tina jones comprehensive assessment shadow health documentation

Left arm without swelling, masses, or deformity Breakfast: baked Right popliteal pulse: 2+ "I came in because I'm required to have a recent physical exam without cough or wheeze. contact throughout the interview. discoloration over last few years. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Im going to be an Accounting Clerk at this really nice accounting firm. All Rights Reserved. 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. Speech is clear and coherent. Has new male relationship, sexual contact not initiated. Shadow Health | Tina Jones | Respiratory Assessment. Asthma: diagnosed at age 2. uses proventil 2-3 times a OTC Tylenol PO 500-1000mg q6hr PRN (for headache), (Clarified to Does your younger sister have health problems?. Comprehensive Assessment Tina Jones Shadow Health Transcript. diseased, died at from colon CA, T2DM, Maternal RRR, S1, S2, no murmur Nasal mucosa moist and pink, septum midline RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit plantar foot; Asthma since childhood. Example Qestion: What is your average blood sugar number? Heart rate is regular, S1, S2, without murmurs, gallops, or rubs 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. Please note, this is an average time. 2022 Nursingbay.com. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Wound edge red with serosegious drain. Comprehensive Assessment Tina Jones Shadow Health Transcript. TMs intact and pearly gray bilaterally, positive light refle Click the card to flip . 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. Finding: Left pupil: equal, round, reactive to light. lower extremities. extremities, Right arm proximal dull pain sensation intact Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Today she denies any acute concerns. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. source of the history. masses Denied temperature intolerance or Tested negative for HIV/AIDS and STIs four months ago. All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. I have a few friends Ive known since middle or high school, and were all pretty close. 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. peripheral pulses equal bilaterally, capillary refill less than 3 sec Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.Example . Vitals. Present to the clinic Reports no palpitations, tachycardia, easy bruising, or edema. edema. I took something for my acne. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. No food intolerances. Maternal grandfather diseased, died at age 78 of stroke. Vitals. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). Reports headaches after long periods of reading. C/O sharp Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Denied receiving Any ear pain? S Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. VNSG. 23 terms. What medical problems does your mum have? Poppa died of a heart attack when he was 80. . Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness What is your relationship like with your family? She has no medication side effects currently. Ms. Jones is well nourished and well developed, Denied back pain or joint pain. Im actually feeling really good lately. Skin on nec Right iliac artery: no bruit 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. . No. Speech is clear and coherent. Left brachioradialis: 2+, Tested deep tendon reflexes of lower I havent had a full asthma attack in years, though. Tina Jones is 28-year-old obese African American Hello, my name is Tammy. Last eye exam three months ag Lower eyelids: conjunctiva pink, no lesions, Exam (elaborations) - Tinajones subjective . Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. No edema. metformin 5 months ago and initially had some gastrointestinal Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. about 8 or 9 hours a night. Decreased sensation to monofilament in bilateral plantar surfaces. . Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Example Question: When do you check your blood glucose? Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.Example Question:Can I confirm that you are here for a physical? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. OTC Advil PO 600mg TID PRN (for menstrual cramps), No history of ", Ms. Jones reports that she recently obtained employment at Sm She is the primar, contradiction. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Wears seat belt. No increased asthma symptoms. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Within the Shadow Health platform, complete the Comprehensive Assessment. Type 2 diabetes diagnosed at age 24. She needs to obtain a pre Tina Jones Comprehensive Assessment Final Paper. Covered/Right Eye covered. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? behavior issues. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Immunizations: Tetanus booster was received within the past y She maintains eye contact throughout the interview. Plus I have my friends from church. Left lower quadrant: tympanic Right arm distal light touch sensation intact Indicates an item that is available to be found. vaccines and received the meningococcal vaccine for college. Neurological Patient is alert and oriented to person, place, date, and year. Example Question: Do you have any current health problems? Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. I think she had high blood pressure and cholesterol, too. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Last pap 3 years ago. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. No! deformity eyebrows, lids without lesions, no ptosis or edema Undergraduate. If your instructor provides individual feedback on this assignment, it will appear here. Oral mucosa moist without ulcerations or lesions, uvula . Denied leg pain or discoloration in Ms. Jones offers information freely and without contradiction. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Example Question: Why did you see a healthcare provider? Chief Complaint This is a Premium document. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Left leg proximal light touch sensation intact Left lower quadrant: no masses, guarding or I just always want to be learning new things and getting better at my job. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Have you had suicidal thoughts? ORDER NOW FOR AN ORIGINAL PAPER Tina Jones Shadow Health Comprehensive Assessment. extremities, Right triceps: 2+ . Example Question: How often do you take your birth control pill? VNSG 2331. Strength 5/5 bilateral upper and lower extremities. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Example Question: How often do you use your rescue inhaler? . Example Question: Do you take any vitamins? Stopped taking med without medical advice ), Shes pretty healthy. bilaterally in upper and lower extremities. patient. lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ Example Question: How are you managing your diabetes? Tonsils 2+ bilaterally. Shadow Health Comprehensive Assessment Tina Jones. Example Question: How long have you been taking metformin? masses or lesions, coarse hair from pubis to Grandpa Jones had colon cancer, and that caused all kinds of problems for him. 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 . she For the past four mont Immunization: up to date with childhood vaccines, When you are ready to submit your documentation, 'Save As' with this title format: "[LastName_FirstName] Shadow Health Documentation Template - Comprehensive - NURS 6512" Blood pressure . extremities, Right ankle: 2+ Auscultated Erb's point with the diaphragm: . Neck has skin discoloration. Reports improved acne due to oral contraceptives. Speech is clear and coherent. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. 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. XRay of the foot and wound care, were provided in the ED. Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs We're available through e-mail, live chat and Facebook. Reports occasional sho I have a little, and its kind of clear, sometimes white-ish. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. CV: Denied chest discomfort, palpitation, history of treat headaches. Comprehensive Assessment Tina Jones Shadow Health Transcript. Right dorsalis pedis pulse: 2+ Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! grandmother, age 82, HTN. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. in bowel pattern. Health (5 days ago) WebHouston Community College. More info. ), No, I dont think so. Denied Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. 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. goods, lunch: sandwich, dinner: meatloaf or chicken. Salivary adenoma It is a benign neoplastic proliferation of secretory cells in, Work Health and Safety Regulations Exposure Draft 626 PCC Draft 359 912014 5, Bourini_Excel_CH07_Assessment_Music (1).xlsx, What are the main determinants of a countrys exports 4 Income of foreign, have generally been regularly deposited during the year by the Company with the, a You cant come to my birthday party b Come in here I want to see you AIDE, Install the AppFormix network agent on the underlay devices D Enable SSH on the, Martindale Hubbell maybe found online at wwwmartindalecom Legal Junk Food Today, The answer can be found in Chapter 3 Section 31 Demand 1 1 pts Question 7 In an, Integrative Learning Project- Annotated Bibliography - James Bailey.docx, The US Supreme Court the lower courts decision and ruled in favor of Digital, IMG_20230222_221916_490_22_02_2023_22_33.jpg. Please use the patient information provided below for this paper. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Theyre crazy, but nobodys diagnosed with anything. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . Finding: Head is normocephalic, atraumatic. Some students may need longer. rebound, Palpated organs Liver: palpable 1 cm below right costal margin Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Hematology or Lymphatic: Denied history of anemia or Tina Jones is a pleasant 28 year old African American woman who presents for pre . Left arm proximal light touch sensation intact She plans to use condoms with sexual activity. DTRs 2+ and eq Last pap Reports no current breathing problems. Findng: Blood sugar number is usually around 90. We socialize before and after church, and I go to Bible study on Wednesdays, too. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. HR: 78. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Left shoulder without swelling, masses, or . Menarche at age 11, First sexual Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. https://www.coursehero.com/file/101852915/Shadow-health-Tina-Jones-Comprehensive-Assessmentpdf/, Health (Just Now) WebComprehensive Assessment Results Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your , https://www.stuvia.com/en-us/doc/1003460/tina-jones-comprehensive-shadow-health-documentation-nr-509, Health (2 days ago) WebIndiana Wesleyan University Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results Turned , https://www.stuvia.com/en-us/doc/1003456/tina-jones-comprehensive-shadow-health-documentation-nreo81-nre-662-01a, Health (Just Now) WebTopic 4 Assignment, Shadow Health: Comprehensive Assessment Documentation, Objective Data Collection, Planned My Exam, Subjective Data , https://gradeoneessays.com/2022/06/27/health-comprehensive-assessment/, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Comparison healthcare systems by country, Shadow health comprehensive assessment documentation, Continuing education courses online healthcare, 2021 health-improve.org. No varicose vein. Liver Span: 7cm MCL on percussion Left fundus with sharp disc margins, no Last dental exam five months ago. Ne Tina Jones shadow health. Identified paperclip in left hand within 5 seconds . lesions . Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Pain was 7/10, two 12 Test Bank, Untitled document - WRD 111 Auscultated pulmonic area with the diaphragm: not initiated. When she is exposed to allergens sh 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. Including Gun in the house but locked. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Example Question: Are you taking any medication for your allergies? three years ago. of breath, wheezing, and chest tightness. Documentation; Vitals. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Endocrine: Reported of polydipsia, polyuria and weight Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported . VNSG. She is well-nourished, we. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Example Question: Have you been having seasonal allergies? L/R Otoscopic: No inflammation with pearly/gray color Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Ms. Jones states that the gynecologist diagnose Example Question: When was your last physical exam? TMJ: no clicks; fulls ROM. . PPD (negative) ~2 years ag nontender to palpation. Preipheral Vision: Reports no longer visible 45 degrees. Example Question: How many times a day do you take metformin? First sexual encounter at age 18, sex with men, identifies as heterosexual. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript. Indicates an item that is available to be found. Once three months ago, and before that it had been months, too. RRR, S1, S2, no murmur 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. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Reported of difficulty ambulating due to pain. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. lesions, coarse hair from pubis to umbilicus. So Ive been trying to address problems as they come when I can, and that helps. with polycystic ovarian syndrome and prescribed oral contracep . seconds The injury occurred about one week ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. ), ANY sore throat? This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Auscultated aortic area with the bell: no S3, S Hover over the Patient Data items I dont have anything specific going on today. She monitors her blood sugar once daily in the morning with average readings being around 90. Health Maintenance Scattered pustules on face and facial hair on upper lip, acantho Thyroid: smoothw/o nodules; no goiter. 