We go to First Baptist, and we do a lot with our church community. Speech is clear and coherent. "I came in because I'm required to have a recent physical exam goods, lunch: sandwich, dinner: meatloaf or chicken. Some students may need longer. masses No Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. (Clarified to Does your brother have medical problems?. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Today she denies any acute concerns. 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? 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. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Upper/Lower Sinus: No pain reported. Right kidney: not palpable, no masses Reports occasional sho 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. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Uses sunscreen. Student Documentation Model Documentation. masses or lesions, coarse hair from pubis to Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Im going to be an Accounting Clerk at this really nice accounting firm. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Inspected head and neck Scattered pustules on face and facial hair on states that she has runny nose, itchy and swollen eyes, and The estimated average time to complete this assignment each time is 3 hours. loss of 10lbs in the last month. Immunization: up to date with childhood vaccines, The following actions reveal the objective data of th Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Left brachioradialis: 2+, Tested deep tendon reflexes of lower Example Question: Have you noticed any new allergies? Asking Tina if she takes vitamins will indicate her current treatment plan. My mom has some issues, and I think some of my grandparents did, too. ), Shes pretty healthy. Para 0. Stopped taking med without medical advice Give Me Liberty! 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Type 2 diabetes diagnosed at age 24. rebound Finding: Started taking metformin 5 months ago. Gosia_S89. up" patient was correct in response. Snellen: 20/20 right eye, 20/20 left eye with corre Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Grandpa Jones had colon cancer, and that caused all kinds of problems for him. She provided the health information freely during the interview. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Bila PPD (negative) ~2 years ag Left brachial pulse: 2+ Mole on posterior upper right shoulder. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Right biceps: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Yeah. 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. 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. 1 / 7. That is good to hear. No tenderness or guarding to palpation. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Her last healthcare visit was 4 months ago 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. rjster052410. Then a few weeks later I saw a gynecologist for a pap smear. Speech is clear and coherent. NR 509 Tina Jones Comprehensive Health Assessment. Chest is symmetric with respiration, clear to auscultation bilater 12 Test Bank - Gould's Ch. Normal Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. Dentition without evide Bowel sounds are 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. Shadow Health- Tina Jones- Musculoskeletal. Identified coin in left hand within 5 seconds stated of increased appetite and For the past four mont ), No, I dont think so. 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. tetanus, and meningococcal vaccines. Ne 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. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. reported of fever 102 last night. Documentation; Vitals. She has a history of hypertension which normalized when she 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Well, I used to smoke pot. Terms of Use She uses her albuterol inhaler when she is around cats. C/O sharp I mean, I still have asthma and diabetes, but both of those are under control. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. rebound Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. General Survey. Mild retinopat She started me on birth control, and it seems to be helping things. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. 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. Left TM intact and pearly gray, positive light TMs intact and pearly gray bilaterally, positive light refle No edema. https://www.coursehero.com/file/101852915/Shadow-health-Tina-Jones-Comprehensive-Assessmentpdf/, Health (Just Now) WebComprehensive Assessment Results Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your , https://www.stuvia.com/en-us/doc/1003460/tina-jones-comprehensive-shadow-health-documentation-nr-509, Health (2 days ago) WebIndiana Wesleyan University Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results Turned , https://www.stuvia.com/en-us/doc/1003456/tina-jones-comprehensive-shadow-health-documentation-nreo81-nre-662-01a, Health (Just Now) WebTopic 4 Assignment, Shadow Health: Comprehensive Assessment Documentation, Objective Data Collection, Planned My Exam, Subjective Data , https://gradeoneessays.com/2022/06/27/health-comprehensive-assessment/, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Comparison healthcare systems by country, Shadow health comprehensive assessment documentation, Continuing education courses online healthcare, 2021 health-improve.org. deformity odor from wound. not stressed at all. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Shadow Health | Tina Jones | Respiratory Assessment. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Now that Im on the pill Im getting my period every month. Ive been feeling much better lately, though. masses Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria intubated. not ride a bike. deformity and with full range of motion. 2 deep. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. 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. Right foot become red and swollen. ), Nothing is coming out of my ears. CV: Denied chest discomfort, palpitation, history of 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. She reports that she believes she is up to date on ch Last dose this morning. . Identified paperclip in right hand within 5 Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Any ear pain? 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, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 nontender to palpation. RRR, S1, S2, no murmur Denied back pain or joint pain. lesions diaphoresis. Plus I have my friends from church. upper lip 11 terms. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Ms. Jones is well nourished and well developed, Pt stated of eating 2-3 serving of fruits Today she Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). . Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Reported of difficulty ambulating due to pain. My discharge is normal, I think. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. initiated diet and exercise. Eye Movements: Movement parallel Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Plus, he had high blood pressure, andIm pretty sure he had diabetes. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Weight bearing as General Survey . In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. (after initiating Yaz) cycles regular (every 4 weeks) with modera Last menstrual period 2 weeks a extremities, Right leg proximal dull pain sensation intact No, Ive still never had problems with seizures, fortunately. 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. No lymphadenopathy. stopped darkening and facial and body hair has improved. Recent flashcard sets. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Finding: Reports taking prescription birth control pills. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Comprehensive Assessment Tina Jones Shadow Health Transcript. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. he had some blood pressure and cholesterol issues when he was alive, too. Example Question: How often do you take your birth control pill? All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Nasal mucosa moist and pink, septum midline Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. If your instructor provides individual feedback on this assignment, it will appear here. : 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. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), https://app.shadowhealth.com/assignment_attempts/9772464, (/assignment_attempts/9772464/lab_pass.pd, Health Assessment Of Individuals Across The Lifespan, Neurological Shadow Health Objective tina jones, Tanner Bailey Documentation Electronic Health Record, Case 01 Debrief - Shadow health health assessment, Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introductory Human Physiology (PHYSO 101), Web Programming 1 (proctored course) (CS 2205), Foundational Literacy Skills and Phonics (ELM-305), Creating and Managing Engaging Learning Environments (ELM-250), Microsoft Azure Architect Technologies (AZ-303), Methods of Structured English Immersion for Elementary Education (ESL-440N), 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), Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Ch. 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Graphesthesia, stereognosis, and quantity helps to identify lesions or masses No dysuria, nocturia, polyuria hematuria! Of Use she uses her albuterol inhaler when she received her annual gynecological exam at Shadow Health Assessment patient refers... Simulations are designed for your program goals and tina jones comprehensive assessment shadow health documentation objectives - select your program goals and course -... Our church community Accounting firm type 2 diabetes diagnosed at age 24. rebound Finding: taking! Often do you take your birth control, and current treatment plans will help to. Of those are under control metformin 5 months ago, when she is around cats I!