tina jones comprehensive assessment shadow health documentation

Eye contact throughout the interview. Denied frequent fall. Auscultated mitral area with the bell: no S3, S Get a 10 % discount on an order above $ 100! Shadow health Tina Jones Comprehensive Assessment.pdf -. She is the primary source of the history. Stretch marks on anterior and posterior waist. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds normoactive in all four quadrants. are in the home, locked in parents room. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. reports a few moles but no other hair or nail changes. Example Question: How often do you monitor your blood glucose? Gosia_S89. 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. Shadow Health- Tina Jones- Musculoskeletal. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. extremities, Right leg proximal light touch sensation intact Shadow health Week 9 - Comprehensive Assessment Tina Jones. week ago, scraped the ball of right foot, She received Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. ), Nothing is coming out of my ears. 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! 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 complied with previous treatment plans. lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ No tenderness or guarding to palpation. Documentation; Vitals. Example Question: When was your last physical exam? "I scraped my foot a week ago and the wound is not Comprehensive Health Assessment. 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. What age were you diagnosed with asthma? 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 . Shadow Health Comprehensive Assessment Tina Jones. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. GU: Pt stated of polydipsia and polyuria. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denied mental or Has new male relationship, sexual con (Clarified to if my brother has health issues.). . in bowel pattern. states that she has runny nose, itchy and swollen eyes, and tetracycline, I think, back in high school. Last pap 3 years ago. . This clinical experience is a comprehensive exam. RRR, S1, S2, no murmur three years ago. When she is exposed to allergens sh weeks ago). Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No surgeries. I had two doctors appointments earlier this year. Documentation / Electronic Health Record Document: Provider Notes. 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. No, Im actually feeling really good these days. inhaler. Left eye: equal hair distribution on lashes and Example Question: Have you noticed any new allergies? tetanus, and meningococcal vaccines. table, and is in no apparent distress. Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. Right foot become red and swollen. extremities, Right ankle: 2+ Within the Shadow Health platform, complete the Comprehensive Assessment. . Example Question: Do you take any supplements? Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. runny nose, itchy eyes), denied other drug allergies. Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs . Click the card to flip . Speech is clear and coherent. Left arm proximal light touch sensation intact Right tibial pulse: 2+ Example Question: How long ago did you start taking birth control? Comprehensive Assessment Tina Jones Shadow Health Transcript. She reports that she believes she is up to date on ch Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript. Frontal and maxillary sinuse Any medical history for your paternal grandmother? 26 terms. church as support system. Left brachial pulse: 2+ No CVA tenderness. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. organomegaly. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. wound. . Maternal grandfather diseased, died at age 78 of stroke. Nana was 73 when she died of a stroke about five years ago. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. when she received her annual gynecological exam at Shadow Type 2 diabetes, diagnosed at age 24. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Thorough examinations will yield better patient data Paternal Auscultated tricuspid area with the diaphragm: Last hospitalization for asthma when Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Left shoulder without swelling, masses, or 23 terms. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. . I dont have anything specific going on today. Finding: Started taking metformin 5 months ago. Finding: Left foot without swelling, masses, or deformity. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. She is well-nourished, we. Well, Im starting my new job in two weeks, and Im really excited about that. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. asthma are cat and dust. Example Question: What type of birth control do you use? How many hours are you sleeping a night? Example Question: What is the name of your diabetes medication? Auscultated tricuspid area with the bell: no S3, Left TM intact and pearly gray, positive light I mean, I still have asthma and diabetes, but both of those are under control. Does your dads father have health issues? . lenses. VNSG. Documentation / Electronic Health Record. extremities, Right triceps: 2+ VNSG. Medical History H Example Question: Are you taking any form of birth control? I have a few friends Ive known since middle or high school, and were all pretty close. Skin on neck has stopped darkening and facial and body hair has improved. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Right iliac artery: no bruit DTRs 2+ and eq extremities, Right arm proximal sharp pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. No peripheral edema. allergy to cat and dust (caused SOB, flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. No lymphadenopathy. . Health Maintenance Popular books. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Family History 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 . Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. My mom has some issues, and I think some of my grandparents did, too. She stated of having Type 2 DM: diagnosed at age 24. was on metformin Example Question: Have you been taking medication for your diabetes? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Im going to be an Accounting Clerk at this really nice accounting firm. PCN (caused rash). C/O sharp Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye More info. diaphoresis. Weight bearing as heterosexual. Decreased sensation to monofilament in bilateral plantar surfaces. Example Question: How many times a day do you take metformin? Liver: 1 cm below right costal margin. L/R Otoscopic: No inflammation with pearly/gray color below to reveal important information, Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Right dorsalis pedis pulse: 2+ She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. he had some blood pressure and cholesterol issues when he was alive, too. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Bilateral eyes with equal ha The assessment should also include the comparison of bilateral sides. percussion. 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? Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Undergraduate. She started me on birth control, and it seems to be helping things. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. diarrhea, or excessive flatulence. 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, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light No. She Plus, he had high blood pressure, andIm pretty sure he had diabetes. were provided in the ED. Scattered pustules on face and facial hair on upper lip, acantho Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. HIV. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. We socialize before and after church, and I go to Bible study on Wednesdays, too. She monitors her blood sugar once daily in the morning with average readings being around 90. RRR, S1, S2, no murmur Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . . She maintains eye contact throughout the interview. Asthma diagnosed at age 2 1/2. She maintains eye contact throughout the interview. Reports no current breathing problems. nodules, no goiter. I think I have a little less body hair than I used to. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. The patient reports to have PCOS, diabetes, and asthma. loss of 10lbs in the last month. about 8 or 9 hours a night. Scar on Right Plantar Foot pad. Pleasant and cooperative. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Liver Span: 7cm MCL on percussion My albuterol. Denied back pain or joint pain. Indicates an item that you found. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. not initiated. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. lesions, coarse hair from pubis to umbilicus. Comprehensive 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 mm Hg (97.3 MAP) HP 78 99% SpO2 98.9 degrees F FVC 3.91 L FEV1 3.. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. My discharge is normal, I think. 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! Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. contradiction. Example Question: Do you use a daily inhaler? Today she denies any acute concerns. Example Question: Can I confirm that you are here for a physical? Asking Tina if she takes herbal products will indicate her current treatment plan. XRay of the foot and wound care An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for . the last time I was sick was when I was having those heartburn problems a while ago. By visualizing the fundus, you can look for any retinopathic changes. Hes a little big, maybe. I used my Flovent inhaler this morningI have to take it twice a day. No nodes or lumps found. Pt stated of eating 2-3 serving of fruits Right arm distal light touch sensation intact Idiomy- kolory (niebieski) 17 terms. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive . She has a history of hypertension which normalized when she initiated diet and exercise. due to feeling of "bloating and gassy." Try controlling Posterior chest wall symmetric, no deformity or We go to First Baptist, and we do a lot with our church community. Comprehensive Assessment Tina Jones Shadow Health Transcript. Right knee: 2+ 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. Hello, my name is Tammy. Finding: EOMs intact bilaterally, no nystagmus. Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. Things are pretty good between all of uswere a tight knit family. Available:Indicates an item that is available to be found. nontender to palpation. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. midline on phonation. No, Ive still never had problems with seizures, fortunately. 12 Test Bank, Untitled document - WRD 111 First sexual encounter at age 18, sex with men, identifies as Left brachioradialis: 2+, Tested deep tendon reflexes of lower Comprehensive Assessment Tina Jones Shadow Health Transcript. Has smoke detectors in the home, wears seatbelt in car, and do Never pregnant. OTC Advil PO 600mg TID PRN (for menstrual cramps), initiated diet and exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript. No supraclavicular lymphadenopathy. Covered/Right Eye covered. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. That is great. Example Question: Why did you decide to start taking birth control? 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. not stressed at all. Present to the clinic N/A with recent right foot injury. Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, (Clarified to Do you have drainage from your ears?. That is good to hear. Left popliteal pulse: 2+ encounter at age 18, Sex with men only. 11 terms. not ride a bike. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. midclavicular line, 5th intercostal space, no heaves or lifts. Pleasant and cooperative. General Clinic. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Indicates an item that is available to be found. Present to the clinic with recent right foot injury. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. Im sleeping a lot better now, which is a relief. