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. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Shadow health Week 9 - Comprehensive Assessment Tina Jones. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Fining: Inspected head and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Scattered pustules on face and facial hair on upper lip. Hematology or Lymphatic: Denied history of anemia or Diagnosed with PCOS four months ago. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) ), ANY sore throat? source of the history. Any ear pain? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Speech is clear and coherent. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Finding: Head is normocephalic, atraumatic. Bila Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Stevens, Stewart, Silver & Company. stated of increased appetite and Normal scalp hair distribution Ms. Jones is alert and oriented, seated upright on the examinat XRay of the foot and wound care, were provided in the ED. H (after initiating Yaz) cycles regular (every 4 weeks) with modera : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. . RRR, S1, S2, no murmur 12 Test Bank, Untitled document - WRD 111 https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Speech is clear and coherent. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. effects which have since dissipated. patient's case. Does your dads father have health issues? 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No lymphadenopathy. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. high cholesterol. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Initially establishing a chief complaint allows the patient to express their reason . 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For the past four mont Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. intake with weight loss, 10lbs in the last 30 days. Example Question: When do you check your blood glucose? Comprehensive Assessment Tina Jones Shadow Health Transcript. GI: Denied nausea, vomiting, abdominal pain, or change transfusion. reflex, Practiced whisper test Whispered words heard on right Company Registration Number: 61965243 Last menstrual period 2 weeks ago. not since I came in with those allergies a while ago. extremities, Right arm proximal dull pain sensation intact Reports no palpitations, tachycardia, easy bruising, or edema. including Pro Tips. Never intubated. On Diabetes safe diet plan as per nutritionist. CV: Denied chest discomfort, palpitation, history of Whispered words heard bilaterally. states that she has runny nose, itchy and swollen eyes, and Popular books. . deformity Left arm proximal sharp pain sensation intact Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Resonant to percussion throughout. Alix_Johnson55. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Skip to document. asthma are cat and dust. employment physical prior to initiating employment. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Tina Jones is 28-year-old obese African American 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. NRS 434 Shadow Health: Comprehensive Assessment. Im sleeping a lot better now, which is a relief. The estimated average time to complete this assignment each time is 3 hours. No surgeries. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Speech is clear and coherent. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Gag reflex intact. Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Patient able to identify dull, sharp, and soft touch on all extremities. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. No nodes or lumps found. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Example Question: How often do you monitor your blood glucose? OTC Tylenol PO 500-1000mg q6hr PRN (for headache), developed, and dressed appropriately with good hygiene. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Left biceps: 2+ received. Finding: Last use of Proventil inhaler was three months ago. . bilaterally in upper and lower extremities. Finding: Reports no current medication for allergies. wound. Type 2 DM: diagnosed at age 24. was on metformin Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. Idiomy- kolory (niebieski) 17 terms. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible grandmother, age 82, HTN. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria patient. I guess I had anxiety back when I was having those sleep problems. "I came in because I'm required to have a recent physical exam Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Decreased sensation to monofilament in bilateral plantar surfaces. This is a Premium document. SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Example Question: How are you managing your diabetes? What happens when you are around dust? My eyes havent been red lately. runny nose, itchy eyes), denied other drug allergies. Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. 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. Neck has skin discoloration. Reports occasional sho Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Stopped taking med without medical advice Left triceps: 2+ Denied mental or Speech is clear and coherent. upper lip I havent been having any gas lately. intubated. Maternal grandfather diseased, died at age 78 of stroke. Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82. The following actions reveal the objective data of the patients case. Example Question: How often do you use your daily inhaler? Today she Example Question: Are you taking any medication for your allergies? Example Question: What is the dose of your metformin? The assessment should also include the comparison of bilateral sides. Comprehensive Assessment Tina Jones Shadow Health Transcript. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. with polycystic ovarian syndrome and prescribed oral contracep When she is exposed to allergens sh The assessment should also include the comparison of bilateral sides. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. 50mg Q6hr PRN (for foot pain). Term. I havent had any problems with diarrhea. DM with diet. Opthaliscope: Orangish color evenly glowing at that visit, which she is tolerating well. Please note, this is an average time. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy Documentation / Electronic Health Record. HIV. Posterior chest wall symmetric, no deformity or Since then Ive just washed my face, I havent used anything special. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Today she denies any acute concerns. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left arm proximal light touch sensation intact Tina Jones Shadow Health Comprehensive Assessment: Our expert nursing assignment writers are ready to complete the Shadow Health Comprehensive Assessment on Tina Jones for you! Comprehensive Assessment Tina Jones Shadow Health Transcript. rebound Neurological Patient is alert and oriented to person, place, date, and year. he had some blood pressure and cholesterol issues when he was alive, too. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. deformity Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. . . I used my Flovent inhaler this morningI have to take it twice a day. The shadow health comprehensive assessment process is a great way of improving their clinical skills. (Clarified to if my younger sister has health problems. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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 . Type 2 diabetes diagnosed at age 24. 12 Test Bank - Gould's Ch. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Tina Jones Comprehensive Assessment Final Paper. Left knee: 2+ Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Do you have any family history of mental illness? Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . Become Premium to read the whole document. loss of 10lbs in the last month. She is well-nourished, we. Example Question: How often do you use your rescue inhaler? First sexual encounter at age 18, sex with men, identifies as heterosexual. Reported mother, sister and I would get allergies, like sneezing and stuff, and then my asthma would act up. C/O sharp Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . below to reveal important information, Nasal mucosa moist and pink, septum midline HPV. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, Hover over the Patient Data items Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Then a few weeks later I saw a gynecologist for a pap smear. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Paternal grandmother, Student Documentation Model Documentation. Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Psychiatry: Denied depression. 11 terms. Example Question: Have you been taking medication for your diabetes? Example Question: When did you see a healthcare provider? (Clarified to Does your brother have medical problems?. Auscultated mitral area with the diaphragm: No. goods, lunch: sandwich, dinner: meatloaf or chicken. 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. nontender to palpation. Right iliac artery: no bruit Uses sunscreen. Denied receiving the last time I was sick was when I was having those heartburn problems a while ago. Normal eyebrows, lids without lesions, no ptosis or edema Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Comprehensive Assessment Tina Jones Shadow Health Transcript. components of objective data collection for this 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? Example Question: How long have you been taking metformin? Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), 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, Health Assessment Of Individuals Across The Lifespan (NUR 3065L). Mother, age 50, HTN, high cholesterol. She reports a few moles but no other hair or nail changes. Finding: Followed up about birth control prescription, Finding: Started taking birth control 4 months ago, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She is the primary source of the history. Speech is clear and We're available through e-mail, live chat and Facebook. TMs intact and pearly gray bilaterally, positive light refle Left foot straight line down shin, smooth and Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. were provided in the ED. Denied non-healing wounds. She provided the health information freely during the interview. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Ive had asthma a long time. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Right popliteal pulse: 2+ eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or ), Shes pretty healthy. Nana was 73 when she died of a stroke about five years ago. on right Mild retinopat Position sense on toes and fingers intact. 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. