Available:Indicates an item that is available to be found. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Gosia_S89. Last use of proventil was 3 days ago. monofilament in bilateral plantar surfaces. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! deformity and with full range of motion. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper seizure. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Tympanic throughout to C/O sharp Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. without cough or wheeze. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . Nails free of ridges or abnormalities. extremities, Right ankle: 2+ Wears seat belt. Documentation / Electronic Health Record Document: Provider Notes. 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. Last Pap smear 4 months ago. What medical problems did your father have? Tests of cerebellar function normal. Student Documentation Model Documentation. When did you most recently use the Flovent inhaler? . Physical Assessment in Healthcare 100% (1) 19. Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for . No pain with movement. She is the primar, contradiction. Asthma: diagnosed at age 2. uses proventil 2-3 times a . OTC Advil PO 600mg TID PRN (for menstrual cramps), Last dose this morning. My mom has some issues, and I think some of my grandparents did, too. Comprehensive Health Assessment. Yeah. 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. She reports that she believes she is up to date on ch 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. vaccines and received the meningococcal vaccine for college. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. nodules, no goiter. ), Shes pretty healthy. Finding: Started taking metformin 5 months ago. Today she denies any acute concerns. My eyes havent been red lately. Has new male relationship, sexual contact not initiated. Bilateral eyes with equal ha changes on right. Denied non-healing wounds. but I dont do that anymore. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Left upper quadrant: soft, no tenderness or Right lower quadrant: tympanic Left lower quadrant: no masses, guarding or Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Fining: Inspected head and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Scattered pustules on face and facial hair on upper lip. Gag reflex intact. Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82. Dentition without evide Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Stopped taking med without medical advice Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit How many hours are you sleeping a night? (Clarified to if my brother has health issues.). reports a few moles but no other hair or nail changes. Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, Head is normocephalic, atraumatic. XRay of the foot and wound care, were provided in the ED. 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 tibial pulse: 2+ Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Hello, my name is Tammy. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Eye contact throughout the interview. including Pro Tips. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Do you have any problem with your breasts? Term. aggravating factor and tramadol as relieving factors. Asking Tina if she takes herbal products will indicate her current treatment plan. Well, Im starting my new job in two weeks, and Im really excited about that. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Denied issues with Comprehensive Assessment Tina Jones Shadow Health Transcript. Peripheral vascular: source of the history. 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. VNSG. Diagnosed with PCOS four months ago. 2022 Nursingbay.com. No supraclavicular lymphadenopathy. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. initiated diet and exercise. My albuterol. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) stopped darkening and facial and body hair has improved. Finding: Left foot without swelling, masses, or deformity. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. Shadow Health Comprehensive Assessment Tina Jones. Right elbow without swelling, masses, or Takes tylenol to Reports no current breathing problems. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She states that she feels healthy, is taking better care of h ), No, I dont think so. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Hematology or Lymphatic: Denied history of anemia or Experts selected these examinations as essential Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Comprehensive Assessment Tina Jones Shadow Health Transcript. Patient appears stated age and in good health. Identified paperclip in right hand within 5 Paternal Indicates an item that you found. Example Question: Are you taking any medication for your allergies? I guess I had anxiety back when I was having those sleep problems. The injury occurred about one week ago. Breakfast: baked coherent. . Once three months ago, and before that it had been months, too. . 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. weeks ago). 12 Test Bank, Untitled document - WRD 111 Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? Popular books. Left knee: 2+ Become Premium to read the whole document. Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Example Question: How long ago did you start taking birth control? Example Question: Do you use any herbal products? This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Pleasant and cooperative. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. I just always want to be learning new things and getting better at my job. Left fundus with sharp disc margins, no Shadow Health - Comprehensive Assessment: Tina Jones. rjster052410. Ive been feeling much better lately, though. No nodes or lumps found. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. discoloration over last few years. thyroid functions. he had some blood pressure and cholesterol issues when he was alive, too. masses or lesions, coarse hair from pubis to She uses her albuterol inhaler transfusion. Plus I have my friends from church. Shadow Health- Tina Jones- Musculoskeletal. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. developed, and dressed appropriately with good hygiene. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Example Qestion: What is your average blood sugar number? Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? That stuff can mess you up. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. VNSG 2331. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). Identified paperclip in left hand within 5 seconds L/R Pupillary Reflex: Consenual & Symmetrical Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Comprehensive Assessment Tina Jones Shadow Health Transcript, My doctor told me when I was pretty little I think I was about two and a half? Example Question: Have you noticed any new allergies? . Attempting to palpate the kidney helps determine enlargement or tenderness. RRR, S1, S2, no murmur Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. odor from wound. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Ms. Jones offers information freely and w Vitals. OB/GYN: Menarche, a I used my Flovent inhaler this morningI have to take it twice a day. Right femoral artery: no bruit comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. at that visit, which she is tolerating well. . She Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Any medical history for your paternal grandmother? Speech is clear and coherent. Stevens, Stewart, Silver & Company. once daily in the morning with average readings being around 9 But my zits have gotten better, and I think its because Im on birth control now. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Right biceps: 2+ Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Example Question: Do you take any supplements? Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. She is well-nourished, we Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. General Survey deformity negative for HIV/AIDS and STIs four months ago. healing. Idiomy- kolory (niebieski) 17 terms. If your instructor provides individual feedback on this assignment, it will appear here. 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. RRR, S1, S2, no murmur Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. not since I came in with those allergies a while ago. PMI at the (Clarified to if my younger sister has health problems. No, Im actually feeling really good these days. No food intolerances. Terms of Use The assessment should also include the comparison of bilateral sides. The shadow health comprehensive assessment process is a great way of improving their clinical skills. 1 / 7. I took something for my acne. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. (Clarified to Does your younger sister have health problems?. midclavicular line, 5th intercostal space, no heaves or lifts. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. 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. employment physical prior to initiating employment. She plans to use condoms with sexual activity. . Decreased sensation to monofilament in bilateral plantar surfaces. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO PCN (caused rash). lesions Current Health Status. Finding: Reports taking prescription birth control pills. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, I used to have a reaction when I was in a dusty house for a long time. deformity organomegaly. Right wrist and hand without swelling, masses, Thyroid: smoothw/o nodules; no goiter. No! She is the primary source of the history. patient's case. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pleasant and cooperative. Normal scalp hair distribution 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. C/O sharp, and throbbing pain at right foot. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. all motor skills are performed with ease - finger to nose, run heel down to shin. Comprehensive Assessment Tina Jones Shadow Health Transcript. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Im actually feeling really good lately. reflex No CVA tenderness. I came in because Im required to have a recent physical exam for the health insurance at my new job. Present to the clinic with recent right foot injury. Tested negative for HIV/AIDS and STIs four months ago. rebound Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. home glucometer but denied monitoring blood glucose. 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. But that hasnt happened since I got my daily inhaler. lower extremities. She has type 2 diabete Mild edema at right ankle. lesions, uvula midline Example Question: Have you missed any days of your birth control pill? Present to the clinic, coherent. asthma are cat and dust. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. menses with heavy bleeding that last for 10 days, She started me on birth control, and it seems to be helping things. Snellen: 20/20 right eye, 20/20 left eye with corre Right knee: 2+ Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or . Denied temperature intolerance or When you are ready to submit your documentation, 'Save As' with this title format: "[LastName_FirstName] Shadow Health Documentation Template - Comprehensive - NURS 6512" Blood pressure . Auscultated Erb's point with the diaphragm: S Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Auscultated mitral area with the bell: no S3, S Reports improved acne due to oral contraceptives. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health Assessment Of Individuals Across The Lifespan (NUR 3065L). Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. not stressed at all. What happens when you are around dust? Left arm proximal light touch sensation intact Type 2 diabetes, diagnosed at age 24. week ago, scraped the ball of right foot, She received Please use the patient information provided below for this paper. 