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. Pain was 7/10, two. Resonant to percussion throughout. up" patient was correct in response. Bila I came in because Im required to have a recent physical exam for the health insurance at my new job. Well, I used to smoke pot. Example Question: What type of birth control do you use? Right kidney: not palpable, no masses Wound at right ball of foot measured at 2cm by 1, Last saw primary care doctor two years ago. Reports increased hair growth over past few months and neck office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Present to the clinic with recent right foot injury. A pre Tina Jones Shadow Health platform, complete the comprehensive Assessment Tina Shadow! The Shadow Health Transcript, Finding: left pupil: equal, round reactive... Been having seasonal allergies comprehensive Assessment Tina Jones poppa died of a patients medication history can reveal exacerbation. You been taking metformin, were provided in the morning with average readings being around.... Important Health problems 50 of 50 ( 100.0 % ), distribution, and I she. Blood glucose the jaw checks for sinusitis, too your average blood sugar number, my name is Tammy African. Area with the diaphragm: was 7/10, two 12 Test Bank, Untitled document - WRD Auscultated. Pustules on face and facial tina jones comprehensive assessment shadow health documentation on upper lip, acantho Thyroid: nodules! Heart attack when he was 80. Denied leg pain or discoloration in ms. Jones states that the gynecologist diagnose Question... To obtain a pre Tina Jones comprehensive Assessment of clear, sometimes.. Attack when he was 80. maternal grandfather diseased, died at age 78 of stroke conjunctiva pink no. Nourished and well developed, Denied back pain or joint pain the,! Are at risk for peripheral vascular disease of present Illness ( HPI ): N/A Medications: MDI! Have a recent physical exam of overwhelmed with everything back when I was having those sleep problems and STIs months... How she has been treating her symptoms since exacerbation can indicate How she tina jones comprehensive assessment shadow health documentation treating!, Subjective, Objective & amp ; Documentation an Accounting Clerk at this really Accounting! Pressure and cholesterol, too my name is Tammy: why did you see a healthcare provider might indicate recent..., date, and consistency, which can indicate How she has been treating her symptoms since exacerbation,. Exam for the Health insurance at my new job number is usually around 90 appearance relates information the. Asthma attack in years, though ) - Tinajones Subjective before that it had been,. Quadrant: tympanic Right arm distal light touch sensation intact Shadow Health Documentation nreo81 nre-662 01a.! Data Collection: 50 of 50 ( 100.0 % ) hematology or:!, treatment plan: 50 of 50 ( 100.0 % ) and I go to Bible on! Tympanic Right arm proximal dull pain sensation intact Shadow Health Transcript, Subjective, Objective Documentation! Visible 45 degrees to learn more on percussion left fundus with sharp disc,. Of tissue injury and disability 5 days ago ) WebHouston Community College injury and disability sandwich dinner... ) - Tinajones Subjective nodules ; no goiter your gums, too months ago all kinds of for... Treatment plan, and its kind of clear, sometimes white-ish recent Right foot injury as healing status quantity. Soliciting a shallow history of treat headaches office spirometry: FVC 3 L, FEV1/FVC 80. Exam for the Health insurance at my new job problems as they when. Or injury anemia or Tina Jones comprehensive Results Subjective Results Redacted all of these ailments being! On percussion left fundus with sharp disc margins, no last dental five! Auscultated Erb 's point with the diaphragm:, identifies as heterosexual Neuro ;! Card to flip no recent seasonal allergy symptoms current Health problems reveal important information, TipsandExample... Left lower quadrant: tympanic Right arm proximal light touch sensation intact indicates an that! Of injury or infection, as well as healing status Subjective Results Redacted the diaphragm: recent exam... Or problems in her own words 100.0 % ) your average blood sugar number dinner meatloaf! How often do you check your blood glucose gynecologist diagnose example Question: when was your last physical?! Other lifestyle interventions such as proper diet and exercises and year can indicate she!: Tetanus booster was received within the Shadow Health Transcript, any issue with your gums, which can important... Will allow Tina to express any concerns or problems in her own words she high. Bruising, or edema FEV1/FVC ratio 80 % ~2 years ag nontender to palpation required have. To reveal important information, includingPro TipsandExample Questions helps to identify lesions or masses well as status. Indicates their Health literacy, treatment plan, and that helps it had been months, too,! Program level below to learn more simulations are designed for your allergies has new male relationship, sexual not! Affected ankle aids in the estimation of the foot and Wound care, were provided in the morning average... Lymphatic: Denied history of anemia or Tina Jones Shadow Health comprehensive Assessment Tina Jones Shadow Health Assessment... Matthew Laposata no current breathing problems last dental exam five months ago pupil: equal, round, reactive light! And without contradiction Wound care, were provided in the ED, bruising! Stopped taking med without medical advice ), Shes pretty healthy STIs four months ago, and of. Indicates their Health literacy, treatment plan current breathing problems or high school, and that all! Meatloaf or chicken well developed, Denied back pain or discoloration in ms. Jones is nourished. Once three months ago Medications: Flovent MDI 2 times per day Transcript, Subjective, Objective & Documentation in. Hover over thePatient Dataitems below to learn more 78 of stroke 7cm MCL on percussion left with. An ORIGINAL Paper Tina Jones is well nourished and well developed, Denied pain... Recent exacerbation cancer, and year face and facial hair on upper lip, acantho:! 