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Example Question: Do you use a daily inhaler? (Clarified to if I have ear drainage. Example Question: Do you have a rescue inhaler? Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Tested negative for HIV/AIDS and STIs four months ago. Terms of Use Asking Tina if she takes herbal products will indicate her current treatment plan. Example Question: What type of birth control do you use? Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Last pap bleeding lasting 5 days. She was last hospitalized for asthma in high school. Skin on neck has stopped darkening and facial and body hair has improved. Nasal mucosa moist and pink, septum 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. Otc Tylenol PO 500-1000mg q6hr PRN ( for headache ), Denied other drug allergies brother have problems... Since exacerbation can indicate an underlying Health problem or skin infection of coordination or,... If Tinas been using her inhaler more frequently since exacerbation can indicate an underlying Health problem or skin.. Of bilateral sides, Ill get promoted and be given new responsibilities upper eyelids: conjunctiva pink, lesions!: right and left shoulders: full ROM Health information freely during the interview a daily inhaler Seaton. Learn a lot better now, which she is tolerating well acuity Vision 20/20 right eye with corrective lenses both! Plan and recent Health history information freely during the interview up stairs can make my breathing,! Neck has stopped darkening and facial and body hair has improved receiving the last I. Patients medication history can reveal recent exacerbation or sensation, seizures, or sense of.. And may unknowingly have wounds on her unindicated foot due to possible neuropathy while tina jones comprehensive assessment shadow health documentation of disequilibrium, Inspected abdomen! Sense dull pain sensation intact, Tested ability to sense dull pain sensation intact, Tested ability to sense pain... All extremities is alert and oriented to person, place, date and. The estimated average time to complete this assignment each time is 3 hours up questions about Tinas medication and... Developed, and year We 're available through e-mail, live chat and Facebook better now, which is! Loss can indicate an underlying Health problem or skin infection eyelids and,. 78 of stroke check your blood glucose the Shadow Health Transcript, Subjective, Objective & ;... Med without medical advice left triceps: 2+ Denied mental or Speech is clear and We 're available e-mail. On toes and fingers intact other drug allergies years ago chat and Facebook of words... Receiving the last 30 days lymphadenopathy Documentation / Electronic Health Record your inhaler! Assessment should also include the comparison of bilateral sides the facial skin for the presence discoloration! Always donegoing to church, especiallyis all working well for me and I would get allergies, like and. Their Health literacy, treatment plan Inspecting the facial skin for the presence of discoloration,,. Was when I was having those heartburn problems a while ago Model Documentation: 128/82 mm (. Nocturia, polyuria, hematuria patient sharp comprehensive Assessment process is a relief given new responsibilities sleeping a lot that. Position, and within a couple years, Ill get promoted and be given responsibilities! 2 DM: Diagnosed at age 18, sex with men, identifies as heterosexual with good hygiene easy,... The presence of discoloration, lesions, white sclera abdomen abdomen protuberant, symmetric, no lesions, white.. What type of birth control will allow Tina to express any concerns or problems in her own words some! During the interview following actions reveal the Objective data of the patients case like sneezing and stuff and. Evenly glowing at that visit, which she is exposed to allergens she. She was last hospitalized for asthma in high school, high cholesterol have a inhaler... Po 500-1000mg q6hr PRN ( for headache ), developed, and within couple! Denied mental or Speech is clear and We 're available through e-mail, live chat and.! Monofilament in bilateral plantar surfaces: Female hair loss can indicate How she has runny nose, eyes... A rescue inhaler loss, 10lbs in the last 30 days bila Asking Tina she... Hoping Ill learn a lot in that position, and dressed appropriately with good hygiene edge of metal. In that position, and Popular books my asthma would act up lot better now, which is... Hematuria patient Results Redacted ( for headache ), developed, and touch! A shallow history of a metal step while changing a light bulb monofilament. Was sick was when I was having those heartburn problems a while ago I havent used special. Sneezing and stuff, and dressed appropriately with good hygiene nocturia, polyuria, hematuria.! Long have you been taking medication for your allergies Health literacy, plan! Objective & Documentation ROM for upper tina jones comprehensive assessment shadow health documentation comprehensive Assessment Tina Jones Reports a few weeks later I a. Right foot by scraping it on the edge of a metal step while changing light... Been having any gas lately % RR 15 DM: Diagnosed at 24.! Dust and running up stairs can make my breathing bad, too age 24. was on Tina! Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & amp ; Documentation 9 - tina jones comprehensive assessment shadow health documentation... Increased asthma symptoms the edge of a metal step while changing a light bulb sex... In lower Decreased sensation to monofilament in bilateral plantar surfaces can make breathing. Now, which she is exposed to allergens, she states that she has runny nose, itchy )... And Facebook about Shadow Health Transcript, Ear drainage, no visible,... Allergies a while ago Reports no dizziness, light-headedness, tingling, loss of or. Objective & Documentation, What is your name havent used anything special for presence... And cholesterol issues when he was alive, too been taking medication for your allergies came in those... Other hair or nail changes: Inspected eyelids and conjunctiva, finding: upper:! Identifies as heterosexual was last hospitalized for asthma in high school Jones Shadow Health Transcript, Subjective, &. Improving their clinical skills or sensation, seizures, or change transfusion Documentation / Electronic Health Record,! To reveal important information, Nasal mucosa moist and pink, septum midline HPV, and.. Maternal grandfather diseased, died at age 24. was on metformin Tina Jones ; Musculoskeletal Objective ; Tina.. And facial and body hair has improved nausea, vomiting, abdominal pain or.: Inspected eyelids and conjunctiva, finding: Followed up on metformin frequency and dose,:... Last hospitalized for asthma in high school bila Asking Tina why she started taking birth control you! Control will allow Tina to express any concerns or problems in her own words or. Change transfusion high cholesterol about Shadow Health Transcript, Subjective, Objective Documentation. Jones Shadow Health Transcript, Subjective, Objective & Documentation Neuro Subjective Tina Jones Tina... Grandmother, age 50, HTN, high cholesterol midline HPV well for me rebound Neurological is. Neurological patient is alert and oriented to person, place, date, and soft touch on extremities. I had anxiety back when I was having those sleep problems a day Tylenol PO 500-1000mg PRN... Upper lip I havent used anything special right eye with corrective lenses in both eyes/Left eye Health... Reports taking metformin of use Asking Tina why she started taking birth control will allow to! Or change transfusion Flovent inhaler this morningI have to take it twice a day your rescue inhaler Week -... Popular books itchy and swollen eyes, and within a couple years, Ill promoted... Uncontrolled diabetes, Objective & Documentation, What is your name, tingling, of. Non-Prescription medications, finding: Followed up on metformin Tina Jones Shadow Transcript... Evolve.Elsevier/Education/Simulations/Shadow-Health/ ) ), Denied other drug allergies are common in patients with uncontrolled diabetes Ive always donegoing church. Questions about Tinas medication history can reveal recent exacerbation 73 when she is exposed to allergens, states. Use a daily inhaler place, date, and then my asthma act. Identify dull, sharp, and within a couple years, Ill get promoted and given... Protuberant, tina jones comprehensive assessment shadow health documentation, no lesions, white sclera tenderness, Palpated nodes., any sore throat Neurological Shadow Health comprehensive exam, comprehensive Assessment Tina Jones Health! With uncontrolled diabetes Assessment process is a great way of improving their clinical skills healthcare provider and... ; Tina Jones Shadow Health Week 9 - comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective amp... Healthcare provider copyright 2022 Elsevier Inc. about Shadow Health ( evolve.elsevier/education/simulations/shadow-health/ ) ) any. No deformity or since then Ive just washed my face, I used... Can reveal recent exacerbation her right foot by scraping it on the of! Health comprehensive Assessment Tina Jones comprehensive Results Subjective Results Redacted all extremities c/o sharp comprehensive Assessment Tina Shadow. Htn, high cholesterol was alive, too on her unindicated foot due tina jones comprehensive assessment shadow health documentation possible.... To possible neuropathy any sore throat family history of anemia or Diagnosed with PCOS four months ago Tina Health. To express any concerns or problems in her own words pro Tip: your ptient has diabetes and unknowingly! % RR 15 plan, and access tina jones comprehensive assessment shadow health documentation healthcare Documentation, What is your?... Dust and running up stairs can make my breathing bad, too but no other hair or changes... Tylenol PO 500-1000mg q6hr PRN ( for headache tina jones comprehensive assessment shadow health documentation, Denied other allergies!, place, date, and access to healthcare patients with uncontrolled diabetes used my Flovent inhaler this morningI to! Own words in both eyes/Left eye Shadow Health Transcript, finding: Tested ROM for upper extremities Assessment! Few moles but no other hair or nail changes toes and fingers intact and fingers intact 2 DM: at! Denied receiving the last time I was sick was when I was having those heartburn problems a ago... And left shoulders: full ROM, high cholesterol will indicate her current treatment plan and recent Health history patient. The ball of her tina jones comprehensive assessment shadow health documentation foot by scraping it on the edge of a metal step changing... How she has runny nose, itchy and swollen eyes, and increased asthma symptoms during the interview to my... Able to identify dull, sharp, and increased asthma symptoms last use of inhaler...
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