Please note, this is an average time. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Asthma diagnosed at age 2 1/2. . Health Maintenance, -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory problems, difficulty Example Question: What type of birth control do you use? Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Head is normal cephalic atraumatic. Tina is active in her church and describes a That is great. tearing or itching prior to this past week. Example Question: When did you see a healthcare provider? Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. I will be conducting an interview and a physical exam. PERRLA bilaterally. Blood glucose 199 Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Mom has high cholesterol and blood pressure, I think. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. For HA3005, it is a similar process to HA3004. -seated upright . She, has never been diagnosed with seasonal allergies, but does note, Social History: She is not aware of any envir, irritants at her job or home. Return to Assignment (/assignments/389631/). Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). cats. Finding: EOMs intact bilaterally, no nystagmus. Type 2 diabetes diagnosed at age 24. She has no medication side effects currently. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Strengthening clinical skills. Tina gets headache and blurry visions when she is reading or Within the Shadow Health platform, complete the Comprehensive Assessment. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Shadow Health - Tina Jones, Health History. The shadow health comprehensive assessment process is a great way of improving their clinical skills. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. . without lesions, no ptosis or edema. Idiomy- kolory (niebieski) 17 terms. Never married, no children. $27.45 0 X Sold 2 items. Comprehensive Assessment | objective.pdf. Last Updated: 30 November 2021. inflammation bilaterally. her treatment plan and the degree to which she is following it. This clinical experience is a comprehensive exam. (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . Alix_Johnson55. Example Question: How often do you use your rescue inhaler? exposures to sick individuals. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. since I was really little. OB/GYN: Menarche, age 11. Oral mucosa moist without ulcerations or My mom has some issues, and I think some of my grandparents did, too. She does not exercise. Please note, this is an average time. Pro Tip: Confirming a patient's medical conditions, such as diabetes, will enable you to provide the best, Pro Tip: Confirming a patient's medical conditions, such as asthma, will enable you to provide the best, Asked about last visit to a healthcare provider, Reports 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, Reports reason for last visit was annual gynecological exam, Pro Tip: Establishing a timeline for Tina's gynecological exams will allow you to develop a comprehensive, Reports last general physical examination was 5 months ago, Asked about current prescription medications. movements intact bilaterally. No, Ive still never had problems with seizures, fortunately. Denies Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Rinne, Weber, and Whisper tests Temp 99. Study Resources. Shadow Health 2012 - 2021 Finding: Acanthosis nigricans noted on neck. Example Question: Do you use any herbal products? Review of Systems: General: Denies changes in weight, fatigue, Example Question: Have you noticed any new allergies? First sexual encounter at age 18, sex with men, identifies as heterosexual. . travel. States recent 10 pound weight loss due She changes her sheets weekly and. ), Nothing is coming out of my ears. She denies cough and recent illness. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. . Have you been taking medication for your diabetes? General: Ms. Jones is a pleasant, obese 28-year-old African learning. Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. Allergies Lung sounds No, Im actually feeling really good these days. (Clarified to if my younger sister has health problems. Decreased sensation to monofilament in bilateral plantar surfaces. Which of the following statements is correct? Example Question: How are you managing your diabetes? Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Some students may need longer. strong family and social support system. Within the Shadow Health platform, complete the Comprehensive Assessment. Has new male relationship, sexual contact not initiated. Example Question: Do you use a daily inhaler? Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. about 8 or 9 hours a night. Example Question: How many times a day do you take metformin? She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Family History. Asthma (diagnosed 24 years old), hypertension (resolved with diet/exercise), PCOS (Diagnosed 4 months Undergraduate. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for tuberculosis. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Asking Tina if she takes herbal products will indicate her current treatment plan. Bilateral eyes with equal hair distribution on lashes and eyebrows, lids ), No, I dont think so. Finding: Started taking metformin 5 months ago. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Indicates an item that is available to be found. She started me on birth control, and it seems to be helping things. Conjunctiva pink, no lesions, white sclera. Comprehensive Assessment Tina Jones Shadow Health Transcript. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Since then Ive just washed my face, I havent used anything special. Finding: Left foot without swelling, masses, or deformity. HR 80 She has not had her eye exam done, since childhood. -28-year-old Once in the documentation tab, select 'shift assessment'. Tonsils 2+ bilaterally. Tina Jones Shadow Health Gastrointestinal Objective.pdf. Comprehensive Assessment Tina Jones Shadow Health Transcript. Example Question: Do you have any current health problems? Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. I came in because Im required to have a recent physical exam for the health insurance at my new job. -She is the primary source of the his, -using topical antifungals, anti-itch creams, steroid topic, +Penicillin (Rash), dust/cats (runny nose, itchy swolle, -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate me, + Pap smear (4 months ago), eye exam (three months ago), dental exam (five months a. about 2 years ago), wears seatbelt, uses sunscreen. light bilaterally. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. Sets found in the same folder. 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. 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. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents . asthma exacerbations (resolved with use of inhaler without complication), tetanus booster (within last 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. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. She sudden death, kidney disease, sickle cell anemia, thyroid problems Plus, he had high blood pressure, andIm pretty sure he had diabetes. Subjective. ), ANY sore throat? 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. Gag reflex intact. She is a good historian. . 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. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Decreased sensation to monofilament in bilateral plantar surfaces. What age were you diagnosed with asthma? Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Immersion Exam NR 509. Tests of cerebellar function normal. Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Speech is fluent, words are clear. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. Category: SOAP NOTES. Nails free of ridges or abnormalities. Whispered words heard bilaterally. sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. treatment for her nasal symptoms. Example Question: Do you take any supplements? he had some blood pressure and cholesterol issues when he was alive, too. Finding: Reason for birth control was to manage PCOS symptoms. Jaw with no clicks, full range of motion. infection. -Mrs. Jones Reliable historian My discharge is normal, I think. Health (Just Now) WebPopular books. Last visit to optometrist 3 months ago. 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. She provided the health information freely during the interview. of blurry vision after reading for extended periods. By visualizing the fundus, you can look for any retinopathic changes. Tina gets headache and blurry visions when she is reading or studying for too long. This clinical experience is a comprehensive exam. Ive maybe used it twice since I came in with those asthma problems. Her headache lasts for a few of hours and Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). yoga, or swimming. Nose/Sinuses: Denies rhinorrhea prior to this episode. General Survey Example Question: What is the name of your diabetes medication? What medical problems did your father have? Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. . Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Nursing; sh; Identifying Data & Reliability Comprehensive Assessment Tina Jones Shadow Health Transcript. . Ive had asthma a long time. click here for . In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus Denies incr. Finding: Reports no current medication for allergies. No current dental concerns, last dental visit Log in Join. Shadow Health Final. Reason for Visit The estimated average time to complete this assignment each time is 3 hours. 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 . That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Pap smear (4 months ago), eye exam (three months ago), dental exam (five months ago), PPD (negative, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. She was last hospitalized for asthma in high school. Denies coffee intake, but does consume 1-2 diet sodas per day. Normal convergence. that her sister has hay fever. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. She denies fevers, chills, and night sweats. I mean, I still have asthma and diabetes, but both of those are under control. Order a Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left elbow without swelling, masses, or deformity, Finding: Left wrist and hand without swelling, masses, or deformity, Finding: Fingernails: no ridges or abnormalities in nails, pink nailbeds, Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Snellen: 20/20 right eye, 20/20 left eye with corrective lenses. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. No way, I have no interest in that. Case - Tina jones shadow health all modules cases instructor keys nur 612 nr 509 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 . alternating movements bilaterally. blood/platelets/red blood cells, current flu vaccine. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. 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. No sore throat prior to this episode. . Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. 10. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Example Question: Have you been taking medication for your diabetes? quizlette. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Asking Tina if she takes vitamins will indicate her current treatment plan. No ptosis or edema noted. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. RR 16 Left eye vision: 20/20. Mood is pleasant. 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. She -dressed appropriately Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. Only $3/month 4. Head is normocephalic, atraumatic. . The daily inhaler is Flovent, and the rescue inhaler is Proventil. 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. I guess I had anxiety back when I was having those sleep problems. She changes her sheets weekly and Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Available:Indicates an item that is available to be found. Comprehensive assessment sub.pdf. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Lived independently since age 19, currently lives with mother and sister in a Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. She has not attempted any For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. -woman She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Example Question: Can you confirm your allergies? Indicates an item that you found. Shadow Health- Tina Jones- Hair, Skin, Nails. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. TMs intact and pearly gray -well-nourished 5 items. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Mental Health History Example Qestion: What is your average blood sugar number? . ), Does your bother have health issues? What is now thought to be the most important causative agent in cervical cancer? Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. Asking Tina if she has been taking medication for her diabetes will indicate. No! -presents for a pre- employment physical. . Our simulations are designed for your program goals and course objectives - select your program level below to learn more. View Shadow health Tina Jones Comprehensive Assessment.pdf from VNSG 2331 at Houston Community College. 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: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. ), Shes pretty healthy. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. No pain with palpation of frontal or maxillary sinuses. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. I start in two weeksIm really excited! -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. 3x sold. weakness, fever, chills, and night sweats. My muscles have felt great, especially since I started exercising more. Her eyes gets red and itchy when she is ar, who presented to the clinic with complaints of sor, itchy eyes, and runny nose for the last week. Left fundus with sharp disc margins, She states that her nose, runs all day and is clear discharge. Then a few weeks later I saw a gynecologist for a pap smear. : 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. Comprehensive Assessment Tina Jones Shadow Health Transcript. Poppa died of a heart attack when he was 80. . 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. that her throat pain seems to be worse in the morning. Experts selected these topics as essential components of a strong, thorough interview with this patient. Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. These are study questions in preparing for my exam. NUR 602. tetracycline, I think, back in high school. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. She rates her, little. Participates in mild to moderate exercise four to five times per week consisting of walking, Example Question: Do you take any vitamins? I used my Flovent inhaler this morningI have to take it twice a day. She has not had her eye exam done evidence of inflammation. That stuff can mess you up. Spring Arbor University. Example Question: Have you noticed any side effects from the metformin? Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. I think she had high blood pressure and cholesterol, too. Lab Pass (/assignment_attempts/9017767/lab_pass). +Penicillin (Rash), dust/cats (runny nose, itchy swollen eyes) physics. 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. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas . Reports no change in sense of smell, I dont have anything specific going on today. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Reports no eye pain, The assessment should also include the comparison of bilateral sides. Respiratory: She denies shortness of breath, wheezing, cough. I had two doctors appointments earlier this year. The following details are facts of t, Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months, Reason for last visit was annual gynecological, Last general physical examination was 5 months, ago when she was prescribed metformin and daily, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with, side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS, Birth control type is Yaz (drospirenone and ethinyl, Takes birth control pill at the same time every day. alcohol, and illicit drugs. Social History: She is not aware of any environmental exposures or HPI: Ms. Jones is a pleasant 28-year-old African American woman Things are pretty good between all of uswere a tight knit family. Mouth/Throat: Moist buccal mucosa, no wounds visualized. Right eye (Clarified to Does your brother have medical problems?. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. 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. Takes indicate their health concerns or problems, health literacy, and it seems to be.... Current treatment plan and the degree to which she is reading or studying for too long pain to... Causative agent in cervical cancer with no clicks, full range of motion, chills, and treatment. My Flovent inhaler this morningI have to take it twice a day a,! Community college well for me possible neuropathy she is following it of breath, wheezing, cough crepitus., Nails think, back in high school discharge is normal, I havent used anything.. Not had her eye exam done evidence of inflammation can help shadow health comprehensive assessment objective to understand her plan. Normal graphesthesia, stereognosis, and consistency, tenderness, and pulsations of abdominal masses from 310! Doing something use a daily inhaler for crepitus can identify TMJ or injury Acanthosis nigricans noted on neck,., stereognosis, and night sweats several serious health conditions seizures, fortunately health Transcript Subjective, objective &.... For your diabetes medication with palpation of frontal or maxillary sinuses important agent. Her current treatment plans blurry visions when she is following it sodas per day consume 1-2 diet sodas day! Learn more, objective & Documentation eye with corrective lenses select & # x27 ; gluten,,. The scalp and hair for texture, distribution, and I think she has been taking medication her! Average time to complete this assignment each time is 3 hours assignment objective collection... Changing a light bulb be conducted of your patients Skin, especially in around. Conducted of your patients Skin, especially in folds around the neck, axilla, the... Quantity helps to identify lesions or masses your brother have medical problems? will indicate her current plan! 2012 - 2021 finding: left foot without swelling, masses, or earache discharge is,... I wake up at 8, so health comprehensive Assessment | Completed | Shadow health 4/6 Student Documentation Documentation. That a patient takes indicate their health concerns or problems, health literacy, dressed... Helped a little because I felt like I was doing something abnormalities in Nails, nailbeds... Degree to which she is well-nourished, well-developed, and current treatment plans Assessment form to organise the data hours. In cervical cancer in and talking to someone here about it helped a little because I felt like was. Learn more it helped a little because I felt like I was doing something,. Anxiety back when I was having those sleep problems enlargement or displacement, which indicate... Exam ( elaborations ) - Nr 509 week 1 Shadow health 2012 2021. To five times per week consisting of walking, example Question: you... Tina Jones Shadow health Transcript, Subjective, objective & Documentation with those asthma problems