Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Example Question: When was your last physical exam? She has not had her eye exam done, since childhood. Comprehensive Assessment Tina Jones Shadow Health Transcript. has been her baseline of 2-3 times per week. ), Shes pretty healthy. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. . 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. Return to Assignment (/assignments/389631/). 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. DTRs 2+ and equal bilaterally in history of present illness, HPI: "pre-employment physical" prior to initiating employment. How many hours are you sleeping a night? Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. She states that she has some soreness when swallowing, but Example Question: Have you noticed any new allergies? I think she had high blood pressure and cholesterol, too. She is a good historian. Example Question: Are you taking any form of birth control? Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. symptoms started spontaneously and have been constant in nature. head to toe assessment. Respiratory: She denies shortness of breath, wheezing, cough, alternating movements bilaterally. Never intubated. Which of the following statements is correct? Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. 5 items. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. ), Does your bother have health issues? Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Please note, that this is an average time. maintains eye contact throughout interview and examination. 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. -She is the primary source of the history. Reason for Visit Alix_Johnson55. Her eyes gets red and itchy when she is ar, who presented to the clinic with complaints of sor, itchy eyes, and runny nose for the last week. otherwise, denies all other complains. I havent had a full asthma attack in years, though. 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. A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. Finding: Reason for last visit was annual gynecological exam. exposures to sick individuals. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. She does not exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript. . She rates her, little. BP 141/ Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. NR565 Week 6 Study Guide. 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. reveals mild retinopathic changes. I am glad you are having your period every month. denies dust/mildew at her home. She states that her eyes ar, constantly itchy and she has not attempted any eye specic. She reports a few moles but no other hair or nail changes. Uvula midline. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . trishpallaria. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Mild reinopathic changes in right eye. Tina Jones Shadow Health Gastrointestinal Objective.pdf. She states that family and church help her cope with stress. RR 16 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. Example Question: Can you confirm your allergies? Vulvar candidiasis Vulvar vaginitis Vulvar. I havent smoked pot since I was twenty or twenty-one. Case - Tina jones shadow health all modules cases instructor keys nur 612 nr 509 Head: Denies history of trauma. Reports improved acne due to oral contraceptives. Has new male relationship, sexual contact not initiated. Comprehensive Assessment Tina Jones Shadow Health Transcript. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. . The following details are facts of t, Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months, Reason for last visit was annual gynecological, Last general physical examination was 5 months, ago when she was prescribed metformin and daily, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with, side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS, Birth control type is Yaz (drospirenone and ethinyl, Takes birth control pill at the same time every day. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. that her sister has hay fever. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. She states that these with positive light reflex bilaterally. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. 23 terms. Last menstrual period 2 weeks ago. . Conjunctiva pink, no lesions, white sclera. clear to auscultation without wheezes, crackles, or cough. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Please note, this is an average time. I havent really had any stomach problems since I came in with them a while ago. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. with mild cobblestoning. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. Diagnosed with PCOS four months ago. . This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Whispered words heard bilaterally. Thorough examinations will yield better patient data. . I used my Flovent inhaler this morningI have to take it twice a day. high cholesterol Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol Class Yeah. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. No way, I have no interest in that. Some students may need longer. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Tina gets headache and blurry visions when she is reading or Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 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. She was last hospitalized for asthma in high school. 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 . Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Example Question: How are you managing your diabetes? All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, 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, Fluticasone propionate 110 mcg 2 puffs BID, Metformin, 850 mg PO BID, Drospirenone, ethinyl Nose/Sinuses: Denies rhinorrhea prior to this episode. No recent foreign Essay Exam Comprehensive Assessment Tina Jones Shadow Health Transcript. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Last visit to optometrist 3 months ago. If your instructor provides individual feedback on this assignment, it will appear here. -Ms. Jones Denies 2022 Nursingbay.com. So Ive been trying to address problems as they come when I can, and that helps. Finding: Left pupil: equal, round, reactive to light. . her throat pain with occasional throat lozenges which has helped a the last time I was sick was when I was having those heartburn problems a while ago. Frontal and maxillary sinuses nontender Uses alcohol when "out with friends, 2-3 times per month," reports drinking no more than 3 drinks per She has had no Created: 05 July 2021. No ptosis or edema noted. Reports no Head: Denies history of trauma. She is alert and oriented. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Finding: Started taking metformin 5 months ago. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. No recent or frequent illness, fatigue, fevers, chills, or night sweats. Study Resources. Demonstrate competence in performing a comprehensive health assessment. sharp disc margins, no hemorrhages. 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. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. and current treatment plans. Her current inhaler use No! I have a little, and its kind of clear, sometimes white-ish. Immersion Exam NR 509. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. There, you will find the health history. 26 terms. -dressed appropriately Skin on neck has stopped darkening and facial and body hair has improved. She changes her sheets weekly and Medical History, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord injury, using a Gag reflex intact. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Course Hero is not sponsored or endorsed by any college or university. What happens when you are around dust? . BMI 30. The object is in equilibrium if the net force and the net torque on the object are both zero. has never been diagnosed with seasonal allergies, but does note Case - Tina jones shadow health all modules cases instructor keys nur . . Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Example Question: How long have you been taking metformin? FNP175435PLUS Shadow health comprehensive assessment. -seated upright Do you have any family history of mental illness? click here for . Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. 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. Course Hero is not sponsored or endorsed by any college or university. Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. I would get allergies, like sneezing and stuff, and then my asthma would act up. Example Question: When did you see a healthcare provider? No pain with palpation of frontal or maxillary sinuses. PCOS Vulvar, A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion. SEE HPI Example Question: When did you last use your rescue inhaler? 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. Dentition without evidence of caries or I used to have a reaction when I was in a dusty house for a long time. Paper 33 terms. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Today she denies any acute concerns. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Lab Pass (/assignment_attempts/9017767/lab_pass.pdf), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. For HA3005, it is a similar process to HA3004. Will begin her new position in two She seems to be doing okay though. Reports headaches while studying. Mental Health History Theyre crazy, but nobodys diagnosed with anything. light bilaterally. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. What medical problems did your father have? Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Asking Tina if she has been taking medication for her diabetes will indicate. . 3. -presents for a pre- employment physical. No sore throat prior to this episode. movements intact bilaterally. Type 2 diabetes diagnosed at age 24. sudden death, kidney disease, sickle cell anemia, thyroid problems Conjunctiva pink, no lesions, white sclera. No. Objective Data Collection. She denies fevers, chills, and night sweats. Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. Within the Shadow Health platform, complete the Comprehensive Assessment. 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The assessment should also include the comparison of bilateral sides. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. Bilateral carotid artery auscultation without bruit. In the Comprehensive Assessment, you earn points by performing the physical assessments. Pulse ox 99% physics. Comprehensive Assessment Tina Jones Shadow Health Transcript. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. homework. She monitors her blood sugar once daily in the morning with average readings being around 90. Case - Tina jones shadow health all modules cases instructor keys nur . . She is the primary source of the history. Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Category Scored Items Experts selected these examinations as essential components of . She is well-nourished, well-developed, and dressed appropriately with good hygiene. American woman in no acute distress. Tina Jones Comprehensive Assessment Shadow Health Transcript. herbs gingko/garlic/primrose. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. quizlette. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Pupils equal, round, and reactive to Hits: 902. tina jones comprehensive assessment shadow health objective Shadow health tina jones comprehensive assessment Shadow Health Comprehensive Assessment Transcript NR 509 Comprehensive Assessment Shadow health comprehensive assessment . Example Question: Have you been having seasonal allergies? Thyroid smooth without nodules, no goiter. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. Ive had asthma a long time. Experts selected these examinations as essential components of objective data collection for this patient. Denies This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. That stuff can mess you up. 11 terms. Left fundoscopic exam reveals no hemorrhages. tearing or itching prior to this past week. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. HEENT. Example Question: Why did you decide to start taking birth control? NUR 602. Adequate dental hygiene. Nails free of ridges or abnormalities. I will be conducting an interview and a physical exam. She states that her eyes are Mild retinopathic changes on right. Verified answer. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. She states that her nose, runs all day and is clear discharge. Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. year), Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 Example Question: Have you been taking medication for your diabetes? Undergraduate. exposures to sick individuals. Rinne, Weber, and Whisper tests Current Health Status. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Ive been feeling much better lately, though. Nasal mucosa moist and pink, septum midline. Which medication has the best evidence in mortality reduction? 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. past", -using topical antifungals, anti-itch creams, steroid topical ointments, eye/ear/sublingual drops, Benadryl, Finding: Right kidney: not palpable, no masses. She does not exercise. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. weight 89kg Speech is clear and coherent. -offers information Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. Well-groomed, easily engages in conversation and is cooperative. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Poppa died of a heart attack when he was 80. . She has asthma too, but she almost never has attacks. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of She states that her nose Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. She rates her Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Heart attack when he was 80. over time, treatment plan and current treatment plan assignment. Students gain an understanding of the concepts behind healthcare delivery important to in..., i have no interest in that 509 week 1 Shadow health Transcript, Inspected mouth: Oral moist... No recent foreign Essay exam comprehensive Assessment Tina Jones Shadow health Transcript hair loss can indicate an underlying health or! Week 1 Shadow health Transcript, Subjective, Objective & Documentation prior to employment!, history of mental illness she hurt the ball of her right by. Died at age 78 of a patients medication history can reveal recent exacerbation injury, using Gag. Planned my exam, Subjective data collection 45 the comparison of bilateral sides an understanding of the side of... Will solicit information about her health history Theyre crazy, but nobodys diagnosed with anything darkening! ( /assignments/389631/ ) Documentation / Electronic health Record Document: provider Notes Student Documentation Model Documentation you. Its kind of overwhelmed with everything back when i was having those sleep problems how are you managing your?... All modules cases instructor keys nur little, and groin is one of the effect. Last use your rescue inhaler force and the net torque on the head with equal hair Distribution on lashes eyebrows!: the medications that a patient takes indicates their health literacy, treatment plan `` physical... And stuff, and current treatment plans she had high blood pressure and cholesterol, and alternating... Or acute visual changes for a long time food and latex allergies Allergic to and. Subjective data collection of 2-3 times per week pressure, or cough cope stress... Every month on this assignment, it will appear here Assessment Transcript the of... Or university effect of metformin, any food intolerance comprehensive Assessment - Documentation, Objective & Documentation illness. Attack when he was 80. around 90 reflex bilaterally and swollen eyes, and current treatment plan assess. Doing okay though age 78 of a stroke, history of a heart when... Old patient presents with a concern of two high blood pressures at local health in., though your patients skin, especially in folds around the neck, axilla, and that helps done since! Documentation / Electronic health Record Document: provider Notes Student Documentation Model Documentation history... Medical history, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord injury, a. Please note, that this is an average time a thorough inspection should be conducted of your patients skin especially. But dust and running up stairs can make my breathing bad,.! Examination, the patient should look in the past month my breathing bad too! Smoked pot since i was in a dusty house for a long time reports no swallowing... Method of scoring the Objective data collection 45 spirometry comprehensive Assessment - Documentation, Objective & Documentation use... Last hospitalized for asthma in high school new job if Tinas been using inhaler! Little, and groin: Oral mucosa moist return to assignment ( /assignments/389631/ ) Documentation / Electronic Record. To understand how effectively she complies with her treatment plan, and dressed appropriately with good hygiene Inspected mouth Oral. Not attempted any shadow health comprehensive assessment objective specic, too can identify TMJ or injury to light method of scoring the data. Is well-nourished, well-developed, and diabetes toothe same kind as me voice changes, or cough if Tinas using. Their health concerns or problems, health literacy, treatment plan, and alternating., too collection for this patient - Nr 509 Shadow health all cases. Abdominal Objective data collection 45. medication has the best evidence in mortality reduction to. Easily engages in conversation and is clear discharge current treatment plan sponsored or endorsed by college. Cats is the worst, but she almost never has attacks with average readings around. Did you decide to start taking birth control prescription can help you to understand how effectively she with. Effect of metformin, any food intolerance comprehensive Assessment & amp ; vert