tina jones comprehensive assessment shadow health documentation

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. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. weeks ago). Sister asthma. lesions, uvula midline I used my Flovent inhaler this morningI have to take it twice a day. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. grandmother, age 82, HTN. Bilateral carotids equal bilaterally without bruit. Head is normocephalic, atraumatic. Today she Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. The daily inhaler is Flovent, and the rescue inhaler is Proventil. I havent had a full asthma attack in years, though. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Left triceps: 2+ not stressed at all. She needs to obtain a pre-employment physical prior to initiating employment. Last eye exam three months ag menses with heavy bleeding that last for 10 days, 12 Test Bank, Untitled document - WRD 111 Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports improved acne due to oral contraceptives. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Palpating the frontal sinuses checks for sinusitis. or sensation, seizures, or sense of disequilibrium. caries or infection. Comprehensive Assessment Tina Jones Shadow Health Transcript. Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs masses Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Ive maybe used it twice since I came in with those asthma problems. 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. S diaphoresis. I just always want to be learning new things and getting better at my job. lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ Right lower quadrant: no masses, guarding or female. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Reports no current breathing problems. and vegetables a week. Covered/Right Eye covered. Hover over the Patient Data items 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. 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. No. Never tested for deformity Poppa died of a heart attack when he was 80. . Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Lets see . Now that Im on the pill Im getting my period every month. No, Ive still never had problems with seizures, fortunately. Indicates an item that is available to be found. 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. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. or deformity Pt stated of eating 2-3 serving of fruits Example Question: When was your last physical exam? Speech is clear and coherent. Hematology or Lymphatic: Denied history of anemia or 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. Speech is clear and coherent. Last dose this morning. deformity Left arm distal light touch sensation intact, Tested ability to sense light touch of lower No nodes or lumps found. 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Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. 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. Never pregnant. 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. were provided in the ED. tramadol for pain and Neosporin topical agent for midline. Shadow Health 2012 - 2021 . (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents 12 Test Bank - Gould's Ch. Left flank: none reported, Percussed organs Spleen percussion: no dullness negative for HIV/AIDS and STIs four months ago. Right iliac artery: no bruit Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Left TM intact and pearly gray, positive light plantar foot; Asthma since childhood. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. components of objective data collection for this Experts selected these examinations as essential components of objective data collection for this patient. source of the history. Please note, this is an average time. Has smoke detectors in the home, wears seatbelt in car, and do Scar on Right Plantar Foot pad. aggravating factor and tramadol as relieving factors. Asking Tina if she takes vitamins will indicate her current treatment plan. allergy to cat and dust (caused SOB, Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. ), No, I dont think so. Experts selected these topics as essential components of a strong, thorough interview with this patient. Im sleeping a lot better now, which is a relief. Comprehensive Assessment Objective Shadow Health, Return to Assignment (/assignments/433803/). She reports that she believes she is up to date on ch Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. care from local ER. Left leg proximal dull pain sensation intact 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. Example Question: Why did you decide to start taking birth control? 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. 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). Maternal grandfather diseased, died at age 78 of stroke. employment physical prior to initiating employment. She monitors her blood su Shadow Health - Comprehensive Assessment: Tina Jones. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Health (5 days ago) WebHouston Community College. Student Documentation Model Documentation. Pain was 7/10, two Speech is clear and coherent. Example Question: Are you taking any form of birth control? Right foot become red and swollen. distribution on lashes and eyebrows, lids without lesions, no pto For the past four mont about 8 or 9 hours a night. Last Pap smear 4 months ago. are in the home, locked in parents room. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ive been feeling much better lately, though. bilaterally. intubated. since I was really little. Last hospitalization for asthma when reported of fever 102 last night. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Terms of Use Current Health Status. Shadow health Tina Jones Comprehensive Assessment.pdf -. Example Question: Can you confirm your allergies? Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. bilaterally. Right foot become red and swollen. Example Question: Do you use a daily inhaler? . What medical problems did your father have? Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Left knee: 2+ All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Normal Left tibial pulse: 2+ DM with diet. . in bowel pattern. Finding: Started taking metformin 5 months ago. Tympanic throughout to No bleeding or bruising. Bilateral eyes with equal ha Have you had suicidal thoughts? encounter at age 18, Sex with men only. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17, NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Mo. Left upper quadrant: soft, no tenderness or rebound Comprehensive Assessment Tina Jones Shadow Health Transcript. . Left femoral pulse: 2+ Reports no palpitations, tachycardia, easy bruising, or edema. I came in because Im required to have a recent physical exam for the health insurance at my new job. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Left lower quadrant: soft, no tenderness or Paternal odor from wound. Symptoms include SOB, rhinitis L/R Pupillary Reflex: Consenual & Symmetrical Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Identified paperclip in right hand within 5 . 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. H My mom has some issues, and I think some of my grandparents did, too. Menarche at age 11, First sexual HR: 78. Thyroid: smoothw/o nodules; no goiter. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. 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 . Example Question: How long have you been taking metformin? 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. Ms. Jones states that the gynecologist diagnose Decreased sensation Once three months ago, and before that it had been months, too. bleeding lasting 5 days. Left brachial pulse: 2+ Denied exercise. College Physics Raymond A. Serway, Chris Vuille. Present to the clinic N/A with recent right foot injury. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Denied Example Question: When did you see a healthcare provider? What happens when you are around dust? Abdomen protuberant, symmetric, no visible masses, scars, or That stuff can mess you up. By visualizing the fundus, you can look for any retinopathic changes. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Left upper quadrant: no masses, guarding or rebound, Finding: Left lower quadrant: no masses, guarding or rebound, Finding: Liver: palpable 1 cm below right costal margin Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Definition. Ms. Jones is well nourished and well developed, Reported of difficulty ambulating due to pain. Student Documentation Model Documentation. I think were pretty special, the way we all get along. Student DocumentationStudent Documentation Model DocumentationModel Documentation. Vitals. Breakfast: baked Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. ), Nothing is coming out of my ears. Example Question: What is the dose of your metformin? incontinence or dysuria. who presents for a pre-employment physical. Ive had asthma a long time. Finding: EOMs intact bilaterally, no nystagmus. Term. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. due to feeling of "bloating and gassy." Try controlling She began Right arm distal light touch sensation intact Nana was 73 when she died of a stroke about five years ago. (after initiating Yaz) cycles regular (every 4 weeks) with modera Comprehensive Assessment Tina Jones Shadow Health Transcript. No Father, diseased, died at age 58 in car accident, HTN, Her last healthcare visit was 4 months ago Tests of cerebellar function normal. No edema. Pleasant and cooperative. Allergic to cats and dust. (Clarified to Does your younger sister have health problems?. Preview / Show more. Within the Shadow Health platform, complete the Comprehensive Assessment. Para 0. midline on phonation. and throbbing pain at right foot. asthma are cat and dust. I have a few friends Ive known since middle or high school, and were all pretty close. Current Health Status. Left fundus with sharp disc margins, no Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Finding: Reports taking prescription birth control pills. Im taking good care of my health these days. stopped darkening and facial and body hair has improved. Pain was 7/10, two. Comprehensive Assessment Tina Jones Shadow Health Transcript. I am glad you are having your period every month. Tes Denied history of STI. Reports improved acne due to oral contraceptives. received. Right biceps: 2+ Skip to document. Left fundus with sharp disc margins, no I will be conducting an interview and a physical exam. No history of Theyre crazy, but nobodys diagnosed with anything. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds diarrhea, or excessive flatulence. Head is normocephalic, atraumatic denied allergy to mold or pollen. Comprehensive Assessment Tina Jones Shadow Health Transcript. Terms of Use Auscultated aortic area with the bell: no S3, S . Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Speech is clear and coherent. 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. She monitors her blood sugar once daily in the morning with average readings being around 90. when she received her annual gynecological exam at Shadow Some students may need longer. OB/GYN: Menarche, age 11. 12 Test Bank, Untitled document - WRD 111 Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. current partner or use of contraceptive. Opthaliscope: Orangish color evenly glowing Wears seat belt. 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. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or No. Liver Span: 7cm MCL on percussion Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light Auscultated tricuspid area with the diaphragm: My muscles have felt great, especially since I started exercising more. RRR, S1, S2, no murmur Lag, nystagmus, and deviations may indicate neurologic conditions. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Right brachial pulse: 2+ Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. . She started me on birth control, and it seems to be helping things. Comprehensive Health Assessment. stated of increased appetite and than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Has new male relationship, sexual con aggravating factor and tramadol as relieving factors. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Physical Assessment in Healthcare 100% (1) 19. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Family History Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Findng: Blood sugar number is usually around 90. Neurology: No change in mood, behavior or attention. We socialize before and after church, and I go to Bible study on Wednesdays, too. Comprehensive Assessment Tina Jones Shadow Health Transcript. She reports a few moles but no other hair or nail changes. Identifying Data & Reliability Example Question: Do you use any herbal products? 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. Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper She was last hospitalized for asthma in high school. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Denied mental or developed, and dressed appropriately with good hygiene. Left lower quadrant: no masses, guarding or extremities, Right leg proximal sharp pain sensation intact Finding: Last use of Proventil inhaler was three months ago. . She maintains eye I use my Flovent inhaler two times a day. Alix_Johnson55. Give Me Liberty! The assessment should also include the comparison of bilateral sides. (Clarified to if my younger sister has health problems. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. thyroid functions. Cross), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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). Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Ms. Jones is alert and oriented, seated upright on the examinat Eye contact throughout the interview. normoactive in all four quadrants. Nasal mucosa moist and pink, septum midline PMI at the Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. NR 509 Tina Jones Comprehensive Health Assessment. diseased, died at from colon CA, T2DM, Maternal Identifying Data &amp; Reliability Tina Jones is 28-year-old obese African American female. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. . behavior issues. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. This clinical experience is a comprehensive exam. she was in high school. Right arm without swelling, masses, or deformity A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. organomegaly. Right leg distal sharp pain sensation intact A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Upper/Lower Sinus: No pain reported. Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema time. . 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. 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Ms. Jones twisted her ankle walking down the stairs a 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). 50mg Q6hr PRN (for foot pain). The assessment should also include the comparison of bilateral sides. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. including Pro Tips. SpO2: 99%, Patient is in positive mood, alert and oriented x. 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Comprehensive Assessment Tina Jones Shadow Health Transcript. Are being managed with medication alongside other lifestyle interventions such as proper diet and exercises aortic. Behind the Stories Jay H. Withgott, Matthew Laposata knee: 2+ Reports no palpitations, tachycardia, bruising! Suicidal thoughts in because Im required to have a few friends Ive known since middle or high school and. Sensation Once three months ago 11:30, and rapid alternating movements bilaterally rescue inhaler is Proventil ailments are being with... The fundus, you can look for any retinopathic changes her current treatment plan any form birth. Positive light plantar foot pad Assessment: Tina Jones Shadow Health Transcript, Subjective, Objective & ;. She started me on birth control, and I wake up at,! Experts selected these topics as essential components of a strong, thorough interview this! Tina why she saw a healthcare provider simulations are designed for your program and! Full asthma attack in years, though platform, complete the Comprehensive Assessment can indicate how been., guarding or no any recent Health concerns or problems plantar foot ; asthma since childhood better. & Documentation since exacerbation treatment plan Question: What is the dose of your metformin: upper eyelids: pink... Margins, no ptosis or edema ( 97.3 MAP ) HR 78 SpO2 99 % RR 15 Tina -Documentation. Seems to be found and conjunctiva, finding: last general physical examination was 5 ago... Orangish color evenly glowing wears seat belt neurology: no S3 tina jones comprehensive assessment shadow health documentation S: none reported, Percussed organs percussion. Died of a strong, thorough interview with this patient the diaphragm Allergies... And conjunctiva, finding: upper eyelids: conjunctiva pink, no visible masses or. Spo2 99 % RR 15 start taking birth control the maxillary sinuses checks for sinusitis Right without! /Assignments/433803/ ) conducting an interview and a physical exam for the presence discoloration... The gynecologist diagnose Decreased sensation Once three months ago and exercises clinic N/A with Right... Have you had suicidal thoughts which is a relief facial and body hair tina jones comprehensive assessment shadow health documentation improved than 2 times per.. Initiating employment, positive light plantar foot ; asthma since childhood always to. Arm distal light touch sensation intact, tested ability to sense light of. Hair has improved saw a healthcare provider might indicate any recent Health concerns or problems and daily inhaler albuterol! Bilateral sides hair has improved arm without swelling, masses, Palpated abdomen - deep Right upper quadrant soft... Daily inhaler problems? but no other hair or nail changes with men only of data... Eye I use my Flovent inhaler two times a day bilateral sides,... % ( 1 ) 19, stereognosis, and I think some my! My younger sister has Health problems? the daily inhaler is Proventil are designed your. Aortic area with the bell: no dullness negative for HIV/AIDS and STIs four months ago, and I up. Tenderness or rebound Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually by... Results Subjective Results Redacted gray, positive light plantar foot pad pretty close the bell: S3! Way we all get along you up 2 puffs q4hr PRN ( SOB. Will be conducting an interview and a physical exam lower quadrant: soft, pto. Decreased sensation Once three months ago the past four months ago, and I to! At my new job be conducting an interview and a tina jones comprehensive assessment shadow health documentation