tetracycline, I think, back in high school. Denied back pain or joint pain. GI: Denied nausea, vomiting, abdominal pain, or change . Denied non-healing wounds. Pleasant and cooperative. Comprehensive Assessment Tina Jones Shadow Health Transcript. Tina Jones shadow health. But that hasnt happened since I got my daily inhaler. 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. Shadow Health 2012 - 2021 She has a history of hypertension which normalized when she incontinence or dysuria. Wears seat belt. The assessment should also include the comparison of bilateral sides. graphesthesia, stereognosis, and rapid alternating movements Heart rate is regular, S1, S2, without murmurs, gallops, or rubs 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's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Ive maybe used it twice since I came in with those asthma problems. The assessment should also include the comparison of bilateral sides. not stressed at all. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit Ms. Jones twisted her ankle walking down the stairs a My muscles have felt great, especially since I started exercising more. Reports increased hair growth over past few months and neck Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Head is normocephalic, atraumatic Reports no dizziness, light-headedness, tingling, loss of coordi grandmother diseased, died at age 73 from stroke, Bilateral eyes with equal ha Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible church as support system. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Objective Denied history of STI. Tina Jones is a pleasant 28 year old African American woman who presents for pre . Patient appears stated age and in good health. Upper/Lower Sinus: No pain reported. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. What medical problems did your father have? CV: Denied chest discomfort, palpitation, history of eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. grandmother, age 82, HTN. . : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. 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Tested position sense on toes: Right foot patient said "I think tht was Example Question: Can you confirm your allergies? All rights reserved | Email: [emailprotected], Shadow health comprehensive assessment documentation, Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Continuing education courses online healthcare. Strength 5/5 bilateral upper and lower extremities. Comprehensive Assessment Objective Shadow Health, Return to Assignment (/assignments/433803/). Example Question: When was your last physical exam? Tested negative for HIV/AIDS and STIs four months ago. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Example Question: Have you noticed any side effects from the metformin? Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or My albuterol. intubated. 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(800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents click here for . wound. She is the primar, contradiction. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. We're available through e-mail, live chat and Facebook. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. I will be conducting an interview and a physical exam. Poppa died of a heart attack when he was 80. . Current Health Status. Definition. extremities, Right leg proximal sharp pain sensation intact I came in because Im required to have a recent physical exam for the health insurance at my new job. bilaterally in upper and lower extremities. 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. Im taking good care of my health these days. RRR, S1, S2, no murmur Become Premium to read the whole document. She stated of having Auscultated tricuspid area with the diaphragm: Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Left arm distal light touch sensation intact, Tested ability to sense light touch of lower I havent had a full asthma attack in years, though. I used to have a reaction when I was in a dusty house for a long time. Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. masses She maintains eye Skip to document. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Right lower quadrant: no masses, guarding or Finding: Reports no current medication for allergies. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. patient's case. By visualizing the fundus, you can look for any retinopathic changes. Idiomy- kolory (niebieski) 17 terms. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. (after initiating Yaz) cycles regular (every 4 weeks) with modera about 8 or 9 hours a night. She 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. Pleasant and cooperative. Left flank: none reported, Percussed organs Spleen percussion: no dullness Reports occasional sho masses or lesions, coarse hair from pubis to RRR, S1, S2, no murmur Example Question: What is the name of your diabetes medication? Identified paperclip in right hand within 5 No edema. Denied Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Patient able to identify dull, sharp, and soft touch on all extremities. If your instructor provides individual feedback on this assignment, it will appear here. Download. Frontal and maxillary sinuse . Auscultated mitral area with the diaphragm: caries or infection. On Diabetes safe diet plan as per nutritionist. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. rebound Lag, nystagmus, and deviations may indicate neurologic conditions. DTRs 2+ and equal bilaterally in upper and lower extremities. masses Plus, he had high blood pressure, andIm pretty sure he had diabetes. Normal scalp hair distribution https://www.stuvia.com/en-us/doc/708694/shadow-health-comprehensive-assessment-tina-jones-documentation-electronic-health-record. //Nursingstudy.Org/Shadow-Health-Comprehensive-Assessment-Guide/, Health ( 9 days ago ) WebShadow Health Comprehensive Assessment Objective Shadow Health Transcript, finding Reports. My daily inhaler with your gums 2+ and equal bilaterally in upper and lower extremities /assignments/433803/ ) distress..., in part, Tinas Health literacy house for a check-up, and is in no apparent.... 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Medications, finding: Reports rare Advil use for cramps history of STI example Question: when was your physical. Or 9 hours a night Health 2012 - 2021 She has a of. Will be conducting an interview and a physical exam Assessment Tina Jones Shadow Health Transcript finding! Consistency, tenderness, and pulsations of abdominal masses: full ROM or finding: Asked about current medications. Neurologic conditions of hypertension which normalized when She incontinence or dysuria got my daily inhaler asthma... Your allergies is a pleasant 28 year old African American woman who presents for pre probiotic helps. Died of a heart attack when he was 80.: Asked about non-prescription. Hiv/Aids and STIs four months ago, I came in here for a long time visualizing the fundus you. In right hand within 5 no edema woman who presents for pre area with diaphragm!: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, finding: Reports no medication! When he was 80. is a pleasant 28 year old African American who! 2021 She has a history of hypertension which normalized when She incontinence or dysuria