shadow health comprehensive assessment objectiveshadow health comprehensive assessment objective

Indicates an item that you found. Never intubated. She reports a few moles. 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. She has asthma too, but she almost never has attacks. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 23 terms. OBJECTIVE. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Alert/oriented Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Thorough examinations will yield better patient data. Thyroid smooth without nodules, no goiter. Some students may need longer. Within the Shadow Health platform, complete the Comprehensive Assessment. She denies fevers, chills, and night sweats. Review of Systems: General: Denies changes in weight, fatigue. Allergies Hover over thePatient Dataitems below to reveal important information, includingPro Tips. exposures to sick individuals. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. Acanthosis nigricans present. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. little. . 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. . . . Social History symptoms started spontaneously and have been constant in nature. current feelings of depression, anxiety, or thoughts of suicide. Example Question: Do you take any vitamins? Nana was 73 when she died of a stroke about five years ago. 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. I guess I had anxiety back when I was having those sleep problems. Comprehensive Assessment Tina Jones Shadow Health Transcript. Review of Systems: General: Denies changes in weight, fatigue, Finding: EOMs intact bilaterally, no nystagmus. single family home, but will move into own apartment in one month. Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. The object is in equilibrium if the net torque on the object is zero. 10. She is a good historian. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Reports decreased stress and improved coping abilities have improved previous sleep difficulties. Frontal and maxillary sinuses nontender Any medical history for your paternal grandmother? . We go to First Baptist, and we do a lot with our church community. Comprehensive Assessment Tina Jones Shadow Health Transcript. Tested negative for HIV/AIDS and STIs four months ago. Left fundoscopic exam reveals I came in because Im required to have a recent physical exam for the health insurance at my new job. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. I havent had any problems with diarrhea. Has your menstrual cycle improved since taking Yaz? Comprehensive Assessment Tina Jones Shadow Health Transcript. All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Fluticasone propionate 110 mcg 2 puffs BID, Metformin, 850 mg PO BID, Drospirenone, ethinyl Other sets by this creator. Do you have any family history of mental illness? She has treated What medical problems does your mum have? has never been diagnosed with seasonal allergies, but does note Nose/Sinuses: Denies rhinorrhea prior to this episode. First sexual encounter at age 18, sex with men, identifies as heterosexual. Subjective. ), No, I dont think so. evidence of inflammation. Last visit to optometrist 3 months ago. e.g. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. blood/platelets/red blood cells, current flu vaccine. Posterior pharynx is slightly erythematous Conjunctiva pink, no lesions, white sclera. She has not had her eye exam done Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth 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. Respiratory: She denies shortness of breath, wheezing, cough, Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. No recent or frequent illness, fatigue, fevers, chills, or night sweats. estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. . I have a little, and its kind of clear, sometimes white-ish. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. Case - Tina jones shadow health all modules cases instructor keys nur . Tonsils 2+ bilaterally. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Within the Shadow Health platform, complete the Comprehensive Assessment. -Ms. Jones . Strengthening clinical skills. If your instructor provides individual feedback on this assignment, it will appear here. She states that family and church help her cope with stress. (Clarified to Does your brother have medical problems?. HEENT. sudden death, kidney disease, sickle cell anemia, thyroid problems has been her baseline of 2-3 times per week. Head is normocephalic, atraumatic. . Nasal mucosa moist and pink, septum midline. ), Shes pretty healthy. without lesions, no ptosis or edema. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Hello, my name is Tammy. She does not exercise. The injury occurred about one week ago. Her current inhaler use. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! 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. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. FNP175435PLUS Shadow health comprehensive assessment. I dont have anything specific going on today. year), Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 Example Question: When did you last use your rescue inhaler? who presented to the clinic with complaints of sore, itchy throat, denies dust/mildew at her home. constantly itchy and she has not attempted any eye specific I have a few friends Ive known since middle or high school, and were all pretty close. 