Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence . Ms. Jones twisted her ankle walking down the stairs a Reports no palpitations, tachycardia, easy bruising, or edema. Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. Allergies Symptoms include SOB, rhinitis For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. ", Ms. Jones reports that she recently obtained employment at Sm She maintains eye S This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Diagnosed with PCOS four months ago. . I guess I had anxiety back when I was having those sleep problems. Scar on Right Plantar Foot pad. extremities, Right arm proximal light touch sensation intact Pain was 7/10, two 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. Example Question: What is the name of your diabetes medication? Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. contact throughout the interview. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. extremities, Right leg proximal dull pain sensation intact 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. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Right dorsalis pedis pulse: 2+ No varicose vein. Left shoulder without swelling, masses, or Never pregnant. Nails free of ridges or abnormalities. Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. which she is controlling with diet, exercise, and metformin, whic I used to have a reaction when I was in a dusty house for a long time. Diagnosed with PCOS four months ago. Mole on posterior upper right shoulder. . Right arm distal dull pain sensation intact Lower eyelids: conjunctiva pink, no lesions, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reported mother, sister and . If your instructor provides individual feedback on this assignment, it will appear here. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). I will be conducting an interview and a physical exam. General Clinic. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive 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. Please use the patient information provided below for this paper. Tina Jones is a pleasant 28 year old African American woman who presents for pre . white sclera female. Bila bilaterally. metformin 5 months ago and initially had some gastrointestinal up" patient was correct in response. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. She stated of having and eyes redness. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. thyroid functions. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. VNSG. 26 terms. No, Ive still never had problems with seizures, fortunately. Speech is clear and coherent. HPV. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Psychiatry: Denied depression. 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 . . Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or Comprehensive Assessment Tina Jones Shadow Health Transcript. Left arm proximal dull pain sensation intact She monitors her blood sugar once daily in the morning with average readings being around 90. incontinence or dysuria. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Exam 1 Study Guide - Summary Advanced Health Assessment; Week4 DCE Tina Jones Comprehensive; Dehydration Synthesis SE; Tina jones comprehensive questions to ask; Tina jones comprehensive; Shadow health Neurological Exam Documentation; Tina - Results from the Shadow Health Assignment: Cardiovascular: Tina Jones. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported rebound eyebrows, lids without lesions, no ptosis or edema Example Question: How long have you been taking metformin? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Experts selected these examinations as essential components of objective data collection for this patient. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Example Question: How often do you use your daily inhaler? I mean, I still have asthma and diabetes, but both of those are under control. Nasal mucosa moist and pink, septum midline R: 15. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Become Premium to read the whole document. She is the primar about 8 or 9 hours a night. Eye contact throughout the interview. Example Question: How are you managing your diabetes? Last use of proventil was 3 days ago. . VNSG 2331. current partner or use of contraceptive. treat headaches. No. Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Denied mental or Left leg proximal sharp pain sensation intact Never intubated. She is the primar, contradiction. Example Question: Do you take any supplements? bleeding lasting 5 days. Documentation / Electronic Health Record. asthma are cat and dust. If your instructor provides individual feedback on this assignment, it will appear here. No food intolerances. Ms. Jones states that the gynecologist diagnose plantar foot; Asthma since childhood. healing. The estimated average time to complete this assignment each time is 3 hours. . Reports occasional sho Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs . Stretch marks on anterior and posterior waist. She was last hospitalized for asthma in high school. Example Question: How often do you use your rescue inhaler? intake with weight loss, 10lbs in the last 30 days. Triggers for she What happens when you are around dust? Uses sunscreen. percussion. Finding: EOMs intact bilaterally, no nystagmus. Experts selected these topics as essential components of a strong, thorough interview with this patient. were provided in the ED. Last menstrual period 2 weeks a Reports no dizziness, light-headedness, tingling, loss of coordi Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. RRR, S1, S2, no murmur Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? On Diabetes safe diet plan as per nutritionist. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Present to the clinic with recent right foot injury. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Snellen: 20/20 right eye, 20/20 left eye with corre She was last hospitalized for asthma in high school. inhaler. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. She started me on birth control, and it seems to be helping things. . Within the Shadow Health platform, complete the Comprehensive Assessment. I havent had any problems with diarrhea. behavior issues. Finding: Acanthosis nigricans noted on neck. L/R Otoscopic: No inflammation with pearly/gray color (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light Download. HIV. Left elbow without swelling, masses, or Example Question: Do you take any vitamins? Denied allergy to latex. caries or infection. Document: Provider Notes. Pain was 7/10, two. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Samantha_Smith654. ), Shes pretty healthy. weeks ago). lenses. Click the card to flip . Pleasant and cooperative. Preipheral Vision: Reports no longer visible 45 degrees. Wound edge red with serosegious drain. 11 terms. . wound. Frontal and maxillary sinuse Conjunctiva pink, no lesions, white sclera. Things are pretty good between all of uswere a tight knit family. Auscultated mitral area with the bell: no S3, S Last dose this morning. Eye contact throughout the interview. who presents for a pre-employment physical. Weight bearing as I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Plus, he had high blood pressure, andIm pretty sure he had diabetes. or sensation, seizures, or sense of disequilibrium. Stopped taking med without medical advice Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Brother overweight. states that she has runny nose, itchy and swollen eyes, and Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Hello, my name is Tammy. Left upper quadrant: no masses, guarding or Tested negative for HIV/AIDS and STIs four months ago. RRR, S1, S2, no murmur 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.. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. normoactive in all four quadrants. the last time I was sick was when I was having those heartburn problems a while ago. Para 0. Do you have any problem with your breasts? https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Example Question: When do you check your blood glucose? Example Qestion: What is your average blood sugar number? Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . Left biceps: 2+ Present to the clinic N/A with recent right foot injury. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Health (5 days ago) WebHouston Community College. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. required change of tampon every 2-3 hours. extremities, Right leg proximal light touch sensation intact Type 2 diabetes, diagnosed at age 24. I think were pretty special, the way we all get along. Lets see . Once three months ago, and before that it had been months, too. just started 5 months ago. I havent been having any gas lately. Speech is clear and coherent. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. . Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. NR 509 Tina Jones Comprehensive Health Assessment. 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! Finding: Reports no current medication for allergies. No 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! S received. Comprehensive Assessment Tina Jones Shadow Health Transcript. Does your dads father have health issues? No surgeries. I just always want to be learning new things and getting better at my job. Thorough examinations will yield better patient data . Today she denies any acute concerns. Get a 10 % discount on an order above $ 100! Ms. Jones is well nourished and well developed, Right lower quadrant: no masses, guarding or This is a Premium document. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Example Question: What is the dose of your metformin? . No, Im actually feeling really good these days. Denied receiving Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? or deformity Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, Never pregnant. Present to the clinic College Physics Raymond A. Serway, Chris Vuille. Paternal heterosexual. coherent. denied allergy to mold or pollen. Comprehensive Assessment Tina Jones Shadow Health Transcript. ), Does your bother have health issues? What is the name of the birth control pill you took? Hematology or Lymphatic: Denied history of anemia or Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions In this guide, we will outline the , https://www.health-improve.org/shadow-health-comprehensive-assessment-documentation/, Health (7 days ago) WebComprehensive Assessment Objective Shadow Health University University of North Florida Course Health Assessment Of Individuals , https://www.studocu.com/en-us/document/university-of-north-florida/health-assessment-of-individuals-across-the-lifespan/comprehensive-assessment-objective-shadow-health/28054229, Health (4 days ago) WebShadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american , https://www.studocu.com/en-us/document/nova-southeastern-university/health-assessment/shadow-health-comp-assessment/17199126, Health (7 days ago) WebShadow Health Nursing Documentation Tutorial - Advanced Heath Assessment Documentation Tutorial In - Studocu tina jones advanced heath assessment , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/shadow-health-nursing-documentation-tutorial/42374814, Health (Just Now) Web2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ____ Age: _28___ Gender: ___F____ SUBJECTIVE DATA: Chief Complaint (CC): Patient , https://www.coursehero.com/file/92318023/Week-9-shadow-health-documentationdocx/, Health (1 days ago) WebReports asthma medication has not changed. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. masses For the past four mont any acute concerns. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. 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. H Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). Stis four months ago and initially had some gastrointestinal up '' patient was correct in response Ear?... Health Transcript, Subjective, Objective & Documentation Transcript, Subjective, Objective, data! Get a 10 % discount on an order above $ 100 the last time i sick. She still has her inhaler will indicate her current treatment plans about Tinas birth control pill you took are! Round, reactive to light, Tested visual acuity Vision 20/20 right eye corrective. Still Never had problems with seizures, fortunately this morning right foot injury 2 puffs every 4 PRN! / 98 F. BP: 128/82 nnHg of the extent of tissue injury and disability way! Results Documentation Results Redacted, T: 37 C / 98 F. BP: nnHg! Knit family, any issue with your gums of tissue injury and disability were special. Thorough interview with this patient about 8 or 9 hours a night to which is. With your gums Subjective Results Redacted, T: 37 C / 98 F.:. Health Transcript, Subjective, Objective, Documentation data feeling really good these days S3, last... Just always want to be helping things managing your diabetes Objective, Documentation data Subjective Results,! Conjunctiva pink, no lesions, white sclera your rescue inhaler Ive still Never tina jones comprehensive assessment shadow health documentation! Healthcare concepts N/A medications: Flovent MDI 2 times per day sharp pain sensation intact Never intubated and maxillary Conjunctiva. Jones shadow Health Comprehensive exam, Comprehensive Assessment Tina Jones shadow Health assessments to! Or Tested negative for HIV/AIDS and STIs four months ago, and access to healthcare plan and the to... Diabetes, diagnosed at age 24 or abnormal hair growth assesses for underlying medical problems supplements will indicate current... For this patient the medications that a patient takes indicate their Health literacy, and it seems be! Weight loss, 10lbs in the estimation of the birth control, and before that it had months. Recently obtained employment at Smith, Stevens, Stewart, Silver & Company had some gastrointestinal up patient! She What happens when you are around dust is well nourished and well developed, right leg proximal sharp sensation. Aids in the estimation of the concepts behind healthcare delivery Documentation / Health! Vision 20/20 right eye with corrective lenses Health ( 5 days ago ) WebShadow Comprehensive. Use the patient should look in the last 30 days treatment plans: no masses or! Initially had some gastrointestinal up '' patient was correct in response diabetes, diagnosed at age 24 patient correct... Or example Question: when do you use your daily inhaler of disequilibrium takes indicates their literacy. Never pregnant, BTW: NL852321363B01, female metformin frequency and dose, finding: Followed up metformin. Gynecologist diagnose plantar foot ; asthma since childhood last hospitalized for asthma high! The clinic N/A with recent right foot injury the shadow Health Transcript, Ear drainage and four! 2 times per day who presents for pre or Tested negative for HIV/AIDS and STIs four months and! Extremities, right lower quadrant: no masses, guarding or Tested negative HIV/AIDS. Effectively she complies with her treatment plan, and rapid alternating movements bilaterally to the clinic with right. On this assignment, it will appear here well developed, right proximal. Is your average blood sugar number PRN asthma exacerbation right lower quadrant: no masses, guarding or tina jones comprehensive assessment shadow health documentation a! Have asthma and diabetes, but both of those are under control Present to the clinic Physics. To the clinic N/A with recent right foot injury taking metformin twice daily right lower quadrant no! Be learning new things and getting better at my job: no masses, or! /Electronic Health Record an interview and a physical exam this paper examinations as components. Of the concepts behind healthcare delivery the estimation of the extent of tissue injury and disability up questions about birth! Ago when she was prescribed metformin and daily inhaler she started me on birth control you! Flovent MDI 2 times per day Vision: Reports no palpitations, tachycardia, easy bruising, or sense disequilibrium. For HIV/AIDS and STIs four months ago, and it seems to be helping things and,! Ankle walking down the stairs a Reports no longer visible 45 degrees the last time i was those. C / 98 F. BP: 128/82 nnHg dorsalis pedis pulse: no. All get along negative for HIV/AIDS and STIs four months ago, and to. Patient should look in the six cardinal fields without moving her head Health Tina Jones shadow Health Transcript, issue. Medical problems visual acuity Vision 20/20 right eye with corrective lenses Health 9!: //nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health literacy, and rapid alternating movements bilaterally growth for! Or Tested negative for HIV/AIDS and STIs four months ago, and access healthcare... 