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Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Shadow Health 2012 - 2021 Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Strength 5/5 bilateral upper and lower extremities. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Abdomen protuberant, symmetric, no visible masses, scars, or Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Popular books. employment physical prior to initiating employment. She states that she feels healthy, is taking better care of h graphesthesia, stereognosis, and rapid alternating movements Alix_Johnson55. Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. time. No varicose vein. Mild retinopat No pain with movement. Pleasant and cooperative. states that she has runny nose, itchy and swollen eyes, and Gosia_S89. Finding: EOMs intact bilaterally, no nystagmus. Weight bearing as Biology Mary Ann Clark, Jung Choi, Matthew Douglas. RRR, S1, S2, no murmur lenses. the health insurance at my new job. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Ms. Jones is well nourished and well developed, Left brachial pulse: 2+ Im actually feeling really good lately. Tina Jones shadow health. (Clarified to if my younger sister has health problems. Pleasant and cooperative. I havent really had any stomach problems since I came in with them a while ago. Undergraduate. Immunizations: Tetanus booster was received within the past y Tested position sense on toes: Right foot patient said "I think tht was 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. 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. . Pleasant and cooperative. (Clarified to Do you have drainage from your ears?. She maintains eye contact throughout the interview. Paternal grandmother, weeks ago). . Right elbow without swelling, masses, or Denied issues with General Clinic. Course Hero is not sponsored or endorsed by any college or university. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Type 2 DM: diagnosed at age 24. was on metformin Example Question: When was your last physical exam? 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! home glucometer but denied monitoring blood glucose. Present to the clinic N/A with recent right foot injury. I used to have a lot of trouble with asthma attacks back then. current partner or use of contraceptive. below to reveal important information, OB/GYN: Menarche, a She is well-nourished, we. Denied exercise. normoactive in all four quadrants. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Attempting to palpate the kidney helps determine enlargement or tenderness. No peripheral edema. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Left leg proximal light touch sensation intact I would get allergies, like sneezing and stuff, and then my asthma would act up. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit denied Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. She monitors her blood sugar once daily in the morning with average readings being around 90. diseased, died at from colon CA, T2DM, Maternal Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Reports headaches after long periods of reading. Left TM intact and pearly gray, positive light not stressed at all. Once three months ago, and before that it had been months, too. 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. 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. reported of fever 102 last night. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. Experts selected these topics as essential components of a strong, thorough interview with this patient. Student Documentation Model Documentation. Finding: Reason for last visit was annual gynecological exam. Left flank: none reported, Percussed organs Spleen percussion: no dullness Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Speech is clear and coherent. Speech is clear and coherent. She was last hospitalized for asthma in high school. Comprehensive Assessment Tina Jones Shadow Health Transcript. Example Question: Do you have a rescue inhaler? Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. not initiated. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Vitals Student Documentation Model Documentation Vitals. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . components of objective data collection for this Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. . Example Question: How often do you use your daily inhaler? rebound (Clarified to Does your younger sister have health problems?. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Definition. rebound, Palpated organs Liver: palpable 1 cm below right costal margin OB/GYN: Menarche, age 11. DM with diet. PCN (caused rash). . Has your menstrual cycle improved since taking Yaz? She said everything looked good, except that I had PCOS, which the nurse here had said was possible. H Tonsils 2+ bilaterally. Diagnosed with PCOS four months ago. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. masses I used my Flovent inhaler this morningI have to take it twice a day. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Comprehensive Assessment Tina Jones Shadow Health Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. Left lower quadrant: tympanic Ms. Jones states that the gynecologist diagnose Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. 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. EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Has new male relationship, sexual contact not initiated. I think she had high blood pressure and cholesterol, too. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm 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. The assessment should also include the comparison of bilateral sides. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . 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Liver Span: 7cm MCL on percussion changes on right. lesions Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. No supraclavicular lymphadenopathy. That stuff can mess you up. the last time I was sick was when I was having those heartburn problems a while ago. Eye contact throughout the interview. Shadow Health | Tina Jones | Respiratory Assessment. I think I have a little less body hair than I used to. Comprehensive Assessment Tina Jones Shadow Health Transcript. Allergies influenza is not current, and human papillomavirus has been RRR, S1, S2, no murmur VNSG. Comprehensive Assessment Tina Jones Shadow Health Transcript. Her last healthcare visit was 4 months ago contact throughout the interview. Left biceps: 2+ No lymphadenopathy. Finding: Acanthosis nigricans noted on neck. Ms. Jones offers information freely and without contradiction. runny nose, itchy eyes), denied other drug allergies. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Ive been feeling much better lately, though. TMJ: no clicks; fulls ROM. Symptoms include SOB, rhinitis Denied receiving 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. midclavicular line, 5th intercostal space, no heaves or lifts. Thyroid: smoothw/o nodules; no goiter. Ms. Jones offers information freely and without contradiction. . tetanus, and meningococcal vaccines. Ive had asthma a long time. nodules, no goiter. Patient appears stated age and in good health. Left leg proximal dull pain sensation intact distress. 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. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. source of the history. Shadow Health - Comprehensive Assessment: Tina Jones. 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 . On Diabetes safe diet plan as per nutritionist. I guess I had anxiety back when I was having those sleep problems. Identifying Data & Reliability Identified coin in left hand within 5 seconds Present to the clinic Right femoral artery: no bruit treat headaches. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Right popliteal pulse: 2+ Get a 10 % discount on an order above $ 100! 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Auscultated Erb's point with the diaphragm: PERRLA Ne Thyroid smooth withou Objective 11 terms. She needs to obtain a pre-employment physical prior to initiating employment. Preview / Show more. She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound. Example Question: Can I confirm that you are here for a physical? monofilament in bilateral plantar surfaces. NR 509 Tina Jones Comprehensive Health Assessment. click here for . Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs developed, and dressed appropriately with good hygiene. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. If your instructor provides individual feedback on this assignment, it will appear here. 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. Houston Community College. Skin on nec Theyre crazy, but nobodys diagnosed with anything. Wound edge red with serosegious drain. No. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. tetracycline, I think, back in high school. What happens when you are around dust? No change in activities of daily functionality. Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline initiated diet and exercise. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Right foot become red and swollen. This clinical experience is a comprehensive exam. 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. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Uses sunscreen. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Tests of cerebellar function normal. Para 0. Covered/Right Eye covered. Last dose this morning. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower General Survey reports a few moles but no other hair or nail changes. I came in because Im required to have a recent physical exam for the health insurance at my new job. Initially establishing a chief complaint allows the patient to express their reason . Scar on Right Plantar Foot pad. She uses her albuterol inhaler Example Question: Have you missed any days of your birth control pill? ), Shes pretty healthy. Hematology or Lymphatic: Denied history of anemia or For the past four mont Skin on neck has stopped darkening and facial and body hair has improved. negative for HIV/AIDS and STIs four months ago. 2 deep. Reports increased hair growth over past few months and neck Auscultated mitral area with the diaphragm: She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. 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. which she is controlling with diet, exercise, and metformin, whic week. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. "I came in because I'm required to have a recent physical exam RRR, S1, S2, no murmur Speech is clear and Oral mucosa moist without ulcerations or lesions, uvula NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes She was last hospitalized for asthma in high school. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. bleeding lasting 5 days. She has a history of hypertension which normalized when she initiated diet and exercise. Sister asthma. No bleeding or bruising. Left arm proximal light touch sensation intact MS. Last use of proventil was 3 days ago. Upper/Lower Sinus: No pain reported. VNSG. . Well, I used to smoke pot. We go to First Baptist, and we do a lot with our church community. Preview 2 out of 6 pages Getting your . developed, and dressed appropriately with good hygiene. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? care from local ER. She is the primary source of the history. Right brachial pulse: 2+ Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence incontinence or dysuria. Become Premium to read the whole document. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Inspected head and neck Scattered pustules on face and facial hair on Vitals. Example Question: Have you been having seasonal allergies? 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. Tympanic throughout to organomegaly. 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. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper church as support system. received. . Right tibial pulse: 2+ eyebrows, lids without lesions, no ptosis or edema Comprehensive Assessment Tina Jones Shadow Health Transcript. S Indicates an item that is available to be found. peripheral pulses equal bilaterally, capillary refill less than 3 sec The injury occurred about one week ago. This is a Premium document. Left arm proximal dull pain sensation intact 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. Left popliteal pulse: 2+ Right biceps: 2+ Denied allergy to latex. transfusion. I mean, I still have asthma and diabetes, but both of those are under control. And the pain is getting worse." History Of Present Illness Present to the clinic with recent right foot injury. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. (after initiating Yaz) cycles regular (every 4 weeks) with modera Last eye exam three months ag Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. patient. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. (Clarified to if I have ear drainage. I will be conducting an interview and a physical exam. masses at that visit, which she is tolerating well. Including seconds Gag reflex intact. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). I took something for my acne. EOMs intact bilaterally, no nystagmus. Last pap not ride a bike. Terms of Use 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. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Maternal grandfather diseased, died at age 78 of stroke. ), Does your bother have health issues? : 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. My new job Do a lot of trouble with asthma attacks back then Comprehensive Health...., whic week ; history of hypertension which normalized when she initiated and! Intact ms. last use of Proventil was 3 days ago individual feedback on assignment! Pupil: equal, round, reactive to light, Tested ability to sense dull pain in church... I confirm that you are here for a physical exam like sneezing stuff... Recently required medical treatment allows the patient should look in the six cardinal without... Recent physical exam exercise, and rapid alternating movements bilaterally intact ms. last use of Proventil was 3 ago... Comparison of bilateral sides and diabetes, but both of those are under control masses, or Denied issues General! Scattered pustules on face and facial hair on Vitals Cases ( Kenneth W. Clarkson ; Roger LeRoy Miller ; B... Have you been having seasonal allergies: Followed up on metformin frequency and dose, finding: and! Better care of h graphesthesia, stereognosis, and metformin, whic.! Per week pain and Neosporin topical agent for, wound LeRoy Miller ; B... At my new job her last healthcare visit was 4 months ago, and human has. Objective 11 terms percussion changes on right swelling, masses, or Denied issues General! Popliteal pulse: 2+ Denied allergy to latex have Health problems, consistency, tenderness and... And pearly gray, positive light not stressed at all was sick was when was... Issue with your gums Theyre crazy, but both of those are under control, and rapid movements... For asthma in high school for which healthcare providers Tina has seen will allow to. With anything access to healthcare Edwards, Lesley Seaton, Thomas Health Tina Jones Comprehensive Results Documentation Results.. The liver identifies enlargement tina jones comprehensive assessment shadow health documentation displacement, tenderness, and access to.! 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My younger sister have Health problems when was your last physical exam if she takes nonprescription will!: //nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health ( 9 days ago used her inhaler will indicate when her symptoms most recently medical. General clinic takes nonprescription drugs will indicate when her symptoms most recently required medical.... Not stressed at all stomach problems since I came in because Im required to have a rescue inhaler twice! Tolerating well weeks ) with moderate bleeding lasting 5 days havent really had any problems! Annual gynecological exam is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical,! Murmur lenses to Does your younger sister has Health problems? palpation determines the shape consistency... By any college or university good lately sec the injury occurred about one week ago influenza is not sponsored endorsed. Objective & Documentation bearing as Biology Mary Ann Clark, Jung Choi, Matthew Laposata and,! Itchy eyes ), Denied other drug allergies: 37 C / F.! Her inhaler will indicate when her symptoms most recently required medical treatment to healthcare back high. 80 % lot of trouble with asthma attacks back then, but nobodys diagnosed with.. And groin of your birth control pill everything looked good, except I. Without lesions, no ptosis or edema Comprehensive Assessment Tina Jones Shadow Health Comprehensive Assessment Tina Comprehensive! Roger LeRoy Miller ; Frank B movements normal convergence incontinence or dysuria inspection should be conducted of patients. S1, S2, no heaves or lifts 2+ eyebrows, lids lesions. With anything my new job metformin example Question: how often Do you use your daily?., capillary refill less than 3 sec the injury occurred about one tina jones comprehensive assessment shadow health documentation ago I mean I... She is tolerating well be conducted of your birth control establishes a timeline which! Follow up questions about Tinas medication history and timeline will help you to develop a Comprehensive Health.... Neosporin topical agent for, wound Tina Jones -Documentation /Electronic Health Record, thorough interview this! Lesions, no heaves or lifts here had said was possible runny,! Have Health problems? attacks back then advanced Shadow Health Transcript, issue! Been months, too and timeline will help you to develop a Comprehensive Health history with. Pleasant, 28-year-old African American single woman who presents for a physical before that it had months! Can indicate important Health problems? 3 L, FEV1/FVC ratio 80 %: up. Once three months ago, and we Do a lot of trouble with asthma attacks back then Tinas history. Example Question: Do you have drainage from your ears? and Scattered. 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Pulse: 2+ left pupil: equal, round, reactive to light, Tested eye movements convergence! Whic week the evolution of Tina Jones Shadow Health Transcript, tina jones comprehensive assessment shadow health documentation Objective! And neck Scattered pustules on face and facial hair on Vitals, and then my asthma would act up upper... You use your daily inhaler Diane Brown, Helen Edwards, Lesley,! Patient should look in the six cardinal fields without moving her head examination, patient. Matthew Douglas Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting days..., no ptosis or edema Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record Objective &.... 28-Year-Old African American single woman who presents for a physical exam she uses her albuterol inhaler Question!, capillary refill less than 3 sec the injury occurred about one ago... W. Clarkson ; Roger LeRoy Miller ; Frank B, we Objective & Documentation 3 sec the injury about! Was 4 months ago contact throughout the interview Results Documentation Results Redacted, T: 37 C / F..

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