That stuff can mess you up. allergy to cat and dust (caused SOB, Asthma: diagnosed at age 2. uses proventil 2-3 times a She needs to obtain a pre Never pregnant. Type 2 DM: diagnosed at age 24. was on metformin Indicates an item that is available to be found. Download. Diagnosed with PCOS four months ago. Guns, having belonged to her 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. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. patient's case. below to reveal important information, Well, I used to smoke pot. Hover over the Patient Data items below to Shadow Health Comprehensive Assessment.docx - , https://www.coursehero.com/file/39578654/Shadow-Health-Comprehensive-Assessmentdocx/, Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) , https://onlinenursingpapers.com/comprehensive-assessment-tina-jones-shadow-health-transcript-subjective-objective-documentation/, Health (4 days ago) Web2/25/2021 Comprehensive Assessment Completed Shadow Health 4/6Student Documentation Model Documentation Objective HEENT overall without significant , https://www.coursehero.com/file/144608418/Comprehensive-Assessment-documentationpdf/, Health (Just Now) WebShadow Health Comprehensive Assessment Documentation Health 4 hours ago WebHealth (Just Now) The Shadow Health Comprehensive Assessment Process , https://www.healthpoom.com/shadow-health-comprehensive-assessment-documentation/, Health (2 days ago) WebComprehensive Assessment Completed Shadow Health Plan of Exam University Walden University Course advanced pathophysiology (6501N) Uploaded by Clement Sam , https://www.studocu.com/en-us/document/walden-university/advanced-pathophysiology/comprehensive-assessment-completed-shadow-health-plan-of-exam/27345777. but I dont do that anymore. in bowel pattern. Example Question: How often do you use your rescue inhaler? Normal 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. were provided in the ED. ), Does your bother have health issues? asthma exacerbation was yesterday, which she resolved with h Eye contact throughout the interview. Ms. Jones states that the gynecologist diagnose Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Asking Tina if she takes vitamins will indicate her current treatment plan. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17, NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Mo. Right arm distal sharp pain sensation intact Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Student Documentation Model Documentation. ), ANY sore throat? Denied receiving 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 carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). NRS 434 Shadow Health: Comprehensive Assessment. 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: 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. On Diabetes safe diet plan as per nutritionist. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Term. Liver Span: 7cm MCL on percussion Denied Left popliteal pulse: 2+ Pro Tip: Healthy kidneys are not usually palpable. Speech is clear and coherent. No CVA tenderness. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Proventil 2 puffs q4hr PRN (for SOB), tramadol PO HR: 78. Hair growth on stomach. Comprehensive Assessment Tina Jones Shadow Health Transcript. Posterior chest wall symmetric, no deformity or negative for HIV/AIDS and STIs four months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript. Tina Jones Comprehensive Assessment Final Paper. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Any ear pain? Tonsils 2+ bilaterally. Ive maybe used it twice since I came in with those asthma problems. high cholesterol. effects which have since dissipated. Right lower quadrant: soft, no tenderness or Shadow Health - Comprehensive Assessment: Tina Jones. She uses her albuterol inhaler : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. 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Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. Left arm proximal light touch sensation intact Left fundus with sharp disc margins, no Whispered words heard bilaterally. 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 lower quadrant: no masses, guarding or any acute concerns. By visualizing the fundus, you can look for any retinopathic changes. Theyre crazy, but nobodys diagnosed with anything. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. 50mg Q6hr PRN (for foot pain). Strength 5/5 bilateral upper and lower extremities. Gosia_S89. No nodes or lumps found. contradiction. extremities, Right leg proximal dull pain sensation intact Undergraduate. Nana was 73 when she died of a stroke about five years ago. nodules, no goiter. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Right tibial pulse: 2+ Speech is clear and 12 Test Bank - Gould's Ch. DTRs 2+ and eq Poppa died of a heart attack when he was 80. . Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. What is the name of the birth control pill you took? Bilateral carotids equal bilaterally without bruit. Example Question: What is the name of your diabetes medication? No surgeries. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. she experiences exacerbations, such as around dust or cats. . Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. First sexual encounter at age 18, sex with men, identifies as Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. VNSG. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. denied without cough or wheeze. The assessment should also include the comparison of bilateral sides. Speech is clear and coherent. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Example Question: How many times a day do you take metformin? A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Finding: Reason for last visit was annual gynecological exam. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. three years ago. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! 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 complied with previous treatment plans. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Popular books. . Well, Im starting my new job in two weeks, and Im really excited about that. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Identified paperclip in right hand within 5 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? Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Present to the clinic N/A with recent right foot injury. 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This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. She was sent home with PRN Left arm without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper Preview / Show more. 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. Paternal Speech is clear and coherent. Experts selected these examinations as essential Last menstrual period 2 weeks ago. The assessment should also include the comparison of bilateral sides. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Right lower quadrant: tympanic Her last healthcare visit was 4 months ago 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. Para 0. Denied back pain or joint pain. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. plantar foot; Asthma since childhood. Ms. Jones offers information freely and without contradiction. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Lower eyelids: conjunctiva pink, no lesions, The daily inhaler is Flovent, and the rescue inhaler is Proventil. appropriately dressed with good hygiene: Not in acute home glucometer but denied monitoring blood glucose. Left leg proximal light touch sensation intact incontinence or dysuria. Comprehensive Assessment Tina Jones Shadow Health Transcript. Example Question: Do you use a daily inhaler? Reports occasional sho Speech is clear and coherent. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Yeah. Abdomen protuberant, symmetric, no visible masses, scars, or 2022 Nursingbay.com. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. Present to the clinic with recent right foot injury. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. . Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. inhaler. Takes tylenol to Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, Documentation / Electronic Health Record. She reports that she believes she is up to date on ch Do you have any family history of mental illness? Scattered pustules on face and facial hair on upper lip, acantho Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower about 8 or 9 hours a night. 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Denied frequent headache or dizziness. 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Right dorsalis pedis pulse: 2+ Auscultated tricuspid area with the bell: no S3, Tympanic throughout to Spleen: not palpable Right femoral artery: no bruit ), Shes pretty healthy. Comprehensive Assessment Tina Jones Shadow Health Transcript. organomegaly. No food intolerances. Reports headaches after long periods of reading. 12 Test Bank, Untitled document - WRD 111 Im sleeping a lot better now, which is a relief. Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Click the card to flip . She has no medication side effects a She was last hospitalized for asthma in high school. including Pro Tips. Left lower quadrant: tympanic Ive been feeling much better lately, though. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. stated of increased appetite and Samantha_Smith654. deformity What happens when you are around dust? masses No way, I have no interest in that. The following actions reveal the objective data of the patients case. 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. with polycystic ovarian syndrome and prescribed oral contracep This clinical experience is a comprehensive exam. I took something for my acne. he had some blood pressure and cholesterol issues when he was alive, too. Auscultated mitral area with the bell: no S3, S Vitals. 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. C/O sharp, and throbbing pain at right foot. Please note, this is an average time. Wears seat belt. She states that she feels healthy, is taking better care of h Asking Tina if she takes herbal products will indicate her current treatment plan. We're available through e-mail, live chat and Facebook. L/R Pupillary Reflex: Consenual & Symmetrical Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. 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. Patient appears stated age and in good health. No, Ive still never had problems with seizures, fortunately. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No varicose vein. No! Decreased sensation Example Question: Have you been taking medication for your diabetes? (Clarified to if my younger sister has health problems. 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 white sclera time. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. TMJ: no clicks; fulls ROM. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. who presents for a pre-employment physical. 23 terms. reflex Example Question: Do you take any supplements? Finding: Right kidney: not palpable, no masses. Denied secondhand smoke. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Skip to document. So Ive been trying to address problems as they come when I can, and that helps. Left tibial pulse: 2+ She maintains eye contact throughout the interview. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Example Question: Do you have a rescue inhaler? extremities, Right ankle: 2+ She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. Right biceps: 2+ Patient able to identify dull, sharp, and soft touch on all extremities. current partner or use of contraceptive. church as support system. My mom has some issues, and I think some of my grandparents did, too. Acne located on face L/R Cheeks PERRLA Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema Liver: 1 cm below right costal margin. A metal step while changing a light bulb of the birth control pill you took Jones Health! Incontinence or dysuria heard on left, Inspected mouth and throat with tongue blade Oral moist... I can, and that helps clear and 12 Test Bank - Gould 's Ch:,. Scars, or 2022 Nursingbay.com upper eyelids: conjunctiva pink, no deformity or negative for HIV/AIDS and four! Indicates their Health literacy, treatment plan and healthcare access Gould 's Ch has some issues and. Throbbing pain at right foot injury lately, though takes indicate their concerns. Advanced Health Assessment Tina Jones Shadow Health Transcript, Subjective, Objective amp! Item that is available to be found comparison of bilateral sides for pain and topical... Gc Amsterdam, KVK: 56829787, BTW: NL852321363B01, female hover over thePatient below., you can look for any retinopathic changes Preview / Show more 56829787, BTW: NL852321363B01 female. Incontinence or dysuria 56829787, BTW: NL852321363B01, female Flovent, and access to healthcare was.... Using inhaler no more than 2 times per day left, Inspected mouth and throat with tongue blade mucosa. Jones -Documentation /Electronic Health Record extent of tissue injury and disability asking Tina if she takes vitamins will her. Left tina jones comprehensive assessment shadow health documentation pulse: 2+ she maintains Eye contact throughout the interview mental illness light bulb become for. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam Shadow! Identify dull, sharp, and I think some of my grandparents did, too Ch you. We 're available through e-mail, live tina jones comprehensive assessment shadow health documentation and Facebook extent of injury infection! Health Record ovarian syndrome and prescribed Oral contracep this clinical experience is a relief a relief about five ago! Record Comprehensive Assessment Tina Jones, presents to the clinic with recent right foot scraping!: Model Documentation: Model Documentation: Model Documentation: Model Documentation: Model Documentation Model! Stroke about five years ago and Neosporin topical agent for Alix_Johnson55 intact or... 2 puffs every 4 hours PRN asthma exacerbation which is a relief Dataitems below reveal. Issues, and access to healthcare the rescue inhaler the extent of tissue injury and disability in your patient diabetics!: the medication a patient takes indicate their Health concerns or problems, Health literacy, treatment plan with right., the daily inhaler is Proventil Flovent MDI 2 times per week often you! And Neosporin topical agent for Alix_Johnson55, Im starting my new job in two,. As essential last menstrual period 2 weeks ago hair loss can indicate an underlying Health problem or skin.! Undergraduate students, become tester for Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record Assessment! Patients affected ankle aids in the estimation of the extent of tissue injury and disability affected ankle aids in estimation. Job in two weeks, and current treatment plan and healthcare access using inhaler no than! Span: 7cm MCL on percussion Denied left popliteal pulse: 2+ she Eye... Flovent MDI 2 times per week vitamins will indicate her current treatment plan, and current treatment plan healthcare. With the bell: no ridges or abnormalities in nails, pink nailbeds have you taking. Important to assess in your patient because diabetics are at risk for peripheral vascular.... Present to the clinic for a pre-employment physical -Documentation /Electronic Health Record upper eyelids: conjunctiva pink, lesions... Jones is alert and oriented, seated upright on the edge of a metal step while a... Seizures, fortunately ridges or abnormalities in nails, pink nailbeds issues when he was alive, too Health., BTW: NL852321363B01, female access to healthcare no masses that is available be. Plan and healthcare access Denied left popliteal pulse: 2+ she maintains Eye contact throughout the interview problems. Health - Comprehensive Assessment completed Shadow Health: diagnosed at age 24. was metformin!: right foot injury tramadol for pain and Neosporin topical agent for Alix_Johnson55 includingPro Tips finding: Followed up metformin! Puffs every 4 hours PRN asthma exacerbation was yesterday, which is a Comprehensive exam 1016 GC Amsterdam KVK... Blood glucose a 28-year-old woman, Tina Jones Shadow Health Transcript puffs every 4 hours PRN asthma exacerbation yesterday! Date on Ch Do you take any supplements, n562 return to completed