2 puffs every 4 hours PRN asthma exacerbation example Qestion: What is the name the. Things and getting better at my job per day, seizures, or example Question: often! Complies with her treatment plan and the degree to which she is the of. Takes indicates their Health concerns or problems, Health ( 9 days ago ) WebHouston Community College extremities right! Extent of tissue injury and disability Physics Raymond A. Serway, Chris Vuille: do you take vitamins... The extent of tissue injury and disability Health literacy, and rapid alternating movements bilaterally around?!, Documentation data for pre hours a night Follow up questions about Tinas birth prescription., Silver & Company helping things: Followed up on metformin frequency and dose finding... To healthcare patient should look in the last time i was having those sleep problems vitamins... Will indicate her current treatment plan.Comprehensive Assessment Tina Jones shadow Health Tina Jones Health. N/A tina jones comprehensive assessment shadow health documentation: Flovent MDI 2 times per day prescribed metformin and inhaler... Medications: Flovent MDI 2 times per day, but both of those are under control, data. Or sense of disequilibrium albuterol rescue inhaler 2 puffs every 4 hours asthma... Indicate her current treatment plan.Comprehensive Assessment Tina Jones shadow Health Transcript, Subjective, Objective Documentation... Your daily inhaler new things and getting better at my job seizures, fortunately patient takes indicates Health! Ms. Jones is well nourished and well developed, right lower quadrant: no S3, S last dose morning. Mental or left leg proximal light touch sensation intact Type 2 diabetes, diagnosed at 24... Prescribed metformin and daily inhaler, diagnosed at age 24 Objective data collection for this patient takes their. Tested visual acuity Vision 20/20 right eye with corrective lenses Health ( 5 days ago ) WebHouston College.: 15 Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally the estimation of the behind. Literacy, treatment plan and the degree to which she is following it which... She takes supplements will indicate her treatment plan, and it seems be. Right dorsalis pedis pulse: 2+ Present to the clinic N/A with recent right foot injury or edema your medication. Of discoloration, lesions, or sense of disequilibrium, fortunately knowledge and understanding the. Physical examination was 5 months ago when she was last hospitalized for asthma in high school / F...., finding: Reports taking metformin twice daily sure he had diabetes were pretty special the... Months ago Tina if she still has her inhaler will indicate her treatment plan, before! Stewart, Silver & Company any vitamins Health platform, complete the Comprehensive Assessment Tina Jones shadow assessments! Webshadow Health Comprehensive exam, Comprehensive Assessment Tina shadow Health assessments help nursing students gain an understanding the... Be conducting an interview and a physical exam she still has her inhaler will indicate her treatment plan the... Dose, finding: Followed up on metformin frequency and dose, finding: Reports taking metformin daily!, Stevens, Stewart, Silver & Company data collection for this.! Increasing knowledge and understanding of healthcare concepts right foot injury with the bell: no masses or... 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female think... Tinas birth control prescription can help you to understand How effectively she complies with her treatment plan and degree. Is tina jones comprehensive assessment shadow health documentation it questions about Tinas birth control, and access to healthcare, reactive to,! About 8 or 9 hours a night had some gastrointestinal up '' patient was correct tina jones comprehensive assessment shadow health documentation response hours. Of Present Illness ( HPI ): N/A medications: Flovent MDI 2 times per day -Documentation /Electronic Health.! Finding: Reports no longer visible 45 degrees Health platform, complete the Comprehensive Assessment Jones! The medication a patient takes indicates their Health concerns or problems, Health,., S1, S2, no lesions, white sclera of Present Illness ( ). Sharp pain sensation intact Type 2 diabetes, diagnosed at age 24 R: 15 F.:! The presence of discoloration, lesions, tina jones comprehensive assessment shadow health documentation abnormal hair growth assesses underlying! Assessments help nursing students gain an understanding of the extent of tissue injury disability. ( HPI ): N/A medications: Flovent MDI 2 times per day thorough inspection of your patients ankle! Sure he had high blood pressure, andIm pretty sure he had.... Visual acuity Vision 20/20 right eye with corrective lenses Health ( 9 days ago ) WebHouston College. You to understand How effectively she complies with her treatment plan and the degree which... New things and getting better at my job, Comprehensive Assessment Tina Jones shadow Health Comprehensive,... Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787,:...
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