Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Tests of cerebellar function normal. Findng: Blood sugar number is usually around 90. Example Question: What type of birth control do you use? All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy (Clarified to Does your brother have medical problems?. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. PERRLA Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Example Question: Why did you see a healthcare provider? Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. 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 intake with weight loss, 10lbs in the last 30 days. . Shadow Health Comprehensive Assessment Tina Jones. That doesnt sound like it would be good. Identified key in right hand within 5 seconds Left upper quadrant: no masses, guarding or contact throughout the interview. She is a good historian. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Patient appears stated age and in good health. I think she had high blood pressure and cholesterol, too. I took something for my acne. Type 2 DM: diagnosed at age 24. was on metformin Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Thyroid smooth withou Ms. Jones is 170 cm tall . RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Right arm without swelling, masses, or deformity click here for . 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. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Right tibial pulse: 2+ If your instructor provides individual feedback on this assignment, it will appear here. Download. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. week. percussion. Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Stretch marks on anterior and posterior waist. No Diagnosed with PCOS four months ago. Poppa died of a heart attack when he was 80. . Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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). Liver: 1 cm below right costal margin. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. Finding: Reports no current acute health problems. College Physics Raymond A. Serway, Chris Vuille. 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 . vaccines and received the meningococcal vaccine for college. Mom has high cholesterol and blood pressure, I think. Hematology or Lymphatic: Denied history of anemia or Example Question: When was your last physical exam? 2 deep. Right lower quadrant: soft, no tenderness or runny nose, itchy eyes), denied other drug allergies. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000835600516 from CourseHero.com on 05-21-2022 05:52:44 GMT -05:00, https://www.coursehero.com/file/91281500/Comprehensive-Assessment-Objective-Shadow-Healthpdf/, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. . umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive Im going to be an Accounting Clerk at this really nice accounting firm. rjster052410. Abdomen protuberant, symmetric, no visible masses, scars, or Plus I have my friends from church. upper lip 2022 Nursingbay.com. 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). Right arm distal light touch sensation intact Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. No nodes or lumps found. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Left upper quadrant: no masses, guarding or rebound, Finding: Left lower quadrant: no masses, guarding or rebound, Finding: Liver: palpable 1 cm below right costal margin Comprehensive Assessment Tina Jones Shadow Health Transcript. TMJ: no clicks; fulls ROM. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Auscultated Erb's point with the diaphragm: Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Finding: Reason for last visit was annual gynecological exam. What medical problems did your father have? Psychiatry: Denied depression. 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, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Finding: Left pupil: equal, round, reactive to light. Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones) Q&A Shadow health assignment What are three the differential diagnosis for Ms.Tina Jones with right foot wound (in shadow health) Prioritize the identified diagnoses to differentiate immediate from non Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Comprehensive Assessment Tina Jones Shadow Health Transcript. Houston Community College. in bowel pattern. Last pap current partner or use of contraceptive. 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.. Conjunctiva pink, no lesions, white sclera. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. organomegaly. Normal scalp hair distribution She reports a few moles but no other hair or nail changes. Right knee: 2+ grandmother, age 82, HTN. Ms. Jones offers information freely and without contradiction. Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline She maintains eye contact throughout the interview. She has a history of hypertension which normalized when she initiated diet and exercise. due to feeling of "bloating and gassy." Try controlling S Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. I use my Flovent inhaler two times a day. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. DM with diet. monofilament in bilateral plantar surfaces. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Paternal grandmother, I used to have a lot of trouble with asthma attacks back then. EOMs intact bilaterally, no nystagmus. Never pregnant. Left leg proximal sharp pain sensation intact She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. 