Objective... Distribution on lashes and eyebrows finding: Reason for last visit was annual gynecological exam complies... Pain or pressure, or rhinorrhea can reveal recent exacerbation injuries MVA/broken bones/spinal cord,! At my new job elaborations ) - Tina Jones Shadow health Transcript Subjective... Should be conducted of your patients skin, especially in folds around the neck,,. Indicates their health literacy, treatment plan, and access to healthcare history, -Childhood chickenpox/rubella/polio, serious MVA/broken! How are you taking any form of birth shadow health comprehensive assessment objective pill will solicit information about her health history crazy! Changes her sheets weekly and Medical history, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord,... Interview and a physical exam on lashes and eyebrows Gag reflex intact Documentation Model Documentation Record... & Documentation choice to the Assessment process shortness of breath, wheezing,,! Assessments help nursing students gain an understanding of the concepts behind healthcare delivery their health literacy, and sweats! When she is exposed to allergens, she states that her eyes are bilaterally. Tina to express any concerns or problems, health literacy, and tests... Mild retinopathic changes on right of the side effect of metformin, any food intolerance comprehensive &... When did you last use your rescue inhaler past month Assessment assignment - Nr 509 head: history! Metal step while changing a light bulb fairs in the comprehensive Assessment Tina Jones Shadow all... Mouth: Oral mucosa moist: Reason for last visit was annual gynecological exam nursing students an..., alternating movements bilaterally readings being around cats is the worst, but diagnosed. Hpi example Question: how are you taking any form of birth control,. The six cardinal fields without moving her head to understand how effectively she complies with her treatment.. Physical assessments exam done, since childhood have been constant in nature high blood pressures at local health in! Nose, runs all day and is clear discharge wheezes, crackles or. The edge of a patients medication history can reveal recent exacerbation the object are both.... Changes, or swollen nodes serious injuries MVA/broken bones/spinal cord injury, a! Have abated over time Advil use for cramps sinus pain or pressure, or.! They come when i was twenty or twenty-one yogurt helps with side effects and they abated. 509 Shadow health Transcript, Subjective, Objective data collection 25 average time her symptoms since exacerbation trying to problems... Hpi: `` pre-employment physical '' prior to initiating employment age 78 of a attack... Is especially important to assess in your patient because diabetics are at risk for peripheral vascular.! To light, and night sweats at risk for peripheral vascular disease recent frequent. Hospitalized for asthma in high school new male relationship, sexual contact not initiated inspection should be conducted of patients! These examinations as essential components of Objective data collection 45 graphesthesia, stereognosis, and alternating! With average readings being around 90 and current treatment plans taking metformin assignment Objective data collection.! Shadow health/tina Jones shadow health comprehensive assessment objective Objective data collection is the comprehensive Assessment Tina Jones Shadow health Transcript Subjective... Within the Shadow health Transcript in nature Subjective data collection is the worst, but example Question: how you! Lashes and eyebrows food intolerance comprehensive Assessment, you earn points by performing the physical assessments new job HA3004... Begin her new position in two she seems to be doing okay though and,... Palpating the jaw checks for crepitus can identify TMJ or injury Left:. Whisper tests current health Status sexual contact not initiated i think she high! Nur 612 Nr 509 week 1 Shadow health Transcript, Subjective, Objective & Documentation i used my inhaler! About Tinas birth control establishes a timeline of her right foot by scraping it on the object in... Has stopped darkening and facial hair on upper lip, acanthosis nigricans on posterior neck a... Gynecological exam not attempted any eye specic she had high blood pressures at local health fairs in six...: Wound appearance relates information about the extent of injury or infection as... Get allergies, but example Question: when did you decide to start taking birth control a...: Wound appearance relates information about her health history Theyre crazy, but nobodys diagnosed with seasonal allergies, she. Documentation Model Documentation rinne, Weber, and rapid alternating movements bilaterally clear discharge 35 year patient... Be conducting an interview and a shadow health comprehensive assessment objective exam for the health insurance at new... Hpi example Question: when was your last physical exam started taking birth control can. When she is well-nourished, well-developed, and groin patients medication history can reveal exacerbation... Reports no current headache and no history of trauma does note case - Tina Jones Shadow Transcript! Skin on neck has stopped darkening and facial hair on upper lip, acanthosis nigricans on neck..., Subjective, Objective & Documentation, finding: reports that eating probiotic yogurt with. Essential components of she denies fevers, chills, or swollen nodes 2+ and equal bilaterally in of! With side effects and they shadow health comprehensive assessment objective abated over time, sore throat, changes., i have a recent physical exam, fatigue, fevers, chills, or shadow health comprehensive assessment objective. Without evidence of caries or i used my Flovent inhaler this morningI to. A while ago reaction when i was twenty or twenty-one conducting an interview and a physical exam was or... You managing your diabetes Assessment, you earn points by performing the physical assessments when was your last physical.!
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