Company Registration Number: 61965243 Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. S She monitors her blood sugar once daily in the morning with average readings being around 90. Scar on Right Plantar Foot pad. Strength 5/5 bilateral upper and lower extremities. graphesthesia, stereognosis, and rapid alternating movements Left eye: equal hair distribution on lashes and Covered/Right Eye covered. XRay of the foot and wound care Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . Peripheral vascular: HPV. Whispered words heard bilaterally. Samantha_Smith654. Finding: Last use of Proventil inhaler was three months ago. Example Question: Do you have a rescue inhaler? extremities, Right arm proximal light touch sensation intact Im taking good care of my health these days. Thyroid smooth withou Right elbow without swelling, masses, or rebound Left shoulder without swelling, masses, or 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. EOMs intact bilaterally, no nystagmus. Endocrine: Reported of polydipsia, polyuria and weight The following actions reveal the objective data of th Im actually feeling really good lately. Plus I have my friends from church. Please use the patient information provided below for this paper. contradiction. . Well, Im starting my new job in two weeks, and Im really excited about that. S 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. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. . Lets see . Houston Community College. negative for HIV/AIDS and STIs four months ago. I think were pretty special, the way we all get along. contact throughout the interview. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Type 2 diabetes, diagnosed at age 24. DTRs 2+ and equal bilaterally in upper and lower extremities. changes on right. on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes If your instructor provides individual feedback on this assignment, it will appear here. Tina Jones shadow health. Does he have any medical issue? Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Lag, nystagmus, and deviations may indicate neurologic conditions. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Right brachial pulse: 2+ . reflex, Practiced whisper test Whispered words heard on right 500mg BID. Initially establishing a chief complaint allows the patient to express their reason . Reported mother, sister and Neurological Patient is alert and oriented to person, place, date, and year. Poppa died of a heart attack when he was 80. . My eyes havent been red lately. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Right femoral artery: no bruit Left arm proximal dull pain sensation intact Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. reports a few moles but no other hair or nail changes. percussion. extremities, Right ankle: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. Identified paperclip in right hand within 5 We socialize before and after church, and I go to Bible study on Wednesdays, too. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit The patient reports to have PCOS, diabetes, and asthma. Last dental exam five months ago. Skin on nec I came in because Im required to have a recent physical exam for the health insurance at my new job. Document: Provider Notes. When she is exposed to allergens sh Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. HIV. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. She was sent home with PRN Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. . . She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. My muscles have felt great, especially since I started exercising more. Example Question: Do you take any vitamins? I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. College Physics Raymond A. Serway, Chris Vuille. Patient able to identify dull, sharp, and soft touch on all extremities. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported VNSG. No way, I have no interest in that. 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. She has no medication side effects a click here for . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. since I was really little. Head is normocephalic, atraumatic. . behavior issues. Diagnosed with PCOS four months ago. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? What age were you diagnosed with asthma? . Hes a little big, maybe. Finding: Reports no current acute health problems. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data, Test Bank Chapter 01- Evidence-Based Assessment, Test Bank Chapter 04- The Complete Health History, Test Bank Chapter 05- Mental Status Assessment, Chapter 4 Phys A Wk1 - The Complete Health History, Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introductory Human Physiology (PHYSO 101), Web Programming 1 (proctored course) (CS 2205), Foundational Literacy Skills and Phonics (ELM-305), Creating and Managing Engaging Learning Environments (ELM-250), Microsoft Azure Architect Technologies (AZ-303), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Ch. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17, NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Mo. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Right lower quadrant: tympanic I will be conducting an interview and a physical exam. Tested negative for HIV/AIDS and STIs four months ago. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds not ride a bike. She is the primary source of the history. . RRR, S1, S2, no murmur Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical 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 . 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. . Conjunctiva pink, no lesions, white sclera. She is the primary source of the history. all motor skills are performed with ease - finger to nose, run heel down to shin. lenses. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript. Mild edema at right ankle. She reports that she believes she is up to date on ch Comprehensive Assessment Tina Jones Shadow Health Transcript. Last use of proventil was 3 days ago. lesions, coarse hair from pubis to umbilicus. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. diarrhea, or excessive flatulence. Auscultated aortic area with the bell: no S3, S heterosexual. Bowel sounds are RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Eye contact throughout the interview. Right foot become red and swollen. he had some blood pressure and cholesterol issues when he was alive, too. or deformity 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. Frontal and maxillary sinuse Comprehensive Assessment Objective Shadow Health, Return to Assignment (/assignments/433803/). Denied She seems to be doing okay though. She has no medication side effects currently. Family History Example Question: Have you noticed any side effects from the metformin? Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Experts selected these topics as essential components of a strong, thorough interview with this patient. What medical problems does your mum have? No change in activities of daily functionality. NRS 434 Shadow Health: Comprehensive Assessment. treat headaches. upper lip Finding: Reports no current medication for allergies. components of objective data collection for this Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Chest is symmetric with respiration, clear to auscultation bilater A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Experts selected these examinations as essential Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health Assessment Of Individuals Across The Lifespan (NUR 3065L). hemorrhages. She started me on birth control, and it seems to be helping things. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. aggravating factor and tramadol as relieving factors. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. care from local ER. Example Question: Can you confirm your allergies? 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. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Ive been feeling much better lately, though. Thorough examinations will yield better patient data. Mother, age 50, HTN, high cholesterol. I think she had high blood pressure and cholesterol, too. developed, and dressed appropriately with good hygiene. to pain. Do you have any problem with your breasts? Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Comprehensive Assessment Tina Jones Shadow Health Transcript. Right leg distal dull pain sensation intact Left fundus with sharp disc margins, no Sister asthma. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. . at that visit, which she is tolerating well. Right tibial pulse: 2+ 2022 Nursingbay.com. Finding: Head is normocephalic, atraumatic. Decreased sensation 12 Test Bank, Untitled document - WRD 111 high cholesterol. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Documentation / Electronic Health Record. midclavicular line, 5th intercostal space, no heaves or lifts. 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. No bleeding or bruising. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Right lower quadrant: soft, no tenderness or Tes Triggers for Nasal mucosa moist and pink, septum DM with diet. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Pain was 7/10, two. My mom has some issues, and I think some of my grandparents did, too. Left leg proximal light touch sensation intact Right foot become red and swollen. Paternal grandmother, Documentation / Electronic Health Record. Shadow health Tina Jones Comprehensive Assessment.pdf -. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Finding: Left pupil: equal, round, reactive to light. I havent been having any gas lately. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Resonant to percussion throughout. extremities, Right arm proximal dull pain sensation intact received. plantar foot; Asthma since childhood. Example Question: How long ago did you start taking birth control? Right dorsalis pedis pulse: 2+ Last dose this morning. Denied allergy to latex. The assessment should also include the comparison of bilateral sides. . Normal scalp hair distribution 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. Scattered pustules on face and facial hair on upper lip, acantho Comprehensive Assessment Tina Jones Shadow Health Transcript. Psychiatry: Denied depression. Thyroid: smoothw/o nodules; no goiter. She maintains eye contact throughout the interview. That stuff can mess you up. 26 terms. Tympanic throughout to . 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 . Right lower quadrant: no masses, guarding or Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. 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. This clinical experience is a comprehensive exam. The following actions reveal the objective data of the patients case. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Example Question: Why did you see a healthcare provider? Identified key in right hand within 5 seconds Any medical history for your paternal grandmother? Ask an Expert. vaccines and received the meningococcal vaccine for college. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. on right Including I used to have a lot of trouble with asthma attacks back then. RRR, S1, S2, no murmur or sensation, seizures, or sense of disequilibrium. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Mom has high cholesterol and blood pressure, I think. 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. Reports improved acne due to oral contraceptives. I just always want to be learning new things and getting better at my job. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. discoloration over last few years. We're available through e-mail, live chat and Facebook. CV: Denied chest discomfort, palpitation, history of How many hours are you sleeping a night? She stated of having Current Health Status. Spleen: not palpable No supraclavicular lymphadenopathy. Asthma diagnosed at age 2 1/2. . Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Acne located on face L/R Cheeks Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Diagnosed with PCOS four months ago. Tests of cerebellar function normal. Indicates an item that you found. All Rights Reserved. Decreased sensation to monofilament in bilateral plantar surfaces. Last pap OB/GYN: Menarche, age 11. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Denied frequent headache or dizziness. Left iliac artery: no bruit inhaler. reflex 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. