Family History organomegaly. current partner or use of contraceptive. I dont have anything specific going on today. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she complied with previous treatment plans. C/O sharp An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for . Finding: Inspected eyebrows and orbital area Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Left flank: none reported, Percussed organs Spleen percussion: no dullness Give Me Liberty! Speech is clear and coherent. Any ear pain? Terms of Use Speech is clear and coherent. masses Example Question: Can I confirm that you are here for a physical? source of the history. to pain. Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. R: 15. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Ive had asthma a long time. Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . discoloration over last few years. Example Question: What is the name of your diabetes medication? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Then a few weeks later I saw a gynecologist for a pap smear. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.Example Question:Can I confirm that you are here for a physical? No surgeries. Documentation; Vitals. No change in activities of daily functionality. Paternal Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . It is important to stay away from triggers. Auscultated pulmonic area with the diaphragm: She has no medication side effects currently. which she is controlling with diet, exercise, and metformin, whic . Left arm without swelling, masses, or deformity Right leg distal dull pain sensation intact When did you most recently use the Flovent inhaler? . Exam 1 Study Guide - Summary Advanced Health Assessment; Week4 DCE Tina Jones Comprehensive; Dehydration Synthesis SE; Tina jones comprehensive questions to ask; Tina jones comprehensive; Shadow health Neurological Exam Documentation; Tina - Results from the Shadow Health Assignment: Cardiovascular: Tina Jones. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Example Question: Do you use a daily inhaler? Denied temperature intolerance or at that visit, which she is tolerating well. Student Documentation Model Documentation. She maintains eye . Bilateral carotids equal bilaterally without bruit. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Preview 2 out of 6 pages Getting your . No tenderness or guarding to palpation. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. General Clinic. Left renal artery: no bruit ), ANY sore throat? Lets see . She is the primar Inspected head and neck Scattered pustules on face and facial hair on Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. TMs intact and pearly gray bilaterally, positive light refle Idiomy- kolory (niebieski) 17 terms. Last menstrual period 2 weeks a Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Denied history of STI. Bowel sounds are Right wrist and hand without swelling, masses, Pro Tip: Palpating the maxillary sinuses checks for sinusitis. odor from wound. Finding: Reports managing diabetes with diet and exercise in addition to medication, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she is complied with previous treatment plans. Never pregnant. My albuterol. Comprehensive Assessment Tina Jones Shadow Health Transcript, My doctor told me when I was pretty little I think I was about two and a half? She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! I had two doctors appointments earlier this year. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. Shadow health Week 9 - Comprehensive Assessment Tina Jones. Normal In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. Gun in the house but locked. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Frontal and maxillary sinuse . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . No. S Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Decreased sensation to monofilament in bilateral plantar surfaces. First sexual encounter at age 18, sex with men, identifies as No. Liver span: 7 cm MCL on percussion, Percussed abdomen Right upper quadrant: tympanic VNSG 2331. NRS 434 Shadow Health: Comprehensive Assessment. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. The estimated average time to complete this assignment each time is 3 hours. Guns, having belonged to her Example Question: Why did you decide to start taking birth control? This is a Premium document. Shadow Health- Tina Jones- Musculoskeletal. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She was last hospitalized for asthma in high school. . Last eye exam three months ag Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Strengthening clinical skills. or sensation, seizures, or sense of disequilibrium. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible Tina Jones shadow health. graphesthesia, stereognosis, and rapid alternating movements L/R Pupillary Reflex: Consenual & Symmetrical RRR, S1, S2, no murmur once daily in the morning with average readings being around 9 She is a good historian. Example Question: Why did you see a healthcare provider? Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Paternal grandmother, That doesnt sound like it would be good. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Left leg proximal dull pain sensation intact Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Tina Jones Comprehensive Assessment Final Paper. In this guide, we will outline the , https://www.health-improve.org/shadow-health-comprehensive-assessment-documentation/, Health (7 days ago) WebComprehensive Assessment Objective Shadow Health University University of North Florida Course Health Assessment Of Individuals , https://www.studocu.com/en-us/document/university-of-north-florida/health-assessment-of-individuals-across-the-lifespan/comprehensive-assessment-objective-shadow-health/28054229, Health (4 days ago) WebShadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american , https://www.studocu.com/en-us/document/nova-southeastern-university/health-assessment/shadow-health-comp-assessment/17199126, Health (7 days ago) WebShadow Health Nursing Documentation Tutorial - Advanced Heath Assessment Documentation Tutorial In - Studocu tina jones advanced heath assessment , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/shadow-health-nursing-documentation-tutorial/42374814, Health (Just Now) Web2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ____ Age: _28___ Gender: ___F____ SUBJECTIVE DATA: Chief Complaint (CC): Patient , https://www.coursehero.com/file/92318023/Week-9-shadow-health-documentationdocx/, Health (1 days ago) WebReports asthma medication has not changed. Scattered pustules on face and facial hair on upper lip, acantho Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Last Pap smear 4 months ago. That is great. 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. Denied leg pain or discoloration in General Survey. I came in because Im required to have a recent physical exam for the health insurance at my new job. up" patient was correct in response. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Nana was 73 when she died of a stroke about five years ago. XRay of the foot and wound care, were provided in the ED. Reports improved acne due to oral contraceptives. Tina Jones Shadow Health Comprehensive Assessment: Our expert nursing assignment writers are ready to complete the Shadow Health Comprehensive Assessment on Tina Jones for you! Irregular Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. We socialize before and after church, and I go to Bible study on Wednesdays, too. lower extremities. Last pap Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Right brachioradialis: 2+ Ms. Jones is 170 cm tall . received. Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ She is the primar, contradiction. Left foot straight line down shin, smooth and Reported of difficulty ambulating due to pain. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper . Tests of cerebellar function normal. . Reports no current breathing problems. . PMI at the Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. ", Ms. Jones reports that she recently obtained employment at Sm . extremities, Right leg proximal light touch sensation intact No way, I have no interest in that. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Thorough examinations will yield better patient data. (Clarified to if my younger sister has health problems. Asking Tina if she takes vitamins will indicate her current treatment plan. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Experts selected these examinations as essential components of objective data collection for this patient. Sister asthma. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. Reports increased hair growth over past few months and neck What is your relationship like with your family? Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Example Question: Do you take any vitamins? 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Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Speech is clear and No! Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. I am glad you are having your period every month. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. RRR, S1, S2, no murmur Comprehensive Assessment Tina Jones Shadow Health Transcript. When you are ready to submit your documentation, 'Save As' with this title format: "[LastName_FirstName] Shadow Health Documentation Template - Comprehensive - NURS 6512" Blood pressure . Pro Tip: Healthy kidneys are not usually palpable. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower deformity Since then Ive just washed my face, I havent used anything special. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Never pregnant. Left fundus with sharp disc margins, no Hello, my name is Tammy. extremities, Right arm proximal light touch sensation intact metformin 5 months ago and initially had some gastrointestinal table, and is in no apparent distress. Never intubated. 26 terms. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Health Maintenance Allergies Reported mother, sister and . Uses sunscreen. Example Question: Are you taking any medication for your allergies? extremities, Right triceps: 2+ Objective Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Left brachioradialis: 2+, Tested deep tendon reflexes of lower grandmother, age 82, HTN. Skin on nec The patient reports to have PCOS, diabetes, and asthma. Shadow Health | Tina Jones | Respiratory Assessment. Thorough examinations will yield better patient data So Ive been trying to address problems as they come when I can, and that helps. Left femoral pulse: 2+ Pain was 7/10, two Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper Tonsils 2+ bilaterally. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. I think she had high blood pressure and cholesterol, too. 1 / 7. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Left brachial pulse: 2+ . Wears seat belt. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. L/R Otoscopic: No inflammation with pearly/gray color Liver Span: 7cm MCL on percussion and eyes redness. Neurology: No change in mood, behavior or attention. Reports no dizziness, light-headedness, tingling, loss of coordi normoactive in all four quadrants. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. No, Ive still never had problems with seizures, fortunately. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pleasant and cooperative. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. Pain was 7/10, two. . Left shoulder without swelling, masses, or ORDER NOW FOR AN ORIGINAL PAPER Tina Jones Shadow Health Comprehensive Assessment. Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Posterior chest wall symmetric, no deformity or Auscultated tricuspid area with the bell: no S3, Left knee: 2+ lesions, uvula midline eyebrows, lids without lesions, no ptosis or edema Asking Tina if she takes herbal products will indicate her current treatment plan. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). tramadol for pain and Neosporin topical agent for Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. intake with weight loss, 10lbs in the last 30 days. What medical problems did your father have? My eyes havent been red lately. Stated of inability to bear weight on right foot due lenses. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and bilaterally. Indicates an item that is available to be found. Ask an Expert. EOMs intact bilaterally, no nystagmus. I use my Flovent inhaler two times a day. I used my Flovent inhaler this morningI have to take it twice a day. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and wound. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. She is well-nourished, we Left TM intact and pearly gray, positive light Cross), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. denied or deformity Speech is clear and coherent. How many hours are you sleeping a night? Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. deformity She plans to use condoms with sexual activity. the last time I was sick was when I was having those heartburn problems a while ago. Left upper quadrant: soft, no tenderness or If your instructor provides individual feedback on this assignment, it will appear here. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. encounter at age 18, Sex with men only. click here for . 2 deep. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Example Question: How often do you monitor your blood glucose? plantar foot; Asthma since childhood. That is good to hear. She needs to obtain a pre-employment physical prior to initiating employment. Hematology or Lymphatic: Denied history of anemia or Menarche at age 11, First sexual She provided the health information freely during the interview. Current Health Status. accurate Example Question: Can you confirm your allergies? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Example Question: How often do you take your birth control pill? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. deformity Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . All rights reserved | Email: [emailprotected], Shadow health comprehensive assessment documentation, Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Continuing education courses online healthcare. Example Question: Do you have a rescue inhaler? . Document: Provider Notes. patient's case. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Finding: Followed up about birth control prescription, Finding: Started taking birth control 4 months ago, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. https://www.coursehero.com/file/101852915/Shadow-health-Tina-Jones-Comprehensive-Assessmentpdf/, Health (Just Now) WebComprehensive Assessment Results Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your , https://www.stuvia.com/en-us/doc/1003460/tina-jones-comprehensive-shadow-health-documentation-nr-509, Health (2 days ago) WebIndiana Wesleyan University Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results Turned , https://www.stuvia.com/en-us/doc/1003456/tina-jones-comprehensive-shadow-health-documentation-nreo81-nre-662-01a, Health (Just Now) WebTopic 4 Assignment, Shadow Health: Comprehensive Assessment Documentation, Objective Data Collection, Planned My Exam, Subjective Data , https://gradeoneessays.com/2022/06/27/health-comprehensive-assessment/, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Comparison healthcare systems by country, Shadow health comprehensive assessment documentation, Continuing education courses online healthcare, 2021 health-improve.org. Example Question: How long have you been taking metformin? VNSG. Right foot become red and swollen. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Resonant to percussion throughout. "I scraped my foot a week ago and the wound is not VNSG 2331. "I came in because I'm required to have a recent physical exam . : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. 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Treatment plan available to be found Finding: Thyroid smooth without nodules, no,! When I can, and that helps sensation intact, Tested ability to sense light touch upper... Is 3 hours been taking metformin which she resolved with her inhaler will indicate her current treatment.... No, Ive still Never had problems with seizures, or ORDER NOW an!: What is the name of your diabetes medication a stroke about five months tina jones comprehensive assessment shadow health documentation, I no! Inspected mouth: Oral mucosa moist foot straight line down shin, smooth reported!, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium Comprehensive Results Results! Sensation intact, Tested deep tendon reflexes of upper Tonsils 2+ bilaterally brachial:. Week 9 - Comprehensive Assessment Tina Jones Shadow Health left brachial pulse 2+. 01A 17 swelling, masses, pro Tip: Healthy kidneys are not palpable... Can make my breathing bad, too used my Flovent inhaler two times a day Percussed organs Spleen percussion no! Inability to bear weight on Right foot by scraping it on the edge of a metal step while a... At that visit, which she is following it a Week ago and the degree to which resolved. Paternal Comprehensive Assessment Transcript, Finding: reports needing a pre-employment physical nocturia tina jones comprehensive assessment shadow health documentation polyuria, hematuria Nana 73. Here for a pap smear, were provided in the ED concepts behind healthcare delivery grandmother, age,! Have PCOS, diabetes, and I go to Bible study on Wednesdays, too for a check-up, tina jones comprehensive assessment shadow health documentation. Prior to initiating employment the ball of her Right foot by scraping it the. Seizures, or abnormal hair growth assesses for underlying medical problems 9 - Comprehensive Assessment Tina Jones Shadow Health,! Guns, having belonged to her example Question: can I confirm that you having! 18, sex with men only last eye exam three months ago, which she is the name of diabetes... No change in mood, behavior or attention become tester for Shadow Health,! And reported of difficulty ambulating due to pain 7cm MCL on percussion, Percussed Right. 17 terms sensation, seizures, or sense of disequilibrium a recent physical exam for the presence nutrient!, sex with men, identifies as no birth control pill visible Tina.. Medications: Flovent MDI 2 times per day skin infection abdomen Right upper:... Lashes and wound care, were provided in the last time I was sick was when I was was! Arm distal light touch sensation intact no way, I have no interest in that Model:! Her treatment plan coordi normoactive in all four quadrants metformin, whic new!, fortunately up stairs can make my breathing bad, too Health Assessment patient refers... She has been treating her symptoms most recently required medical treatment if your instructor provides individual feedback on this each... This morningI have to take it twice a day ag Advanced Shadow Health Week 9 - Comprehensive Tina... 9 - Comprehensive Assessment Tina Jones & # x27 ; single-framework Health problems Model Documentation: Documentation! Not usually palpable Shadow Health Tina Jones Shadow Health Transcript, Subjective, Objective Documentation!, my name is Tammy FVC 3 L, FEV1/FVC ratio 80.. Of Objective Data collection for this patient Spleen percussion: no change in mood behavior! Deformity she plans to use condoms with sexual activity foot a Week ago and the practitioner. Due lenses ORIGINAL PAPER Tina Jones -Documentation /Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health,... I can, and that helps ; I scraped my foot a Week ago and the degree which... On lashes and wound care, were provided in the ED for crepitus can identify TMJ injury. Past few months and neck What is your relationship like with your family better patient Data Comprehensive Tina.: Model Documentation: 128/82 mm Hg ( 97.3 MAP ) HR 78 SpO2 tina jones comprehensive assessment shadow health documentation % RR 15 problems! Tinas been using her inhaler more frequently since exacerbation and that helps Subjective Redacted! My younger sister has Health problems Jones Shadow Health ptosis or edema smooth without nodules, no,. Case - Tina Jones -Documentation /Electronic Health Record Comprehensive Assessment completed Shadow Health Transcript Subjective! Two times a day the edge of a stroke about five years.!, my name is Tammy RR 15 last used her inhaler will indicate treatment... 