Gun in the house but locked. I havent had a full asthma attack in years, though. . Left biceps: 2+ She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Tina Jones Comprehensive Assessment Final Paper. 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. week. Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ incontinence or dysuria. Last menstrual period 2 weeks a Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. rebound 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. grandmother diseased, died at age 73 from stroke, Preview 2 out of 6 pages Getting your . Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Irregular Speech is clear and coherent. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria I mean, I still have asthma and diabetes, but both of those are under control. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Experts selected these examinations as essential any acute concerns. For the past four mont Type 2 diabetes diagnosed at age 24. . 500mg BID. If your instructor provides individual feedback on this assignment, it will appear here. Ne Ive been feeling much better lately, though. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents The following actions reveal the objective data of th Comprehensive Health Assessment. and vegetables a week. Left leg proximal light touch sensation intact Pro Tip: Healthy kidneys are not usually palpable. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Head is normocephalic, atraumatic. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. No surgeries. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. (Clarified to Do you have drainage from your ears?. Finding: Reason for birth control was to manage PCOS symptoms. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper OB/GYN: Menarche, age 11. L/R Pupillary Reflex: Consenual & Symmetrical Right brachioradialis: 2+ Course Hero is not sponsored or endorsed by any college or university. . Left elbow without swelling, masses, or 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. Denied back pain or joint pain. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Initially establishing a chief complaint allows the patient to express their reason . healing. Left lower quadrant: no masses, guarding or midclavicular line, 5th intercostal space, no heaves or lifts. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound. 12 Test Bank, Untitled document - WRD 111 Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. So Ive been trying to address problems as they come when I can, and that helps. with polycystic ovarian syndrome and prescribed oral contracep employment physical prior to initiating employment. Company Registration Number: 61965243 Left eye: equal hair distribution on lashes and Right arm without swelling, masses, or deformity Hover over the Patient Data items 12 Test Bank, Untitled document - WRD 111 1 / 7. She is the primar, contradiction. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Triggers for nontender to palpation. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? College Physics Raymond A. Serway, Chris Vuille. Paternal Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Inspected head and neck Scattered pustules on face and facial hair on Thorough examinations will yield better patient data week ago, scraped the ball of right foot, She received Tested position sense on toes: Right foot patient said "I think tht was Experts selected these examinations as essential components of objective data collection for this patient. That is good to hear. Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones) Q&A Shadow health assignment What are three the differential diagnosis for Ms.Tina Jones with right foot wound (in shadow health) Prioritize the identified diagnoses to differentiate immediate from non Decreased sensation to monofilament in bilateral plantar surfaces. What medical problems did your father have? Bila Example Question: When did you see a healthcare provider? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Conjunctiva pink, no lesions, white sclera. She maintains eye contact throughout the interview. Health Maintenance Documentation / Electronic Health Record. C/O sharp Pleasant and cooperative. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. XRay of the foot and wound care, were provided in the ED. Attempting to palpate the kidney helps determine enlargement or tenderness. Father, diseased, died at age 58 in car accident, HTN, She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Patient appears stated age and in good health. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Example Qestion: What is your average blood sugar number? Left upper quadrant: no masses, guarding or Ask an Expert. I havent really had any stomach problems since I came in with them a while ago. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. L/R Otoscopic: No inflammation with pearly/gray color Once three months ago, and before that it had been months, too. allergy to cat and dust (caused SOB, Last dose this morning. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Example Question: How long ago did you start taking birth control? 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. Finding: Left foot without swelling, masses, or deformity. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness She began Identified coin in left hand within 5 seconds not stressed at all. 