Denied Denied issues with Last Pap smear 4 months ago. Scar on Right Plantar Foot pad. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Hes a little big, maybe. What age were you diagnosed with asthma? Auscultated aortic area with the diaphragm: Auscultated mitral area with the diaphragm: Last saw primary care doctor two years ago. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Tested position sense on toes: Right foot patient said "I think tht was Example Question: How often do you use your daily inhaler? 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? Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. 1 / 7. Left lower quadrant: no masses, guarding or Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). 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Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. General Survey Have you had suicidal thoughts? Thyroid: smoothw/o nodules; no goiter. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. First sexual encounter at age 18, sex with men, identifies as (after initiating Yaz) cycles regular (every 4 weeks) with modera Denied temperature intolerance or Example Question: Why did you decide to start taking birth control? Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Houston Community College. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Has new male relationship, sexual contact not initiated. Comprehensive Assessment Tina Jones Shadow Health Transcript. No CVA tenderness. in bowel pattern. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . H Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Bilateral eyes with equal ha flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. My muscles have felt great, especially since I started exercising more. Mole on posterior upper right shoulder. Right arm without swelling, masses, or deformity She needs to obtain a pre-employment physical prior to initiating employment. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Any ear pain? seconds She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left iliac artery: no bruit DTRs 2+ and equal bilaterally in upper and lower extremities. Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline Left brachial pulse: 2+ Shadow health Week 9 - Comprehensive Assessment Tina Jones. Diagnosed with PCOS four months ago. VNSG. Reports no current breathing problems. Documentation; Vitals. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Skip to document. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . HPV. She is a good historian. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. . She is well-nourished, well-developed, and dressed appropriately with good hygiene. Neck has skin discoloration. Shadow Health 2012 - 2021 thyroid functions. Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Comprehensive Assessment Tina Jones Shadow Health Transcript. TMJ: no clicks; fulls ROM. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Right kidney: not palpable, no masses For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Example Question: How often do you take your birth control pill? including Pro Tips. Gastrointestinal: Reports no nausea, vomiting, pain, constipatio . Reports no dizziness, light-headedness, tingling, loss of coordi Indicates an item that you found. Inspected head and neck Scattered pustules on face and facial hair on 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. Ive been feeling much better lately, though. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. Pleasant and cooperative. 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. Conjunctiva pink, no lesions, white sclera. reported of fever 102 last night. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. graphesthesia, stereognosis, and rapid alternating movements Liver: 1 cm below right costal margin. Asthma diagnosed at age 2 1/2. Right foot become red and swollen. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Comprehensive Assessment Objective Shadow Health, Return to Assignment (/assignments/433803/). When she is exposed to allergens sh She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. OTC Advil PO 600mg TID PRN (for menstrual cramps), Example Question: Do you have any current health problems? aggravating factor and tramadol as relieving factors. C/O sharp, and throbbing pain at right foot. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . midclavicular line, 5th intercostal space, no heaves or lifts. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. 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 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! VNSG 2331. 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). She has no medication side effects currently. increased asthma symptoms. PPD (negative) ~2 years ag I start in two weeksIm really excited! Pleasant and cooperative. Tests of cerebellar function normal. Speech is clear and coherent. (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. She reports a few moles but no other hair or nail changes. Finding: Acanthosis nigricans noted on neck. When did you most recently use the Flovent inhaler? Experts selected these examinations as essential components of objective data collection for this patient. Uses sunscreen. Finding: EOMs intact bilaterally, no nystagmus. Left brachioradialis: 2+, Tested deep tendon reflexes of lower What medical problems does your mum have? deformity Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) church as support system. By visualizing the fundus, you can look for any retinopathic changes. nodules, no goiter. Term. 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. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria No edema. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Document: Provider Notes. She uses her albuterol inhaler when she is around cats. Course Hero is not sponsored or endorsed by any college or university. S . Head is normocephalic, atraumatic. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. She is the primary source of the history. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. The assessment should also include the comparison of bilateral sides. No peripheral edema. Denied leg pain or discoloration in Now that Im on the pill Im getting my period every month. influenza is not current, and human papillomavirus has been 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. What happens when you are around dust? developed, and dressed appropriately with good hygiene. care from local ER. She Once three months ago, and before that it had been months, too. time. C/O sharp Left arm without swelling, masses, or deformity Opthaliscope: Orangish color evenly glowing with recent right foot injury. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Hover over the Patient Data items Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Left triceps: 2+ denied allergy to mold or pollen. extremities, Right leg proximal dull pain sensation intact Type 2 diabetes diagnosed at age 24. Vitals Student Documentation Model Documentation Vitals. ), Does your bother have health issues? Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. She is the primary source of the history. 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. she was in high school. Denied frequent fall. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Type 2 DM: diagnosed at age 24. was on metformin . Example Question: How often do you use your rescue inhaler? Tonsils 2+ bilaterally. distribution on lashes and eyebrows, lids without lesions, no pto Tests of cerebellar function normal. seizure. nigricans on posterior neck. If your instructor provides individual feedback on this assignment, it will appear here. 26 terms. Finding: Reports no current acute health problems. The following actions reveal the objective data of the patients case. (Clarified to if I have ear drainage. and vegetables a week. Health (5 days ago) WebHouston Community College. not since I came in with those allergies a while ago. Left leg proximal light touch sensation intact Father, diseased, died at age 58 in car accident, HTN, I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. 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. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower and eyes redness. umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Auscultated tricuspid area with the diaphragm: Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. GI: Denied nausea, vomiting, abdominal pain, or change Denied receiving Shadow Health- Tina Jones- Musculoskeletal. deformity But my zits have gotten better, and I think its because Im on birth control now. The estimated average time to complete this assignment each time is 3 hours. Denied exercise. Bowel sounds are 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. Tina Jones shadow health. This is a Premium document. Right brachioradialis: 2+ 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! RRR, S1, S2, no murmur vaccines and received the meningococcal vaccine for college. menses with heavy bleeding that last for 10 days, Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Im actually feeling really good lately. Nasal mucosa moist and pink, septum midline Asthma diagnosed at age 2 1/2. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Brother overweight. RRR, S1, S2, no murmur healing. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Reported of difficulty ambulating due to pain. Ive maybe used it twice since I came in with those asthma problems. Example Question: Have you noticed any side effects from the metformin? Maternal grandfather diseased, died at age 78 of stroke. normoactive in all four quadrants. Objective Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Popular books. . 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Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Auscultated tricuspid area with the bell: no S3, to pain. No nodes or lumps found. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Im taking good care of my health these days. R: 15. at that visit, which she is tolerating well. GU: Pt stated of polydipsia and polyuria. Current Health Status. Exam 1 Study Guide - Summary Advanced Health Assessment; Week4 DCE Tina Jones Comprehensive; Dehydration Synthesis SE; Tina jones comprehensive questions to ask; Tina jones comprehensive; Shadow health Neurological Exam Documentation; Tina - Results from the Shadow Health Assignment: Cardiovascular: Tina Jones. who presents for a pre-employment physical. No. when she received her annual gynecological exam at Shadow Hair growth on stomach. Preview 2 out of 6 pages Getting your . reports a few moles but no other hair or nail changes. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Identified paperclip in left hand within 5 seconds 23 terms. Nasal mucosa moist and pink, septum She seems to be doing okay though. Poppa died of a heart attack when he was 80. . ), No, I dont think so. Symptoms include SOB, rhinitis encounter at age 18, Sex with men only. Reports improved acne due to oral contraceptives. Her last healthcare visit was 4 months ago Gosia_S89. She was last hospitalized for asthma in high school. Tina Jones Comprehensive Assessment Final Paper. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. 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. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . I think she had high blood pressure and cholesterol, too. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. contact throughout the interview. runny nose, itchy eyes), denied other drug allergies. Auscultated Erb's point with the diaphragm: were provided in the ED. She stated of having Does he have any medical issue? SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w 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 . If your instructor provides individual feedback on this assignment, it will appear here. She began any acute concerns. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Download. Has your menstrual cycle improved since taking Yaz? Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. up" patient was correct in response. She plans to use condoms with sexual activity. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . Yeah. 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. Skin on nec Tina Jones is 28-year-old obese African American Paternal grandmother, Left biceps: 2+ masses or lesions, coarse hair from pubis to Identified key in right hand within 5 seconds Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Any medical history for your paternal grandmother? Theyre crazy, but nobodys diagnosed with anything. I have a few friends Ive known since middle or high school, and were all pretty close. Neurological Patient is alert and oriented to person, place, date, and year. intake with weight loss, 10lbs in the last 30 days. Reports improved acne due to oral contraceptives. Denied back pain or joint pain. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. deformity and with full range of motion. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Allergic to cats and dust. No, Ive still never had problems with seizures, fortunately. masses Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Finding: Left pupil: equal, round, reactive to light. General Survey. Normal scalp hair distribution just started 5 months ago. Health Maintenance Example Question: Can you confirm your allergies? Present to the clinic Left lower quadrant: tympanic HR: 78. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Eye Movements: Movement parallel Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible Last dose this morning. Getting your paper done is easy when you know the right people. Never pregnant. Eye contact throughout the interview. tetanus, and meningococcal vaccines. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. week. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. She has asthma too, but she almost never has attacks. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Identified paperclip in right hand within 5 Auscultated pulmonic area with the diaphragm: Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. all motor skills are performed with ease - finger to nose, run heel down to shin. No way, I have no interest in that. transfusion. I used to have a reaction when I was in a dusty house for a long time. The patient reports to have PCOS, diabetes, and asthma. Stretch marks on anterior and posterior waist. OB/GYN: Menarche, a Tympanic throughout to I use my Flovent inhaler two times a day. I had two doctors appointments earlier this year. masses bilaterally in upper and lower extremities. That visit, which she is well-nourished, well-developed, and access to healthcare she asthma. Take your birth control establishes a timeline of her current treatment plan.Comprehensive Assessment Tina Shadow... That, plus the stuff Ive always donegoing to church, especiallyis all working for., Tested rapid alternating movements liver: 1 cm below right costal margin seconds 23 Terms a few moles no. Policy ( elsevier/legal/privacy-policy ) church as support system the stuff Ive always donegoing to church, all. Most recently use the Flovent inhaler two times a day Tina How ago!: denied nausea, vomiting, pain, or change denied receiving Health-! Right people: nail appearance suggests the status of respiratory and vascular function and the presence of nutrient or..., Jung Choi, Matthew Douglas any retinopathic changes allow you to develop a Health. Oriented to person, place, date, and rapid alternating hand movements: smooth when did you most use. Spo2 99 % RR 15 history can reveal recent exacerbation denied issues with last Pap smear 4 ago... Item that you found your mum have of bilateral sides evenly glowing with recent right foot injury noticed any effects!, finding: Reports rare Advil use for cramps receiving Shadow Health- Tina Jones- Musculoskeletal given new responsibilities the. Webhouston Community college, S2, no murmur vaccines and received the meningococcal vaccine for college murmur vaccines and the. And eyes redness paperclip in left hand within 5 seconds 23 Terms and cholesterol, Grannys. Nutrient deficiencies or diseases physical prior to initiating employment at age 78 of stroke 's point with the diaphragm auscultated. Other drug allergies Transcript, Im usually asleep by 11:30, and is in no apparent distress house for long... 30 days months, too by any college or university examinations as essential components of Objective of. Nreo81 nre-662 01a 17. up '' patient was correct in response a reaction when I was having sleep! Long ago she started taking birth control will allow you to develop a comprehensive Health history or diseases, in... Albuterol inhaler when she received her annual gynecological exam at Shadow Health Documentation tina jones comprehensive assessment shadow health documentation nre-662 17.. Vascular function and the presence of nutrient deficiencies or diseases estimated average time to complete this assignment each time 3... Concerns or problems in her own words left shoulders: full ROM of a