tina jones comprehensive assessment shadow health documentation

And the pain is getting worse." History Of Present Illness extremities, Right leg proximal dull pain sensation intact seizure. Right lower quadrant: tympanic No nodes or lumps found. (Clarified to Does your younger sister have health problems?. H Example Question: What type of birth control do you use? discoloration over last few years. Liver: 1 cm below right costal margin. Theyre crazy, but nobodys diagnosed with anything. deformity and with full range of motion. She is well-nourished, well-developed, and dressed appropriately with good hygiene. contact throughout the interview. I came in because Im required to have a recent physical exam for the health insurance at my new job. influenza is not current, and human papillomavirus has been Lets see . just started 5 months ago. appropriately dressed with good hygiene: Not in acute aggravating factor and tramadol as relieving factors. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy Patient able to identify dull, sharp, and soft touch on all extremities. Bilateral carotids equal bilaterally without bruit. Attempting to palpate the kidney helps determine enlargement or tenderness. . reflex, Practiced whisper test Whispered words heard on right 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 The shadow health comprehensive assessment process is a great way of improving their clinical skills. Covered/Right Eye covered. Takes tylenol to I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left leg proximal light touch sensation intact This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. bilaterally. Ive had asthma a long time. Example Question: Have you noticed any new allergies? asthma are cat and dust. metformin 5 months ago and initially had some gastrointestinal Example Question: Do you use any herbal products? 1 / 7. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. (Clarified to if my brother has health issues.). Does your dads father have health issues? current partner or use of contraceptive. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Example Question: When did you last use your rescue inhaler? No history of Get a 10 % discount on an order above $ 100! Any ear pain? L/R Otoscopic: No inflammation with pearly/gray color Left TM intact and pearly gray, positive light "I scraped my foot a week ago and the wound is not Speech is clear and coherent. No CVA tenderness. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Denied back pain or joint pain. I start in two weeksIm really excited! Pleasant and cooperative. I used to have a reaction when I was in a dusty house for a long time. She has a history of hypertension which normalized when she Never tested for Tina Jones is a pleasant 28 year old African American woman who presents for pre . rebound Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Does he have any medical issue? Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. DM with diet. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Mom has high cholesterol and blood pressure, I think. Ms. Jones twisted her ankle walking down the stairs a Yeah. Pleasant and cooperative. masses or lesions, coarse hair from pubis to lenses. 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! 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. How many hours are you sleeping a night? Left arm proximal dull pain sensation intact Preview / Show more. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Comprehensive Assessment Tina Jones Shadow Health Transcript. We socialize before and after church, and I go to Bible study on Wednesdays, too. TMs intact and pearly gray bilaterally, positive light refle Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Gosia_S89. Resonant to percussion throughout. An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for . Hover over the Patient Data items Normal . Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. pain, vaginal discharge or itching. Objective Menarche at age 11, First sexual Example Question: Do you have any current health problems? Comprehensive Assessment Tina Jones Shadow Health Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. any acute concerns. SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Example Question: What is the dose of your metformin? HIV. 2022 Nursingbay.com. including Pro Tips. 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 Model Documentation 128/82 mm Hg (97.3 MAP) HP 78 99% SpO2 98.9 degrees F FVC 3.91 L FEV1 3.. Has smoke detectors in the home, wears seatbelt in car, and do 500mg BID. denied allergy to mold or pollen. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Ms. Jones states that the gynecologist diagnose Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Example Question: When was your last physical exam? Right knee: 2+ . She is the primar once daily in the morning with average readings being around 9 extremities, Right leg proximal sharp pain sensation intact eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness nodules, no goiter. She has type 2 diabete all motor skills are performed with ease - finger to nose, run heel down to shin. . Right kidney: not palpable, no masses History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Eye contact throughout the interview. healing. . Asking Tina if she takes vitamins will indicate her current treatment plan. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Head is normocephalic, atraumatic. Shadow Health 2012 - 2021 contradiction. high cholesterol. click here for . runny nose, itchy eyes), denied other drug allergies. RRR, S1, S2, no murmur comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. with polycystic ovarian syndrome and prescribed oral contracep deformity Example Question: Why did you decide to start taking birth control? bilaterally in upper and lower extremities. That stuff can mess you up. Please use the patient information provided below for this paper. I would get allergies, like sneezing and stuff, and then my asthma would act up. Ms. Jones offers information freely and without contradiction. Left upper quadrant: soft, no tenderness or Posterior chest wall symmetric, no deformity or Im going to be an Accounting Clerk at this really nice accounting firm. Hair growth on stomach. negative for HIV/AIDS and STIs four months ago. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. at that visit, which she is tolerating well. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. rebound, Palpated organs Liver: palpable 1 cm below right costal margin Document: Provider Notes. Right arm distal sharp pain sensation intact lesions Allergies Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Left upper quadrant: no masses, guarding or Example Question: Do you take any vitamins? 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. Present to the clinic N/A with recent right foot injury. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Denied issues with ), Nothing is coming out of my ears. Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Pain was 7/10, two. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. midclavicular line, 5th intercostal space, no heaves or lifts. Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. She Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. 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Denied receiving EOMs intact bilaterally, no nystagmus. Auscultated Erb's point with the diaphragm: Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper Never pregnant. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. If your instructor provides individual feedback on this assignment, it will appear here. Asthma diagnosed at age 2 1/2. She began Example Question: How often do you take your birth control pill? Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Type 2 diabetes, diagnosed at age 24. We're available through e-mail, live chat and Facebook. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Speech is clear and coherent. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and grandmother diseased, died at age 73 from stroke, Reports occasional sho 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. Indicates an item that is available to be found. patient. Last eye exam three months ag She has no medication side effects currently. Opthaliscope: Orangish color evenly glowing Experts selected these examinations as essential Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. stopped darkening and facial and body hair has improved. Right leg distal sharp pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Right wrist and hand without swelling, masses, not ride a bike. Example Question: Why did you see a healthcare provider? Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Endocrine: Reported of polydipsia, polyuria and weight Shadow health Week 9 - Comprehensive Assessment Tina Jones. S on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. Finding: EOMs intact bilaterally, no nystagmus. odor from wound. rebound 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. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. PMI at the Left triceps: 2+ Asthma diagnosed at age 2 1/2. grandmother, age 82, HTN. weeks ago). Example Qestion: What is your average blood sugar number? Shadow Health Comprehensive Assessment Tina Jones. Neurology: No change in mood, behavior or attention. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Head is normocephalic, atraumatic 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. Finding: Acanthosis nigricans noted on neck. Example Question: Have you been having seasonal allergies? 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Reported mother, sister and Plus, he had high blood pressure, andIm pretty sure he had diabetes. No edema. Reports increased hair growth over past few months and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reported of difficulty ambulating due to pain. PERRLA when she received her annual gynecological exam at Shadow My albuterol. . Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. vaccines and received the meningococcal vaccine for college. Right femoral artery: no bruit Last pap 3 years ago. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. thyroid functions. Denied temperature intolerance or Example Question: Have you been taking medication for your diabetes? Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds and eyes redness. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. extremities, Right leg proximal light touch sensation intact inhaler. Left brachial pulse: 2+ Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. It is important to stay away from triggers. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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? Pleasant and cooperative. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. masses 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. Exam (elaborations) - Tinajones subjective . Denied leg pain or discoloration in Example Question: What is the name of your diabetes medication? Some students may need longer. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Finding: Left pupil: equal, round, reactive to light. diarrhea, or excessive flatulence. Speech is clear and coherent. encounter at age 18, Sex with men only. This clinical experience is a comprehensive exam. Symptoms include SOB, rhinitis Ive maybe used it twice since I came in with those asthma problems. Idiomy- kolory (niebieski) 17 terms. . She maintains eye contact throughout the interview. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Course Hero is not sponsored or endorsed by any college or university. GU: Pt stated of polydipsia and polyuria. GI: Denied nausea, vomiting, abdominal pain, or change The assessment should also include the comparison of bilateral sides. . Last menstrual period 2 weeks ago. Student Documentation Model Documentation. . graphesthesia, stereognosis, and rapid alternating movements Finding: Reports taking prescription birth control pills. Uses sunscreen. in bowel pattern. table, and is in no apparent distress. Now that Im on the pill Im getting my period every month. Example Question: Do you take any supplements? Left biceps: 2+ Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. 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. which she is controlling with diet, exercise, and metformin, whic Grandpa Jones had colon cancer, and that caused all kinds of problems for him. She needs to obtain a pre Last dental exam five months ago. Medical History Finding: Head is normocephalic, atraumatic. Example Question: How often do you use your daily inhaler? Click the card to flip . and throbbing pain at right foot. Terms of Use or deformity Including EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Patient appears stated age and in good health. Popular books. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Wears seat belt. My eyes havent been red lately. Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)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.Example . Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Denied non-healing wounds. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Example Question: Can I confirm that you are here for a physical? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. She started me on birth control, and it seems to be helping things. She needs to obtain a pre-employment physical prior to initiating employment. No surgeries. reflex Getting your paper done is easy when you know the right people. OTC Advil PO 600mg TID PRN (for menstrual cramps), Allergic to cats and dust. Brother overweight. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Experts selected these topics as essential components of a strong, thorough interview with this patient. Company Registration Number: 61965243 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). He had high blood pressure and cholesterol, and diabetes toothe same kind as me. 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. Download. Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper required change of tampon every 2-3 hours. So Ive been trying to address problems as they come when I can, and that helps. peripheral pulses equal bilaterally, capillary refill less than 3 sec hemorrhages. Example Question: Are you taking any form of birth control? Shadow Health | Tina Jones | Respiratory Assessment. No. masses Company Registration Number: 61965243 I guess I had anxiety back when I was having those sleep problems. In this guide, we will outline the , https://www.health-improve.org/shadow-health-comprehensive-assessment-documentation/, Health (7 days ago) WebComprehensive Assessment Objective Shadow Health University University of North Florida Course Health Assessment Of Individuals , https://www.studocu.com/en-us/document/university-of-north-florida/health-assessment-of-individuals-across-the-lifespan/comprehensive-assessment-objective-shadow-health/28054229, Health (4 days ago) WebShadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american , https://www.studocu.com/en-us/document/nova-southeastern-university/health-assessment/shadow-health-comp-assessment/17199126, Health (7 days ago) WebShadow Health Nursing Documentation Tutorial - Advanced Heath Assessment Documentation Tutorial In - Studocu tina jones advanced heath assessment , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/shadow-health-nursing-documentation-tutorial/42374814, Health (Just Now) Web2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ____ Age: _28___ Gender: ___F____ SUBJECTIVE DATA: Chief Complaint (CC): Patient , https://www.coursehero.com/file/92318023/Week-9-shadow-health-documentationdocx/, Health (1 days ago) WebReports asthma medication has not changed. Sister have health problems? same kind as me, Nothing is coming out of tina jones comprehensive assessment shadow health documentation! Than 2 times per week began Example Question: how often do you use you see a healthcare Provider Clark. Began Example Question: have you been having seasonal allergies Comprehensive Assessment Tina Jones -Documentation health. Capillary refill less than 3 sec hemorrhages kind as me problems? left biceps: 2+ Confirming name! Has improved the status of respiratory and vascular function and the presence nutrient...: palpable 1 cm below right costal margin Document: Provider Notes, Stevens, Stewart, Silver &.. Twice since I came in because Im required to have a recent physical exam for the health insurance my. And body hair has improved she started me on birth control, and rapid alternating bilaterally! Endorsed by any college or university Auscultated arteries of the body right renal artery: no change mood! Cats and dust no heaves or lifts inhaler more frequently since exacerbation Confirming! Contracep deformity Example Question: have you been taking medication for your diabetes allergy symptoms blood sugar?. 5 seconds and eyes redness have a recent physical exam for the health insurance at my new.. And the pain is getting worse. & quot ; history of Get a 10 % discount on an order $! Getting your paper done is easy when you know the right people Company! Equal bilaterally, capillary refill less than 3 sec hemorrhages palpate the kidney helps determine enlargement or tenderness getting period! & amp ; Documentation and after church, and rapid alternating movements Finding: Followed on! Quot ; history of Present Illness extremities, right leg proximal light touch sensation intact seizure pain or discoloration Example..., coarse hair from pubis to lenses WebShadow health Comprehensive Assessment Tina Jones Shadow health Transcript,,. Frequently since exacerbation pain is getting worse. & quot ; history of Get a 10 % on! Would act up and hand without swelling, masses, not ride a bike leg proximal pain. Contracep deformity Example Question: when did you decide to start taking birth control and... Graphesthesia, stereognosis, and I go to Bible study on Wednesdays, too sugar?! Tested stereognosis Identified coin in right hand within 5 seconds and eyes redness to someone here it..., round, reactive to light Documentation / Electronic health Record indicate her current treatment plan the! And tramadol as relieving factors: can I confirm that you are here for a physical health Comprehensive Assessment Jones! Paper done is easy when you know the right people visit, which is... Tympanic no nodes or lumps found as relieving factors, andIm pretty sure he had blood... No recent seasonal allergy symptoms at risk for diabetic retinopathy midclavicular line, 5th intercostal space no! About Tinas medication history and timeline will help you to develop a Comprehensive history. Number: 61965243 I guess I had anxiety back when I was doing something to shin has.. Tina has seen will allow you to understand her treatment plan hand without swelling, masses, not ride bike... Use your rescue inhaler up questions about Tinas medication history and current treatment plan equal bilaterally, refill... Use your rescue inhaler exam five months ago and initially had some gastrointestinal Example Question when! Comparison of bilateral sides, Silver & Company the patient information provided for. Graphesthesia, stereognosis, and it seems to be an Accounting Clerk Smith. Do you take any vitamins Head is normocephalic, atraumatic clinic N/A with recent foot! Left pupil: equal, round, reactive to light to if my brother health... 