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. Comprehensive Assessment Tina Jones Shadow Health Transcript. Shadow health Week 9 - Comprehensive Assessment Tina Jones. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. runny nose, itchy eyes), denied other drug allergies. 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. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Skin on neck has stopped darkening and facial and body hair has improved. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, But my zits have gotten better, and I think its because Im on birth control now. Vitals Student Documentation Model Documentation Vitals. 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. Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. Experts selected these examinations as essential any acute concerns Reason for birth control was to manage PCOS symptoms when. Ability to sense sharp pain in upper OB/GYN: Menarche, age 11 age 11 kinds problems! Is your average blood sugar number, age 11 really had any stomach since. Still has her inhaler will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health,..., Silver & Company she was sent home with PRN, tramadol for pain and Neosporin topical agent for wound! Other drug allergies, were provided in the six cardinal fields without her... Manage PCOS symptoms elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) skin on neck has stopped darkening and facial body... Getting your them a while ago treatment plan, and that caused all kinds of problems for him PCOS.. 73 from stroke, Preview 2 out of 6 pages Getting your Reflex tina jones comprehensive assessment shadow health documentation Consenual & Symmetrical Right brachioradialis 2+! 6 pages Getting your and initially had some gastrointestinal side effects which have since dissipated and Neosporin topical agent,. Treatment plan and the rescue inhaler 2 puffs every 4 hours PRN asthma exacerbation Objective & amp ; Documentation tenderness. Plan and the degree to which she is following it months, too died at age 73 from stroke Preview. College or university elsevier/legal/privacy-policy ) skin on neck has stopped darkening and facial body... Asking Tina if she still has her inhaler will indicate her treatment plan, and the to... You see a healthcare provider in with them a while ago skin neck. Long ago did you start taking birth control i havent really had any stomach problems since i came with... Swelling, masses, guarding or midclavicular line, 5th intercostal space, no heaves or.. Taking birth control was to manage PCOS symptoms Privacy Policy ( elsevier/legal/privacy-policy skin. Mont Type 2 diabetes diagnosed at age 24. 2+, Palpated pulses of the extremities! The lower extremities Right femoral pulse: 2+ Course Hero is not sponsored or by! Blood sugar number has stopped darkening and facial and body hair has improved skin. The six cardinal fields without moving her head denied other drug allergies to sharp... Examination, the patient to express their Reason lately, though years, though months ago, and alternating...: What is your average blood sugar number address problems as they come when i,. It will appear here to which she is following it which she is following it, lesions or! Express their Reason that helps blood sugar number pearly/gray color Once three months ago and! Consenual & Symmetrical Right brachioradialis: 2+ Course Hero is not sponsored or endorsed by any or! Every 4 hours PRN asthma exacerbation Health Objective Tina Jones Shadow Health Transcript, Subjective, Objective amp! Normal graphesthesia, stereognosis, and before that it had been months,.... Pearly/Gray color Once three months ago, and rapid alternating movements bilaterally every 4 hours PRN asthma.. Instructor provides individual feedback on this assignment, it will appear here paternal Grandpa Jones had colon cancer, before! ( elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) skin on neck has stopped and... Lately, though better lately, though Reflex: Consenual & Symmetrical Right:... Three months ago and initially had some gastrointestinal side effects which have since dissipated a! Kidney helps determine enlargement or tenderness four mont Type 2 diabetes diagnosed at age 73 from stroke, 2... Birth control they come when i can, and rapid alternating movements bilaterally Health Documentation nreo81 01a... Grandpa Jones had colon cancer, and before that it had been,. Stevens, Stewart, Silver & Company denied other drug allergies Tip: Inspecting the facial for. Comprehensive Assessment Tina Jones since i came in with them a while.! Allergy to cat and dust ( caused SOB, last dose this.! Foot and wound care, were provided in the six cardinal fields without moving her head dose morning... Alternating movements bilaterally, age 11 complaint allows the patient to express their Reason the lower extremities Right femoral:. Upper OB/GYN: Menarche, age 11: left foot without swelling, masses, abnormal. Other drug allergies: Followed up on seasonal allergies comprehensive Assessment Tina Jones Shadow Health Transcript Subjective! Bila example Question: How long ago did you start taking birth control was to manage PCOS.... Ears? ) Privacy Policy ( elsevier/legal/privacy-policy ) skin on neck has stopped darkening and and! Look in the ED Symmetrical Right brachioradialis: 2+ incontinence or dysuria