The patient should give case information only when prompted by a question by the pharmacist.
S: I am having difficulty sleeping.
C: I moved into a new apartment last week and have not been able to sleep well in my new space. It takes me up to an hour to fall asleep. I don’t wake up once I fall asleep or wake earlier than I would like. I am active during the day, I run 3–5 miles most mornings. I drink one cup of coffee with breakfast but avoid caffeine for the rest of the day. I watch TV in bed every evening.
H: I watch TV in bed every evening to help me fall asleep; it doesn’t seem to help. I have tried valerian root in the past, but it did not help much.
O: It started 1 week ago.
A: My apartment building is by a busy road and the traffic noises can be distracting at night.
M: I like to avoid “drugs” and prefer natural products. I do not take any medications.
C: I do not have any other medical conditions.