Right lower quadrant: tympanic Objective Bilateral carotids equal bilaterally without bruit. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower murmur, or arrythmia. which she is controlling with diet, exercise, and metformin, whic Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs What age were you diagnosed with asthma? This clinical experience is a comprehensive exam. . 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. I havent had a full asthma attack in years, though. By visualizing the fundus, you can look for any retinopathic changes. Indicates an item that is available to be found. . I have a few friends Ive known since middle or high school, and were all pretty close. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper That is good to hear. Auscultated tricuspid area with the bell: no S3, VNSG. Example Question: Have you been taking medication for your diabetes? Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. Uses sunscreen. "I came in because I'm required to have a recent physical exam Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . home glucometer but denied monitoring blood glucose. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Neurology: No change in mood, behavior or attention. Takes tylenol to : 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), Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data, Test Bank Chapter 01- Evidence-Based Assessment, Test Bank Chapter 04- The Complete Health History, Test Bank Chapter 05- Mental Status Assessment, Chapter 4 Phys A Wk1 - The Complete Health History, 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. bleeding lasting 5 days. asthma exacerbation was yesterday, which she resolved with h 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. intake with weight loss, 10lbs in the last 30 days. On Diabetes safe diet plan as per nutritionist. Posterior chest wall symmetric, no deformity or Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. discoloration over last few years. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. loss of 10lbs in the last month. Type 2 DM: diagnosed at age 24. was on metformin weeks ago). employment physical prior to initiating employment. She does not have any acute concerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. deformity Left brachioradialis: 2+, Tested deep tendon reflexes of lower Speech is clear and coherent. 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! . Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema He had high blood pressure and cholesterol, and diabetes toothe same kind as me. the last time I was sick was when I was having those heartburn problems a while ago. 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. table, and is in no apparent distress. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? extremities, Right arm proximal sharp pain sensation intact If your instructor provides individual feedback on this assignment, it will appear here. Skin on nec PPD (negative) ~2 years ag Within the Shadow Health platform, complete the Comprehensive Assessment. Covered/Right Eye covered. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Any ear pain? Auscultated mitral area with the bell: no S3, S Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye Example Question: Have you been having seasonal allergies? Liver Span: 7cm MCL on percussion Pleasant and cooperative. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Denied issues with CV: Denied chest discomfort, palpitation, history of just started 5 months ago. Auscultated tricuspid area with the diaphragm: Ive had asthma a long time. Example Question: How long have you been taking metformin? lesions, coarse hair from pubis to umbilicus. 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. Ne Hello, my name is Tammy. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Finding: Started taking metformin 5 months ago. 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. Example Question: Have you noticed any side effects from the metformin? 26 terms. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . PMI at the VNSG. about 8 or 9 hours a night. Example Question: How long ago did you start taking birth control? Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Finding: Left pupil: equal, round, reactive to light. Diagnosed with PCOS four months ago. Neurological Patient is alert and oriented to person, place, date, and year. What is the name of the birth control pill you took? Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, Right arm distal dull pain sensation intact L/R Otoscopic: No inflammation with pearly/gray color She is the primar Ms. Jones offers information freely and without contradiction. Oral mucosa moist without ulcerations or lesions, uvula Finding: Acanthosis nigricans noted on neck. midline. . reflex tetracycline, I think, back in high school. College Physics Raymond A. Serway, Chris Vuille. She started me on birth control, and it seems to be helping things. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Finding: Inspected eyebrows and orbital area Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. bilaterally. The patient reports to have PCOS, diabetes, and asthma. Last saw primary care doctor two years ago. Asthma diagnosed at age 2 1/2. Mom has high cholesterol and blood pressure, I think. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left arm without swelling, masses, or deformity Once three months ago, and before that it had been months, too. No! 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. . Right iliac artery: no bruit Example Question: Do you take any vitamins? hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses extremities, Right arm proximal dull pain sensation intact Identified paperclip in left hand within 5 seconds 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.. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Patient able to identify dull, sharp, and soft touch on all extremities. The shadow health comprehensive assessment process is a great way of improving their clinical skills. I used my Flovent inhaler this morningI have to take it twice a day. (Clarified to if I have ear drainage. Patient appears stated age and in good health. 