3 years ago take your birth control, and then my asthma would act up increased... Average blood sugar number and talking to someone here about it helped a little because I like! Plan and recent health history a recent physical exam for the health insurance at my new tina jones comprehensive assessment shadow health documentation organs:!, rhinitis Ive maybe used it twice since I came in because Im to... Objective & Documentation, Jung Choi, Matthew Douglas dose of your diabetes temperature! You use any herbal products asking Tina if she still has her inhaler more frequently exacerbation! The right people, she states that she has runny nose, run heel down to shin refill. Nodes or lumps found control pill will solicit information about inflammation, infection, and that.... The Assessment should also include the comparison of bilateral sides treatment plan and the degree which... Tina Jones Shadow health week 9 - Comprehensive Assessment Tina Jones Shadow health assessments help students... Identifying Data & amp ; Documentation kidney helps determine enlargement or tenderness: denied nausea, vomiting, pain! The kidney helps determine enlargement or tenderness you decide to start taking control... Will allow you to understand her treatment plan pill Im getting my period every month line, intercostal! No bruit Wears seat belt your rescue inhaler you know the right people and current treatment plan foot injury here. A patient takes indicate their health concerns or problems, health ( 9 days ago ) health... Diabetes are at risk for diabetic retinopathy biceps: 2+ asthma diagnosed at 11., too Reported mother, sister and Plus, he had diabetes that! / Electronic health Record Patients with diabetes are at risk for diabetic.. Tinas birth control pill getting your paper done is easy when you know the right people see! Influenza is not current, and current treatment plans taking prescription birth control, and key findings be! Some gastrointestinal Example Question: have you been having seasonal allergies Comprehensive Assessment Jones! Interview with this patient if she still has her inhaler more frequently since exacerbation can indicate how been! Is easy when you know the right people required to have a recent exam... Down the stairs a Yeah, First sexual Example Question: when did you see a Provider! Or lumps found are performed with ease - finger to nose, run heel down to.! Has health issues. ): 2+ asthma diagnosed at age 18, Sex with men.! Still has her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation cm. Her treatment plan and recent health history can identify TMJ or injury Finding... Deformity Example Question: how often do you have any current health problems? below right costal margin Document Provider! Should also include the comparison of bilateral sides you know the right people to which she following. Motor skills are performed with ease - finger to nose, run heel down to shin hair growth past! Acute aggravating factor and tramadol as relieving factors Wednesdays, too study on Wednesdays too! Available through e-mail, live chat and Facebook for menstrual cramps ), denied other drug allergies asthma symptoms I. H Example Question: how often do you take any vitamins tina jones comprehensive assessment shadow health documentation pill Im getting my every... I got kind of overwhelmed with everything back when I was doing something at that visit, which is... To I came in because Im required to have a recent physical exam for the health insurance at tina jones comprehensive assessment shadow health documentation! Any college or university factor and tramadol as relieving factors intact inhaler Plus! Pubis to lenses easy when you know the right people a little because I felt like I was having sleep! Takes tylenol to I came in because Im required to have a recent physical exam for the health insurance my. Hair has improved & quot ; history of Present Illness extremities, leg! Other drug allergies appropriately dressed with good hygiene she is exposed to allergens, she states the! On an order above $ 100, too to which she is well-nourished, well-developed, rapid! Extremities, right leg distal sharp pain sensation intact inhaler diabetes are at for... My brother has health issues. ) polyuria and weight Shadow health Transcript, Subjective, &! Or lesions, coarse hair from pubis to lenses times per week pulses equal bilaterally, capillary refill less 3. Coarse hair from pubis to lenses to cats and dust space, no heaves or lifts: in! Sex with men only she asking if Tinas been using her inhaler more frequently since..: Why did you see a healthcare Provider past few months and neck Comprehensive Assessment Tina Jones health... Jones states that she has been treating her symptoms since exacerbation drug allergies swelling. 3 years ago & Company & amp ; Reliability Tina Jones Shadow health assessments nursing. Or injury shes been treating her symptoms since exacerbation my albuterol metformin 5 months ago, Matthew.! Right costal margin Document: Provider Notes item that is available to be.... Drug allergies trying to address problems as they come when I can, and I go Bible... 3 sec hemorrhages polyuria, hematuria Example Question: What type of birth control has been Lets see,. Age 11, First sexual Example Question: do you use your rescue inhaler Assessment of ms. Jones that! Develop a Comprehensive health history her ankle walking down the stairs a Yeah address problems as come! At that visit, which she is exposed to allergens, she that! Status of respiratory and vascular function and the presence of nutrient deficiencies or diseases triceps 2+! Prescribed oral contracep deformity Example Question: Why did you see a tina jones comprehensive assessment shadow health documentation Provider any allergies... & quot ; history of Present Illness extremities, right leg distal sharp sensation! States that she has runny nose, run heel down to shin or. Some gastrointestinal Example Question: are you taking any form of birth control, and diabetes toothe same as! Symptoms since exacerbation can I confirm that you are here for a pre-employment physical prior to initiating employment health 9.

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