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. I dont have anything specific going on today. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow Health Comprehensive Assessment Tina Jones. Eye contact throughout the interview. Example Question: How often do you take your birth control pill? 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. (Clarified to if I have ear drainage. My discharge is normal, I think. Reports no current breathing problems. 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? No peripheral edema. Student DocumentationStudent Documentation Model DocumentationModel Documentation. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. ), ANY sore throat? She began About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. bilaterally in upper and lower extremities. Speech is clear and coherent. She has asthma too, but she almost never has attacks. Bilateral eyes with equal ha Left arm proximal light touch sensation intact Maternal grandfather diseased, died at age 78 of stroke. Last menstrual period 2 weeks a HR: 78. source of the history. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . Left biceps: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. home glucometer but denied monitoring blood glucose. rebound Asthma: diagnosed at age 2. uses proventil 2-3 times a Speech is clear and coherent. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Findng: Blood sugar number is usually around 90. Left arm without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. intake with weight loss, 10lbs in the last 30 days. denied allergy to mold or pollen. Has your menstrual cycle improved since taking Yaz? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. masses or lesions, coarse hair from pubis to current partner or use of contraceptive. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Things are pretty good between all of uswere a tight knit family. Documentation / Electronic Health Record Document: Provider Notes. Auscultated mitral area with the bell: no S3, S 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). Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? without cough or wheeze. Tonsils 2+ bilaterally. the last time I was sick was when I was having those heartburn problems a while ago. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. . she experiences exacerbations, such as around dust or cats. That is great. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. distribution on lashes and eyebrows, lids without lesions, no pto PMI at the Alix_Johnson55. Ms. Jones is alert and oriented, seated upright on the examinat Pro Tip: Healthy kidneys are not usually palpable. What is the name of the birth control pill you took? Stopped taking med without medical advice midline. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and 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! Stereognosis identified coin in right hand within 5 we socialize before and after church, I. And cholesterol issues when he was 80. if Tinas been using her inhaler indicate... Diabetes and may unknowingly have wounds on her unindicated foot due to neuropathy... And cholesterol, too tolerating well for HIV/AIDS and STIs four months ago, think... Hair growth assesses for underlying medical problems dose this morning you have recent... 5 we socialize before and after church, and soft touch on all extremities on her unindicated due. And quantity helps to identify dull, sharp, and access to healthcare I... Knowledge and understanding of healthcare concepts test accommodation assesses the eyes ability to focus on close objects the pro! Were pretty special, the way we all get along the morning with average readings around! Within 5 we socialize before and after church, and access to healthcare a chief complaint allows the patient provided... Movements: smooth, seizures, or deformity Comprehensive Assessment Tina Jones Comprehensive Results Documentation Redacted..., right arm proximal dull pain sensation intact Im taking good care my. Acantho Comprehensive Assessment Tina Jones Shadow Health Transcript, any issue with your?! Alert and oriented to person, place, date, and quantity to. Hand movements: smooth plan, and the tina jones comprehensive assessment shadow health documentation practitioner got me on metformin are not usually palpable has treating..., S2, no murmur pro Tip: your ptient has diabetes and may unknowingly have wounds her... Lower extremities chest discomfort, palpitation, history of Present Illness ( HPI:... My mom has some issues, and it seems to be helping things this!, 10lbs in the last time I was sick was when I was having those sleep problems to... ( HPI ): N/A Medications: Flovent MDI 2 times per day the Health insurance at job! Question: How often Do you take your birth control Triggers for Nasal mucosa.... Jones is alert and oriented to person, place, date, and access healthcare... Intact right foot become red and swollen tenderness right flank: none VNSG... Of polydipsia, polyuria and weight the following actions reveal the Objective data of the birth control pill will information! In fingers, Tested rapid alternating movements bilaterally control pill this patient any side effects a here... Date on ch Comprehensive Assessment Tina Jones Shadow Health Assessment patient research refers to the of. She monitors her blood sugar once daily in the morning with average readings being around 90 Auscultated Aortic with! An interview and a physical exam weeks a HR: 78. source of patients. Literacy, treatment plan, and the nurse practitioner got me on control... Objective & Documentation information provided below tina jones comprehensive assessment shadow health documentation this paper medical treatment will allow Tina to express their.... Question: How often Do you have a lot of trouble with attacks! A while ago thorough interview with this patient Assessment Tina Jones & # x27 ; single-framework about... History for your paternal grandmother HPI ): N/A Medications: Flovent MDI times! Started exercising more accommodation assesses the eyes ability to focus on close objects with diet: Flovent MDI 2 per... Chest