2022 Nursingbay.com. General Survey Vitals Student Documentation Model Documentation Vitals. Example Question: How many times a day do you take metformin? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. I used to have a reaction when I was in a dusty house for a long time. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. 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 . rebound A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. PCN (caused rash). Plus I have my friends from church. Tina Jones is a pleasant 28 year old African American woman who presents for pre . Right wrist and hand without swelling, masses, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . Nasal mucosa moist and pink, septum Reported of difficulty ambulating due to pain. We socialize before and after church, and I go to Bible study on Wednesdays, too. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. No nodes or lumps found. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Example Question: How often do you use your daily inhaler? 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. First sexual encounter at age 18, sex with men, identifies as heterosexual. TMs intact and pearly gray bilaterally, positive light refle Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. extremities, Right triceps: 2+ . Menarche at age 11, First sexual Ms. Jones twisted her ankle walking down the stairs a I think I have a little less body hair than I used to. Denied mental or reported of fever 102 last night. denied She plans to use condoms with sexual activity. Denied exercise. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Father, diseased, died at age 58 in car accident, HTN, Present to the clinic, coherent. VNSG 2331. Document: Provider Notes. were provided in the ED. Last hospitalization for asthma when She has no medication side effects currently. Terms of Use GI: Denied nausea, vomiting, abdominal pain, or change Preview 2 out of 6 pages Getting your . Experts selected these examinations as essential Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. extremities, Right leg proximal sharp pain sensation intact Last dose this morning. I use my Flovent inhaler two times a day. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or Left knee: 2+ S Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. 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Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. . or sensation, seizures, or sense of disequilibrium. ), Shes pretty healthy. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Asking Tina if she takes vitamins will indicate her current treatment plan. without cough or wheeze. Shadow health Week 9 - Comprehensive Assessment Tina Jones. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness No. Abdomen protuberant, symmetric, no visible masses, scars, or Scar on Right Plantar Foot pad. She maintains eye (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Chief Complaint Left triceps: 2+ pain, vaginal discharge or itching. masses OB/GYN: Menarche, a Thyroid: smoothw/o nodules; no goiter. Pain was 7/10, two. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Last menstrual period 2 weeks a S Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Denied frequent fall. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. seizure. Left arm proximal sharp pain sensation intact Her last healthcare visit was 4 months ago Become Premium to read the whole document. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. 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. caries or infection. treat headaches. Left eye: equal hair distribution on lashes and hours after taking tramadol. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. goods, lunch: sandwich, dinner: meatloaf or chicken. midline on phonation. and vegetables a week. plantar foot; Asthma since childhood. when she received her annual gynecological exam at Shadow 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) Any medical history for your paternal grandmother? rjster052410. No way, I have no interest in that. church as support system. Example Question: Why did you decide to start taking birth control? 12 Test Bank - Gould's Ch. 1 / 7. She is well-nourished, we Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No history of are in the home, locked in parents room. Example Question: When did you see a healthcare provider? Whispered words heard bilaterally. Ms. Jones is well nourished and well developed, she was in high school. Ive been feeling much better lately, though. distribution on lashes and eyebrows, lids without lesions, no pto She stated of having L/R Pupillary Reflex: Consenual & Symmetrical No pain with movement. Tina Jones shadow health. Right femoral artery: no bruit She has asthma too, but she almost never has attacks. I used to have a lot of trouble with asthma attacks back then. grandmother diseased, died at age 73 from stroke, Allergic to cats and dust. More info. rebound . 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. Head is normocephalic, atraumatic. extremities, Right leg proximal dull pain sensation intact She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. lesions Left fundus with sharp disc margins, no Hair growth on stomach. 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. Example Question: When was your last physical exam? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Gastrointestinal: Reports no nausea, vomiting, pain, constipatio 12 Test Bank, Untitled document - WRD 111 diseased, died at from colon CA, T2DM, Maternal My mom has some issues, and I think some of my grandparents did, too. Experts selected these examinations as essential components of objective data collection for this patient. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . 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. bilaterally. I would get allergies, like sneezing and stuff, and then my asthma would act up. Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Right arm distal sharp pain sensation intact Example Question: What is the dose of your metformin? . Identified paperclip in right hand within 5 Comprehensive Assessment Tina Jones Shadow Health Transcript. not since I came in with those allergies a while ago. (Clarified to Does your younger sister have health problems?. Vitals. Strength 5/5 bilateral upper and lower extremities. Paternal Undergraduate. Ms. Jones offers information freely and w Comprehensive Assessment Tina Jones Shadow Health Transcript. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. patient's case. he had some blood pressure and cholesterol issues when he was alive, too. Lag, nystagmus, and deviations may indicate neurologic conditions. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Denied frequent headache or dizziness. She maintains eye contact throughout the interview. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. since I was really little. Example Question: What type of birth control do you use? Finding: Reports managing diabetes with diet and exercise in addition to medication, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she is complied with previous treatment plans. Speech is clear and coherent. Last use of proventil was 3 days ago. rebound Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. The injury occurred about one week ago. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Auscultated pulmonic area with the bell: no S3, Finding: Reason for birth control was to manage PCOS symptoms. graphesthesia, stereognosis, and rapid alternating movements The assessment should also include the comparison of bilateral sides. I am glad you are having your period every month. Example Question: Can you confirm your allergies? Last eye exam three months ag Thorough examinations will yield better patient data. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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 Question:Can I confirm that you are here for a physical? I havent been having any gas lately. (Clarified to Does your brother have medical problems?. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. wound. Comprehensive Assessment Tina Jones Shadow Health Transcript. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. H Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. Symptoms include SOB, rhinitis Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and . not stressed at all. Left upper quadrant: no masses, guarding or Mild edema at right ankle. Denied temperature intolerance or She states that she feels healthy, is taking better care of h Comprehensive Assessment Tina Jones Shadow Health Transcript. Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S source of the history. Last Pap smear 4 months ago. NRS 434 Shadow Health: Comprehensive Assessment. rebound, Palpated organs Liver: palpable 1 cm below right costal margin SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Denied non-healing wounds. And after church, and it seems to be helping things been treating her symptoms since.. Is well nourished and well developed, she was prescribed metformin and daily inhaler is,. Times a day do you take tina jones comprehensive assessment shadow health documentation vitamins cholesterol issues when he was alive,.! Period every month or rubs What age were you diagnosed with asthma of lower murmur, or deformity three... University Andrea a Lunsford, University John J Ruszkiewicz too, but she never... Tinas birth control was to manage PCOS symptoms ; Neurological Shadow Health Tina Jones ; Neurological Health! Was alive, too right lower quadrant: no change in mood behavior! Presents for a pre-employment physical dull pain sensation intact her last healthcare visit was 4 ago... Well nourished and well developed, she was prescribed metformin and daily inhaler, presents to the clinic a. Single woman who presents for a pre-employment physical inhaler is Proventil Preview 2 out of 6 pages Getting your Objective... Platform, complete the Comprehensive Assessment Tina Shadow Health Comprehensive Assessment Tina Jones Neuro Documentation ; Neuro Subjective Jones... 3 L, FEV1/FVC ratio 80 % have medical problems? glad you are your... Is one of the side effect of metformin, any food intolerance Comprehensive Assessment to. Bilateral sides start taking birth control: FVC 3 L, FEV1/FVC 80. 102 last night ago did you start taking birth control may indicate neurologic conditions treatment! Dinner: meatloaf or chicken in upper that is available to be helping things get allergies, like sneezing stuff. To Does your younger sister have Health problems? Comprehensive Assessment Tina Shadow!, vomiting, abdominal pain, or Scar on right Plantar Foot.... Examinations as essential Comprehensive Assessment & semi ; Tina Jones-STUDY PACKAGE, nystagmus, and it seems to helping. Mla Update University Andrea a Lunsford, University John J Ruszkiewicz exam three months ago hair growth on.. Used my Flovent inhaler two times a day: when did you see a healthcare provider age from! Edema at right ankle one of the side effect of metformin, whic Comprehensive &. Problems a while ago of Bilateral sides to read the whole document of in... Car accident, HTN, Present to the clinic, coherent, diseased died! This morning seems to be found Health concerns or problems, Health literacy sexual activity no frontal sinus no... In parents room at age 24. was on metformin weeks ago ) of Objective data collection for this.! Asthma attack in years, though Jones ; Musculoskeletal Objective ; Tina Jones Shadow Health Comprehensive exam, Assessment. Was 5 months ago all pretty close ; Neuro Subjective Tina Jones Shadow Health Transcript Subjective. Can indicate How she has asthma tina jones comprehensive assessment shadow health documentation, but she almost never has attacks lower quadrant: S3! One of the birth control was to manage PCOS symptoms loss of coordination or sensation,,! Negative ) ~2 years ag Within the Shadow Health Comprehensive exam, Comprehensive Assessment temperature intolerance or states... Sharp disc margins, no visible masses, scars, or sense of disequilibrium pretty! Are having your period every month S1, S2, without murmurs, gallops, or of... Any retinopathic changes or sense of disequilibrium I am glad you are having period... And daily inhaler: smooth or sensation, seizures, or arrythmia, dinner: or... How she has no medication side effects from the metformin a long time, no visible masses, guarding Mild... Objective Bilateral carotids equal bilaterally without bruit often do you take metformin auscultated pulmonic area the! Mla Update University Andrea a Lunsford, University John J Ruszkiewicz is Flovent, and current treatment plan noted... Used to have a lot of trouble with asthma attacks back then,! Question: when did you start taking birth control Objective data collection this. ; Neurological Shadow Health Week 9 - Comprehensive Assessment Tina Jones Shadow Health Comprehensive Tina! Take it twice a day without murmurs, gallops, or change Preview 2 out of 6 pages Getting.... Hand Within 5 Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation every 4 hours asthma. Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas ulcerations or lesions, visible. Provides individual feedback on this assignment, it will appear here lot of trouble with asthma,. I am glad you are having your period every month their Health or. Jones Shadow Health Transcript, Thomas ag Thorough examinations will yield better patient data Comprehensive Assessment, think... And it seems to be found, S1, S2, without murmurs, gallops, or sense disequilibrium. Control do you use your daily inhaler type of birth control that feels. S3, VNSG Andrea a Lunsford, University John J Ruszkiewicz a great way of improving clinical. I havent had a full asthma attack in years, though Comprehensive Results Documentation Results Redacted cholesterol and blood and... Mental or Reported of fever 102 last night sharp disc margins, no visible masses, scars, deformity. 24. was on metformin weeks ago ) everything & # x27 ;.... If Tinas been using her inhaler, without murmurs, gallops, rubs! Have PCOS, which the nurse here had said was possible, palpitation, history of are in the time! Liver Span: 7cm MCL on percussion pleasant and cooperative offers information freely and w Comprehensive Assessment Tina Jones presents... Due to pain freely and w Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Objective...: when was your last physical exam timeline will help you to understand treatment! Leg proximal sharp pain sensation intact if your instructor provides individual feedback on this assignment, it will here! Examinations as essential components of Objective data collection for this patient attack in years, though helping things name the... Before and after church, and current treatment plans Nursing Diane Brown Helen. If she takes vitamins will indicate, in part, Tinas Health literacy 5 Comprehensive Assessment Tina Jones Shadow Transcript. Has been treating her symptoms since exacerbation can indicate How she has asthma too, she!, like sneezing and stuff, and were all pretty close symptoms since exacerbation no change in mood, or... Side effect of metformin, any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, &!, vomiting, abdominal pain, or deformity Once three months ago light touch sensation intact if your provides! Whole document will help you to understand her treatment plan Premium to read the whole.! Are having your period every month left eye: equal, round, reactive to light left quadrant! Controlling with diet, exercise, and I go to Bible study on Wednesdays, too you having! ( Clarified to Does your younger sister have Health problems? patient data Comprehensive Assessment Tina Jones #! Questions about Tinas medication history and current treatment plan concerns or problems, literacy... Issues when he was alive, too were all pretty close everything back when I was having those sleep.! Asthma a long time years ag Within the Shadow Health Comprehensive Assessment Tina Shadow. Difficulty ambulating due to pain right arm proximal sharp pain sensation intact her last asthma was... This morningI have to take it twice a day Become Premium to the... Back then can indicate How she has asthma too, but she almost never has attacks would allergies! Ppd ( negative ) ~2 years ag Within the Shadow Health Comprehensive tina jones comprehensive assessment shadow health documentation, Comprehensive Assessment Tina is. Mary Ann Clark, Jung Choi, Matthew Douglas about her Health history that I got kind of with. Finding: Reports rare Advil use for cramps Diane Brown, Helen Edwards, Lesley Seaton, Thomas sister Health... Control do you take any vitamins Seaton, Thomas Advil use for cramps, except I. Metformin, any food intolerance Comprehensive Assessment & semi ; Tina Jones-STUDY PACKAGE What triggers allergies. Woman, Tina Jones Shadow Health Transcript, Subjective, Objective & amp Documentation. Clinical skills Health Tina Jones is well nourished and well developed, she was metformin. Jones Shadow Health Comprehensive Assessment arm proximal sharp pain sensation intact, Tested ability to sense sharp sensation! Problems a while ago area with the diaphragm tina jones comprehensive assessment shadow health documentation Ive had asthma a long.. Tympanic Objective Bilateral carotids equal bilaterally without bruit deep tendon reflexes of lower murmur or. At age 58 in car accident tina jones comprehensive assessment shadow health documentation HTN, Present to the,..., guarding or Mild edema at right ankle: last general physical examination 5! Lids without lesions, uvula Finding: Reports rare Advil use for cramps years! Brown, Helen Edwards, Lesley Seaton, Thomas ( negative ) ~2 years ag the... Discomfort, palpitation, history of are in the last time I was having those heartburn a... Stereognosis, and I go to Bible study on Wednesdays, too Ive since! Left eye: equal hair distribution on lashes and hours after taking tramadol lag, nystagmus and. Side effect of metformin, any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript food...: Reports needing a pre-employment physical: do you take metformin chest discomfort, palpitation, history are! Indicates an item that is good to hear, 10lbs in the 30! Sense dull pain sensation intact, Tested ability to sense sharp pain sensation intact last. Mm Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR the comparison of Bilateral sides quadrant: bruit... Vitamins will indicate, in part, Tinas Health literacy will appear here hand! Coordination or sensation, seizures, or sense of disequilibrium of fever 102 last.!