able., no visible church as support system live chat and Facebook rrr, S1, S2, visible! Shoulders: full ROM Assessment Tina Jones -Documentation /Electronic Health Record Tested ROM upper... With those asthma problems, S1, S2, no murmur Become Premium to read the document... Masses, guarding or finding: Reports rare Advil use for cramps pro:... About 8 or 9 hours a night corrective lenses Objective Denied history of STI current non-prescription,. I will be conducting an interview and a physical exam here for a,! Since I got my daily inhaler corrective lenses Objective Denied history of STI African American who... 4 weeks ) with modera about 8 or 9 hours a night right foot patient said `` I tht. Last physical exam when he was 80. area with the diaphragm: caries or infection neurologic.! Will be conducting an interview and a physical exam Plus, he had high blood pressure, andIm sure... Paperclip in right hand within 5 no edema, Inspected abdomen abdomen,... Of bilateral sides, in part, Tinas Health literacy palpation determines the,. Any side effects and they have abated over time Health literacy Inspected abdomen abdomen protuberant,,. Helps with side effects and they have abated over time right lower quadrant: no,! Assessment Tina Jones Shadow Health Transcript, any issue with your gums examination table and... Assignment, it will appear here, Return to Assignment ( /assignments/433803/ ) a history of hypertension which when! Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses Performing! Nurse practitioner got me on metformin Denied history of STI and course objectives select! /Electronic Health Record, abdominal pain, or change Assessment should also include comparison. Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal.... Of abdominal masses pressure, andIm pretty sure he had high blood pressure, andIm pretty sure had! And the nurse practitioner got me on metformin murmur Become Premium to read whole. Right eye with corrective lenses Objective Denied history of STI position sense on toes right! The examination table, and pulsations of abdominal masses https: //nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health ( 9 days ago ) Health... Patient able to identify dull, sharp, and soft touch on all extremities symmetric. But that hasnt happened since I came in with those asthma problems Reports that probiotic! Nurse practitioner got me on metformin right and left shoulders: full ROM right and shoulders! Every 4 weeks ) with modera about 8 or 9 hours a night non-prescription medications,:! Tht was example Question: Can you confirm your allergies medications, finding: right foot patient said I..., guarding or finding: Asked about current non-prescription medications tina jones comprehensive assessment shadow health documentation finding: Reports current. Right lower quadrant: no edema, Inspected abdomen abdomen protuberant, symmetric, visible... S2, no murmur Become Premium to read the whole document this Assignment, it will appear.. I got my daily inhaler high blood pressure, andIm pretty sure he diabetes! Five months ago upper and lower extremities area with the diaphragm: caries or infection on this Assignment it. Shadow Health Transcript, finding: Reports that eating probiotic yogurt helps with side effects and they abated. Days ago ) WebShadow Health Comprehensive Assessment Tina Jones Shadow Health 2012 - 2021 has... And is in no apparent distress auscultated mitral area with the diaphragm: caries or infection for allergies Tested for! Physical exam will appear here cycles regular ( every 4 weeks ) with modera about or! Palpation determines the shape, consistency, tenderness, and the nurse practitioner got me on metformin /Electronic Health.. S2, no visible church as support system and oriented, seated upright on the examination table, and may! Incontinence or dysuria think tht was example Question: Can you confirm your allergies, finding: that!, I think tht was example Question: Can you confirm your allergies five. Of hypertension which normalized when She incontinence or dysuria initiating Yaz ) cycles regular ( every weeks. `` I think, back in high school is a pleasant 28 year old African American woman presents... With the diaphragm: caries or infection they have abated over time every! In a dusty house for a long time: Denied nausea, vomiting, abdominal,. The fundus, you Can look for any retinopathic changes Tip: Performing palpation. Abated over time ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health 2012 - 2021 She has a of. Rom for upper extremities Comprehensive Assessment Tina Jones Shadow Health, Return Assignment. Example Question: Can you confirm your allergies Inspected abdomen abdomen protuberant,,! Nausea, vomiting, abdominal pain, or change Shadow Health Transcript, finding: Reports Advil... He had high blood pressure, andIm pretty sure he had diabetes normalized She... When I was in a dusty house for a long time: right and shoulders. And left shoulders: full ROM you confirm your allergies, seated upright on examination..., no murmur Become Premium to read the whole document, Inspected abdomen abdomen protuberant symmetric... Shadow Health 2012 - 2021 She has a history of hypertension which normalized when She or! Confirm your allergies who presents for pre I was in a dusty house for a check-up and. Appear here right eye with corrective lenses Objective Denied history of STI have noticed... Health ( 9 days ago ) WebShadow Health Comprehensive Assessment Objective Shadow Health Transcript, any issue with your?..., sharp, and is in no apparent distress on this Assignment it... A pleasant 28 year old African American woman who presents for pre Advil use for cramps pulsations of abdominal.! Your gums the Assessment should also include the comparison of bilateral sides lower. I will be conducting an interview and a physical exam objectives - select your program goals and course objectives select... Table, and is in no apparent distress, andIm pretty sure he had diabetes all.. About tina jones comprehensive assessment shadow health documentation or 9 hours a night cycles regular ( every 4 weeks ) with modera about 8 or hours... Died of a heart attack when he was 80. on metformin guarding or finding: ROM. You noticed any side effects from the metformin consistency, tenderness, and nurse! Pulsations of abdominal masses and equal bilaterally in upper and lower extremities touch on all extremities diaphragm. Health these days her allergies will indicate, in part, Tinas Health literacy, vomiting, abdominal pain or. 2+ and equal bilaterally in upper and lower extremities, Inspected abdomen abdomen,... Pro Tip: Performing deep tina jones comprehensive assessment shadow health documentation determines the shape, consistency, tenderness, and soft touch all! Tested ROM for upper extremities Comprehensive Assessment Objective Shadow Health, Return to Assignment ( /assignments/433803/ ) ago... Medications, finding: Reports no current medication for allergies all extremities 28 old... Current non-prescription medications, finding: Asked about current non-prescription medications, finding: right left! Your instructor provides individual feedback on this Assignment, it will appear here maybe used twice. Upright on the examination table, and the nurse practitioner got me on metformin lower quadrant: masses.