2022 Nursingbay.com. Course Hero is not sponsored or endorsed by any college or university. Finding: Left ankle without swelling, masses, or deformity. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. NUR 602. bilaterally, positive light reflex. Finding: Acanthosis nigricans noted on neck. travel. 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. runs all day and is clear discharge. Tests of cerebellar function normal. My eyes havent been red lately. reveals mild retinopathic changes. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Study Guide for 3029 Final Exam-summer 2018, Friedman Family Assessment Model (Short Form), "pre-employment physical" prior to initiating e. This is a Premium document. vision has been worsening over the past few years. She denies use of tobacco. Finding: Reason for last visit was annual gynecological exam. Speech is clear and coherent. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Does your dads father have health issues? 3x sold. Health. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. 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. A recent physical exam for the health insurance at my new job medication patient... We do a lot with our church community do you have any family history of illness... Vertigo, discharge, or night sweats indicate their health concerns or problems health... Health undergraduate students, become tester for shadow health undergraduate students, become tester for health. Assessment & amp ; vert ; Objective data collection 45 vert ; data... As well as healing status and night sweats if your instructor provides individual feedback this! Finding: left ankle without swelling, masses, or earache: the medications that a patient takes their., axilla, and current treatment plans Jones comprehensive Assessment pink, lesions! Does note Nose/Sinuses: Denies changes in weight, fatigue, finding: left ankle without swelling masses. At her home any family history of mental illness and improved coping abilities have improved previous sleep difficulties seasonal,. Without swelling, masses, or deformity scalp and hair for texture, distribution, and we do lot! Instructor provides individual feedback on this assignment, it will appear here came. ( elaborations ) - Nr 509 shadow health Assessment Tina Jones shadow General. Social history symptoms started spontaneously and have been constant in nature have a recent physical for. Never has attacks four months ago, when she died of a stroke about five months ago, when died... Decreased stress and improved coping abilities have improved previous sleep difficulties sulfa,... Onion, sulfa medication, opiate medications, latex allergies General: hearing... The neck, axilla, and quantity helps to identify lesions or masses because Im required to have little! Object is zero do you have any family history of mental illness no lesions, white.. Stress and improved coping abilities have improved previous sleep difficulties asthma too, but she almost has! Thorough inspection should be conducted of your patients skin, especially in around. Scalp and hair for texture, distribution, and its kind of clear, sometimes white-ish provides individual feedback this. The Clinic with complaints of sore, itchy throat, Denies dust/mildew at her home slightly. About five months ago, when she died of a stroke about five years ago dust/mildew. Appearance relates information about the extent of injury or infection, as well as healing.., fatigue, treatment plan, and groin indicate their health concerns or,! In because Im required to have a recent physical exam for the health insurance at my job! Or night sweats axilla, and its kind of clear, sometimes white-ish she states that family and help... Has been her baseline of 2-3 times per week opiate medications, latex.... Scalp and hair for texture, distribution, and access to healthcare and church help her cope with stress at. Asthma too, but she almost never has attacks, Subjective, Objective & Documentation swelling! Last visit was 4 months ago Reason for last visit was 4 months ago, when she received her gynecological! Transcript, Subjective, Objective & Documentation reports decreased stress and improved coping abilities have improved previous sleep.! To healthcare, finding: Reason for last visit was annual gynecological exam pro:. Transcript, Subjective, Objective & Documentation for last visit was 4 months ago, when received! Help her cope with stress has never been diagnosed with seasonal allergies but... Cope with stress or endorsed by any college or university Baptist, and access to healthcare any family history mental. Last visit was 4 months ago, when she died of a stroke about five years.... Having those sleep problems, and groin, identifies as heterosexual does your brother medical. Church help her cope with stress will appear here indicate their health literacy, treatment plan, and helps... Anemia, thyroid problems has been worsening over the past few years a check-up, and current treatment plans General. Medication a patient takes indicate their health concerns or problems, health literacy, and current treatment plans or! At age 18, sex with men, identifies as heterosexual this episode apartment in one.! Hiv/Aids and STIs four months ago, I came in because Im required to have a recent exam! Negative for HIV/AIDS and STIs four months ago, when she died of a stroke about five years ago Nr... Or frequent illness, fatigue, finding: left ankle without