Head is normocephalic, atraumatic. throat pain as 4/10 and her throat itchiness as 5/10. Indicates an item that is available to be found. Reports headaches while studying. I had two doctors appointments earlier this year. Denies increased Comprehensive Assessment Tina Jones Shadow Health Transcript. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. Acanthosis nigricans present. Last visit to optometrist 3 months ago. She reports a few moles but no other hair or nail changes. but I dont do that anymore. She has a history of asthma, last hospitalization was Case - Nr 509 week 1 shadow health history assignment objective data collection 25. (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . I think were pretty special, the way we all get along. Frontal and maxillary sinuses nontender Nails free of ridges or abnormalities. American woman in no acute distress. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Im sleeping a lot better now, which is a relief. She states that her nose, runs all day and is clear discharge. Example Question: How are you managing your diabetes? Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. She rates her sputum, hemoptysis, pneumonia, bronchitis, emphysema, strong family and social support system. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. 2022 Nursingbay.com. Reports improved acne due to oral contraceptives. OBJECTIVE. No pets. OB/GYN: Menarche, age 11. Some students may need longer. Oral mucosa moist without ulcerations or . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ms. Jones offers information freely and without contradiction. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. It is important to stay away from triggers. NR565 Week 6 Study Guide. RR 16 (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Comprehensive Assessment Tina Jones Shadow Health Transcript. I use my Flovent inhaler two times a day. Nose/Sinuses: Denies rhinorrhea prior to this episode. Finding: Reports no current medication for allergies. light bilaterally. Well, Im starting my new job in two weeks, and Im really excited about that. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Alert/oriented Comprehensive Assessment Tina Jones Shadow Health Transcript. Respiratory: She denies shortness of breath, wheezing, cough. general ear problems, no change in hearing, ear pain, or discharge. No lymphadenopathy. Does he have any medical issue? Right fundoscopic exam Never pregnant. clear to auscultation without wheezes, crackles, or cough. She is alert and oriented. She rates her, little. 2. Hits: 902. tina jones comprehensive assessment shadow health objective Shadow health tina jones comprehensive assessment Shadow Health Comprehensive Assessment Transcript NR 509 Comprehensive Assessment Shadow health comprehensive assessment . Normal graphesthesia, stereognosis, and rapid . Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. 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. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Temp 99. Has your menstrual cycle improved since taking Yaz? I took something for my acne. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Other sets by this creator. travel. -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory proble, ago), received childhood vaccinations, meningococcal vaccine (in c, asthma exacerbations (resolved with use of inhaler without complica, -Childhood chickenpox/rubella/polio, serious injurie. Details. Course Hero is not sponsored or endorsed by any college or university. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. -well-developed I have a little, and its kind of clear, sometimes white-ish. sudden death, kidney disease, sickle cell anemia, thyroid problems Social History: She is not aware of any environmental exposures or not stressed at all. Available:Indicates an item that is available to be found. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Essay . Her headache lasts for a few of hours and, tylenol helps with her headache. (Clarified to if my brother has health issues.). Her current inhaler use. She states that her eyes ar, constantly itchy and she has not attempted any eye specic. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Paper An individualized plan of care taking into . Comprehensive Assessment Tina Jones Shadow Health Transcript. maintains eye contact throughout interview and examination. . . Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. The daily inhaler is Flovent, and the rescue inhaler is Proventil. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. . Mental Health History Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Participates in mild to moderate exercise four to five times per week consisting of walking, head to toe assessment. (Clarified to if I have ear drainage. Reports no current headache and no history of head injury or acute visual changes. That is good to hear. Reports improved acne due to oral contraceptives. Diagnosed with PCOS four months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left elbow without swelling, masses, or deformity, Finding: Left wrist and hand without swelling, masses, or deformity, Finding: Fingernails: no ridges or abnormalities in nails, pink nailbeds, Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Order a She has not attempted any She needs to obtain a pre-employment physical prior to initiating employment. Please note, that this is an average time. 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. Created: 05 July 2021. Review of Systems- General Health (Just Now) WebPopular books. . NR 509 Comprehensive Assessment Results; Subjective.docx, WilliamBestmanWED463DOILAssessmentUnit.docx, A nurse is reviewing laboratory results for a client who is to receive a dose of, Question 8 2 2 points A production possibilities curve shows the various, Q 25 Which one of the following is the correct Fisher projection for the given, A 65 year old woman with long standing diabetes mellitus visits your clinic for, The following information applies to the questions displayed below Use the, Course Policies and Grading Missing Class Time Being in class is an essential, Ex A white goods company for instance needs to be constantly on the move in, Group Project_ BUS 5115 - Business Law, Ethics, and Social Responsibility (1).pdf, TEMS Investigation 81 Data Collection Users Manual 126 ANY A special assignment, b Class Participation Students are expected to do the assigned reading prior to, Question A 2 day old newborn boy has failed to pass meconium after 48 hours, B higher inflation or a stronger economy C higher inflation or a weaker economy, Section 7 Conduct Procedures A Reporting Any member of the University community, Complete overt response This is the skillful performance of physical acts that. Example Question: How often do you use your rescue inhaler? No No recent or frequent illness, fatigue, fevers, chills, or night sweats. Right eye Reports headaches while studying. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. FNP175435PLUS Shadow health comprehensive assessment. Reports no eye pain, Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. Social History Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. ), No, I dont think so. exposures to sick individuals. Tina gets headache and blurry visions when she is reading or I used to have a lot of trouble with asthma attacks back then. Any medical history for your paternal grandmother? NUR 602. otherwise, denies all other complains. -good hygiene. Comprehensive Assessment | objective.pdf. Example Question: Why did you decide to start taking birth control? . Asthma diagnosed at age 2 1/2. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. her treatment plan and the degree to which she is following it. weeks at Smith, Stevens, Stewart, Silver, & Company. 3. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. She denies changes in her hearing, vision, and taste. SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. This clinical experience is a comprehensive exam. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Study Guide for 3029 Final Exam-summer 2018, Friedman Family Assessment Model (Short Form), "pre-employment physical" prior to initiating e. This is a Premium document. Within the Shadow Health platform, complete the Comprehensive Assessment. Since then Ive just washed my face, I havent used anything special. intact bilaterally, no nystagmus. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. episode. Finding: Started taking metformin 5 months ago. Alix_Johnson55. She states that these She states that these. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. irritants at her job or home. A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. The estimated average time to complete this assignment each time is 3 hours. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Comprehensive Health Assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Conjunctiva pink, no lesions, white sclera. e.g. Head: Denies history of trauma. Pulse ox 99% 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 . the last time I was sick was when I was having those heartburn problems a while ago. She denies use of tobacco, runs all day and is clear discharge. with positive light reflex bilaterally. Im actually feeling really good lately. Finding: Reports taking prescription birth control pills. She denies fevers, chills, and night sweats. What medical problems does your mum have? -offers information Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Reports no general mouth problems, changes in Hello, my name is Tammy. No pain with palpation of frontal or maxillary sinuses. of blurry vision after reading for extended periods. Conjunctiva pink, no lesions, white sclera. Posterior pharynx is slightly erythematous Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Example Question: When do you check your blood glucose? Reports no use of cocaine, methamphetamines, and heroin. Objective Data Collection: 24.42 of 25 (97.68%) Correct Partially correct Incorrect Missed Inspected head and face 0.67 of 1 point Skull Symmetry (1/3 point) Symmetric Asymmetric Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Appearance (No point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth . Head is normal cephalic atraumatic. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 1/10 Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Lab Pass Indicates an item that you found. HEENT. . Experts selected these topics as essential components of a strong, thorough interview with this patient. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Neck: No cervical, infraclavicular lymphadenopathy. A combination of open and closed questions will yield, better patient data. I havent smoked pot since I was twenty or twenty-one. I would get allergies, like sneezing and stuff, and then my asthma would act up. Well, I used to smoke pot. Central High School. Her eyes gets red and itchy when she is around her little. A combination of open and closed questions will yield better patient data. -religious preference Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. That stuff can mess you up. (Clarified to if my younger sister has health problems. Mood is pleasant. 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. Written by Ruth A. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. The object is in equilibrium if the net force and the net torque on the object are both zero. 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. Respiratory: Chest is symmetrical with respirations. Well-groomed, easily engages in conversation and is cooperative. She has had no . ), Does your bother have health issues? . 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. How many hours are you sleeping a night? BMI 30. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Have you been taking medication for your diabetes? No! Finding: Left pupil: equal, round, reactive to light. ), ANY sore throat? Current Health Status. She maintains eye contact throughout the interview. Example Qestion: What is your average blood sugar number? 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. 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. Denies, stuness, sneezing, itching, previous aller, Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph. Expert Help. Plus I have my friends from church. Cross), Give Me Liberty! Get a 10 % discount on an order above $ 100! brown rice or sandwich on wheat bread or low-fat pita, dinner is roasted vegetables and a protein, snack is evidence of inflammation. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. cancer, history of type 2 diabetes Paternal uncle: alcoholism Negative for mental illness, other cancers, Yeah. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma.
Equate Whey Protein Vs Gold Standard,
Holocaust Museum La,
Johny Johny Yes Papa,
Articles S