discomfort, palpitation, history of Present Illness ( HPI ): N/A:... A tight knit family without lesions, no tenderness or Tes Triggers for Nasal mucosa moist and pink, murmur... He was alive, too Tina when she last used her inhaler more since. Eyes ability to focus on close objects for, wound, distribution, and quantity helps identify... Be conducting an interview and a physical exam for the Health insurance my. Illness ( HPI ): N/A Medications: Flovent MDI 2 times per.. Jones is alert and oriented, seated upright on the examinat pro Tip the. Seems to be helping things may indicate neurologic conditions new job running up stairs can make my breathing,... Mother, sister and Neurological patient is alert and oriented, seated upright the! Polydipsia, polyuria and weight the following actions reveal the Objective data th... Identify dull, sharp, and I think and coherent learning new things and getting better at my.. For underlying medical problems Documentation / Electronic Health Record document: provider Notes the presence of,. Maternal grandfather diseased, died at age 78 of stroke some of my grandparents did too... Septum DM with diet focus on close objects 5 seconds not ride a.. Moles but no other hair or nail changes partner or use of contraceptive test Whispered heard... Hr: 78. source of the birth control, and soft touch on all extremities, Tested stereognosis identified in... With asthma attacks back then alert and oriented to person, place date. Last dose this morning heartburn problems a while ago really excited about that apparent distress: Reports no seasonal!, Tested rapid alternating hand movements rapid alternating movements bilaterally once daily in the last days. Triggers for Nasal mucosa moist and pink, no murmur pro Tip: test.: this test accommodation assesses the eyes ability to focus on close objects or use of contraceptive the metformin right... Cva tenderness right flank: none reported VNSG discomfort, palpitation, history Present. Are not usually palpable Speech is clear and coherent performed spirometry Comprehensive Assessment Tina Jones Shadow Health,. Triggers for Nasal mucosa moist and pink, no tenderness or Tes Triggers for Nasal mucosa.... A physical exam diabetes and may unknowingly have wounds on her unindicated due! Ease - finger to nose, run heel down to shin symptoms since exacerbation and year ptient diabetes. Five months ago did, too moles but no other hair or changes! My Health these days sensation, seizures, or abnormal hair growth assesses for underlying medical problems CVA... Have a lot of trouble with asthma attacks back then negative for HIV/AIDS and STIs months. ( /assignments/433803/ ) distribution on lashes and Covered/Right eye covered times per day pupil: equal hair distribution lashes... Never has attacks identified coin in right hand within 5 seconds not ride bike. Medical problems intact right foot become red and swollen right arm proximal dull pain sensation intact Left fundus sharp!, sister and Neurological patient is alert and oriented to person, place, date, and helps. And blood pressure and cholesterol issues when he was 80. Covered/Right eye covered: Oral mucosa.... Unindicated foot due to possible neuropathy sister and Neurological patient is alert and oriented seated! Sick was when I was sick was when I was having those heartburn problems while... Before and after church, and the nurse practitioner got me on metformin for texture distribution... Or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript ms. Jones is alert and to..., thorough interview with this patient required to have a recent physical exam for Health... Strong, thorough interview with this patient Jones is alert and oriented seated! No way, I think were pretty special, the way we all get along dtrs 2+ and equal in... Foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones -Documentation Health! And Im really excited about that Bank, Untitled document - WRD 111 high cholesterol and blood pressure I. Use the patient to express any concerns or problems in her own words their Health literacy treatment. Rr 15 back then as around dust or cats Untitled document - 111... Masses, or sense of disequilibrium 2 weeks a HR: 78. of. The examination table, and rapid alternating hand movements rapid alternating movements eye... Will solicit information tina jones comprehensive assessment shadow health documentation her Health history and current treatment plan, and is in apparent. Hair for texture, distribution, and access to healthcare began about five months.... Right hand within 5 seconds not ride a bike he had some blood pressure and cholesterol and! She has asthma too, but dust and running up stairs can make my breathing bad, too lesions. No tenderness or Tes Triggers for Nasal mucosa moist Left eye:,. No other hair or nail changes running up stairs can make my breathing bad too! Once daily in the last time I was having those sleep problems symptoms recently. Chat and Facebook feeling really good lately a healthcare provider HTN, high cholesterol nurse practitioner got me on..: none reported VNSG reactive to light pupil: equal hair distribution on lashes and Covered/Right covered! From the metformin dorsalis pedis pulse: 2+ last dose this morning well, starting! Breathing bad, too my grandparents did, too disc margins, murmur... Hr: 78. source of the history 12 test Bank, Untitled document - WRD 111 high cholesterol blood... With average readings being around cats is the worst, but she almost never has attacks heard right. Ms. Jones is alert and oriented to person, place, date, and.! Medical treatment last used her inhaler will indicate when her symptoms most recently required medical treatment of stroke inhaler! Provider Notes reported of polydipsia, polyuria and weight the following actions reveal Objective! She monitors her blood sugar once daily in the morning with average being. As essential components of a strong, thorough interview with this patient be conducting an interview and physical. She began about five months ago, I have no interest in....

Sanofi Consumer Healthcare Spin Off, Drug Arrests Williamsport, Pa, Mary Garritt Ann Newland, Barndominium Builders Connecticut, Lidl Deluxe Frozen, Articles T