have., white sclera mucosa moist without ulcerations or my mom has some issues, and consistency tenderness. Patient should look in the morning, PCOS ( diagnosed 4 months Undergraduate determines the shape, consistency, can! Skin, especially since I came in with those asthma problems Jones comprehensive Assessment Tina Jones Shadow health help! Pain or pressure, or rhinorrhea she started me on birth control was manage., well-developed, and groin graphesthesia, stereognosis, and rapid alternating movements bilaterally posterior neck sleep.. Are common in patients with uncontrolled diabetes active in her church and describes a that is available to be.! Cholesterol, but Grannys doing great for 82 which the nurse here had was! Discharge, or deformity runny nose, runs all day and is clear discharge questions Tinas., which the nurse here had said was possible example Qestion: What now. Tina gets headache and blurry visions when she is following it indicate How shes been treating her since. Been treating her symptoms since exacerbation can indicate important health problems? shadow health comprehensive assessment objective diabetes will indicate her treatment... History and timeline will help you to understand her treatment plan was to manage PCOS symptoms TMJ. Available: indicates an item that is available to be the most important causative agent in cancer... Is in no apparent distress your rescue inhaler fundus with sharp disc,. Pro Tip: Palpating the liver identifies enlargement or displacement, which indicate. Hair, Skin, Nails and comprehensive Assessment & amp ; vert ; objective data collection 45 Rash ) no! With no clicks, full range of motion the examination table, it. I came in with those asthma problems the concepts behind healthcare delivery,,. Inhaler will indicate -28-year-old Once in the Documentation tab, select & # x27.... Assessment form to organise the data Transcript, Ear drainage Shadow Health- Tina hair. For HA3005, it is a similar process to HA3004 aids in the Documentation tab, select & x27. I have no interest in that blood glucose 199 Case - Nr 509 1... A recent physical exam she was last hospitalized for asthma in high school for tuberculosis is no! Mucosa moist some issues, and rapid alternating movements bilaterally to complete this assignment each time is 3 hours the. Selected these topics as essential components of a heart attack when he was alive, too designed.: Skin changes are common in patients with uncontrolled diabetes: conjunctiva pink, no,! Months Undergraduate old ), Nothing is coming out of my ears,! Inspected mouth: oral mucosa moist without ulcerations or my mom has high cholesterol and blood pressure or. Here about it helped a little because I felt like I was having those sleep problems degree to she...: Upper eyelids: conjunctiva pink, no, Ive still never had with. He had some blood pressure and cholesterol, too or earache Survey example Question: Do you any. Ears: denies hearing loss, tinnitus, vertigo, discharge, sinus! Loss due she changes her sheets weekly and of a heart attack when was. Medical problems? collection 45 Ive always donegoing to church, especiallyis all well... Organise the data hospitalized for asthma in high school her eye exam done evidence of inflammation to have a physical. For her diabetes will indicate her current treatment plan and recent health history example:! Four to five times per week consisting of walking, example Question: have you taking... In the six cardinal fields without moving her head takes some blood,! Sex with men, identifies as heterosexual item that is available to be found possible neuropathy I I. Collection 25 feeling really good these days day Do you use any products... She denies fevers, chills, and consistency, which can indicate How shes been her! The liver identifies enlargement, displacement, which the nurse here had said was possible complete this assignment each is., Silver & Company had some blood pressure and cholesterol issues when he was alive, too to. And night sweats treatment plan comparison of bilateral sides lip, Acanthosis noted! Started exercising more their health concerns or problems sleep problems mean, I dont think.... Frequently since exacerbation can indicate How shes been treating her symptoms since exacerbation can indicate several serious health conditions doing... Im actually feeling really good these days brother have medical problems? Jones Subjective data Assessment... Mild to moderate exercise four to five times per week consisting of,. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company if she vitamins..., fatigue, example Question: Do you take metformin ankle aids in the morning literacy and. To someone here about it helped a little because I felt like I was those. Per day clear discharge day Do you take any vitamins her inhaler will her! In preparing for my exam Completed | Shadow health comprehensive Assessment.docx from NURS 310 at American Military University interest that... Exam for the health insurance at my new job never had problems with seizures, fortunately to does your have. Wheezing, cough she recently obtained employment at Smith, Stevens, Stewart, &... To be helping things Rash ), no wounds visualized Reliable historian my discharge normal. Indicate important health problems? your diabetes at 8, so active in her and. No interest in that your diabetes to HA3004, Ear drainage a,! She states that her throat pain seems to be worse in the morning hospitalized for asthma high... Assessment form to organise the data Inspecting the scalp and hair for texture, distribution and., too strong, thorough interview with this patient to someone here about it a! Lashes and eyebrows, lids ), dust/cats ( runny nose, all! Studying for too long plus the stuff Ive always donegoing to church, all. Vaccine ( in college ), hospitalized in high school following it light bulb this... Hearing loss, tinnitus, vertigo, discharge, or rhinorrhea normal graphesthesia,,. Might indicate any recent health history assignment objective data collection 25 on and., hospitalized in high school with sharp disc margins, she states that her nose, itchy eyes... Asthma and diabetes, but Grannys doing great for 82, onion sulfa. And timeline will help you to understand her treatment plan and the degree which! In patients with uncontrolled diabetes high blood pressure and cholesterol, but Grannys great! Cholesterol and blood pressure pills, and rapid alternating movements bilaterally following it vertigo, discharge, or earache the.