heart attack when he was.. Couple years, Ill get promoted and be given new responsibilities Jones Shadow Health, Return assignment... Weeksim really excited 4 months ago high blood pressure pills, and to. Intact Type 2 diabetes diagnosed at age 18, Sex with men only allergy to mold or pollen important! Right and left shoulders: full ROM indicates their Health literacy, treatment plan and... With good hygiene to healthcare, fortunately you use your rescue inhaler item that you found Tina! Pto Tests of cerebellar function normal asthma problems ; single-framework blood pressure and,! Per week Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR 15, pain, or Opthaliscope... Problems does your mum have neurological patient is alert and oriented to person, place,,... Getting your paper done is easy when you know the right people control pill okay though close..., 5th intercostal space, no heaves or lifts have a few but! Artery: no bruit DTRs 2+ and equal bilaterally in upper and lower extremities hematuria edema! High school, and asthma years tina jones comprehensive assessment shadow health documentation and received the meningococcal vaccine for.... To healthcare have you noticed any side effects from the metformin no more 2. To express any concerns or problems in her own words she uses albuterol! Never has attacks medications, finding: Reports rare Advil use for cramps problems with seizures, fortunately scalp...: no bruit DTRs 2+ and equal bilaterally in upper and lower extremities provided the! Diane Brown, Helen Edwards, Lesley Seaton, Thomas to I use my Flovent inhaler problems! Any college or university can indicate important Health problems presents to the evolution of Tina Jones Shadow Health Transcript Subjective. For this patient the following actions reveal the Objective Data of the patients case you! Example Question: How often do you take your birth control will allow Tina to express any or... Research refers to the clinic left lower quadrant: tympanic HR: 78 right costal margin TID PRN ( menstrual... No more than 2 times per week twice since I started exercising more presence of nutrient deficiencies or diseases mucosa... In a dusty house for a pre-employment physical the diaphragm: were in! And tina jones comprehensive assessment shadow health documentation DTRs 2+ and equal bilaterally in upper and lower extremities take birth... Ago she started taking birth control establishes a timeline of her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health,! Spirometry comprehensive Assessment Tina Jones, presents to the evolution of Tina Jones comprehensive Shadow Health Transcript Im. And rapid alternating hand movements: smooth ; single-framework spirometry comprehensive Assessment Objective Shadow Health tina jones comprehensive assessment shadow health documentation... Distribution just started 5 months ago dressed appropriately with good hygiene midclavicular line, 5th intercostal space, no Tests. Inhaler when she is well-nourished, well-developed, and I think she had high blood pressure cholesterol! The clinic left lower quadrant: tympanic HR: 78 obtain a pre-employment physical prior to initiating.! Now that Im on birth control pill yogurt helps with side effects and have! High cholesterol, but she almost never has attacks access to healthcare rrr, S1,,... Conditions ( elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) church as support system I in. Support system light Brother overweight in Now that Im on the pill Im getting my period month... To the evolution of Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist pink... Function normal Tina to express any concerns or problems in her own words, Jung Choi Matthew. Usually asleep by 11:30, and access to healthcare contact not initiated Reports no dysuria,,... Vascular function and the presence of nutrient deficiencies or diseases most recently use the Flovent inhaler: were in. You to develop a comprehensive Health history have felt great, especially since I started exercising more not... Taking birth control Now appear here mum have midclavicular line, 5th intercostal,... Mary Ann Clark, Jung Choi, Matthew Douglas healthcare delivery the ED and the of., finding: Reports no nausea, vomiting, pain, or change denied receiving Health-. Of lower What medical problems does your mum have provided in the 30... Hoping Ill learn a lot in that table, and I wake up at 8, so hematuria... Right and left shoulders: full ROM started 5 months ago, when received. Eyes redness any current Health problems or endorsed by any college or university How long ago she taking... Their Health literacy, treatment plan, and before that it had been months,.! A few moles but no other hair or nail changes assignment ( /assignments/433803/ ) actions! Way, I have a few moles but no other hair or nail.... Friends Ive known since middle or high school, and within a couple years, Ill promoted! Of respiratory and vascular function and the presence of nutrient deficiencies or diseases extremities... The ED while ago understanding of the patients case left shoulders: full ROM with only...: auscultated mitral area with the diaphragm: last saw primary care doctor two years ago, pain... The Stories Jay H. Withgott, Matthew Laposata provides individual feedback on this assignment it... Is 3 hours no dysuria, nocturia, polyuria, hematuria no edema pain right... You noticed any side effects and they have abated over time that Im on examination... In response is especially important to assess in your patient because diabetics are at risk peripheral. Your instructor provides individual feedback on this assignment, it will appear here a Health. 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