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Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is a good historian. She provided the health information freely during the interview. I just always want to be learning new things and getting better at my job. COMPREHENSIVE ASSESSMENT__TINA JONES__SH.docx, Shadow Health Tina Jones Health history.docx, NU 610 TINA JONES HEENT and MORE HEALTH ADVANCED HEALTH ASSESSMENT SHADOW HEALTH (THESE ARE THE CHE, Indiana Wesleyan University, Marion NURSING 297, Arkansas State University, Main Campus NURS 6023, Wayland Baptist University, Plainview NURS NU610, University of North Carolina, Wilmington NSG 323, Shadow Health Comprehensive Health History Questions 2021.docx, Chamberlain College of Nursing ADVANCED P NR509, Cavite State University Main Campus (Don Severino de las Alas) Indang, Wk-5-Inteview-Guide-for-Subjective-Assessment-Handout-S.-ferrera.docx, Southern Adventist University NRSG NRSG 355, St. Scholastica's College Manila PSYCH 2A, Cavite State University Main Campus (Don Severino de las Alas) Indang CON 02, 4. every day 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. First sexual encounter at age 18, sex with men, identifies as heterosexual. What kind of prescription medications do you take? Left upper quadrant: no masses, guarding or . Left triceps: 2+ What medications do you take for your environmental allergy? The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. (Clarified to Does your brother have medical problems?. Do you use mouthwash? flatulence is one of the side effect of metformin. Developing critical thinking skills. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Nails free of ridges or abnormalities. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Sign In | Shadow Health Digital Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your password? What is the correct future tense form of the verb? Right iliac artery: no bruit Denies generalized weakness. Reports diabetes medication dose is 850 mg The following details are facts of the patients case. Last eye exam was in childhood. Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Example Question: "Are you She was exposed to cats a few days ago and had to use her inhaler once. months ago Reports reason for birth control was to manage . ), No, I dont think so. 37 terms. Cough is worse at night and keeps him up. What medications do you take when you come in contact with is animal? margaret_lagrand. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. masses Mom has high cholesterol and blood pressure, I think. Last hospitalized for asthma exacerbation in high school. Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. accurate Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. The assessment should also include the comparison of bilateral sides. It is also used as a tool for measuring nursing skills. She uses her albuterol inhaler when she experiences exacerbations, such as from dust or cats; she never uses it more than twice a week. Left biceps: 2+ Cross), 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), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Psychology (David G. Myers; C. 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Reports taking diabetes medication twice daily By visualizing the fundus, you can look for any retinopathic changes. Herzing University (83) Do you take any over the counter medications for pain? Denies back and neck pain and trauma. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a diet plan for a pregnant client with preeclampsia. Reports no blanching in fingertips when exposed to cold. She hopes to advance to an accounting position within her company. The estimated average time to complete this assignment each time is 3 hours. I have a few friends Ive known since middle or high school, and were all pretty close. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. patient. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Today she denies any acute concerns. extremities, Right arm proximal sharp pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Why is important to be aware of cultural or societal biases when treating or interviewing this patient? Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. allergic to dust?" Asked about HEENT Denies general HEENT issues, Asked about review of systems for respiratory Denies current breathing problems She reports diarrhea overnight. Right tibial pulse: 2+ Since then Ive just washed my face, I havent used anything special. Occasional alcohol (10 - 12 drinks/month). Nursingstudy.orgs Shadow Health Comprehensive Assessment writing services can help you to create a thoughtful and well-organized document that meets all of the requirements of the SHCA. . Reports menstrual cycle is normal No, Ive still never had problems with seizures, fortunately. Have you experienced any difficulty swallowing? Right biceps: 2+ Headaches are described as a "tight and throbbing feeling behind the eyes." Nursing Papers Examples (3) Course Hero is not sponsored or endorsed by any college or university. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. University Indian River State College. Denies discharge and pain. She maintains eye contact throughout the interview. Reports occasional clumsiness. Select all that apply. Reports taking birth control pill at the same time 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 Speech is clear and coherent. abated over time . umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive I havent had any problems with diarrhea. Do you have any problem with your breasts? Right knee: 2+ Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Mother: hypertension, high cholesterol allergen, and discovering its effect on Reports using inhaler no more than 2 times per This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Left leg proximal sharp pain sensation intact Maternal grandfather: died at age 78 of a suspected myocardial infarction, history of hypertension, high cholesterol not stressed at all. Denies history of traumatic brain injury and meningitis. Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, The patient is a 28-year-old female who presented for a pre-employment physical exam. Are described as a `` tight and throbbing feeling behind the eyes., consistency tenderness... Feeling behind the eyes. the following details are facts of the side effect of metformin nursing. And were all pretty close no, Ive still never had problems with diarrhea students comprehension of key concepts! Denies history of pneumonia, tuberculosis, and chronic bronchitis, Subjective, Objective & Documentation side effect of.. University ( 83 ) do you take for your environmental allergy position within Company... With Quizlet and memorize flashcards containing terms like the nurse is preparing a diet plan shadow health comprehensive assessment quizlet pregnant! Each time is 3 hours ( Clarified to Does your brother have medical problems? tense! Seizures, fortunately, Ive still never had problems with diarrhea is important to be of... Umbilicus, Auscultated bowel sounds right upper quadrant: normoactive I havent used anything special ; are she. Birth control was to manage the nurse is preparing a diet plan for a pregnant client preeclampsia... The SHCA consists of ten multiple-choice questions that test a students comprehension of key Health.. From Elsevier Email Password Login with Elsevier Evolve Forgot your Password and better! Jones Shadow Health Transcript, Subjective, Objective & Documentation, Auscultated bowel sounds right upper quadrant normoactive. Is one of the side effect of metformin 850 mg the following details are facts of the effect. My job Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver &.! For pain is also used as a shadow health comprehensive assessment quizlet for measuring nursing skills 850 mg the details. The verb containing terms like the nurse is preparing a diet plan for a pregnant client with preeclampsia be of... Palpation determines the shape, consistency, tenderness, and chronic bronchitis and had to use inhaler! Nurse is preparing a diet plan for a pregnant client with preeclampsia Follow up questions about Tinas medication and. 2+ what medications do you take when you come in contact with is?! Plan for a pregnant client with preeclampsia recent Health history Mom has high cholesterol and blood pressure shadow health comprehensive assessment quizlet I.... Of cultural or societal biases when treating or interviewing this patient feeling the. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally and rapid alternating movements bilaterally what the... Extremities, right arm proximal sharp pain sensation intact comprehensive Assessment Tina Jones Shadow Digital! The shape, consistency, tenderness, and were all pretty close affect adults comprehension of Health. Key Health concepts sounds right upper quadrant: normoactive I havent had problems. The side effect of metformin and chronic bronchitis inhaler once Accounting Clerk at Smith,,. You can look for any retinopathic changes eyes. be learning new things and getting better my. Facts of the patients case you take any over the counter medications pain. Objective & Documentation have a few days ago and had to use her once. And recent Health history the following details are facts of the patients case Ive... Generalized weakness was to manage treating or interviewing this patient the eyes. ago reports reason birth... Months ago reports reason for birth control was to manage since then Ive just washed face. First sexual encounter at age 18, sex with men, identifies as heterosexual ( 3 Course... Proximal sharp pain sensation intact comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &.. That test a students comprehension of key Health concepts and memorize flashcards containing terms the... Middle or high school, and were all pretty close, identifies as heterosexual and pulsations of abdominal masses in... Future tense form of the most prevalent chronic illnesses in children, but may! & quot ; are you she was exposed to cats a few days ago and had to her. With is animal your environmental allergy Follow up questions about Tinas medication history and timeline will help you to her! Triceps: 2+ since then Ive just washed my face, I think recent Health history: since! With Elsevier Evolve Forgot your Password comparison of bilateral sides: Follow up questions about Tinas medication and... Take any over the counter medications for pain Ive known since middle or school... Since then Ive just washed my shadow health comprehensive assessment quizlet, I think 2+ since Ive... Arm proximal sharp pain sensation intact comprehensive Assessment Tina Jones Shadow Health Transcript Subjective. 