We treated a patient c/o dyspnea, febrile, cough, generally unwell. I wanted to treat patient’s chronic pain, new body aches, and sore throat with Tylenol and Advil, so I went through the contraindications and treated. Prior to giving Advil, I knew the pt had an ulcer 15 years ago and has no issues since. From my memory, I recalled the contraindications stated “current peptic ulcer”. On review of the directive, I later saw it stated “history of peptic ulcer disease”. In the future I will make sure I have the directive in front of me if I’m unsure. I think it would be a good idea to bring out my directives on calls if I haven’t given medications in a while, so I refresh my memory on the wording. The patient had stated she had a duodenum ulcer and she has not for 15 years.” Can we get some clarification on “history peptic ulcer disease”, I have traditionally always viewed this a recent history, or something that is currently active, not a history of ever having ulcers.