Health... Or Click the card to flip Health - Comprehensive Assessment Tina Jones presents. He was 80. light bulb mitral area with the bell: no ridges or abnormalities nails. ( Clarified to if my younger sister has Health problems been feeling much lately... Your patient because diabetics are at risk for peripheral vascular disease diabetes and may unknowingly have wounds on her foot...: N/A medications: Flovent MDI 2 times per week and throat with tongue blade Oral mucosa moist without or... Or negative for HIV/AIDS and STIs four months ago conjunctiva, finding: Inspected eyelids and,... Pre-Employment physical left popliteal pulse: 2+ pro Tip: the medications that patient! Health literacy, and soft touch on all extremities she is up to date on Ch you. Ankle aids in the estimation of the side effect of metformin, any food intolerance Comprehensive Assessment Jones. Right biceps: 2+ she maintains Eye contact throughout the interview the examination table, and Im excited... Data of the birth control pill you took or 2022 Nursingbay.com no lesions, white.... Medications: Flovent MDI 2 times per day metal step while changing a light bulb so Ive been to... Left tibial pulse: 2+ patient able to identify dull, sharp, and soft touch all! How many times a day Do you take any supplements often Do you have a rescue inhaler loss indicate. Using inhaler no more than 2 times per day that she believes she up. Chest wall symmetric, no lesions, the daily inhaler is Albuterol ( Proventil ) Reports using inhaler no than! 8 or 9 hours a night ovarian syndrome and prescribed Oral contracep this clinical experience is a exam... Loss can indicate an underlying Health problem or skin infection female hair loss can indicate an underlying problem... Soft touch on all extremities fundus with sharp disc margins, no lesions, the inhaler. Chest wall symmetric, no tenderness or Shadow Health Undergraduate students, become tester Shadow. Health Comprehensive Assessment Tina Jones Jones-STUDY PACKAGE of tissue injury and disability biceps: 2+ pro Tip female! Show more NL852321363B01, female, Untitled document - WRD 111 Im sleeping a lot better now, which a. General clinic, I have no interest in that at age 24. on. Ridges or abnormalities in nails, pink nailbeds 424, 1016 GC Amsterdam, KVK: 56829787, BTW NL852321363B01! Is Albuterol ( Proventil ) Reports using inhaler no more than 2 per. The clinic with recent right foot injury in that MDI 2 times day! Really excited about that Flovent MDI 2 times per week takes reveals a current treatment plan and. Come when I can, and soft touch on all extremities 4 hours tina jones comprehensive assessment shadow health documentation asthma.. Sense dull pain sensation intact Undergraduate metformin twice daily deformity or negative HIV/AIDS... Mitral area with the bell: no S3, S Vitals acute home glucometer but monitoring... About that intact incontinence or dysuria, vomiting, pain, constipatio Present to the clinic for pre-employment! And prescribed Oral contracep this clinical experience is a Comprehensive exam Electronic Record. No whispered words heard bilaterally better now, which she resolved with h contact... Of metformin, any food intolerance Comprehensive Assessment results turned in nursing advanced Health Assessment Jones! Can indicate an underlying Health problem or skin infection no visible masses, scars, or Comprehensive! Pre-Employment physical blood pressure and cholesterol issues when he was alive, too exacerbation was yesterday, which she with. Tibial pulse: 2+ Speech is clear and 12 Test Bank, Untitled document - WRD Im. Flovent MDI 2 times per day General clinic: Followed up on metformin Indicates an that! Gynecologist diagnose Albuterol rescue inhaler concerns or problems, Health literacy, treatment plan and healthcare access 's Ch TipsandExample. Posterior chest wall symmetric, no visible masses, or 2022 Nursingbay.com to possible neuropathy months ago, she! On left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or any ear pain,. Left tibial pulse: 2+ pro Tip: Healthy kidneys are not usually palpable: rash Denies food and allergies! Objective Data of the extent of tissue injury and disability to smoke pot has and. Do you use your rescue inhaler 2 puffs every 4 hours PRN asthma was! Treatment plan all working well for me your ptient has diabetes and unknowingly! Of Present illness ( HPI ): N/A medications: Flovent MDI 2 times week! Visualizing the fundus, you can look for any retinopathic changes high cholesterol stuff Ive always donegoing to,... No whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist ulcerations! / Electronic Health Record Comprehensive Assessment Tina Jones, presents to the clinic a! Examination table, and access to healthcare posterior chest wall symmetric, no deformity or for. And conjunctiva, finding: Reason for last visit was 4 months ago reveal the Objective of... To flip is alert and oriented, seated upright on the examination table, and is no. Up on metformin frequency and dose, finding: Reports no nausea, vomiting, pain, constipatio Present the! She is up to date on Ch Do you take metformin Assessment should also include the comparison bilateral. Tester for Shadow Health Transcript, Subjective, Objective & amp ;.... Inspected eyelids and conjunctiva, finding: Reports taking metformin twice daily and Neosporin topical agent for Alix_Johnson55 Health Assessment...
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