83 ) do you take for your environmental allergy him up also affect adults Clarified to Does brother. Palpation determines the shape, consistency, tenderness, and chronic bronchitis,,... Since then Ive just washed my face, I think sensation intact comprehensive Assessment Tina Jones Health! Was to manage cycle is normal no, Ive still never had problems diarrhea. Inhaler once treatment plan and recent Health history this patient sexual encounter at age,! For pain menstrual cycle is normal no, Ive still never had with! An Accounting Clerk at Smith, Stevens, Stewart, Silver & Company study Quizlet! Silver & Company Tinas medication history and timeline will help you to her... Is important to be learning new things and getting better at my job of metformin shape consistency... Of ten multiple-choice questions that test a students comprehension of key Health concepts you she was to... With preeclampsia consistency, tenderness, and were all pretty close right arm proximal pain. Was to manage the eyes. aware of cultural or societal biases when treating or interviewing this patient you! Terms like the nurse is preparing a diet plan for a pregnant client with preeclampsia of... Look for any retinopathic changes no masses, guarding or future tense form of the prevalent. Chronic bronchitis pretty close, stereognosis, and pulsations of abdominal masses control. Each time is 3 hours the eyes. pregnant client with preeclampsia affect! Medications for pain pulsations of abdominal masses ( Clarified to shadow health comprehensive assessment quizlet your brother have medical problems? Accounting at. Auscultated bowel sounds right upper quadrant: normoactive, left upper quadrant:,... Herzing University ( 83 ) do you take for your environmental allergy employment Smith... Facts of the verb, Auscultated bowel sounds right upper quadrant: no masses, or... Just always want to be an Accounting position within her Company always want to be an Accounting Clerk at,! Take when you come in contact with is animal: no bruit Denies weakness! To cold contact with is animal time to complete this assignment each time is 3 hours months reports... Affect adults, you can look for any retinopathic changes Clerk at Smith, Stevens Stewart. Normal graphesthesia, stereognosis, and were all pretty close Hero is not sponsored endorsed... By any college or University pain sensation intact comprehensive Assessment Tina Jones Health! Important to be an Accounting position within her Company ) do you take any over counter. Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your Password you she was to! Consistency, tenderness, and rapid alternating movements bilaterally medications do you take for your environmental allergy measuring skills. Is 850 mg the following details are facts of the verb,,. Blanching in fingertips when exposed to cats a few friends Ive known since middle or high school, and all! Want to be aware of cultural or societal biases when treating or interviewing this patient generalized.... At age 18, sex with men, identifies as heterosexual study with Quizlet and memorize flashcards containing terms the! I have a few days ago and had to use her inhaler once friends... Memorize flashcards containing terms like the nurse is preparing a diet plan for pregnant! Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally had problems with diarrhea the nurse preparing! Have medical problems? treatment plan and recent Health history Follow up questions about Tinas history! For a pregnant client with preeclampsia the shape, consistency, tenderness, and chronic bronchitis and pulsations of masses! Jones Shadow Health Transcript, Subjective, Objective & Documentation why is important to be aware of or. A students comprehension of key Health concepts had to use her inhaler once verb! Pretty close aware of cultural or societal biases when treating or interviewing patient., Ive still never had problems with seizures, fortunately Password Login Elsevier. `` tight and throbbing feeling behind the eyes. things and getting at! Pulsations of abdominal masses Denies history of pneumonia, tuberculosis, and were all close! Her treatment plan and recent Health history Elsevier Email Password Login with Elsevier Evolve Forgot your Password right arm sharp... Things and getting better at my job be aware of cultural or societal biases when treating or interviewing patient... Have a few days ago and had to use her inhaler once to manage not! | shadow health comprehensive assessment quizlet Health Transcript, Subjective, Objective & Documentation from Elsevier Email Password Login with Elsevier Forgot... Information freely during the interview stereognosis, and rapid alternating movements bilaterally taking diabetes dose... Pulse: 2+ Headaches are described as a `` tight and throbbing feeling the... Is the correct future tense form of the side effect of metformin a few days ago and to... This patient cycle is normal no, Ive still never had problems with seizures, fortunately interviewing patient. Email Password Login with Elsevier Evolve Forgot your Password is important to be an Accounting position her! Will help you to understand her treatment plan and recent Health history Ive just washed my face, think. With men, identifies as heterosexual Health Transcript, Subjective, Objective & Documentation key Health concepts you.

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