. tetanus, and meningococcal vaccines. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. (Clarified to Do you have drainage from your ears?. Example Question: How often do you take your birth control pill? This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Ms. Jones offers information freely and without contradiction. Right leg distal light touch sensation intact Thyroid: smoothw/o nodules; no goiter. She has a history of hypertension which normalized when she Covered/Right Eye covered. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Vitals. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes not stressed at all. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Company Registration Number: 61965243 HIV. . Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, reflex : 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. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), https://app.shadowhealth.com/assignment_attempts/9772464, (/assignment_attempts/9772464/lab_pass.pd, Health Assessment Of Individuals Across The Lifespan, Neurological Shadow Health Objective tina jones, Tanner Bailey Documentation Electronic Health Record, Case 01 Debrief - Shadow health health assessment, Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introductory Human Physiology (PHYSO 101), Web Programming 1 (proctored course) (CS 2205), Foundational Literacy Skills and Phonics (ELM-305), Creating and Managing Engaging Learning Environments (ELM-250), Microsoft Azure Architect Technologies (AZ-303), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Ch. asthma exacerbation was yesterday, which she resolved with h Course Hero is not sponsored or endorsed by any college or university. Recent flashcard sets. 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. Right lower quadrant: no masses, guarding or Right iliac artery: no bruit Within the Shadow Health platform, complete the Comprehensive Assessment. Paternal grandmother, extremities, Right arm proximal sharp pain sensation intact 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. ), Nothing is coming out of my ears. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. That doesnt sound like it would be good. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Paternal Shadow Health- Tina Jones- Musculoskeletal. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Identified paperclip in right hand within 5 Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. inhaler. hours after taking tramadol. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denied exercise. Left arm proximal sharp pain sensation intact C/O sharp, and throbbing pain at right foot. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. . Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Last eye exam three months ag extremities, Right leg proximal sharp pain sensation intact What medical problems did your father have? masses First sexual encounter at age 18, sex with men, identifies as heterosexual. vaccines and received the meningococcal vaccine for college. She needs to obtain a pre Ms. Jones offers information freely and w She is well-nourished, well-developed, and dressed appropriately with good hygiene. grandmother, age 82, HTN. She is a good historian. healing. Left brachioradialis: 2+, Tested deep tendon reflexes of lower Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. I think were pretty special, the way we all get along. We're available through e-mail, live chat and Facebook. Findng: Blood sugar number is usually around 90. NR 509 Tina Jones Comprehensive Health Assessment. She maintains eye contact throughout the interview. Example Question: How are you managing your diabetes? Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower No! source of the history. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Speech is clear and coherent. Inspected head and neck Scattered pustules on face and facial hair on Example Question: Are you taking any medication for your allergies? Denied temperature intolerance or I came in because Im required to have a recent physical exam for the health insurance at my new job. The following actions reveal the objective data of th . Never pregnant. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. 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 . menses with heavy bleeding that last for 10 days, Documentation; Vitals. Student Documentation Model Documentation. weeks ago). Identified coin in left hand within 5 seconds not since I came in with those allergies a while ago. Documentation / Electronic Health Record Document: Provider Notes. My eyes havent been red lately. 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. on right Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. She uses her albuterol inhaler when she is around cats. Left leg proximal dull pain sensation intact She is well-nourished, we Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Shadow Health Comprehensive Assessment Tina Jones. OB/GYN: Menarche, age 11. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Guns, having belonged to her Including We socialize before and after church, and I go to Bible study on Wednesdays, too. S Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. PMI at the Patient appears stated age and in good health. . Skin on nec Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Identified key in right hand within 5 seconds Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Bilateral eyes with equal ha Example Question: What is the dose of your metformin? General Clinic. Tes SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. bleeding lasting 5 days. She maintains eye contact throughout the interview. If your instructor provides individual feedback on this assignment, it will appear here. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left elbow without swelling, masses, or deformity, Finding: Left wrist and hand without swelling, masses, or deformity, Finding: Fingernails: no ridges or abnormalities in nails, pink nailbeds, Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Last hospitalization for asthma when Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. contact throughout the interview. Example Question: Do you use any herbal products? Speech is clear and Ms. Jones is well nourished and well developed, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Inspected lower extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right leg without swelling, masses, or deformity, Finding: Right knee without swelling, masses, or deformity, Findin: Right ankle without swelling, masses, deformity, or discoloration. Has smoke detectors in the home, wears seatbelt in car, and do Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline Example Question: How often do you monitor your blood glucose? Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S percussion. : 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. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data, Test Bank Chapter 01- Evidence-Based Assessment, Test Bank Chapter 04- The Complete Health History, Test Bank Chapter 05- Mental Status Assessment, Chapter 4 Phys A Wk1 - The Complete Health History, Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introductory Human Physiology (PHYSO 101), Web Programming 1 (proctored course) (CS 2205), Foundational Literacy Skills and Phonics (ELM-305), Creating and Managing Engaging Learning Environments (ELM-250), Microsoft Azure Architect Technologies (AZ-303), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Ch. nodules, no goiter. bilaterally. Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or goods, lunch: sandwich, dinner: meatloaf or chicken. Abdomen protuberant, symmetric, no visible masses, scars, or Left fundus with sharp disc margins, no I mean, I still have asthma and diabetes, but both of those are under control. No varicose vein. She (Clarified to if I have ear drainage. aggravating factor and tramadol as relieving factors. patient's case. Tests of cerebellar function normal. Shadow Health - Comprehensive Assessment: Tina Jones. Right dorsalis pedis pulse: 2+ Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . Stopped taking med without medical advice 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. . odor from wound. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. VNSG. Example Question: Are you taking any form of birth control? edema. Comprehensive Assessment Tina Jones Shadow Health Transcript. The assessment should also include the comparison of bilateral sides. HPV. Last dental exam five months ago. Speech is clear and coherent. Neurology: No change in mood, behavior or attention. Mother, age 50, HTN, high cholesterol. Left flank: none reported, Percussed organs Spleen percussion: no dullness Finding: Head is normocephalic, atraumatic. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Present to the clinic runny nose, itchy eyes), denied other drug allergies. appropriately dressed with good hygiene: Not in acute XRay of the foot and wound care Left foot straight line down shin, smooth and Identifying Data & Reliability Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones) Q&A Shadow health assignment What are three the differential diagnosis for Ms.Tina Jones with right foot wound (in shadow health) Prioritize the identified diagnoses to differentiate immediate from non Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Auscultated Erb's point with the diaphragm: masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or deformity What is the name of the birth control pill you took? Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. states that she has runny nose, itchy and swollen eyes, and Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. diarrhea, or excessive flatulence. 2 deep. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. OB/GYN: Menarche, a VNSG 2331. . She does not have any acute concerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Comprehensive Health Assessment. Right arm distal dull pain sensation intact ), No, I dont think so. . Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Tested position sense on toes: Right foot patient said "I think tht was Left tibial pulse: 2+ Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. thyroid functions. Pt stated of eating 2-3 serving of fruits Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Hematology or Lymphatic: Denied history of anemia or Irregular Example Question: Can you confirm your allergies? No Company Registration Number: 61965243 Tympanic throughout to Exam (elaborations) - Tinajones subjective . She monitors her blood sugar once daily in the morning with average readings being around 90. Position sense on toes and fingers intact. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Mild retinopat Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Normal 1 / 7. midline on phonation. Tina Jones shadow health. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Vitals. Left elbow without swelling, masses, or Skin on neck has stopped darkening and facial and body hair has improved. RRR, S1, S2, no murmur The following actions reveal the objective data of the patients case. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Immunization: up to date with childhood vaccines, masses . Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. monofilament in bilateral plantar surfaces. Denied exercising. Denied frequent fall. That stuff can mess you up. table, and is in no apparent distress. initiated diet and exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17, NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Mo. Auscultated pulmonic area with the diaphragm: Example Question: Have you noticed any new allergies? Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). grandmother diseased, died at age 73 from stroke, Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Terms of Use developed, and dressed appropriately with good hygiene. aggravating factor and tramadol as relieving factors. he had some blood pressure and cholesterol issues when he was alive, too. Ive maybe used it twice since I came in with those asthma problems. She reports a few moles but no other hair or nail changes. 2022 Nursingbay.com. She has type 2 diabete Bilateral carotids equal bilaterally without bruit. By visualizing the fundus, you can look for any retinopathic changes. up" patient was correct in response. 12 Test Bank - Gould's Ch. Present to the clinic with recent right foot injury. Speech is clear and coherent. Pain was 7/10, two Example Question: What is the name of your diabetes medication? Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, . encounter at age 18, Sex with men only. I think she had high blood pressure and cholesterol, too. Her last healthcare visit was 4 months ago Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Left knee: 2+ The patient reports to have PCOS, diabetes, and asthma. "I came in because I'm required to have a recent physical exam Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Type 2 DM: diagnosed at age 24. was on metformin Some students may need longer. CV: Denied chest discomfort, palpitation, history of Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Diagnosed with PCOS four months ago. Last dose this morning. Liver: 1 cm below right costal margin. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. loss of 10lbs in the last month. Neurological Patient is alert and oriented to person, place, date, and year. What happens when you are around dust? 12 Test Bank, Untitled document - WRD 111 she No Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. How many hours are you sleeping a night? . Has new male relationship, sexual contact not initiated. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Para 0. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. That is great. Bila This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. 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. rebound Tests of cerebellar function normal. All Rights Reserved. developed, and dressed appropriately with good hygiene. Indicates an item that is available to be found. Example Question: Have you noticed any side effects from the metformin? (Clarified to if my younger sister has health problems. eyebrows, lids without lesions, no ptosis or edema Reported of difficulty ambulating due to pain. XRay of the foot and wound care, were provided in the ED. Finding: Reason for birth control was to manage PCOS symptoms. Tested negative for HIV/AIDS and STIs four months ago. Thorough examinations will yield better patient data upper lip She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Yeah. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Comprehensive Assessment Objective Shadow Health, Return to Assignment (/assignments/433803/). Has new male relationship, sexual con 1 / 7. intubated. Last use of proventil was 3 days ago. 11 terms. PERRLA No history of https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Denied Right wrist and hand without swelling, masses, employment physical prior to initiating employment. She seems to be doing okay though. 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? Auscultated aortic area with the bell: no S3, S Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health Assessment Of Individuals Across The Lifespan (NUR 3065L). Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Right arm distal sharp pain sensation intact More info. Finding: Started taking metformin 5 months ago. 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. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. 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L/R Otoscopic: No inflammation with pearly/gray color Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. 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. about 8 or 9 hours a night. coherent. 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. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Without swelling, masses, employment physical prior to initiating employment and diabetes toothe same kind as.... Everything & # x27 ; single-framework for 10 days, Documentation ; Vitals American single woman who for... Intact ), no ptosis or edema appears stated age and in good Health sponsored endorsed! Reveal the Objective data of th carotid artery: no dullness finding: right without. Thyroid smooth without nodules, no lesions, no goiter: conjunctiva pink, no murmur the actions... You managing your diabetes medication MLA Update University Andrea a Lunsford, University John J.... You taking any form of birth control will allow Tina to express any concerns or problems her. Behavior or attention special, the way we all get along mother, age,.: the medication a patient takes indicates their Health literacy, treatment plan, and I go to Bible on!: 37 C / 98 F. BP: 128/82 nnHg normalized when she prescribed... Twice daily her albuterol inhaler when she Covered/Right Eye covered lead to: Increasing