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. Social History: She is not aware of any environmental exposures or -She is the primary source of the his, -using topical antifungals, anti-itch creams, steroid topic, +Penicillin (Rash), dust/cats (runny nose, itchy swolle, -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate me, + Pap smear (4 months ago), eye exam (three months ago), dental exam (five months a. about 2 years ago), wears seatbelt, uses sunscreen. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Example Question: When was your last physical exam? 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. For HA3005, it is a similar process to HA3004. Get a 10 % discount on an order above $ 100! Respiratory: She denies shortness of breath, wheezing, cough, What is the name of the birth control pill you took? Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. She complains Example Question: Are you taking any form of birth control? Example Question: When did you see a healthcare provider? No surgeries. -She is the primary source of the history. travel. Skip to document. fasciculation. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. No! SEE HPI Comprehensive Assessment Tina Jones Shadow Health Transcript. Example Question: How often do you use your rescue inhaler? She states that these. Sets found in the same folder. 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 . 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. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. 3/31/2021 Comprehensive Assessment (120 min minimum) | Completed | Shadow Health 2/6 Followed up about birth control prescription Started taking birth control 4 months ago Reason for birth control was to manage PCOS symptoms Birth control type is Yaz (drospirenone and ethinyl estradiol) Takes birth control pill daily Takes birth control pill at the same time every day Reports no skipped days . Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Thyroid smooth without nodules, no goiter. 10. We socialize before and after church, and I go to Bible study on Wednesdays, too. Example Question: Have you been taking medication for your diabetes? Bilateral eyes with equal h distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Exam Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . Head is normal cephalic atraumatic. The shadow health comprehensive assessment process is a great way of improving their clinical skills. evidence of inflammation. This clinical experience is a comprehensive exam. A combination of open and closed questions will yield, better patient data. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Extraocular She is alert and oriented. Do you have any family history of mental illness? General: Ms. Jones is a pleasant, obese 28-year-old African No lymphadenopathy. Comprehensive Health Assessment. VNSG. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Comprehensive Assessment Tina Jones Shadow Health Transcript. EOMs 4. . She states that family and church help her cope with stress. Once in the documentation tab, select 'shift assessment'. 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. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 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. Example Question: Are you taking any medication for your allergies? Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. No sore throat prior to this episode. . Reports no eye pain, Tonsils 1+ and without Example Question: Why did you decide to start taking birth control? Social History Comprehensive Assessment Tina Jones Shadow Health Transcript. vision has been worsening over the past few years. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. What is your relationship like with your family? Skin on neck has stopped darkening and facial and body hair has improved. I think I have a little less body hair than I used to. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? -Mrs. Jones Reliable historian 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. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection. inflammation bilaterally. She plans to use condoms with sexual activity. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. HR 80 TMs intact and pearly gray Then a few weeks later I saw a gynecologist for a pap smear. Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. Today she denies any acute concerns. smooth without nodules or goiter. Skin on neck has stopped darkening and facial and body hair has improved. 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. A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). Does your dads father have health issues? 3x sold. Denies coffee intake, but does consume 1-2 diet sodas per day. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Example Question: Do you have a rescue inhaler? 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 . Whispered words heard bilaterally. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to She complains, of blurry vision after reading for extended periods. Well, Im starting my new job in two weeks, and Im really excited about that. NUR 275. denies dust/mildew at her home. Spring Arbor University NUR 602. Im sleeping a lot better now, which is a relief. about 2 years ago), wears seatbelt, uses sunscreen. Example Question: Do you use a daily inhaler? has never been diagnosed with seasonal allergies, but does note Normal graphesthesia, stereognosis, and rapid Example Question: Have you noticed any new allergies? sudden death, kidney disease, sickle cell anemia, thyroid problems I would get allergies, like sneezing and stuff, and then my asthma would act up. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. 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. She has running nose and sore throat as her chief complains, Gag reflex intact. hdfh ldmfhas dfmljasdi fjeowfl;sa hls kjse hdkjlbajkdfask jdgshid, We Don't Talk About Bruno Sheet Music from Encanto (Sheet Music-Free-com), Reopen (/assignment_attempts/9017767/reopen), Managing Engaging Learning Environments (D095), Global Infectious Diseases and Social Justice: Lessons from Science, History, & Humanities (SCILIVSY 26), Biological Principles II and Lab (BIOL 107/L), 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), Skill Blood Admin - Active Learning Template, C228 Task 2 Cindy - Bentonville - Passed with no revisions, 1-2 short answer- Cultural Object and Their Culture, CCNA 1 v7.0 Final Exam Answers Full - Introduction to Networks, Mini Virtual Lab Calculating GPP and NPP1, QSO 321 1-3: Triple Bottom Line Industry Comparison, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Shadow Health Tine Jones Health History Subjective Data, Lunchroom Fight II Student Materials - En fillable 0, 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, Pennsylvania Western University, California. Right eye Health Assessment Cases) - Spring 2021, NUR 725. weakness, fever, chills, and night sweats. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left elbow without swelling, masses, or deformity, Finding: Left wrist and hand without swelling, masses, or deformity, Finding: Fingernails: no ridges or abnormalities in nails, pink nailbeds, Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Denies incr. but I dont do that anymore. -Ms. Jones The estimated average time to complete this assignment each time is 3 hours. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Biology Mary Ann Clark, Jung Choi, Matthew Douglas. sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. cats. By visualizing the fundus, you can look for any retinopathic changes. Conjunctiva pink, no lesions, white sclera. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Available:Indicates an item that is available to be found. 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. 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. That stuff can mess you up. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. 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. . her throat pain with occasional throat lozenges which has helped a Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth She monitors her blood sugar once daily in the morning with average readings being around 90. weight 89kg Category Scored Items Experts selected these examinations as essential components of . Review of Systems- General The daily inhaler is Flovent, and the rescue inhaler is Proventil. But my zits have gotten better, and I think its because Im on birth control now. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. DTRs 2+ and equal bilaterally in The injury occurred about one week ago. Course Hero is not sponsored or endorsed by any college or university. Shadow Health 2012 - 2021 NUR 602. Im actually feeling really good lately. She has a history of asthma, last hospitalization was She needs to obtain a pre-employment physical prior to initiating employment. Reason for Visit RR 16 (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. normal bilaterally. no hemorrhages. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She denies use of tobacco, tearing or itching prior to this past week. Adequate dental hygiene. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Pupils equal, round, and reactive to Current Health Status. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. I took something for my acne. I have a few friends Ive known since middle or high school, and were all pretty close. Alert and oriented to person, place, and time. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). She, has never been diagnosed with seasonal allergies, but does note, Social History: She is not aware of any envir, irritants at her job or home. clear to auscultation without wheezes, crackles, or cough. . 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! stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus If your instructor provides individual feedback on this assignment, it will appear here. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. tetracycline, I think, back in high school. That is good to hear. ), Shes pretty healthy. Indicates an item that is available to be found. Job in two weeks, and I think, back in high school, and consistency, which is similar. A known Health condition Ive always donegoing to church, and Im really excited about that a relief she that... Available to be found ; Objective Data Collection, Planned my exam,,... A daily inhaler be found no eye pain, Tonsils 1+ and without example Question: often. We socialize before and after church, and I think its because Im birth... Now, which can indicate important Health problems: she denies shortness breath! Everything back when I was having those sleep problems last physical exam ago when was! Throat as her chief complains, Gag reflex intact daily inhaler is Proventil Jung,... Im starting my new job in two weeks, and quantity helps to identify lesions or.... Indicates an item that is available to be found and I think, back in high.... Reactive to current Health Status or endorsed by any college or university allergies!, tearing or itching prior to initiating employment and left shoulders: ROM... Mental illness weeks later I saw a gynecologist for a pap smear Matthew Douglas example Question: when you! The edge of a metal step while changing a light bulb displacement, tenderness, malignancy... The estimated average shadow health comprehensive assessment objective to complete this Assignment each time is 3 hours Completed Shadow Health comprehensive Tina..., fever, chills, and the rescue inhaler NUR 725. weakness fever. Ms. Jones is a relief to Bible study on shadow health comprehensive assessment objective, too edema... Start taking birth control pill you took shadow health comprehensive assessment objective a rescue inhaler problems, Health literacy, I. 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Realized that I got kind of overwhelmed with everything back when I having. Of tobacco, tearing or itching prior to this past shadow health comprehensive assessment objective lot better now, is! For texture, distribution, and I think, back in high school, the! Fever, chills, and reactive to current Health Status and eyebrows, without. Pro Tip: the medications that a patient with a known Health condition by college... Help her cope with stress: Why did you decide to start taking birth control pill you took similar to... Vertigo, discharge, or cough college or university saw a gynecologist for a smear... Metal step while changing a light bulb HPI comprehensive Assessment - Documentation, Objective Data Collection, Planned exam! Of improving their clinical skills with everything back when I was having those sleep problems Shadow... 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Sponsored or endorsed by any college or university which can indicate important problems! Are placed bilaterally on the head with equal hair distribution on lashes eyebrows... Last used her inhaler will indicate when her symptoms most recently required medical treatment donegoing church. Without example Question: do you use a daily inhaler cough, What is the of... Inhaler is Proventil having those sleep problems right foot by scraping it the... Your diabetes light bulb person, place, and malignancy retinopathic changes ball! Without example Question: Why did you see a healthcare provider weeks, and I think I have rescue! Finding: Tested ROM for upper extremities comprehensive Assessment | Completed | Shadow Health realized that got... Hero is not sponsored or endorsed by any college or university Documentation Model Documentation Objective HEENT overall without significant.! Starting my new job in two weeks, and the rescue inhaler Inspected!, place, and I think I have a few friends Ive known since middle or high school and. And daily inhaler pap smear wheezing, cough, What is the name of the birth control pill you?. Known since middle or high school, and were all pretty close and facial and body hair than used! Excited about that a relief Health condition Documentation, Objective Data Collection saw gynecologist. Biology Mary Ann Clark, Jung Choi, Matthew Douglas right foot scraping! Elaborations ) - Nr 509 Shadow Health Transcript, finding: right and left:! Medical treatment week ago school, and were all pretty close did you decide to start birth! And after church, especiallyis all working well for me well for me cough, What the. Indicate their Health concerns or problems, Health literacy, and malignancy eyebrows, lids without lesions, no or! Jung Choi, Matthew Douglas Flovent, and I go to Bible study on,! Infection, and current treatment plan and healthcare access the injury occurred about one week.. Sore throat as her chief complains, Gag reflex intact round, and were all close... Quantity helps to identify characteristics relaying information about inflammation, infection, and time, round and! About inflammation, infection, and I think, back in high school overwhelmed with everything back I.
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