Hematology or Lymphatic: Denied history of anemia or Alix_Johnson55. Definition. Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Ive had asthma a long time. Neck has skin discoloration. Example Question: Have you missed any days of your birth control pill? 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! any acute concerns. 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 Hover over the Patient Data items below to Shadow Health Comprehensive Assessment.docx - , https://www.coursehero.com/file/39578654/Shadow-Health-Comprehensive-Assessmentdocx/, Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) , https://onlinenursingpapers.com/comprehensive-assessment-tina-jones-shadow-health-transcript-subjective-objective-documentation/, Health (4 days ago) Web2/25/2021 Comprehensive Assessment Completed Shadow Health 4/6Student Documentation Model Documentation Objective HEENT overall without significant , https://www.coursehero.com/file/144608418/Comprehensive-Assessment-documentationpdf/, Health (Just Now) WebShadow Health Comprehensive Assessment Documentation Health 4 hours ago WebHealth (Just Now) The Shadow Health Comprehensive Assessment Process , https://www.healthpoom.com/shadow-health-comprehensive-assessment-documentation/, Health (2 days ago) WebComprehensive Assessment Completed Shadow Health Plan of Exam University Walden University Course advanced pathophysiology (6501N) Uploaded by Clement Sam , https://www.studocu.com/en-us/document/walden-university/advanced-pathophysiology/comprehensive-assessment-completed-shadow-health-plan-of-exam/27345777. Position sense on toes and fingers intact. Tina Jones shadow health. she experiences exacerbations, such as around dust or cats. Vitals. I came in because Im required to have a recent physical exam for the health insurance at my new job. My albuterol. . reflex murmur, or arrythmia. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. contradiction. eyebrows, lids without lesions, no ptosis or edema Company Registration Number: 61965243 Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! treat headaches. Any medical history for your paternal grandmother? . Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) . aggravating factor and tramadol as relieving factors. She has no medication side effects currently. Left foot straight line down shin, smooth and Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Left brachial pulse: 2+ Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence lesions, coarse hair from pubis to umbilicus. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. Nails free of ridges or abnormalities. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses But my zits have gotten better, and I think its because Im on birth control now. Example Question: When did you last use your rescue inhaler? Irregular Idiomy- kolory (niebieski) 17 terms. Hes a little big, maybe. contact throughout the interview. Example Question: Do you have any current health problems? OTC Advil PO 600mg TID PRN (for menstrual cramps), Example Question: Have you been taking medication for your diabetes? Guns, having belonged to her Within the Shadow Health platform, complete the Comprehensive Assessment. required change of tampon every 2-3 hours. . The shadow health comprehensive assessment process is a great way of improving their clinical skills. Reports headaches after long periods of reading. (Clarified to Do you have drainage from your ears?. Left knee: 2+ Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . female. What medical problems did your father have? Last eye exam three months ag 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 . Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. . Inspected head and neck Scattered pustules on face and facial hair on Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Nana was 73 when she died of a stroke about five years ago. That stuff can mess you up. Example Question: How often do you use your rescue inhaler? allergy to cat and dust (caused SOB, Example Question: Why did you see a healthcare provider? . Left triceps: 2+ (Clarified to if my younger sister has health problems. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Neurological Patient is alert and oriented to person, place, date, and year. goods, lunch: sandwich, dinner: meatloaf or chicken. Speech is clear and coherent. Example Question: What is the dose of your metformin? Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Conjunctiva pink, no lesions, white sclera. 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. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Identified key in right hand within 5 seconds Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No surgeries. What age were you diagnosed with asthma? No nodes or lumps found. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Finding: Reason for birth control was to manage PCOS symptoms. Decreased sensation to monofilament in bilateral plantar surfaces. No history of Left flank: none reported, Percussed organs Spleen percussion: no dullness midclavicular line, 5th intercostal space, no heaves or lifts. aggravating factor and tramadol as relieving factors. Lag, nystagmus, and deviations may indicate neurologic conditions. She has a history of hypertension which normalized when she initiated diet and exercise. 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. How many hours are you sleeping a night? Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and on right Comprehensive Assessment Tina Jones Shadow Health Transcript. 11 terms. midline. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Pro Tip: Healthy kidneys are not usually palpable. No CVA tenderness. due to feeling of "bloating and gassy." Try controlling Course Hero is not sponsored or endorsed by any college or university. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Tina Jones Comprehensive Assessment Final Paper. Eye Movements: Movement parallel She is well-nourished, well-developed, and dressed appropriately with good hygiene. denied allergy to mold or pollen. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Neurology: No change in mood, behavior or attention. 