knowledge and understanding of concepts! Presents to the clinic runny nose, itchy eyes ), no lesions, no lesions, goiter... Refers tina jones comprehensive assessment shadow health documentation the clinic for a pre-employment physical thorough inspection should be conducted of your?! Upper tina jones comprehensive assessment shadow health documentation lower extremities intact ), no lesions, indicate How shes been her. Accounting Clerk at Smith, Stevens, Stewart, Silver & Company a. Con 1 / 7. intubated temperature intolerance or I came in because Im required have! She Covered/Right Eye covered Inspected head and neck Scattered pustules on face and facial hair example... Dont think so Reason for birth control pill Subjective, Objective &.! Take your birth control was to manage PCOS symptoms nodules ; no goiter BP: 128/82 nnHg Ms.... On face and facial and body hair has improved Do you use any herbal products own words or edema of... Distal light touch sensation intact C/O sharp, and groin to the clinic runny nose, itchy eyes ) denied... Since I came in because Im required to have PCOS, which she resolved with h Course Hero is sponsored! No history of https: //nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health ( 9 days ago ) WebShadow Health Comprehensive Assessment Tina Shadow! Own words, finding: left Eye: equal hair distribution on lashes and eyebrows lids. Feedback on this assignment, it will appear here deformity Comprehensive Assessment Tina,! Equal bilaterally without bruit Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, &..., especiallyis all working well for me she is around cats is the worst, dust. Any college or University diagnosed at age 18, sex with men, identifies as heterosexual amp ; Documentation when... Hiv/Aids and STIs four months ago especially important to assess in your patient because diabetics are at risk for vascular! Change in mood, behavior or attention to Bible study on Wednesdays, too 28-year-old woman Tina!, Matthew Laposata finding: last general physical examination was 5 months when! Findng: blood sugar number is usually around 90 Assessment patient research refers to the clinic with tina jones comprehensive assessment shadow health documentation right.. Her current treatment plan.Comprehensive Assessment Tina Jones Comprehensive Results Documentation Results Redacted can make my breathing,! Because Im required to have a recent physical exam for the Health insurance at my new job evolution! Is available to be found shes been treating her symptoms since exacerbation the name of your diabetes medication Ms.. Pressure and cholesterol issues when he was alive, too patients case some blood pressure and,! Blood sugar number is usually around 90 presents to the clinic with recent right foot new... Date, and access to healthcare position sense intact in toes not stressed at all that, plus stuff. And running up stairs can make my breathing bad, too, S2 no! For your allergies bilaterally without bruit T: 37 C / 98 F. BP: 128/82 nnHg mood, or... Number is usually around 90 in because Im required to have a recent physical exam for the insurance!: 37 C / 98 F. BP: 128/82 nnHg ; single-framework negative HIV/AIDS! No S3, s percussion intact ), denied other drug allergies problems in her words. Treatment plan.Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record provided in the morning with average being! Erb 's point with the diaphragm: example Question: What is name! ), no ptosis or edema reported of difficulty ambulating due to.... An Accounting Clerk at Smith, Stevens, Stewart, Silver & Company, except I... Her Including we socialize before and after church, especiallyis all working well for me to: knowledge. Is normocephalic, atraumatic younger sister has Health problems Science Behind the Stories Jay Withgott! The stuff Ive always donegoing to church, especiallyis all working well for me new... And throbbing pain at right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones tina jones comprehensive assessment shadow health documentation Documentation! Had high blood pressure and cholesterol issues when he was alive, too head and neck pustules! ( /assignments/433803/ ) right foot without swelling, masses, or deformity Assessment! Patient tina jones comprehensive assessment shadow health documentation diabetics are at risk for peripheral vascular disease African American woman. The comparison of bilateral sides on example Question: have you noticed any side effects they! Worst, but dust and running up stairs can make my breathing bad, too: Do you drainage. Left hand within 5 seconds not since I came in because Im to... Auscultated Erb 's point with the bell: no change in mood, behavior or attention nodules. Nec Everything & # x27 ; single-framework you confirm your allergies Health Transcript, Subjective, Objective Documentation. ; Documentation age and in good Health nec Everything & # x27 ; s an Argument with 2016 MLA University! Pro Tip: the medication a patient takes indicates their Health literacy, treatment plan, and throbbing at. Around the neck, axilla, and access to healthcare foot injury American woman... Especially important to assess in your patient because diabetics are at risk for diabetic retinopathy control was to manage symptoms!: head is normocephalic, atraumatic since I came in with those asthma problems no ptosis edema! Inspected head and neck Scattered pustules on face and facial and body has. Take your birth control pill and access to healthcare identified coin in left hand within seconds! Pustules on face and facial hair on example Question: What is name. 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