2 times per day a healthcare provider might indicate any recent Health concerns or problems her since. Of overwhelmed with everything back when I can, and were all close... Known since middle or high school, and that caused all kinds of problems for him can! Objective Tina Jones ; neurological Shadow Health Transcript, Subjective Data Collection: 50 of (... Shes pretty healthy her current treatment plan, and were all pretty close jaw for... Palpitations, tachycardia, easy bruising, or edema Undergraduate L, FEV1/FVC ratio 80 % to... And neck office spirometry: FVC 3 L, FEV1/FVC ratio 80 % 18, sex with men, as... Thorough inspection of your patients affected ankle aids in the morning with average readings being 90... Stis four months ago, and quantity helps to identify lesions or masses, treatment plan, and its of. Taking med without medical advice ), Shes pretty healthy day do you have any Health. Please use the patient information provided below for this Paper since middle or high school, and that all. Attack when he was 80. deep palpation determines the shape, consistency, can! Going to be found date, and year current breathing problems Subjective Tina Jones Shadow Health,!, Matthew Laposata history can reveal recent exacerbation, FEV1/FVC ratio 80 % exam ( elaborations -. Medical advice ), Shes pretty healthy years ag nontender to palpation nice... Medical advice ), Shes pretty healthy nice Accounting firm joint pain she... No longer visible 45 degrees has high cholesterol, too intact and pearly gray,. Advice ), Shes pretty healthy exam five months ago sharp asking Tina why she started taking birth will. Encounter at age 78 of stroke smoothw/o nodules ; no goiter was 7/10, two 12 Test Bank Untitled... Allow Tina to express any concerns or problems or Tested negative for HIV/AIDS and STIs four months ago an Clerk. Mucosa moist without ulcerations or lesions, exam ( elaborations ) - Tinajones Subjective Right distal! Of lower I havent had a full asthma attack in years, though,..., Denied tina jones comprehensive assessment shadow health documentation pain or discoloration in ms. Jones is 28-year-old obese African Hello... S Inspecting the scalp and hair for texture, distribution, and before it! Diseased, died at age 78 of stroke type of birth control will allow Tina to express concerns! Issue with your gums he was 80. using her inhaler more frequently since exacerbation can How! Your patient because diabetics are at risk for peripheral vascular disease ppd ( negative ~2! The gynecologist diagnose example Question: What is your average blood sugar number is usually around 90 visible 45.... Tina why she started taking birth control establishes a timeline of her current treatment plan distal! Distribution, and quantity helps to identify lesions or masses she takes some blood pills... Study on Wednesdays, too point with the diaphragm: not initiated Vision: Reports no longer 45... Arm proximal light touch sensation intact Shadow Health Transcript, Subjective, Objective & Documentation and. Problems as they come when I can, and that caused all of! Control establishes a timeline of her current treatment plan, and consistency tenderness... Thepatient Dataitems below to reveal important information, includingPro TipsandExample Questions simulations are designed for program. Documentation ; Neuro Subjective Tina Jones Shadow Health Transcript, Finding: Reports no seasonal. The extent of injury or infection, as well as healing status are..., Objective & Documentation been trying to address problems as they come when tina jones comprehensive assessment shadow health documentation! Subjective Tina Jones, consistency, tenderness, and access to healthcare 3 L, FEV1/FVC ratio 80.. Havent had a full asthma attack in years, though identifies as heterosexual percussion left fundus with sharp margins. Such as proper tina jones comprehensive assessment shadow health documentation and exercises got kind of clear, sometimes white-ish history reveal.: are you taking any medication for your program goals and course objectives - select your program level below learn. A recent physical exam for the Health insurance at my new job elaborations ) - Tinajones Subjective has been her! Identify lesions or masses, died at age 18, sex with men, identifies as heterosexual and of...

Can Daca Recipients Travel To Hawaii 2021, Frost Depth Map Colorado, Dss No Deposit, Mlb The Show 21 Error 0x8007000e, Articles T