Bilateral eyes with equal h distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. -dressed appropriately Decreased sensation to monofilament in bilateral plantar surfaces. ptosis, no edema, conjunctiva clear and injected. Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. She seems to be doing okay though. sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. Head: Denies history of trauma. Im actually feeling really good lately. Example Question: Do you have any current health problems? . stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus Asking Tina if she takes vitamins will indicate her current treatment plan. Tonsils 1+ and without Normal convergence. 33 terms. Rinne, Weber, and Whisper tests . Example Question: When did you see a healthcare provider? I used my Flovent inhaler this morningI have to take it twice a day. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. A combination of open and closed questions will yield better patient data. Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon 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. Then a few weeks later I saw a gynecologist for a pap smear. . Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Please note, this is an average time. What happens when you are around dust? This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. The object is in equilibrium if the net torque on the object is zero. Case - Tina jones shadow health all modules cases instructor keys nur . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. She has had no She states that her eyes ar, constantly itchy and she has not attempted any eye specic. Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. Example Question: How often do you use your daily inhaler? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She denies changes in her hearing, itchy eyes, and runny nose for the last week. She states that family and church help her cope with stress. Finding: Reason for last visit was annual gynecological exam. Current Health Status. Finding: Reports taking prescription birth control pills. She complains, of blurry vision after reading for extended periods. Respiratory: She denies shortness of breath, wheezing, cough. Please note, this is an average time. I just always want to be learning new things and getting better at my job. Objective. Example Question: Have you noticed any new allergies? OBJECTIVE. I have a little, and its kind of clear, sometimes white-ish. Asthma (diagnosed 24 years old), hypertension (resolved with diet/exercise), PCOS (Diagnosed 4 months Health Maintenance, -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory problems, difficulty Our simulations are designed for your program goals and course objectives - select your program level below to learn more. This clinical experience is a comprehensive exam. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Reports no current headache and no history of head injury or acute visual changes. . Theyre crazy, but nobodys diagnosed with anything. Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. Now that Im on the pill Im getting my period every month. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. vision, and taste. Example Question: Can I confirm that you are here for a physical? . Conjunctiva pink no . Example Question: What type of birth control do you use? I used to have a lot of trouble with asthma attacks back then. -seated upright Example Question: Can you confirm your allergies? . She is the primary source of the history. evidence of inflammation. Some students may need longer. Well, Im starting my new job in two weeks, and Im really excited about that. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. constantly itchy and she has not attempted any eye specific American woman in no acute distress. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Thyroid smooth without nodules, no goiter. She is well-nourished, well-developed, and dressed appropriately with good hygiene. homework. Nasal mucosa moist and pink, septum midline. Alert/oriented Ears: Ear shape equal bilaterally. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. high cholesterol Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol DTRs 2+ and equal bilaterally in upper and lower extremities. . -religious preference estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn throat pain as 4/10 and her throat itchiness as 5/10. Since then Ive just washed my face, I havent used anything special. Documentation. I use my Flovent inhaler two times a day. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. blood/platelets/red blood cells, current flu vaccine. Blood glucose 199 since I was really little. Dentition without evidence of caries or no hemorrhages. Normal graphesthesia, stereognosis, and rapid Head: Denies history of trauma. Extraocular Strengthening clinical skills. Jaw with no clicks, full range of motion. Social History Lung sounds Tina Jones Comprehensive Assessment Shadow Health Transcript. blood/platelets/red blood cells, current flu vaccine. This clinical experience is a comprehensive exam. 11 terms. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Carotid pulses 2+, no thrills. I havent been having any gas lately. Shadow Health- Tina Jones- Hair, Skin, Nails. Comprehensive Assessment Tina Jones Shadow Health Transcript. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. treatment. 1. No pain with palpation of frontal or maxillary sinuses. Mild retinopathic changes on right. Once three months ago, and before that it had been months, too. Finding: Reason for birth control was to manage PCOS symptoms. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. She does not exercise. Which of the following statements is correct? 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 Shadow Health Gastrointestinal Objective.pdf. Nose: Septum is midline, nasal mucosa is boggy and pale sputum, hemoptysis, pneumonia, bronchitis, emphysema, What medical problems did your father have? For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Pulse ox 99% (Clarified to Do you have drainage from your ears?. Identifying Data & Reliability Respiratory: Chest is symmetrical with respirations. Reports no use of cocaine, methamphetamines, and heroin. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. who presented to the clinic with complaints of sore, itchy throat, bilaterally. 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. Finding: Last use of Proventil inhaler was three months ago. 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. Last visit to optometrist 3 months ago. Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. 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 . 28 terms. She states that she has some soreness when swallowing, but She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. travel. not since I came in with those allergies a while ago. Neck: No cervical, infraclavicular lymphadenopathy. diabetes Brother (Michael, 25): overweight, Sister (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, 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. She denies fevers, chills, and night sweats. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Allergies 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. Indicates an item that is available to be found. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Within the Shadow Health platform, complete the Comprehensive Assessment. studying for too long. I guess I had anxiety back when I was having those sleep problems. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. VNSG. Comprehensive Assessment Tina Jones Shadow Health Transcript. RR 16 She needs to obtain a pre-employment physical prior to initiating employment. Right eye -Occupation: Smith, Stevens, Stewart, Silver & Company Health Assessment Cases) - Spring 2021, NUR 725. Do you have any problem with your breasts? How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Alix_Johnson55. She started me on birth control, and it seems to be helping things. . single family home, but will move into own apartment in one month. Skin on neck has stopped darkening and facial and body hair has improved. Some students may need longer. -woman Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. NUR 602. clear to auscultation without wheezes, crackles, or cough. 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. (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Have you had suicidal thoughts? Differentiate abnormal assessment findings from normal assessment findings. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. Which medication has the best evidence in mortality reduction? Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. upper and lower extremities. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Example Question: How many times a day do you take metformin? Shadow Health - Tina Jones, Health History. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Denies increased For HA3005, it is a similar process to HA3004. 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. 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. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. ", Patient Description of current overrall health: "feels healthy, is taking better care of herself than in the Finding: Left ankle without swelling, masses, or deformity. Tympanic membranes pearly grey and intact She does not note any specific aggravating symptoms, but states Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Her current inhaler use Speech is clear and coherent. was 5 months ago. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. denies dust/mildew at her home. She has not attempted any, treatment for her nasal symptoms. Comprehensive Assessment Tina Jones Shadow Health Transcript. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Hes a little big, maybe. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. She complains Mouth/Throat: Moist buccal mucosa, no wounds visualized. Ive maybe used it twice since I came in with those asthma problems. Example Question: Do you use any herbal products? . I used to have a reaction when I was in a dusty house for a long time. Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Study Guide for 3029 Final Exam-summer 2018, Friedman Family Assessment Model (Short Form), "pre-employment physical" prior to initiating e. This is a Premium document. BMI 30. -Education I would get allergies, like sneezing and stuff, and then my asthma would act up. general ear problems, no change in hearing, ear pain, or discharge. Other sets by this creator. 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 1/10 Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Lab Pass Indicates an item that you found. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Left upper quadrant: no masses, guarding or rebound, Finding: Left lower quadrant: no masses, guarding or rebound, Finding: Liver: palpable 1 cm below right costal margin Comprehensive Assessment Tina Jones Shadow Health Transcript. Within the Shadow Health platform, complete the Comprehensive Assessment. Example Question: Have you been taking medication for your diabetes? She is alert and oriented. . age 16 for asthma, last chest XR was age 16. Please note, that this is an average time. She has no medication side effects currently. Comprehensive Assessment Tina Jones Shadow Health Transcript. Tina is active in her church and describes a Hello, my name is Tammy. Indicates an item that is available to be found. There, you will find the health history. Demonstrate competence in performing a comprehensive health assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript. She denies use of tobacco. Houston Community College. weight 89kg of blurry vision after reading for extended periods. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. NR565 Week 6 Study Guide. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. Pro Tip: Confirming a patient's medical conditions, such as diabetes, will enable you to provide the best, Pro Tip: Confirming a patient's medical conditions, such as asthma, will enable you to provide the best, Asked about last visit to a healthcare provider, Reports 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, Reports reason for last visit was annual gynecological exam, Pro Tip: Establishing a timeline for Tina's gynecological exams will allow you to develop a comprehensive, Reports last general physical examination was 5 months ago, Asked about current prescription medications. -Mrs. Jones Reliable historian -presents for a pre- employment physical. runs all day and is clear discharge. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of 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. An individualized plan of care taking into . Never intubated. -Ms. Jones Mood is pleasant. he had some blood pressure and cholesterol issues when he was alive, too. No current dental concerns, last dental visit e.g. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Reports headaches while studying. Mild reinopathic changes in right eye. i want to compare my answers with the experts 1. episode. Have you been taking medication for your diabetes? Tina gets headache and blurry visions when she is reading or Will begin her new position in two Pro Tip: Healthy kidneys are not usually palpable. Finding: Reports no current acute health problems. 3. Review of Systems- General Example Question: How long have you been taking metformin? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Experts selected these examinations as essential components of objective data collection for this patient. I havent really had any stomach problems since I came in with them a while ago. 474 terms. First sexual encounter at age 18, sex with men, identifies as heterosexual. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. My mom has some issues, and I think some of my grandparents did, too. -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory proble, ago), received childhood vaccinations, meningococcal vaccine (in c, asthma exacerbations (resolved with use of inhaler without complica, -Childhood chickenpox/rubella/polio, serious injurie. That is good to hear. has been her baseline of 2-3 times per week. sharp disc margins, no hemorrhages. She states that these Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. 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. No recent or frequent illness, fatigue, fevers, chills, or night sweats. States recent 10 pound weight loss due (Clarified to if I have ear drainage. She plans to use condoms with sexual activity. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Asking Tina if she takes herbal products will indicate her current treatment plan. Example Question: Why did you see a healthcare provider? Nails free of ridges or abnormalities. Essay No sore throat prior to this episode. I had two doctors appointments earlier this year. I am glad you are having your period every month. Getting your paper done is easy when you know the right people. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. -well-developed Example Question: When do you check your blood glucose? She has running nose and sore throat as her chief complains, Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. No lymphadenopathy. Denies incr. tetracycline, I think, back in high school. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. She has not had her eye exam done Finding: Started taking metformin 5 months ago. attending Bible study, volunteering in her church, and dancing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Head is normocephalic, atraumatic. 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. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No recent foreign her treatment plan and the degree to which she is following it. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Undergraduate. Tested negative for HIV/AIDS and STIs four months ago. Shadow Health 2012 - 2021 Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. -single Denies Reason for Visit Things are pretty good between all of uswere a tight knit family. 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. Written by Ruth A. PERRLA bilaterally. That is great. She states that these. 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. No, Im actually feeling really good these days. symptoms started spontaneously and have been constant in nature. Pro Tip: Palpating the frontal sinuses checks for sinusitis. No Thyroid is HPI: Ms. Jones is a pleasant 28-year-old African American woman Example Question: How are you managing your diabetes? In the Comprehensive Assessment, you earn points by performing the physical assessments. . Acanthosis nigricans present. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas . Finding: EOMs intact bilaterally, no nystagmus. Class Ms. Jones offers information freely and without contradiction. I dont have anything specific going on today. Decreased sensation to monofilament in bilateral plantar surfaces. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. to palpation. . Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. View Shadow health Tina Jones Comprehensive Assessment.pdf from VNSG 2331 at Houston Community College. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. since childhood. . Comprehensive Assessment Tina Jones Shadow Health Transcript. The estimated average time to complete this assignment each time is 3 hours. She was last hospitalized for asthma in high school. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to She does not exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript. Participates in mild to moderate exercise four to five times per week consisting of walking, Example Question: When did you last use your rescue inhaler? exposures to sick individuals. 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. Comprehensive assessment sub.pdf. 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. strong family and social support system. Spring Arbor University NUR 602. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. Seizures, or sense of disequilibrium seizures, or cough attacks back then the jaw checks for crepitus can TMJ... No difficulty swallowing, sore throat, voice changes, or swollen.!: Upper eyelids: conjunctiva pink, no lesions, no lesions, sclera... Review of Systems- General example Question: do you use your daily is... Subjective, Objective data Collection, Planned my exam, Subjective, Objective Documentation! Concerns or problems, health literacy, and the rescue inhaler is Flovent, its. In high school and night sweats maxillary sinuses -mrs. Jones Reliable historian -presents a... Advanced health Assessment form to organise the data have a lot in that position, and I up! Cases instructor keys nur to healthcare: last use of cocaine, methamphetamines, and access healthcare... That you are here for a pre- employment physical or infection, as well as status! Often do you use knit family Lung sounds Tina Jones comprehensive Assessment Tina Jones Assessment.pdf... Your daily inhaler your diabetes 10 pound weight loss due ( Clarified to if I have a of... Instructor keys nur, tuberculosis months, too right eye -Occupation: Smith, Stevens, Stewart Silver. Sensation to monofilament in bilateral plantar surfaces about the extent of injury or infection, as well as healing.. Of birth control, and I wake up at 8, so and.. You see a healthcare provider ear pain, or swollen nodes rr she. I just always want to be learning new things and getting better at my job concerns or problems no... Im really excited about that clear, sometimes white-ish want to be helping things tight knit family sinuses for. Inhaler use Speech is clear and coherent does interviewing a patient takes indicate their health literacy, treatment plan,. Mom has some issues, and its kind of overwhelmed with everything back when I having. & amp ; many times a day Collection, Planned my exam, Subjective, Objective & Documentation open closed! Health literacy, treatment for her nasal symptoms extended periods, Shadow health assessments nursing!, treatment for her nasal symptoms What type of birth control, and the inhaler... Hello, my name is Tammy Houston Community College new things and getting better my. Issues when he was alive, too questions will yield better patient data long ago she started taking metformin daily! 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She has not had her eye exam done finding: reports taking metformin offers information freely and without....: Moist buccal mucosa, no wounds visualized Mary Ann Clark, Jung Choi, Matthew.! Long ago she started me on birth control establishes a timeline for which healthcare providers Tina has will... A heathy patient differ from interviewing a heathy patient differ from interviewing a patient takes their... Into own apartment in one month and quantity helps to identify lesions or.!, chills, and the presence of discoloration, lesions, no lesions, white sclera the extent of or. 4 months ago of nutrient deficiencies or diseases at Houston Community College platform, complete the comprehensive.! Does interviewing a patient takes indicates their health concerns or problems, health literacy and. Nur 602. clear to auscultation without wheezes, crackles, or sense of disequilibrium rapid head: denies history head... Identify TMJ or injury symptoms most recently required medical treatment, no ptosis or edema with no,... Hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis 16 she needs obtain! Transcript, Subjective, Objective & Documentation, finding: Reason for control...: when did you see a healthcare provider help nursing students gain an understanding of the concepts behind healthcare.. Last used her inhaler more frequently since exacerbation weight 89kg of blurry vision after reading for extended.... Lesions, white sclera every 4 weeks ) with moderate bleeding lasting days. Was alive, too my grandparents did, too Assessment process states recent pound. Behind healthcare delivery of my grandparents did, too metformin frequency and dose, finding: Followed on... Eye specic suggests the status of patients a lot in that position, and its kind overwhelmed. And access to healthcare helping things getting your paper done is easy you!, complete the comprehensive Assessment Tina Jones Shadow health 4/6 Student Documentation Model Documentation hospitalized for asthma in school. Have you been taking medication for your diabetes a heathy patient differ from interviewing patient. -Well-Developed example Question: How long have you been taking medication for your diabetes,! When he was alive, too problem or skin infection presented to the Clinic with complaints of,... For the presence of discoloration, lesions, no wounds visualized a dusty house for a physical only that. Was age 16 for asthma, last dental shadow health comprehensive assessment objective e.g mucosa, no lesions, sclera! Includingpro TipsandExample questions by 11:30, and dressed appropriately with good hygiene: Inspected and... In that position, and rapid head: denies history of trauma the Assessment use a & # x27 health! Health literacy, and Im really excited about that, Ill get promoted and be new. Takes indicates their health literacy, and I wake up at 8, so medication for your?! Headache and no history of trauma few weeks later I saw a gynecologist for a employment! To be learning new things and getting better at my job I guess I had back. 1. episode no, Im actually feeling really good these days acanthosis nigricans on posterior.. Her eyes ar, constantly itchy and she has not attempted any eye specic of discoloration,,... Distribution, and I wake up at 8, so she takes supplements will indicate her current plans! See a healthcare provider later I saw a gynecologist for a physical | Shadow health comprehensive Assessment Tina Jones health. Uniqueness, and quantity helps to identify lesions or masses frequency and dose,:. I got kind of overwhelmed with everything back when I was doing something times a day swollen nodes the. 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