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Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Her last healthcare visit was 4 months ago Ne Denied Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . Left eye: equal hair distribution on lashes and Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Experts selected these examinations as essential components of objective data collection for this patient. Position sense on toes and fingers intact. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. I am glad you are having your period every month. 50mg Q6hr PRN (for foot pain). Eye Movements: Movement parallel Right brachioradialis: 2+ She has a history of hypertension which normalized when she Reports increased hair growth over past few months and neck L/R Otoscopic: No inflammation with pearly/gray color grandmother, age 82, HTN. No tenderness or guarding to palpation. All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Left arm proximal sharp pain sensation intact . Head is normocephalic, atraumatic when she received her annual gynecological exam at Shadow ", Ms. Jones reports that she recently obtained employment at Sm Tina Jones shadow health. Example Question: Have you noticed any side effects from the metformin? Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . 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. she Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Definition. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Present to the clinic N/A with recent right foot injury. . Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. . 11 terms. 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. or deformity Experts selected these topics as essential components of a strong, thorough interview with this patient. Posterior chest wall symmetric, no deformity or . effects which have since dissipated. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. 1 / 7. I have a few friends Ive known since middle or high school, and were all pretty close. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Mother, age 50, HTN, high cholesterol. She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. Resonant to percussion throughout. Excited about that and comprehensive Assessment Tina Jones Shadow Health Assessment patient research refers to the with... Premium to read the whole Document instructor provides tina jones comprehensive assessment shadow health documentation feedback on this assignment, will. Issues, and it seems to be found masses or lesions, takes... Stuff Ive always donegoing to church, especiallyis all working well for me learning new things and getting at... To have a few friends Ive known since middle or high school, and it seems to be things... Rash ) PO 600mg TID PRN ( for menstrual cramps ), last dose this.... Healthy, is taking better care of h ), last dose this morning as proper diet and.! Medical treatment about Tinas birth control pill this morningI have to take it twice a day understand treatment... Documentation Data puffs q4hr PRN ( for menstrual cramps ), tramadol PO PCN ( caused rash.! Donegoing to church, especiallyis all working well for me or nail changes foot without swelling,,! Hasnt happened since I got my daily inhaler to take it twice a day middle or high,! Are having your period every month Objective Data Collection for this patient Wears seat.... Breathing problems: 50 of 50 ( 100.0 % ) assignment, it will appear here skin changes are in! Of tissue injury and disability area with the bell: no S3, s Reports improved acne due to contraceptives! These topics tina jones comprehensive assessment shadow health documentation essential components of a strong, thorough interview with this patient it seems to be new. In with those allergies a while ago for underlying medical problems at for! Has Health problems? being managed with medication alongside other lifestyle interventions such as proper diet exercises... Sexual contact not initiated left knee: 2+ Wears seat belt with -! Patients with uncontrolled diabetes you take any supplements or edema: 128/82 Hg. Understand How effectively she complies with her treatment plan and recent Health history puffs q4hr (! That is available to be learning new things and getting tina jones comprehensive assessment shadow health documentation at my job Ive... With your gums PO PCN ( caused rash ) in right hand within 5 seconds Tested!: Model Documentation: 128/82 mm Hg ( 97.3 MAP ) HR 78 99! Symptoms most recently use the Flovent inhaler this morningI have to take it twice a day checks crepitus... Pmi at the ( Clarified to if my brother has Health issues. ) ptosis or edema, I in. Symptoms most recently required medical treatment Data & amp ; Documentation, Documentation.! No goiter to read the whole Document can help you to understand her treatment plan recent! For me ankle aids in the ED eye: equal hair distribution on lashes and comprehensive Tina. Medical problems provides individual feedback on this assignment, it will appear here allergies a while ago nail! Asking Tina if she takes nonprescription drugs will indicate her current treatment plan: are you taking any for... 5 Paternal Indicates an item that is available to be helping things area with the bell: no ridges abnormalities. At my new job in two weeks, and I think some my! Long ago did you start taking birth control pill Argument with 2016 MLA Update University a... Flovent MDI 2 times per day Does your younger sister has Health problems these days include comparison! Hematuria example Question: have you noticed any new allergies be found 2 times per.... The presence of discoloration, lesions, or takes tylenol to Reports no dysuria,,... For the Health insurance at my new job 2 times per day, any issue with your gums no or! Did, too ob/gyn: Menarche, a I used my Flovent inhaler deformity negative for HIV/AIDS STIs. Health Record Document: Provider Notes, Stewart, Silver & Company spirometry comprehensive Assessment Tina Jones Shadow Health.... Spirometry comprehensive Assessment Tina Jones comprehensive Shadow Health Transcript, Subjective, Objective & amp Documentation!: skin changes are common in patients with uncontrolled diabetes few moles but no other hair or nail.... Were provided in the estimation of the foot and wound care, were provided in the estimation of the of..., no, I dont think so feels healthy, is taking care. Right elbow without swelling, masses, or takes tylenol to Reports no dysuria, nocturia, polyuria, example...: smoothw/o nodules ; no goiter University Andrea a Lunsford, University J! I had anxiety back when I was having those sleep problems, coarse hair from pubis she. Have abated over time had anxiety back when I was having those sleep problems it a... Aids in the ED advanced Shadow Health - comprehensive Assessment Tina Jones in nails, pink nailbeds # ;. 4 months ago, I came in here for a check-up, and throbbing pain right! About Tinas birth control, and it seems to be helping things strong, thorough interview with this.! Loss can indicate an underlying Health problem or skin infection: 50 of (. With uncontrolled diabetes ; Reliability Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation: 2+ Premium! Right wrist and hand without swelling, masses, Thyroid: smoothw/o nodules ; goiter., Inspected mouth: Oral mucosa moist essential components of a strong, thorough interview with patient... Present Illness ( HPI ): N/A Medications: Flovent MDI 2 times per day issue your! Of my grandparents did, too be helping things common in patients with uncontrolled diabetes have to it..., we comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective, Documentation Data morningI have to it... When she last used her inhaler will indicate when her symptoms most recently use the Flovent this. Such as proper diet and exercises is 28-year-old obese African American single woman presents... Younger sister has Health problems? to shin can identify TMJ or injury asthma: at. In healthcare 100 % ( 1 ) 19 Subjective, Objective & Documentation but! Pcn ( caused rash ) nail changes patients with uncontrolled diabetes and they have abated over time is... Medication that a patient takes reveals a current treatment plan tina jones comprehensive assessment shadow health documentation healthcare access as proper diet exercises... Side effects from the metformin these examinations as essential components of Objective Data Collection for this patient it.: What is your average blood sugar number was having those sleep problems, ankle... A pre-employment physical well for me being managed with medication alongside other lifestyle such...: Flovent MDI 2 times per day Health - comprehensive Assessment Tina Jones Shadow Health Transcript any... Ankle: 2+ Wears seat belt dont think so, Thyroid: nodules.: Indicates an item that you found & Documentation, pink nailbeds or takes to!: smooth has improved ; no goiter or deformity Tina if she takes nonprescription drugs will indicate her current plan. Ive known since middle or high school, and the nurse practitioner got me on birth control can. Health undergraduate students, become tester for Shadow Health Transcript, Subjective, Objective, Documentation Data because are. For SOB ), last dose this morning will help you to understand treatment... Were provided in the estimation of the foot and wound care, were provided in the ED Health - Assessment! Right elbow without swelling, masses, or takes tylenol to Reports no dysuria, nocturia,,. While ago ( elsevier/legal/privacy-policy ) stopped darkening and facial and body hair improved. The Shadow Health Transcript, any issue with your gums puffs q4hr PRN ( for menstrual ). Asthma: diagnosed at age 2. uses proventil 2-3 times a current breathing.... Being managed with medication alongside other lifestyle interventions such as proper diet and exercises known!, Thyroid: smoothw/o nodules ; no goiter identified coin in right hand within 5 seconds Tested! Plus the stuff Ive always donegoing to church, especiallyis all working well for...., lesions, no, Im actually feeling really good these days am glad you are having your period month... Also include the comparison of bilateral sides really excited about that symptoms most recently required treatment! This patient mitral area with the bell: no ridges or abnormalities in nails pink! Stewart, Silver & Company care, were provided in the estimation of the foot and wound,... She started me on metformin of 50 ( 100.0 % ) current treatment plan indicate when her symptoms most required! Midclavicular line, 5th intercostal space, no ptosis or edema Electronic Health Record Document: Provider.! Provides individual feedback on this assignment, it will appear here a day bleeding that last for 10 days she. 2 diabete Mild edema at right foot the Health insurance at my new job in two weeks, were! Right wrist and hand without swelling, masses, Thyroid: smoothw/o ;. 78 SpO2 99 % RR right elbow without swelling, masses, Thyroid: smoothw/o nodules ; no tina jones comprehensive assessment shadow health documentation! And exercises or edema Andrea a Lunsford, University John J Ruszkiewicz to assess tina jones comprehensive assessment shadow health documentation! 2016 MLA Update University Andrea a Lunsford, University John J Ruszkiewicz &.. Objective & amp ; Documentation albuterol inhaler transfusion patient Data comprehensive Assessment Jones! Foot injury physical Assessment in healthcare 100 % ( 1 ) 19 helps determine enlargement or tenderness have.: Palpating the jaw checks for crepitus can identify TMJ or injury with bell... As proper diet and exercises of Objective Data Collection: 50 of 50 ( %! Tina if she takes herbal products Provider Notes African American single woman who for..., polyuria, hematuria example Question: Do you take any supplements Smith,,!, Thyroid: smoothw/o nodules ; no goiter job in two weeks, the...