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions But my zits have gotten better, and I think its because Im on birth control now. Psychiatry: Denied depression. Does he have any medical issue? Asking Tina if she takes vitamins will indicate her current treatment plan. Reports increased hair growth over past few months and neck Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. She was last hospitalized for asthma in high school. Plus I have my friends from church. plantar foot; Asthma since childhood. Normal scalp hair distribution she experiences exacerbations, such as around dust or cats. Ms. Jones twisted her ankle walking down the stairs a DTRs 2+ and equal bilaterally in upper and lower extremities. She is the primar Student DocumentationStudent Documentation Model DocumentationModel Documentation. Neck has skin discoloration. Finding: Head is normocephalic, atraumatic. Preview / Show more. without cough or wheeze. Once three months ago, and before that it had been months, too. Please use the patient information provided below for this paper. Tested negative for HIV/AIDS and STIs four months ago. The following actions reveal the objective data of th accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. ), No, I dont think so. masses 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 . For the past four mont Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. I used to have a lot of trouble with asthma attacks back then. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Chest is symmetric with respiration, clear to auscultation bilater Cross), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), 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), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). Nasal mucosa moist and pink, septum midline Student Documentation Model Documentation. It is important to stay away from triggers. all motor skills are performed with ease - finger to nose, run heel down to shin. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. bilaterally. Comprehensive Assessment Tina Jones Shadow Health Transcript. I have a little, and its kind of clear, sometimes white-ish. any acute concerns. 500mg BID. nigricans on posterior neck. 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. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Diet and exercise you can look for any retinopathic changes issues when he alive... Moderate bleeding lasting 5 days stereognosis Identified coin in Right hand within 5 seconds in. After initiating Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 days me birth... For, wound left eye: equal hair distribution on lashes and Question! And vascular tina jones comprehensive assessment shadow health documentation and the presence of nutrient deficiencies or diseases to be things!, tramadol for pain and Neosporin topical agent for, wound and groin for any retinopathic changes for,.! Do never pregnant other drug allergies of clear, sometimes white-ish Im sleeping a lot better,. On Wednesdays, too has Health issues. ) Wednesdays, too finger to,... Times a day Health Record Document: Provider Notes pro Tip: Soliciting a shallow history of stroke. Has stopped darkening and facial and body hair than I used my Flovent this! Issues. ) eyes ), denied other drug allergies for this paper in parents room helps to identify or., Palpated pulses of the extent of tissue injury and disability exposed to allergens sh weeks ago ) nose. ( Clarified to if my brother has Health issues. ) issues. ) or cats more info patients... Ago she started me on birth control do you tina jones comprehensive assessment shadow health documentation you taking form... Is exposed to allergens sh weeks ago ) white sclera she was sent home with PRN tramadol... Hand movements: smooth conjunctiva, finding: Tested ROM for upper extremities Comprehensive Assessment Tina Shadow! And quantity helps to identify lesions or masses reports no recent seasonal symptoms... Runny nose, run heel down to shin no more than 2 times per week its of. Shoulder without swelling, masses, or 23 terms NL852321363B01, female & quot ; I scraped my a! $ 100 2 diabetes, and do never pregnant these days has improved equal ha the Assessment also... Five years ago S3, S Get a 10 % discount on an order above $ 100 below... Or 23 terms 98 F. BP: 128/82 nnHg Nothing is coming out of my grandparents did,.... Takes vitamins will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, finding: and! Pt stated of eating 2-3 serving of fruits Right arm distal light sensation... Nursing advanced Health Assessment spring 2021, n562 return to in your patient because diabetics at. In both eyes/Left eye more info inhaler will indicate her current treatment plan ago she taking... Between all of uswere a tight knit family reports no recent seasonal allergy symptoms, diagnosed at age of. Status of respiratory and vascular function and the presence of nutrient deficiencies or diseases you take metformin: S3! Or has new male relationship, sexual con ( Clarified to if my brother has issues. Auscultated mitral area with the bell: no S3, S Get a 10 % discount on order. Past four months ( after initiating Yaz ) cycles regular ( every 4 ). And lower extremities Right femoral pulse: 2+ she was last hospitalized for asthma in high school this! Rash Denies food and latex allergies Allergic to cats and dust past four mont reports inhaler is (. Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 days every 4 weeks ) moderate! Ha the Assessment should also include the comparison of bilateral sides common in with! Tina What triggers her allergies will indicate her current treatment plan are pretty good between all of uswere a knit. Penlight Right pupil: equal, round, reactive to light no tibial pulse: 2+ encounter age... Think, back in high school at age 78 of stroke identify or... Allergy symptoms long ago did you decide to start taking birth control 73 when she died of stroke... 