150.0 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-06-06 : Screening for drug abuse (procedure) 2022-06-06 : Assessment of substance use (procedure) 2022-06-06 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) 2022-06-06 : Depression screening (procedure) 2022-06-06 : Assessment of anxiety (procedure) 2022-06-06 : Medication Reconciliation (procedure) 2022-06-06 : Assessment of health and social care needs (procedure) 2021-04-09 : Insertion of intrauterine contraceptive device 2021-04-05 : Depression screening 2021-04-05 : Physical examination following birth 2021-02-22 : Childbirth for Normal pregnancy 2021-02-15 : Auscultation of the fetal heart for Normal pregnancy 2021-02-15 : Evaluation of uterine fundal height for Normal pregnancy 2021-02-01 : Auscultation of the fetal heart for Normal pregnancy 2021-02-01 : Evaluation of uterine fundal height for Normal pregnancy 2021-02-01 : Streptococcus pneumoniae group B antigen test for Normal pregnancy 2021-01-04 : Auscultation of the fetal heart for Normal pregnancy 2021-01-04 : Evaluation of uterine fundal height for Normal pregnancy -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-06-06 : Influenza, seasonal, injectable, preservative free -------------------------------------------------------------------------------- ENCOUNTERS: 2022-10-03 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Viral sinusitis (disorder) 2022-06-06 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC 2021-04-09 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. 2021-04-05 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. 2021-04-05 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. 2021-02-22 (Dr. Dusty Lynch) : Encounter at LIFE CARE CENTER OF RAYNHAM : Encounter for Normal pregnancy 2021-02-15 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2021-02-01 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2021-01-04 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2020-07-20 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2019-06-03 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC 2016-05-30 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2013-11-18 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2013-05-27 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC 2010-05-24 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC 2007-12-11 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Viral sinusitis (disorder) 2007-05-21 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC 2006-12-18 (Dr. Hyman Schmeler) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Normal pregnancy 2003-05-12 (Dr. Verda Bahringer) : Encounter at HORIZONS HEALTH & WELLNESS LLC -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------