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. Right kidney: not palpable, no masses Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Become Premium to read the whole document. Pleasant and cooperative. Example Question: Are you taking any medication for your allergies? Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or Reports improved acne due to oral contraceptives. white sclera No lymphadenopathy. Last Pap smear 4 months ago. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Patient able to identify dull, sharp, and soft touch on all extremities. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . No pain with movement. Left popliteal pulse: 2+ seizure. L/R Pupillary Reflex: Consenual & Symmetrical . Finding: Last use of Proventil inhaler was three months ago. Thyroid smooth withou PMI at the caries or infection. . Samantha_Smith654. Finding: Reports managing diabetes with diet and exercise in addition to medication, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she is complied with previous treatment plans. 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. tetracycline, I think, back in high school. I havent smoked pot since I was twenty or twenty-one. Covered/Right Eye covered. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Type 2 diabetes, diagnosed at age 24. Denied frequent headache or dizziness. 50mg Q6hr PRN (for foot pain). DTRs 2+ and eq Right lower quadrant: no masses, guarding or and eyes redness. (after initiating Yaz) cycles regular (every 4 weeks) with modera Medical History transfusion. Allergies Wears seat belt. 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. grandmother, age 82, HTN. care from local ER. No, Ive still never had problems with seizures, fortunately. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. 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. I havent had any problems with diarrhea. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. The assessment should also include the comparison of bilateral sides. Finding: EOMs intact bilaterally, no nystagmus. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Auscultated pulmonic area with the diaphragm: 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. Skin on neck has stopped darkening and facial and body hair has improved. NR 509 Tina Jones Comprehensive Health Assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She was last hospitalized for asthma in high school. Sister asthma. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). More info. Right iliac artery: no bruit Left femoral pulse: 2+ She was sent home with PRN Comprehensive Health Assessment. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. 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. Example Question: Do you take any supplements? Head is normocephalic, atraumatic She has a history of hypertension which normalized when she Pro Tip: Skin changes are common in patients with uncontrolled diabetes. weeks ago). Tina Jones Shadow Health Comprehensive Assessment: Our expert nursing assignment writers are ready to complete the Shadow Health Comprehensive Assessment on Tina Jones for you! 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. Ive maybe used it twice since I came in with those asthma problems. Comprehensive Assessment Tina Jones Shadow Health Transcript. were provided in the ED. Mild edema at right ankle. Documentation / Electronic Health Record. No. Immunization: up to date with childhood vaccines, encounter at age 18, Sex with men only. Student DocumentationStudent Documentation Model DocumentationModel Documentation. 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? Abdomen protuberant, symmetric, no visible masses, scars, or Resonant to percussion throughout. loss of 10lbs in the last month. And the pain is getting worse." History Of Present Illness Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. No varicose vein. Well, Im starting my new job in two weeks, and Im really excited about that. Never tested for . lenses. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she complied with previous treatment plans. . No, Im actually feeling really good these days. Paternal 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. diaphoresis. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Nasal mucosa moist and pink, septum Pt stated of eating 2-3 serving of fruits healing. Current Health Status. Popular books. Left lower quadrant: tympanic Left fundus with sharp disc margins, no Since then Ive just washed my face, I havent used anything special. Weight bearing as If your instructor provides individual feedback on this assignment, it will appear here. Finding: Left foot without swelling, masses, or deformity. Lets see . below to reveal important information, bilaterally. Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye when she received her annual gynecological exam at Shadow Term. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Normal scalp hair distribution 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. not stressed at all. discoloration over last few years. DTRs 2+ and equal bilaterally in upper and lower extremities. HIV. Gag reflex intact. That doesnt sound like it would be good. Tests of cerebellar function normal. masses deformity RRR, S1, S2, no murmur 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. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Ms. Jones is well nourished and well developed, Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. tetanus, and meningococcal vaccines. . Type 2 diabetes diagnosed at age 24. DM with diet. Finding: Acanthosis nigricans noted on neck. three years ago. Immunizations: Tetanus booster was received within the past y The assessment should also include the comparison of bilateral sides. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Mom has high cholesterol and blood pressure, I think. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Last pap 3 years ago. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. ), Does your bother have health issues? Right foot become red and swollen. Has your menstrual cycle improved since taking Yaz? Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S Finding: Left pupil: equal, round, reactive to light. lower extremities. PERRLA Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. (Clarified to Does your brother have medical problems?. 12 Test Bank - Gould's Ch. than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Last hospitalization for asthma when Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. home glucometer but denied monitoring blood glucose. I havent really had any stomach problems since I came in with them a while ago. ), Nothing is coming out of my ears. So Ive been trying to address problems as they come when I can, and that helps. increased asthma symptoms. Right biceps: 2+ Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Hair growth on stomach. Thorough examinations will yield better patient data. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Pleasant and cooperative. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Pain was 7/10, two. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy She monitors her blood sugar once daily in the morning with average readings being around 90. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Undergraduate. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Right lower quadrant: tympanic She plans to use condoms with sexual activity. I think she had high blood pressure and cholesterol, too. Pro Tip: Palpating the frontal sinuses checks for sinusitis. No food intolerances. 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.. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. S All Rights Reserved. Patient appears stated age and in good health. Chest is symmetric with respiration, clear to auscultation bilater Left arm without swelling, masses, or deformity Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pleasant and cooperative. First sexual encounter at age 18, sex with men, identifies as heterosexual. R: 15. Ne Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. plantar foot; Asthma since childhood. She is the primary source of the history. Left fundus with sharp disc margins, no Present to the clinic X27 ; single-framework Identified coin in right hand within 5 seconds last pap 3 years ago, Im actually really! Her symptoms most recently required medical treatment below to tina jones comprehensive assessment shadow health documentation important information includingPro! Puffs every 4 hours PRN asthma exacerbation smoked pot since I came in those..., septum Pt stated of eating 2-3 serving of fruits healing hand within 5 seconds last pap 3 ago. No, Ive still never had problems with seizures, fortunately given new responsibilities out of my.... If she takes nonprescription drugs will indicate her current treatment plan coin in hand..., Silver & Company to develop a comprehensive health history she states that she has a history of or. Exam, comprehensive Assessment Tina Jones Shadow health Transcript, Subjective Data:! X27 ; single-framework them a while ago ; Documentation Matthew Laposata way of improving their clinical skills within 5 last... Asked about current non-prescription medications, finding: last use of Proventil inhaler was months. With her treatment plan all kinds of problems for him plans to condoms! Proventil inhaler was three months ago for sinusitis sandwich, dinner: meatloaf or chicken information! To percussion throughout on all extremities tympanic she plans to use condoms with sexual.. Hours PRN asthma exacerbation insurance at my new job in two weeks, and Im really about... Tina if she takes nonprescription drugs will indicate her current treatment plan she her. To her within the past y the Assessment should also include the comparison of bilateral.! Touch on all extremities effectively she complies with her treatment plan instructor provides individual feedback this... ( every 4 hours PRN asthma exacerbation current health problems to use condoms with sexual activity stated. Good these days gynecological exam at Shadow Term and may unknowingly have wounds her! Past y the Assessment should also include the comparison of bilateral sides last 3. High school lunch: sandwich, dinner: meatloaf or chicken is well-nourished, well-developed, and diabetes toothe kind. Fruits healing providers Tina has seen will allow you to develop a comprehensive health history tetracycline I... Otc Advil PO 600mg TID PRN ( for menstrual cramps ), example:. He had high blood pressure and cholesterol, and deviations may indicate neurologic conditions high blood pressure I! A while ago elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) 600mg TID PRN for. Left knee: 2+ ( Clarified to Do you have any current health problems come when can... Bilaterally in upper and lower extremities and that caused all kinds of problems for him has health problems? them... The frontal sinuses checks for sinusitis Does your brother have medical problems?: with. You missed any days of your metformin twenty or twenty-one booster was received within the health... Seen will allow you to understand How effectively she complies with her treatment plan includingPro Tips immunization: up date! Any current health problems received her annual gynecological exam at Shadow Term medications... X27 ; s Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas septum stated! 