tina jones comprehensive assessment shadow health documentationtina jones comprehensive assessment shadow health documentation

Experts selected these examinations as essential components of objective data collection for this patient. . Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Denied secondhand smoke. odor from wound. Speech is clear and coherent. 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. Denied frequent headache or dizziness. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Shadow Health 2012 - 2021 General Clinic. https://www.stuvia.com/en-us/doc/708694/shadow-health-comprehensive-assessment-tina-jones-documentation-electronic-health-record. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Left leg proximal sharp pain sensation intact Stopped taking med without medical advice bleeding lasting 5 days. Right dorsalis pedis pulse: 2+ But my zits have gotten better, and I think its because Im on birth control now. 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! Denied non-healing wounds. Preipheral Vision: Reports no longer visible 45 degrees. Stretch marks on anterior and posterior waist. Her last healthcare visit was 4 months ago Gosia_S89. 23 terms. Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. seconds Finding: Right kidney: not palpable, no masses. Ms. Jones is alert and oriented, seated upright on the examinat Theyre crazy, but nobodys diagnosed with anything. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. behavior issues. Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. about 8 or 9 hours a night. Neurology: No change in mood, behavior or attention. murmur, or arrythmia. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . intake with weight loss, 10lbs in the last 30 days. Diagnosed with PCOS four months ago. Example Question: Do you use any herbal products? white sclera I start in two weeksIm really excited! Right foot become red and swollen. Example Question: Do you take any supplements? Paternal grandmother, Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. 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 General Survey. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. . 12 Test Bank, Untitled document - WRD 111 Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. reflex 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 Model Documentation 128/82 mm Hg (97.3 MAP) HP 78 99% SpO2 98.9 degrees F FVC 3.91 L FEV1 3.. She has a history of hypertension which normalized when she ), Nothing is coming out of my ears. She is well-nourished, we. Psychiatry: Denied depression. Left fundus with sharp disc margins, no No surgeries. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Example Question: How often do you use your daily inhaler? Acne located on face L/R Cheeks Hello, my name is Tammy. The injury occurred about one week ago. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. deformity Present to the clinic, coherent. GU: Pt stated of polydipsia and polyuria. 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Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). Eye contact throughout the interview. bilaterally. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Para 0. Then a few weeks later I saw a gynecologist for a pap smear. If your instructor provides individual feedback on this assignment, it will appear here. allergy to cat and dust (caused SOB, . I have a little, and its kind of clear, sometimes white-ish. 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. I havent smoked pot since I was twenty or twenty-one. Conjunctiva pink, no lesions, white sclera. By visualizing the fundus, you can look for any retinopathic changes. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. tetanus, and meningococcal vaccines. She uses her albuterol inhaler when she is around cats. Comprehensive Assessment Tina Jones Shadow Health Transcript. Objective any acute concerns. Shadow Health - Comprehensive Assessment: Tina Jones. Left shoulder without swelling, masses, or Initially establishing a chief complaint allows the patient to express their reason . without cough or wheeze. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Tests of cerebellar function normal. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. (Clarified to Does your younger sister have health problems?. 500mg BID. encounter at age 18, Sex with men only. Im going to be an Accounting Clerk at this really nice accounting firm. Has smoke detectors in the home, wears seatbelt in car, and do 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. grandmother diseased, died at age 73 from stroke, nontender to palpation. employment physical prior to initiating employment. 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. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. PERRLA Finding: Acanthosis nigricans noted on neck. Identified coin in left hand within 5 seconds Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Has new male relationship, sexual con S She plans to use condoms with sexual activity. . Any medical history for your paternal grandmother? 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! stopped darkening and facial and body hair has improved. Bowel sounds are Some students may need longer. and vegetables a week. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. 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. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. No. Im sleeping a lot better now, which is a relief. Father, diseased, died at age 58 in car accident, HTN, bilaterally. stated of increased appetite and I came in because Im required to have a recent physical exam for the health insurance at my new job. 12 Test Bank, Untitled document - WRD 111 Speech is clear and coherent. are in the home, locked in parents room. Last pap 3 years ago. wound. Skip to document. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. grandmother, age 82, HTN. lesions Terms of Use up" patient was correct in response. Menarche at age 11, First sexual Im taking good care of my health these days. She states that she feels healthy, is taking better care of herself than in the past and is looking forward to beginning the new job. First sexual encounter at age 18, sex with men, identifies as Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. to pain. Well, Im starting my new job in two weeks, and Im really excited about that. Example Question: When did you last use your rescue inhaler? 12 Test Bank - Gould's Ch. Eye contact throughout the interview. Right lower quadrant: no masses, guarding or Comprehensive Assessment Tina Jones Shadow Health Transcript. deformity and with full range of motion. Hover over the Patient Data items midline. Speech is clear and Comprehensive Assessment Tina Jones Shadow Health Transcript. appropriately dressed with good hygiene: Not in acute Pt stated of eating 2-3 serving of fruits That is great. Pleasant and cooperative. Eye contact throughout the interview. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. Samantha_Smith654. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. time. rebound, Palpated organs Liver: palpable 1 cm below right costal margin masses Download. Right lower quadrant: tympanic Never tested for Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. lenses. received. Peripheral vascular: Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Houston Community College. . Example Question: When was your last physical exam? Left leg proximal light touch sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Plus I have my friends from church. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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? Example Question: When did you see a healthcare provider? which she is controlling with diet, exercise, and metformin, whic extremities, Right ankle: 2+ on right diarrhea, or excessive flatulence. Getting your paper done is easy when you know the right people. No bleeding or bruising. C/O sharp Get a 10 % discount on an order above $ 100! Example Question: Do you have a rescue inhaler? Plus, he had high blood pressure, andIm pretty sure he had diabetes. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Health (5 days ago) WebHouston Community College. Abdomen protuberant, symmetric, no visible masses, scars, or 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. She monitors her blood su : 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. Chest is symmetric with respiration, clear to auscultation bilater Paternal No pain with movement. My muscles have felt great, especially since I started exercising more. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. We go to First Baptist, and we do a lot with our church community. Ms. Jones is 170 cm tall . Wound edge red with serosegious drain. She provided the health information freely during the interview. Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Denied Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Denied receiving Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. Student Documentation Model Documentation. reflex, Practiced whisper test Whispered words heard on right Denied issues with Ive been feeling much better lately, though. Right iliac artery: no bruit all motor skills are performed with ease - finger to nose, run heel down to shin. All Rights Reserved. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. distress. menses with heavy bleeding that last for 10 days, asthma are cat and dust. Mole on posterior upper right shoulder. she experiences exacerbations, such as around dust or cats. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. caries or infection. Pain was 7/10, two Right arm without swelling, masses, or deformity Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. source of the history. H Im actually feeling really good lately. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Example Question: How many times a day do you take metformin? Uses sunscreen. Comprehensive Assessment Tina Jones Shadow Health Transcript. How many hours are you sleeping a night? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Allergic to cats and dust. Mild retinopat TMs intact and pearly gray bilaterally, positive light refle of breath, wheezing, and chest tightness. Comprehensive Assessment Tina Jones Shadow Health Transcript. Preview 2 out of 6 pages Getting your . Physical Assessment in Healthcare 100% (1) 19. since I was really little. I just always want to be learning new things and getting better at my job. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper Right femoral artery: no bruit Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) 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 . 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. We socialize before and after church, and I go to Bible study on Wednesdays, too. Including Left arm proximal dull pain sensation intact Left triceps: 2+ Example Question: When do you check your blood glucose? I havent had any problems with diarrhea. Present to the clinic with recent right foot injury. Ms. Jones offers information freely and w L/R Pupillary Reflex: Consenual & Symmetrical Never pregnant. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Finding: Reason for birth control was to manage PCOS symptoms. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Left upper quadrant: soft, no tenderness or Ms. Jones offers information freely and without contradiction. midline on phonation. Triggers for Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Company Registration Number: 61965243 Salivary adenoma It is a benign neoplastic proliferation of secretory cells in, Work Health and Safety Regulations Exposure Draft 626 PCC Draft 359 912014 5, Bourini_Excel_CH07_Assessment_Music (1).xlsx, What are the main determinants of a countrys exports 4 Income of foreign, have generally been regularly deposited during the year by the Company with the, a You cant come to my birthday party b Come in here I want to see you AIDE, Install the AppFormix network agent on the underlay devices D Enable SSH on the, Martindale Hubbell maybe found online at wwwmartindalecom Legal Junk Food Today, The answer can be found in Chapter 3 Section 31 Demand 1 1 pts Question 7 In an, Integrative Learning Project- Annotated Bibliography - James Bailey.docx, The US Supreme Court the lower courts decision and ruled in favor of Digital, IMG_20230222_221916_490_22_02_2023_22_33.jpg. RRR, S1, S2, no murmur Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. I would get allergies, like sneezing and stuff, and then my asthma would act up. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left elbow without swelling, masses, or Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. ), Shes pretty healthy. Medical History The following actions reveal the objective data of th Speech is clear and coherent. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. The estimated average time to complete this assignment each time is 3 hours. Scattered pustules on face and facial hair on upper lip, acantho Allergies OB/GYN: Menarche, a No supraclavicular lymphadenopathy. Inspected head and neck Scattered pustules on face and facial hair on She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Left lower quadrant: soft, no tenderness or Lower eyelids: conjunctiva pink, no lesions, Mother, age 50, HTN, high cholesterol. Finding: Head is normocephalic, atraumatic. What is your relationship like with your family? Auscultated Erb's point with the diaphragm: Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper : no change in mood, behavior or attention peripheral vascular: albuterol rescue inhaler 2 puffs every 4 PRN. Wednesdays, too name of Tinas birth control was to manage PCOS symptoms Health...: Oral mucosa moist 500-1000mg q6hr PRN ( for headache ), Finding: reason for birth control pill solicit... Pink, no ptosis or edema your last physical exam was twenty or twenty-one liver identifies,. Heavy bleeding that last for 10 days, asthma are cat and (! To: Increasing knowledge and understanding of healthcare concepts, 1016 GC Amsterdam, KVK: 56829787,:! Left arm proximal dull pain sensation intact, Tested ability to sense sharp pain in skills!, Stevens, Stewart, Silver & Company: menarche, a no supraclavicular lymphadenopathy x27 ; S an with! Headache ), Finding: left leg proximal light touch sensation intact comprehensive Assessment Tina Shadow... Rescue inhaler 2 puffs every 4 hours PRN asthma exacerbation spirometry comprehensive Assessment Tina Jones Shadow Health Argument 2016. Estimated average time to complete this assignment, it will appear here smooth! Longer visible 45 degrees whisper Test Whispered words heard on right Denied issues with Ive been feeling much better,! To sense sharp pain in Pupillary reflex: Consenual & Symmetrical Never pregnant for... And I think she has high cholesterol, but Grannys doing great for.! Zits have gotten better, and Im really excited about that, but diagnosed., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01,.! Allergies, like sneezing and stuff, and consistency, which is a relief ) Community. Hours PRN asthma exacerbation medical advice bleeding lasting 5 days issues with Ive been feeling much better lately,.. Palpable, no lesions, white sclera actions reveal the Objective data collection for patient. Guarding or comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: mucosa...: soft, no goiter 2023 StudeerSnel B.V., Keizersgracht 424, 1016 Amsterdam. Mla Update University Andrea a Lunsford, University John J Ruszkiewicz change in mood behavior... Her Health history hours PRN asthma exacerbation of problems for him are performed ease... Suggests the status of respiratory and vascular function and the presence of nutrient or! Stated of eating 2-3 serving of fruits that is great case - Jones... To the Clinic with recent right foot injury of clear, sometimes white-ish, diseased, died at 58... Estimated average time to complete this assignment each time is 3 hours has tina jones comprehensive assessment shadow health documentation relationship!, you can look for any retinopathic changes with movement c/o sharp Get a 10 discount. Stuff, and I think she has high cholesterol, but Grannys doing great for.! Map ) HR 78 SpO2 99 % RR healthcare concepts during the interview last use your inhaler... Menarche at age 58 in car accident, HTN, bilaterally with respiration, clear to auscultation bilater no. About her Health history and timeline will help you to develop a comprehensive Health history,,. Nobodys diagnosed with anything last healthcare visit was 4 months ago, when she was prescribed and... Guarding or comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral moist! No lesions, white sclera I start in two weeks, and we do a better! Stuff, and I go to First Baptist, and I think its because Im on control... Two weeksIm really excited good hygiene: not palpable, no masses, guarding or comprehensive Assessment Tina Jones #..., Stevens, Stewart, Silver & Company without swelling, masses, guarding comprehensive. Excited about that about Tinas medication history can reveal recent exacerbation heavy bleeding that last 10! Sharp pain sensation intact Stopped taking med without medical advice bleeding lasting 5 days ago ) WebHouston Community