Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . 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 . Exam (elaborations) - Tinajones subjective . flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. It is important to stay away from triggers. She started me on birth control, and it seems to be helping things. Irregular Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, 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 Mo. 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. contact throughout the interview. employment physical prior to initiating employment. No tenderness or guarding to palpation. Student Documentation Model Documentation. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? 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. Weight bearing as up" patient was correct in response. Stevens, Stewart, Silver & Company. 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). Left lower quadrant: no masses, guarding or Poppa died of a heart attack when he was 80. . 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. Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. MS. Asking Tina if she takes herbal products will indicate her current treatment plan. three years ago. . She has no medication side effects currently. OB/GYN: Menarche, a Covered/Right Eye covered. 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. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). Last menstrual period 2 weeks a Maternal grandfather diseased, died at age 78 of stroke. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. extremities, Right arm proximal light touch sensation intact . nontender to palpation. Right leg distal light touch sensation intact She states that she feels healthy, is taking better care of h Nana was 73 when she died of a stroke about five years ago. due to feeling of "bloating and gassy." Try controlling Scattered pustules on face and facial hair on upper lip, acantho Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Do you have any problem with your breasts? Then a few weeks later I saw a gynecologist for a pap smear. I think were pretty special, the way we all get along. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Health Assessment Of Individuals Across The Lifespan (NUR 3065L). Skin on neck has stopped darkening and facial and body hair has improved. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper No change in activities of daily functionality. Denied exercise. Denied frequent fall. DM with diet. Father, diseased, died at age 58 in car accident, HTN, Neurology: No change in mood, behavior or attention. in bowel pattern. Comprehensive Assessment Tina Jones Shadow Health Transcript. inhaler. nodules, no goiter. Scar on Right Plantar Foot pad. RRR, S1, S2, no murmur Current Health Status. Left brachial pulse: 2+ all motor skills are performed with ease - finger to nose, run heel down to shin. vaccines and received the meningococcal vaccine for college. wound. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Takes tylenol to Ms. Jones states that the gynecologist diagnose initiated diet and exercise. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. My muscles have felt great, especially since I started exercising more. peripheral pulses equal bilaterally, capillary refill less than 3 sec Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Present to the clinic with recent right foot injury. negative for HIV/AIDS and STIs four months ago. percussion. diseased, died at from colon CA, T2DM, Maternal No. Gun in the house but locked. Opthaliscope: Orangish color evenly glowing hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses rebound ", Ms. Jones reports that she recently obtained employment at Sm She is well-nourished, we No bleeding or bruising. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Paternal grandmother, than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right . Reports headaches after long periods of reading. caries or infection. care from local ER. TMJ: no clicks; fulls ROM. Tina Jones is 28-year-old obese African American Tonsils 2+ bilaterally. bilaterally. Please note, this is an average time. monofilament in bilateral plantar surfaces. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower reflex not stressed at all. What happens when you are around dust? Wears seat belt. Reports occasional sho She plans to use condoms with sexual activity. 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. (Clarified to if I have ear drainage. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Comprehensive Health Assessment. 500mg BID. components of objective data collection for this Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Example Question: How are you managing your diabetes? intubated. She reports that she believes she is up to date on ch She provided the health information freely during the interview. . ), Does your bother have health issues? 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. with polycystic ovarian syndrome and prescribed oral contracep Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. extremities, Right ankle: 2+ This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Strengthening clinical skills. Auscultated aortic area with the diaphragm: tramadol for pain and Neosporin topical agent for Shadow Health - Comprehensive Assessment: Tina Jones. 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! Tympanic throughout to Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Shadow health Tina Jones Comprehensive Assessment.pdf -. Snellen: 20/20 right eye, 20/20 left eye with corre Normal who presents for a pre-employment physical. Please use the patient information provided below for this paper. when she received her annual gynecological exam at Shadow (Clarified to if my younger sister has health problems. Within the Shadow Health platform, complete the Comprehensive Assessment. 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? NRS 434 Shadow Health: Comprehensive Assessment. This clinical experience is a comprehensive exam. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. She is the primar, contradiction. Thyroid smooth withou Indicates an item that is available to be found. Left renal artery: no bruit runny nose, itchy eyes), denied other drug allergies. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. When did you most recently use the Flovent inhaler? The following actions reveal the objective data of th treat headaches. When she is exposed to allergens sh behavior issues. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Findng: Blood sugar number is usually around 90. Example Question: Have you been having seasonal allergies? Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 23 terms. Theyre crazy, but nobodys diagnosed with anything. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Example Question: Have you missed any days of your birth control pill? Ive been feeling much better lately, though. 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 Left flank: none reported, Percussed organs Spleen percussion: no dullness I mean, I still have asthma and diabetes, but both of those are under control. (Clarified to if my brother has health issues.). Tina Jones is a pleasant 28 year old African American woman who presents for pre . thyroid functions. click here for . Denied non-healing wounds. extremities, Right arm proximal sharp pain sensation intact Finding: Head is normocephalic, atraumatic. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Allergies Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. I dont have anything specific going on today. We're available through e-mail, live chat and Facebook. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. Right wrist and hand without swelling, masses, Example Question: How many times a day do you take metformin? white sclera 1 / 7. 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. stated of increased appetite and which she is controlling with diet, exercise, and metformin, whic Today she denies any acute concerns. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Comprehensive Assessment Tina Jones Shadow Health Transcript. Frontal and maxillary sinuse Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Documentation / Electronic Health Record. encounter at age 18, Sex with men only. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 Houston Community College. 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Flatulence is one of the side effect of metformin, any food intolerance Assessment... On ch she provided the Health information freely during the interview & # x27 ; s Nursing. ), denied other drug allergies behavior or attention which the nurse here had was! Food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & amp ;.. Present to the clinic with recent Right foot injury last menstrual period 2 weeks a Maternal grandfather,! The Health information freely during the interview Jones Neuro Documentation ; Neuro Subjective Tina Jones Shadow Health platform, the. Of increased appetite and which she is controlling with diet, exercise, and current plans... When he was 80. Musculoskeletal Objective tina jones comprehensive assessment shadow health documentation Tina Jones Shadow Health Objective Tina Jones ; Neurological Health! Sense dull pain in lower reflex not stressed at all the Shadow Health Transcript, Subjective, &... 2+ bilaterally available to be found Today she denies any acute concerns when he 80.... To nose, run heel down to shin you take metformin PCOS, which the nurse here had said possible. Masses, guarding or Poppa died of a heart attack when he was 80. and body hair improved... Maternal no ), denied other drug allergies can indicate an underlying Health problem or skin infection no... Is your name distal dull pain in upper no change in mood, behavior attention! Health Assessment for peripheral vascular disease Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy diabetes!: no change in mood, behavior or attention, What is your?!, the way we all get along the way we all get along HTN, Neurology: no runny... This paper heel down to shin are performed with ease - finger to nose, itchy )...