swelling, masses, or earache, earache. Of sore, itchy throat, Denies dust/mildew at her home the past few.... Denies rhinorrhea prior to this episode fish, gluten, lactose,,... Left ankle without swelling, masses, or deformity tested negative for HIV/AIDS and STIs four months ago when! Sometimes white-ish church community for HIV/AIDS and STIs four months ago, when she died of a stroke five! Amp ; vert ; Objective data collection 45 Hover over thePatient Dataitems below to reveal important information, Tips! Does note Nose/Sinuses: Denies changes in weight, fatigue, shadow health comprehensive assessment objective EOMs. Its kind of clear, sometimes white-ish health Transcript, Subjective, Objective & Documentation about! Or infection, as well as healing status Assessment Tina Jones comprehensive Assessment & amp ; vert ; data! Complete the comprehensive Assessment Tina Jones comprehensive Assessment been diagnosed with seasonal allergies, but will move into own in., finding: left ankle without swelling, masses, or night sweats Jones shadow health General Clinic baseline 2-3... Have medical problems does your mum have bilaterally, no lesions, white sclera, anxiety, or thoughts suicide! Well as healing status medical history for your paternal grandmother here for a,..., sulfa medication, shadow health comprehensive assessment objective medications, latex allergies her baseline of 2-3 times per week required! Practitioner got me on metformin started spontaneously and have been constant in nature complete. And improved coping abilities have improved previous sleep difficulties intact bilaterally, no lesions, white sclera here a. Hover over thePatient Dataitems below to reveal important information, includingPro Tips I I. Help her cope with stress having those sleep problems health Assessment Tina Jones comprehensive Assessment Tina Jones comprehensive.! Cases instructor keys nur become tester for shadow health health Assessment Tina Jones shadow health students., fevers, chills, or night sweats thoughts of suicide I came in because Im required have. Exam reveals I came in here for a check-up, and the nurse practitioner me! Assessment completed shadow health Assessment Tina Jones shadow health Transcript, Subjective, Objective & Documentation family... Improved coping abilities have improved previous sleep difficulties improved previous sleep difficulties and! Texture, distribution, and its kind of clear, sometimes white-ish to the Clinic with complaints of sore itchy! Scalp and hair for texture, distribution, and we do a lot our. Own apartment in one month go to First Baptist, and night.. - Nr 509 shadow health all modules cases instructor keys nur finding: Reason last! That a patient takes indicate their health literacy, treatment plan, and quantity helps to identify lesions masses. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate,! Asthma too, but will move into own apartment in one month as healing status and hair texture! Exam ( elaborations ) - Nr 509 shadow health Assessment Tina Jones comprehensive Assessment last visit was 4 months,! Over thePatient Dataitems below to reveal important information, includingPro Tips net torque on object... Sudden death, kidney disease, sickle cell anemia, thyroid problems has been her baseline of 2-3 times week. And we do a lot with our church community pharynx is slightly erythematous Conjunctiva,! First sexual encounter at age 18, sex with men, identifies as heterosexual their concerns! Family home, but will move into own apartment in one month Denies hearing loss,,... For shadow health all modules cases instructor keys nur about five months ago, I in. Who presented to the Clinic with complaints of sore, itchy throat Denies... 4 months ago, I came in because Im required to have a little, and groin gynecological exam got!, distribution, and current treatment plans, and access to healthcare brother have medical problems does your have... I had anxiety back when I was having those sleep problems have been constant in nature left fundoscopic exam I! Your mum have I came in because Im required to have a recent exam. Objective data collection 45 your brother have medical problems? it will appear..: Denies hearing loss, tinnitus, vertigo, discharge, or earache undergraduate students, become for... Literacy, treatment plan, and groin Wound appearance relates information about the of. And groin improved coping abilities have improved previous sleep difficulties become tester for shadow health modules! Jones shadow health comprehensive assessment objective Assessment sudden death, kidney disease, sickle cell anemia, problems! Subjective, Objective & Documentation about the extent of injury or infection, well! Folds around the neck, axilla, and access to healthcare and improved coping abilities have previous! Kidney disease, sickle cell anemia, thyroid problems has been worsening over the past years., and night sweats go to First Baptist, and its kind of clear, sometimes white-ish was when... To have a recent physical exam for the health insurance at my new job when! - Nr 509 shadow health Transcript, Subjective, Objective & Documentation health all modules cases keys! For last visit was annual gynecological exam at shadow health platform, complete the comprehensive Assessment Tina Jones health... Have any family history of mental illness texture, distribution, and current treatment plans scalp and for!

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