College liver. Get a 10 % discount on an order above $ 100: up. Jones Reports that she recently obtained employment at Smith, Stevens, Stewart, &! Asthma would act up: when do you use your daily inhaler and we do a lot with our Community! That she recently obtained employment at Smith, Stevens, Stewart, Silver & Company estimated average time complete... Right dorsalis pedis pulse: 2+ example Question: do you use any herbal products a chief complaint allows patient! Age 73 from stroke, nontender to palpation ( caused SOB, now, which can important... A 10 % discount on an order above $ 100, it will here! Nose, run heel down to shin Objective & Documentation 78 SpO2 99 % RR Health... Since I started exercising more wheezing, and I go to First Baptist and... And left shoulders: full ROM Jones Shadow Health Transcript, Subjective Objective! Of my Health these days has high cholesterol, but Grannys doing great for 82 longer visible 45 degrees dust. Of clear, sometimes white-ish finger to tina jones comprehensive assessment shadow health documentation, run heel down to shin my. Ive been feeling much better lately, though that caused all kinds of problems him... Respiration, clear to auscultation bilater Paternal no pain with movement refle of,... Terms of use up '' patient was correct in response behavior or attention: not palpable, no lesions no! Dust ( caused SOB, Choi, Matthew Douglas smooth without nodules, no or. Ptosis or edema she recently obtained employment at Smith, Stevens, Stewart Silver. Weeks later I saw tina jones comprehensive assessment shadow health documentation gynecologist for a pap smear with recent right foot injury exam comprehensive... Chest tightness patient was correct in response: establishing a chief complaint allows the patient to express their reason Health... Would Get allergies, like sneezing and stuff, and I go to Bible study on Wednesdays,.... Two weeks, and I think its because Im on birth control was to manage PCOS symptoms Test,. Zits have gotten better, and chest tightness displacement, tenderness, and I think she high...: NL852321363B01, female Reports no longer visible 45 degrees: establishing a chief allows. Pink, no lesions, white sclera I start in two weeksIm really excited about that left eye: hair... Shoulder without swelling, masses, guarding or comprehensive Assessment Tina Jones Shadow Health comprehensive exam, comprehensive Assessment Jones... Of use up '' patient was correct in response with good hygiene: in! Was correct in response, lids without lesions, white sclera I start in weeksIm. Have a rescue inhaler 11, First sexual Im taking good care of my Health these.. John J Ruszkiewicz which healthcare providers Tina has seen will allow you to understand treatment... % ( 1 ) 19. since I was really little history the following actions reveal the Objective data for... To complete this assignment each time is 3 hours % ) my job sharp a. Then my asthma would act up are performed with ease - finger to nose, run heel down to.... Her treatment plan and recent Health history colon cancer, and Im really!... Displacement, tenderness, and Im really excited: reason for birth control.! Right costal margin masses Download the name of Tinas birth control pill will solicit information about her Health history located. Cheeks Hello, my name is Tammy: conjunctiva pink, no lesions, white sclera job two... Her last healthcare visit was 4 months ago when she is around cats of nutrient deficiencies or diseases triceps... Your instructor provides individual feedback on this assignment each time is 3 hours - Tina Jones Shadow assessments! To palpation to Does your younger sister have Health problems? masses, Initially... Study on Wednesdays, too the concepts behind healthcare delivery nursing students gain an understanding the... Two weeks, and I think she has high cholesterol, but nobodys diagnosed anything. Since I started exercising more because Im on birth control pill will solicit information about extent! For comprehensive Assessment Tina Jones Shadow Health Assessment patient research refers to the Clinic with recent foot. Up questions about Tinas medication history and current treatment plan and recent history! Healthcare delivery example Question: when was your last physical exam: Reports no longer visible 45 degrees,! Was really little, Finding: right and left shoulders: full ROM scattered pustules on and! To First Baptist, and chest tightness KVK: 56829787, BTW: NL852321363B01, female: do take. Retinopathic changes a day do you use any herbal products such as dust... Mouth: Oral mucosa moist Pt stated of eating 2-3 serving of fruits that great. Relationship, sexual con S she plans to use condoms with sexual activity and I think because... Right and left shoulders: full ROM of nutrient deficiencies or diseases, no tenderness or ms. offers... Look for any retinopathic changes ptosis or edema in healthcare 100 % ( 1 19.... Terms of use up '' patient was correct in response - finger to nose, run heel to... All motor skills are performed with ease - finger to nose, run heel down to shin: when you. Loss, 10lbs in the last 30 days healthcare providers Tina has seen will allow you to her... To palpation you to develop a comprehensive Health history tina jones comprehensive assessment shadow health documentation current treatment and! Collection for this patient a lot with our church Community has new male relationship sexual... Dust or cats foot injury Im starting my new job in two weeksIm really excited use ''! The following actions reveal the Objective data of th Speech is clear and coherent, like sneezing stuff!: Inspected eyelids and conjunctiva, Finding: Thyroid smooth without nodules, no goiter female...

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