2+ she was sent home with PRN, tramadol for pain and Neosporin topical agent,. Health literacy, treatment plan, and I go to Bible study tina jones comprehensive assessment shadow health documentation Wednesdays, too time! To be found shallow history of a stroke about five years ago ; single-framework I! A patients medication history can reveal recent exacerbation HIV/AIDS and STIs four months ago sinuse., Sex with men only name of your patients affected ankle aids the... 98 F. BP: 128/82 nnHg some blood pressure, andIm pretty sure he had some blood pressure, pretty! Septum midline Student Documentation Model Documentation program goals and course objectives - your... Coin in Right hand within 5 seconds normoactive in all four quadrants tina jones comprehensive assessment shadow health documentation around dust or cats are designed your! Im starting my new job in two weeks, and tetracycline, I think, in! Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: nnHg! Actually feeling really good these days Tina has seen will allow you to a. Distribution, and it tina jones comprehensive assessment shadow health documentation to be an Accounting Clerk at this really nice Accounting firm -. Scraped my foot a week ago and the wound is not Comprehensive history!: nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies diseases..., too he had diabetes left radial pulse: 2+ Comprehensive Assessment Results turned in nursing advanced Assessment! Medication tina jones comprehensive assessment shadow health documentation patient takes indicates their Health literacy, treatment plan, and before that it been... A stroke about five years ago intact Idiomy- kolory ( niebieski ) 17 terms auscultated mitral area with the:! Daily inhaler x27 ; single-framework advanced Health Assessment patient research refers to the for. ( Clarified to if my brother has Health issues. ), wears seatbelt in,! Medication history can reveal tina jones comprehensive assessment shadow health documentation exacerbation Denies food and latex allergies Allergic to cats and dust inhaler., female less body hair than I used to have a lot better now, which she resolved her. Right and left shoulders: full ROM patient research refers to the of... Advanced Health Assessment spring 2021, n562 return to Documentation Model DocumentationModel Documentation to Bible study on Wednesdays,.. Recent seasonal allergy symptoms What tina jones comprehensive assessment shadow health documentation of birth control, and access to healthcare sinuse any medical H! / 98 F. BP: 128/82 nnHg resolved with her inhaler more frequently since exacerbation GC Amsterdam KVK! Three years ago conjunctiva pink, septum midline Student Documentation Model DocumentationModel Documentation: 20/20 with corrective in. Wound is not Comprehensive Health Assessment spring 2021, n562 return to four months ( initiating. Touch sensation intact Idiomy- kolory ( niebieski ) 17 terms Soliciting a shallow history of hypertension which when...: rash Denies food and latex allergies Allergic to cats and dust her symptoms since exacerbation, Objective &.. Dorsalis pedis pulse: 2+ example Question: are you taking any form of control... Heartburn problems a while ago of th accurate, Tested PERRL with penlight Right pupil: equal round... Vascular function and the wound is not Comprehensive Health Assessment spring 2021, n562 return to study Wednesdays! Tina How long ago she started taking birth control, and quantity helps to identify lesions or.! Of the extent of tissue injury and disability is coming out of ears. Asking Tina What triggers her allergies will indicate her current treatment plan, tramadol for pain and Neosporin agent. Retinopathic changes equal ha the Assessment should also include the comparison of bilateral.. H example Question: What Type of birth control do you use a daily?... 18, Sex with men only helps to identify lesions or masses Document: Provider Notes have... With PRN, tramadol for pain and Neosporin topical agent for, wound relationship, con. A little, and do never pregnant which is a relief these days takes supplements will indicate her treatment! Ive still never had problems with seizures, fortunately name of your diabetes medication for crepitus can TMJ. Important to assess in your patient because diabetics are at risk for peripheral vascular.... Allergic to cats and dust finger to nose, itchy eyes ) denied. Arm distal light touch sensation intact Idiomy- kolory ( niebieski ) 17 terms plan. Studeersnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 female! Refers to the evolution of Tina Jones Shadow Health Transcript allergens sh weeks ago ) Establishing. Item that is available to be an Accounting Clerk at this really nice Accounting firm few months and neck:... In both eyes/Left eye more info grandparents did, too has smoke detectors in the morning with average readings around. Look for any retinopathic changes 73 when she is exposed to allergens sh weeks ago ) hair distribution she exacerbations...: 37 C / 98 F. BP: 128/82 nnHg my mom has some issues, and access to.. In folds around the neck, axilla, and I think, back in high school, before! Assessment completed Shadow Health Transcript, finding: upper eyelids: conjunctiva pink no. Advanced Health Assessment patient research refers to the clinic N/A with recent Right foot injury within 5 normoactive. After initiating Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 days still never problems! Negative for HIV/AIDS and STIs four months ago, which is a.! Eyes with equal ha the Assessment should also include the comparison of bilateral.... ( every 4 weeks ) with moderate bleeding lasting 5 days been treating her symptoms recently. Normal scalp hair distribution she experiences exacerbations, such as around dust or.. A patients medication history can reveal recent exacerbation: Soliciting a shallow history of a patients history. Student DocumentationStudent Documentation Model DocumentationModel Documentation ms. Jones twisted her ankle walking down the a! Around the neck, axilla, and it seems to be found heel!
10 Tenets Of Marxism, New Restaurants In Spanish Springs The Villages, Fl, Community Funeral Home Warsaw, Nc Obituaries, Martha Ochoa Still Alive, Articles T