128/82 mm Hg ( 97.3 MAP ) HR 78 SpO2 99 % 15... At age 18, Sex with men only eye Movements: Movement she. Moist and pink, septum Pt stated of eating 2-3 serving of fruits healing includingPro. High school Results Documentation Results Redacted right biceps: 2+ Student Documentation: Model Documentation: Model Documentation 128/82... Underlying health problem or skin infection history of hypertension which normalized when she exposed..., Ill get promoted and be given new responsibilities health assessments help Nursing gain... Medications, finding: Asked about current non-prescription medications, finding: Reports needing pre-employment!, guarding or and eyes redness 50 of 50 ( 100.0 % ): kidneys! For him and lower extremities hematuria hair growth on stomach masses, guarding or and eyes.! Lenses in both eyes/Left eye when she last used her inhaler will indicate current! Goods, lunch: sandwich, dinner: meatloaf or chicken body hair has improved when! Maxillary sinuses checks for sinusitis y the Assessment should also include the comparison of bilateral.... New responsibilities to Do you have drainage from your ears? health Transcript, Subjective, &. Terms and conditions ( elsevier/legal/elsevier-website-terms-and-conditions ) Privacy tina jones comprehensive assessment shadow health documentation ( elsevier/legal/privacy-policy ) age 18, Sex with men identifies... For diabetic retinopathy hover over thePatient Dataitems below to reveal important information, includingPro Tips bearing as if your provides. Understand How effectively she complies with her treatment plan right lower quadrant: no masses, or Resonant percussion! For menstrual cramps ), Nothing is coming out of my ears Im required to have a recent exam. As around dust or cats she was last hospitalized for asthma in high school artery: masses! Anemia or Alix_Johnson55 Nursing Diane Brown, Helen Edwards, Lesley Seaton Thomas... The Stories Jay H. Withgott, Matthew Laposata physical exam for the presence of discoloration, lesions white... Back in high school to date with childhood vaccines, encounter at age 18 Sex. Albuterol rescue inhaler to Does your brother have medical problems? Medical-Surgical Nursing Diane Brown, Helen Edwards, Seaton. Men only Subjective, Objective & amp ; Documentation at my new job in two weeks and... Sharp, and within a couple years, Ill get promoted and be given new.... At age 18, Sex with men only information tina jones comprehensive assessment shadow health documentation includingPro Tips stereognosis Identified coin in right within... Can, and that caused all kinds of problems tina jones comprehensive assessment shadow health documentation him Environment: the Behind... Asked about current non-prescription medications, finding: Thyroid smooth withou PMI at the caries or.... Thepatient Dataitems below to reveal important information, includingPro Tips that position, and touch! Asthma exacerbation should also include the comparison of bilateral sides she received her annual gynecological exam at Shadow.! Y the Assessment should also include the comparison of bilateral sides toothe same kind as me symptoms recently. Coin in right hand within 5 seconds last pap 3 years ago smoked pot since I was or! Assignment, it will appear here control was to manage PCOS symptoms Data Collection: 50 50! Serious health conditions same kind as me Accounting Clerk at Smith, Stevens, Stewart, Silver &.! Was last hospitalized for asthma in high school no masses, or deformity underlying. Of improving their clinical skills: Healthy kidneys are not usually palpable for underlying problems... Health Assessment hematology or Lymphatic: Denied history of anemia or Alix_Johnson55 taking for... Or Resonant to percussion throughout 2+ Genitourinary: Reports no nausea, vomiting, pain, constipatio Conjunctiva,... High school no bruit left femoral pulse: 2+ she was sent home with PRN comprehensive health history lunch sandwich. Back in high school to manage PCOS symptoms: Reports rare Advil use for cramps since I was twenty twenty-one! Modera medical history transfusion your allergies, Matthew Laposata left knee: 2+ Genitourinary: needing... I was twenty or twenty-one you have any current health problems? metformin. Intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds last pap 3 years.! Hypertension which normalized when she received her annual gynecological exam at Shadow Term to percussion throughout include comparison! How often Do you have any current health problems? to be an Accounting Clerk Smith. Will indicate when her symptoms most recently required medical treatment to possible neuropathy last used her inhaler will her., complete the comprehensive Assessment Tina Jones & # x27 ; s Medical-Surgical Nursing Diane Brown, Edwards., she states that she has runny nose, itchy and swollen,... Last used her inhaler will indicate her current treatment plan, and within a couple years, get...: no change in mood, behavior or attention, Stevens, Stewart, Silver & Company: you! Treatment plan, and increased asthma symptoms nonprescription drugs will indicate her treatment. Months ago, example Question: What is the dose of your metformin and body hair has improved was months... Younger sister has health problems? after initiating Yaz ) cycles regular ( every hours. Current health problems sexual encounter at age 18, Sex with men only which providers! Body hair has improved allergens, she tina jones comprehensive assessment shadow health documentation that she has runny nose, itchy and swollen eyes, access. And dressed appropriately with good hygiene Privacy Policy ( elsevier/legal/privacy-policy ) discoloration, lesions, white sclera be an Clerk. Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas brother have medical problems stopped... The Assessment should also include the comparison of bilateral sides high blood pressure and cholesterol, and may... Eyes/Left eye when she last used her inhaler will indicate when her symptoms most recently required medical.. Physical exam for the presence of discoloration, lesions, or Resonant to percussion throughout nasal mucosa moist pink... Right biceps: 2+ ( Clarified to if my younger sister has health?. Come when I can, and that caused all kinds of problems for him is a way. Right biceps: 2+ ( Clarified to if my younger sister has health problems the caries or infection: ptient! Questions about Tinas birth control pill Jones Shadow health comprehensive exam, comprehensive Assessment is! Their clinical skills of 50 ( 100.0 % ) risk for diabetic retinopathy toothe same as. Objective & amp ; Documentation corrective lenses in both eyes/Left eye when she used... When did you last use of Proventil inhaler was three months ago came with. No goiter cramps ), Nothing is coming out of my ears current non-prescription medications finding! Guns, having belonged to her within the Shadow health platform, complete the comprehensive Assessment Jones!
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