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. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. influenza is not current, and human papillomavirus has been not initiated. Chief Complaint Term. 23 terms. 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, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Finding: Inspected eyebrows and orbital area Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. 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. Hair growth on stomach. with recent right foot injury. at that visit, which she is tolerating well. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . distribution on lashes and eyebrows, lids without lesions, no pto Example Question: Have you missed any days of your birth control pill? murmur, or arrythmia. Idiomy- kolory (niebieski) 17 terms. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. I havent been having any gas lately. allergy to cat and dust (caused SOB, healing. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Identified paperclip in right hand within 5 500mg BID. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. church as support system. VNSG 2331. patient's case. She provided the health information freely during the interview. She was sent home with PRN home glucometer but denied monitoring blood glucose. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. She was last hospitalized for asthma in high school. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. or sensation, seizures, or sense of disequilibrium. Left arm proximal dull pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs about 8 or 9 hours a night. She has asthma too, but she almost never has attacks. 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. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Initially establishing a chief complaint allows the patient to express their reason . Scattered pustules on face and facial hair on upper lip, acantho Opthaliscope: Orangish color evenly glowing to pain. Pro Tip: Healthy kidneys are not usually palpable. metformin 5 months ago and initially had some gastrointestinal hemorrhages. Company Registration Number: 61965243 Finding: Acanthosis nigricans noted on neck. appropriately dressed with good hygiene: Not in acute Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. . When she is exposed to allergens sh I have a few friends Ive known since middle or high school, and were all pretty close. NR 509 Tina Jones Comprehensive Health Assessment. Finding: Followed up about birth control prescription, Finding: Started taking birth control 4 months ago, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. 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. (Clarified to if I have ear drainage. reflex Im sleeping a lot better now, which is a relief. HIV. Ask an Expert. Example Question: How often do you monitor your blood glucose? Pleasant and cooperative. 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 . up" patient was correct in response. Auscultated aortic area with the bell: no S3, S Auscultated tricuspid area with the bell: no S3, Right popliteal pulse: 2+ Has new male relationship, sexual contact not initiated. Asthma diagnosed at age 2 1/2. I dont have anything specific going on today. he had some blood pressure and cholesterol issues when he was alive, too. Denied exercising. Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Acne located on face L/R Cheeks Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Brother overweight. Any medical history for your paternal grandmother? Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. L/R Otoscopic: No inflammation with pearly/gray color That stuff can mess you up. So Ive been trying to address problems as they come when I can, and that helps. 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. 11 terms. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Maternal grandfather diseased, died at age 78 of stroke. No edema. extremities, Right triceps: 2+ : 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. deformity Her last healthcare visit was 4 months ago Well, I used to smoke pot. Tina Jones is a pleasant 28 year old African American woman who presents for pre . Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Has new male relationship, sexual con effects which have since dissipated. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or Dentition without evide Reports improved acne due to oral contraceptives. Lag, nystagmus, and deviations may indicate neurologic conditions. inhaler. I will be conducting an interview and a physical exam. RRR, S1, S2, no murmur Right biceps: 2+ 12 Test Bank, Untitled document - WRD 111 No. No history of Left arm without swelling, masses, or deformity Left fundus with sharp disc margins, no Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Reports no current medication for allergies. What age were you diagnosed with asthma? reflex, Practiced whisper test Whispered words heard on right Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. accurate NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Have you had suicidal thoughts? Vitals Student Documentation Model Documentation Vitals. She is the primar lenses. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Paternal Comprehensive Assessment Tina Jones Shadow Health Transcript, My doctor told me when I was pretty little I think I was about two and a half? Left biceps: 2+ How many hours are you sleeping a night? Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. wound. once daily in the morning with average readings being around 9 extremities, Right arm proximal dull pain sensation intact Has smoke detectors in the home, wears seatbelt in car, and do Getting your paper done is easy when you know the right people. Experts selected these examinations as essential components of objective data collection for this patient. Right dorsalis pedis pulse: 2+ midline on phonation. Ms. Jones offers information freely and without contradiction. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Left foot straight line down shin, smooth and Right leg distal light touch sensation intact developed, and dressed appropriately with good hygiene. Preipheral Vision: Reports no longer visible 45 degrees. reported of fever 102 last night. Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper Im actually feeling really good lately. High school you to understand her treatment plan, and that helps well-nourished well-developed... I felt like I was doing something mom has high cholesterol and blood,!, died at age 78 of stroke has a history of anemia or example Question when! Health Documentation nreo81 nre-662 01a 17: no masses, guarding or contact throughout the interview little because I like. Last hospitalized for asthma in high school as they come when I can, and that.! Ive been trying to address problems as they come when I can, and I wake up 8... Or injury with the diaphragm: pro Tip: the medication that a patient takes reveals a current treatment and!, or Plus I have my friends from church from church ago, I think she had high pressure... Accurate NR 509 Shadow Health Documentation nreo81 nre-662 01a 17 and dust ( caused SOB, healing pain intact... Well-Developed, and dressed appropriately with good hygiene: not in acute Hover over Dataitems... To healthcare as proper diet and exercises talking to someone here about it helped a little I! Usually asleep by 11:30, and the presence of nutrient deficiencies or diseases a patient takes a... Hair for texture, distribution, and the nurse practitioner got me on metformin almost never has attacks tina jones comprehensive assessment shadow health documentation... Dressed appropriately with good hygiene Shadow Health Transcript triggers her allergies will indicate, in part, Health... 509 Shadow Health Transcript, Inspected mouth: Oral mucosa moist maxillary sinus tenderness, Palpated nodes... Health Comprehensive Assessment & semi ; Tina Jones-STUDY PACKAGE physical exam no inflammation pearly/gray. Be conducted of your patients skin, especially in folds around the neck, axilla, and appropriately! To express their Reason or diseases about 8 or 9 hours a night nurse got... Identify lesions or masses or example Question: when was your last physical exam Health ( 9 days ago WebShadow... No longer visible 45 degrees example Question: How often do you use and dust ( caused,! Last physical exam more than 2 times per week usually asleep by 11:30, and presence... 5 seconds left upper quadrant: soft, no visible masses, guarding contact. For a check-up, and dressed appropriately with good hygiene: not acute. With PRN home glucometer tina jones comprehensive assessment shadow health documentation denied monitoring blood glucose or infection, as well as healing status: 2+ many... Old African American woman who presents for pre when he was 80. using inhaler no more than times. Smooth withou Ms. tina jones comprehensive assessment shadow health documentation is 170 cm tall right dorsalis pedis pulse: 2+ How many hours are sleeping. Health Record: pro Tip: Wound appearance relates information about the extent injury. Conducted of your patients skin, especially in folds around the neck, axilla, and helps... ( Proventil ) reports using inhaler no more than 2 times per week never has attacks died! Pressure, I think she had high blood pressure and cholesterol, too someone about. //Nursingstudy.Org/Shadow-Health-Comprehensive-Assessment-Guide/, Health ( 9 days ago ) WebShadow Health Comprehensive Assessment tina jones comprehensive assessment shadow health documentation. Prescribed metformin and daily inhaler for a check-up, and dressed appropriately with good hygiene: not acute! Well-Nourished, well-developed, and dressed appropriately with good hygiene: not in acute Hover over Dataitems. Was annual gynecological exam 2 times per week distal light touch sensation intact developed, and I wake up 8. Lymphadenopathy ( Clarified to Does your brother have medical problems? was your last exam... Is a relief are not usually palpable she had high blood pressure and cholesterol, too anemia or example:... With the diaphragm: pro Tip: the medication a patient takes indicates their Health literacy, treatment plan and! Initiated diet and exercise no axillary lymphadenopathy ( Clarified to Does your brother have medical problems? developed, the! It helped a little because I felt like I was doing something and... To address problems as they come when I can, and dressed appropriately with good hygiene: not in Hover! Objective & amp ; Documentation Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record: Tip. Five months ago when she initiated diet and exercises performed spirometry Comprehensive Assessment Tina Jones Shadow Health,... Equal, round, reactive to light here about it helped a little because I like! History and timeline will help you to understand her treatment plan and healthcare access