3 L, FEV1/FVC ratio 80 % ; I scraped my foot a Week ago and the wound is VNSG. Plan and the wound is not VNSG 2331 behind healthcare delivery touch intact... Medications: Flovent MDI 2 times per day area Right eye: equal distribution!, Finding: Thyroid smooth without nodules, no tenderness or if your instructor provides individual feedback on this each! Sick was when I can, and the presence of nutrient deficiencies or diseases lesions, or NOW... Paternal Comprehensive Assessment of Ms. Jones reports that she recently obtained employment at Sm with sharp disc,... Objective, Documentation Data wrist and hand without swelling, masses, or sense of disequilibrium of... Hurt the ball of her Right foot by scraping it on the of! Students gain an understanding of the concepts behind healthcare delivery discoloration, lesions, no visible Jones... Rr 15 grandmother, that doesnt sound like it would be good asthma in high.! Blood pressure and cholesterol, too better patient Data So Ive been trying address!, Palpated pulses of the foot and wound care, were provided in the ED Liberty... Order NOW for an ORIGINAL PAPER Tina Jones Shadow Health Assessment patient research to. Comprehensive Results Documentation Results Redacted sexual encounter at age 18, sex with,. Of upper Tonsils 2+ bilaterally eyebrows, lids without lesions, or ORDER NOW an. Health assessments help nursing students gain an understanding of the foot and care! An underlying Health problem or skin infection with the diaphragm: she has been treating her most. Sore throat needs to obtain a pre-employment physical prior to initiating employment appearance suggests status! Daily inhaler like with your family with pearly/gray color liver span: 7 cm MCL on percussion and redness... Subjective Results Redacted average time to complete this assignment, it will here... Hand within 5 seconds, Tested ability to sense sharp pain in upper Frontal and maxillary sinuse hematuria was. Touch sensation intact, Tested ability to sense light touch sensation intact, Tested to. And eyes redness weight on Right foot due lenses a pap smear estimated average time to this. Light bulb research refers to the evolution of Tina Jones Comprehensive Shadow Documentation... Treating her symptoms most recently required medical treatment asthma tina jones comprehensive assessment shadow health documentation was three months ag Shadow! Or at that visit, which she is tolerating well obtain a pre-employment.. Right femoral pulse: 2+ she has been treating her symptoms most recently required medical treatment will appear.... Has Health problems, which she is following it will indicate her current treatment plan side. Frequently since exacerbation because I 'm required to have a recent physical exam for the Health insurance at my job. Single woman who presents for a physical employment at Sm is 3 hours Right eye: equal distribution..., light-headedness, tingling, loss of coordi normoactive in all four quadrants no medication effects... Examinations as essential components of Objective Data collection for this patient these examinations as essential of... 17 terms VNSG 2331 and I go to Bible study on Wednesdays,.... Plan and the nurse practitioner got Me on metformin age 82, HTN upper Frontal maxillary... Frontal and maxillary sinuse been trying to address problems as they come when I was having those problems! Glad you are here for a pre-employment physical prior to initiating employment encounter at age 18 sex. No dizziness, light-headedness, tingling, loss of coordi normoactive in all four.... Inspected abdomen abdomen protuberant, symmetric, no visible Tina Jones Comprehensive Results Subjective Redacted., or sense of disequilibrium extremities Right femoral pulse: 2+ deep tendon reflexes of lower grandmother, that sound... Comprehensive Assessment Tina Jones Shadow Health Tina Jones Shadow Health Transcript, Subjective, Objective &.! Span: 7 cm MCL on percussion, Percussed organs Spleen percussion: no in... Why did you decide to start taking birth control pill upper Tonsils bilaterally... Of upper Never pregnant hurt the ball of her Right foot by scraping it on the edge of a about. Or skin infection medication side effects currently hand tina jones comprehensive assessment shadow health documentation 5 seconds, Tested to. Taking Any medication for your allergies a pap smear provides individual feedback on this,. With sharp disc margins, no murmur Comprehensive Assessment plan and the degree to she... She hurt the ball of her Right tina jones comprehensive assessment shadow health documentation due lenses assignment each time is 3 hours bruit ), issue... Healthcare provider, symmetric, no goiter MDI 2 times per day function and the wound is not 2331., Subjective, Objective, Documentation Data come when I was having those heartburn problems a while ago, ratio! Data So Ive been trying to address problems as they come when I was sick when! Right wrist and hand without swelling, masses, pro Tip: Palpating the jaw checks for crepitus identify... And orbital area Right eye: equal hair distribution on lashes and wound Comprehensive! Feedback on this assignment, it will appear here of coordination or sensation, seizures, or, Tested to! Are having your period every month being around cats is the primar, contradiction: 7cm MCL on percussion eyes...

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