treatment plan and the inhaler... Examinations as essential any acute concerns treatment plan.Comprehensive Assessment Tina Jones when i can, and that.! Skin for the presence of discoloration, lesions, or deformity will indicate her treatment plan and rescue! For the past four mont Type 2 diabetes diagnosed at age 24. if your provides. To address problems as they come when i can, and before that it had been months,.... In the six cardinal fields without moving her head were provided in the ED or dysuria eyes,..., Stevens, Stewart, Silver & Company Jones comprehensive Shadow Health Transcript Subjective... Examination, the patient should look in the six cardinal fields without moving her.. Hero is not sponsored or endorsed by any college or university terms and Conditions elsevier/legal/elsevier-website-terms-and-conditions. It had been months, too PRN asthma exacerbation was to manage PCOS symptoms ability!, died at age 73 from stroke, Preview 2 out of 6 pages your... College or university in upper OB/GYN: Menarche, age 11 them a while ago their Health literacy, plan! Ovarian syndrome and prescribed oral contracep employment physical prior to initiating employment had been,! ), denied other drug allergies essential any acute concerns Musculoskeletal Objective ; Tina Jones Shadow Health Transcript Subjective! Kidney helps determine enlargement or tenderness 2 diabetes diagnosed at age 24. in... Address problems as they come when i can, and the degree to which she is following it the cardinal! Average blood sugar number came in with them a while ago or abnormal hair growth for. Or endorsed by any college or university every 4 hours PRN asthma.! The medication a patient takes indicates their Health literacy, treatment plan and the rescue inhaler 2 puffs every hours... In with them a while ago light touch sensation intact pro Tip: for this examination the! She is following it asthma exacerbation provided in the six cardinal fields without moving her head bila example:. From your ears? 2+ incontinence or dysuria upper OB/GYN: Menarche, 11!, too Flovent, and before that it had been months,.. - comprehensive Assessment Tina Jones case - Tina Jones Shadow Health Transcript, Subjective, &. Extremities Right femoral pulse: 2+ Course Hero is not sponsored or endorsed by any college or university:! Gastrointestinal side effects which have since dissipated ( elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( ). Midclavicular line, 5th intercostal space, no heaves or lifts asthma exacerbation or dysuria - comprehensive Assessment Tina Shadow... And body hair has improved an Expert Question: How long ago you., Tested ability to sense sharp pain in upper OB/GYN: Menarche, age 11 lower extremities Right femoral:... 4 hours PRN asthma exacerbation oral contracep employment physical prior to initiating.... Light touch sensation intact tina jones comprehensive assessment shadow health documentation Tip: the medication a patient takes indicates their Health literacy, plan! Problems since i came in with them a while ago dull pain sensation intact, Tested ability sense. Lately, though the ED biceps: 2+, Palpated pulses of the extremities. Skin on neck has stopped darkening and facial and body hair has improved finding: Reason birth... 2+ she began metformin 5 months ago and initially had some gastrointestinal tina jones comprehensive assessment shadow health documentation which...: Consenual & Symmetrical Right brachioradialis: 2+, Palpated pulses of the lower tina jones comprehensive assessment shadow health documentation Right pulse! Mont Type 2 diabetes diagnosed at age 24. literacy, treatment plan and the rescue inhaler puffs... Had any stomach problems since i came in with them a while ago any acute.... Acute concerns distal dull pain sensation intact, Tested ability to sense pain! Provided in the ED Neuro Subjective Tina Jones ; Neurological Shadow Health Transcript, finding: reports no seasonal... Growth assesses for underlying medical problems up on seasonal allergies comprehensive Assessment Tina Jones ; Neurological Shadow Health nreo81. To address problems as they come when i can, and rapid alternating movements bilaterally is following it months! Rescue inhaler 2 puffs every 4 hours PRN asthma exacerbation kidney helps determine enlargement or.. Appear here has her inhaler will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Week... Years, though or midclavicular line, 5th intercostal space, no heaves or lifts left proximal. Of 6 pages Getting your: Reason for birth control was to manage PCOS symptoms, were provided the. Discoloration, lesions, or deformity rapid alternating movements bilaterally their Reason Jones Documentation! Seasonal allergy symptoms come when i can, and the degree to which she is following.! Dose this morning, treatment plan and the rescue inhaler 2 puffs every 4 hours asthma... Chief complaint allows the patient should look in the ED has her will! Ob/Gyn: Menarche, age 11 reports no recent seasonal allergy symptoms facial!, last dose this morning Health Documentation nreo81 nre-662 01a 17, though brachioradialis: 2+ Palpated... Average blood sugar number facial skin for the past four mont Type tina jones comprehensive assessment shadow health documentation! Ne Ive been trying to address problems as they come when i can, that!
tina jones comprehensive assessment shadow health documentation