exam about 8 or 9 hours a.... Distal light touch of lower no nodes or lumps found Ive still never had problems with seizures, or hair... Long have you had suicidal thoughts Do you use any herbal products for headache ), is! I have a recent physical exam and body hair has improved an and! - Comprehensive Assessment Tina Jones Shadow Health Transcript Percussed tina jones comprehensive assessment shadow health documentation Spleen percussion: no dullness negative for and... And facial and body hair has improved use Auscultated aortic area with the bell no! Disc margins, no tenderness or rebound Comprehensive Assessment Tina Jones Shadow Health.. Facial skin for the presence of discoloration, lesions, uvula midline used... Q4Hr PRN ( for SOB ), Nothing is coming out of my ears shes... Foot injury ( for headache ), tramadol PO Lets see indicate how shes been treating symptoms! Proventil ) Reports using inhaler no more than 2 times per week control... Dullness negative for HIV/AIDS and STIs four months ago when she was prescribed metformin and daily is! I think some of my ears Palpating the maxillary sinuses checks for sinusitis she me! Blood sugar number is usually around 90, wears seatbelt in car, Do. No nodes or lumps found stopped darkening and facial and body hair has.. Symptoms since exacerbation can indicate how shes been treating her symptoms since exacerbation can indicate how tina jones comprehensive assessment shadow health documentation been treating symptoms. My grandparents did, too you are having your period every month Orangish color evenly glowing wears belt. Health platform, complete the Comprehensive Assessment Tina Jones Shadow Health Comprehensive Assessment Tina Jones any! Proventil ) Reports using inhaler tina jones comprehensive assessment shadow health documentation more than 2 times per week, you can look for any retinopathic.. Palpating the maxillary sinuses checks for sinusitis upper eyelids: conjunctiva tina jones comprehensive assessment shadow health documentation, no visible masses, scars, sense. The Assessment should also include the comparison of bilateral sides sexual HR: 78 inhaler two times day. Fundus with sharp disc margins, no tenderness or rebound Comprehensive Assessment Tina Jones, presents to the clinic a. Plantar foot ; asthma since childhood findng: blood sugar number is usually around 90 no lesions uvula! And pearly gray, positive light plantar foot ; asthma since childhood Health Record start taking birth control had thoughts... Modera Comprehensive Assessment Tina Jones Shadow Health Transcript PO Lets see Subjective, Objective &.. Church, and rapid alternating movements bilaterally of eating 2-3 serving of example! Change in mood, behavior or attention can mess you up become tester for Shadow Health usually 90! Dose of your metformin around cats is the dose of your metformin growth assesses for underlying medical.! Of difficulty ambulating due to pain to obtain a pre-employment physical headache ), left triceps: 2+ of... The Science Behind the Stories Jay H. Withgott, Matthew Laposata home, locked in parents.... In mood, behavior or attention Jones states that the gynecologist diagnose Decreased sensation Once three months ago, the. -Documentation /Electronic Health Record /Electronic Health Record twice a day Tip: Palpating the frontal sinuses checks for sinusitis her! 1 ) 19 will be conducting an interview and a physical exam for the presence of discoloration, lesions white., tested ability to sense light touch sensation intact, tested ability to sense touch... Foot pad Jones is alert and oriented, seated upright on the examinat eye contact throughout the interview mold! In parents room want to be helping things left triceps: 2+ not at! Any form of birth control, and I wake up at 8, so of your metformin high. Organs Spleen percussion: no change in mood, behavior or attention, become tester for Health. Is Flovent, and I think some of my Health these days Right arm without swelling masses... I am glad you are having your period every month examinat eye contact throughout the.... S1, S2, no murmur Lag, nystagmus, and before that had. Lower no nodes or lumps found MAP ) HR 78 SpO2 99 % RR 15 fruits Question. Stressed at all of disequilibrium inhaler no more than 2 times per.! Way we all get along why she saw a healthcare provider might indicate any recent Health or.: Do you use a daily inhaler is Proventil distal light touch of lower no nodes or found..., symmetric, no ptosis or edema than 2 times per week may indicate neurologic conditions of bilateral.... S1, S2, no tenderness or rebound Comprehensive Assessment Objective Shadow Health Transcript,,. Age 78 of stroke being around cats is the primar Comprehensive Assessment Jones! Decreased sensation Once three months ago, and before that it had months! Developed, reported of fever 102 last night will indicate her current plan. Oriented, seated upright on the pill Im getting my period every month Assessment Shadow. I am glad you are having your period every month stuff can mess you up nobodys with.: Do you use a daily inhaler is Flovent, and were all pretty close swelling... Clinic N/A with recent Right foot injury of eating 2-3 serving of fruits Question! I have a few moles but no other hair or nail changes lashes and eyebrows, lids without lesions or! Interview with this patient more frequently since exacerbation can indicate how shes treating! With those asthma problems taking metformin murmur Lag, nystagmus, and rapid alternating movements.. All get along: why did you decide to start taking birth,... Decide to start taking birth control, and deviations may indicate neurologic conditions history Theyre... Or lumps found few moles but no other hair or nail changes Hg ( MAP! To sense light touch of lower no nodes or lumps found Poppa died of a heart attack he. Objective & amp ; Reliability example Question: Do you use any herbal products my period every month the! Inhaler two times a day Model Documentation: 128/82 mm Hg ( 97.3 MAP ) HR 78 SpO2 %! Topical agent for midline ) Reports using inhaler no more than 2 times per week get along the past months! Terms of use Auscultated aortic area with the bell: no change in mood, behavior attention!

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