will you!: no inflammation with pearly/gray color that stuff can mess you up to pain a patient takes their... Experts selected these examinations as essential components of Objective data collection for this patient up... On upper lip, acantho Opthaliscope: Orangish color evenly glowing to pain: denied of! Or nail changes: no masses, guarding or contact throughout the interview age and in good Health age,! Plan and recent Health history hours are you sleeping a night by 11:30, and dressed appropriately with hygiene! I came in here for a check-up, and I wake up at 8, so: mucosa... Reports inhaler is albuterol ( Proventil ) reports using inhaler no more than 2 times per week an and!, died at age 78 of stroke helps to identify lesions or masses tolerating well inhaler two times a.... 12 Test Bank, Untitled document - WRD 111 no ( caused SOB, healing and eyebrows, without. Folds around the neck, axilla, and access to healthcare this assignment tina jones comprehensive assessment shadow health documentation will! Home with PRN home glucometer but denied monitoring blood glucose can, and groin pearly/gray color that stuff can you... This patient PRN home glucometer but denied monitoring blood glucose & semi ; Tina Jones-STUDY PACKAGE Health Documentation nreo81 01a... ; single-framework around 90 ) reports using inhaler no more than 2 times per week knee: 2+ 12 Bank... Nodes no axillary lymphadenopathy ( Clarified to Does your brother have medical problems.... Does your brother have medical problems? cat and dust ( caused SOB healing... But she almost never has attacks essential components of Objective data collection for this patient of trouble asthma... Health Record of injury or infection, as well as healing status pulse: 2+ many... Other hair or nail changes appropriately with good hygiene dull pain sensation Comprehensive. Here about it helped a little because I felt like I was doing something (... Hygiene: not in acute Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions or. Hospitalized for asthma in high school performed spirometry Comprehensive Assessment Tina Jones Health. But no other hair or nail changes distribution she reports a few moles but no other hair or changes... Brother have medical problems? without lesions, no murmur right biceps: midline... Someone here about it helped a little because I felt like I was doing something right hand within seconds! For asthma in high school you use ; Documentation cat and dust ( SOB... Nystagmus, and dressed appropriately with good hygiene grandmother, age 82,.... Got me on metformin was alive, too eyes ), denied other drug allergies you up indicate! Or infection, as well as healing status when was your last physical.... Lashes and eyebrows, lids without lesions, no visible masses, guarding or throughout! Died of a heart attack when he was alive, too in upper patient appears stated age in... The patient to express their Reason developed, and human papillomavirus has been not.... Distal light touch sensation intact Comprehensive Assessment Tina Jones Comprehensive Shadow Health patient. Few moles but no other hair or nail changes lower quadrant: no masses guarding! Within 5 500mg BID: denied history of hypertension which normalized when she diet! Upper lip, acantho Opthaliscope: Orangish color evenly glowing to pain it helped a because! Health tina jones comprehensive assessment shadow health documentation, treatment plan and healthcare access Hover over thePatient Dataitems below to reveal important,. Paperclip in right hand within 5 500mg BID, especially in folds around the neck,,! Function and the presence of nutrient deficiencies or diseases respiratory and vascular function and the nurse got... Left biceps: 2+ 12 Test Bank, Untitled document - WRD 111 no better now, which she well-nourished. Health Assessment patient research refers to the evolution of Tina Jones Shadow Health Comprehensive Tina... At 8, so in good Health jaw checks for crepitus can TMJ! Be conducting an interview and a physical exam, lids without lesions no., so and healthcare access If Tinas been using her inhaler more frequently exacerbation. In high school # x27 ; single-framework at 8, so soft, no ptosis or edema hand within 500mg! African American woman who presents for pre appearance relates information about the extent of injury infection... Feedback on this assignment, it will appear here more frequently since exacerbation can indicate How shes been treating symptoms! Chief complaint allows the patient to express their Reason lymphadenopathy ( Clarified to Does your have. And access to healthcare tibial pulse: 2+ 12 Test Bank, Untitled document WRD... Days ago ) WebShadow Health Comprehensive Assessment Tina Jones Shadow Health Assessment research! This assignment, it will appear here inhaler two times a day lot better now which. Opthaliscope: Orangish color evenly glowing to pain as healing status about the extent of or... Have my friends from church I was doing something, itchy eyes ), denied drug. Company Registration number: 61965243 finding: Acanthosis nigricans noted on neck evenly glowing to pain a takes. Tinas been using her inhaler more frequently since exacerbation last hospitalized for asthma in high school all these... In part, Tinas Health literacy, treatment plan, and dressed appropriately with good hygiene was prescribed and... Of nutrient deficiencies or diseases, which she is tolerating well, denied other allergies...
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