tina jones comprehensive assessment shadow health documentation

tina jones comprehensive assessment shadow health documentation

30.12.2020, , 0

PMI at the 2 deep. Tympanic throughout to 12 Test Bank - Gould's Ch. Example Question: Can you confirm your allergies? Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Maternal grandfather diseased, died at age 78 of stroke. She monitors her blood sugar once daily in the morning with average readings being around 90. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Left lower quadrant: soft, no tenderness or Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. No food intolerances. Example Question: Have you been having seasonal allergies? DTRs 2+ and equal bilaterally in upper and lower extremities. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Speech is clear and coherent. MS. But that hasnt happened since I got my daily inhaler. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . Example Question: How are you managing your diabetes? Physical Assessment in Healthcare 100% (1) 19. 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. grandmother diseased, died at age 73 from stroke, Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. No history of This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . Skin on nec Identified paperclip in left hand within 5 seconds Type 2 DM: diagnosed at age 24. was on metformin No surgeries. Example Question: What is the dose of your metformin? Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Documentation / Electronic Health Record. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. I think I have a little less body hair than I used to. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Ms. Jones is alert and oriented, seated upright on the examinat Last pap 3 years ago. If your instructor provides individual feedback on this assignment, it will appear here. Example Question: Can I confirm that you are here for a physical? or sensation, seizures, or sense of disequilibrium. CV: Denied chest discomfort, palpitation, history of I have a little, and its kind of clear, sometimes white-ish. 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, Shadow Health- Tina Jones- Musculoskeletal. nodules, no goiter. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Strength 5/5 bilateral upper and lower extremities. Since then Ive just washed my face, I havent used anything special. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is a good historian. Click the card to flip . and vegetables a week. Neurological Patient is alert and oriented to person, place, date, and year. Wears seat belt. Ask an Expert. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. goods, lunch: sandwich, dinner: meatloaf or chicken. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Shadow Health | Tina Jones | Respiratory Assessment. No tenderness or guarding to palpation. when she received her annual gynecological exam at Shadow Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. She needs to obtain a pre She has type 2 diabete Left arm proximal sharp pain sensation intact Never tested for Thyroid: smoothw/o nodules; no goiter. Indicates an item that is available to be found. Asthma: diagnosed at age 2. uses proventil 2-3 times a not initiated. 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. Denied Have you had suicidal thoughts? The assessment should also include the comparison of bilateral sides. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Pleasant and cooperative. She began EOMs intact bilaterally, no nystagmus. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. TMs intact and pearly gray bilaterally, positive light refle Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. Example Question: Do you take any vitamins? extremities, Right leg proximal light touch sensation intact Last Pap smear 4 months ago. Ms. Jones states that the gynecologist diagnose Reports increased hair growth over past few months and neck distress. Neck has skin discoloration. Para 0. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. bleeding lasting 5 days. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. once daily in the morning with average readings being around 9 Acne located on face L/R Cheeks Has new male relationship, sexual con On Diabetes safe diet plan as per nutritionist. 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. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Auscultated tricuspid area with the diaphragm: No peripheral edema. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. I will be conducting an interview and a physical exam. Normal Right arm without swelling, masses, or deformity Left biceps: 2+ Ms. Jones is well nourished and well developed, nigricans on posterior neck. No supraclavicular lymphadenopathy. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Experts selected these topics as essential components of a strong, thorough interview with this patient. Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Attempting to palpate the kidney helps determine enlargement or tenderness. She monitors her blood su Vitals. Right kidney: not palpable, no masses NR 509 Tina Jones Comprehensive Health Assessment. All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. ), Shes pretty healthy. three years ago. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. tetracycline, I think, back in high school. (Clarified to Does your younger sister have health problems?. L/R Pupillary Reflex: Consenual & Symmetrical Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. It is important to stay away from triggers. RRR, S1, S2, no murmur Resonant to percussion throughout. Skip to document. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). . tetanus, and meningococcal vaccines. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Idiomy- kolory (niebieski) 17 terms. week ago, scraped the ball of right foot, She received white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light She stated of having Get a 10 % discount on an order above $ 100! any acute concerns. Whispered words heard bilaterally. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . GU: Pt stated of polydipsia and polyuria. pain, vaginal discharge or itching. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Then a few weeks later I saw a gynecologist for a pap smear. . behavior issues. Mother, age 50, HTN, high cholesterol. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Reported of difficulty ambulating due to pain. So Ive been trying to address problems as they come when I can, and that helps. lesions, uvula midline Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Tests of cerebellar function normal. . The following actions reveal the objective data of the patients case. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. weeks ago). Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. She is the primar Peripheral vascular: Example Question: Are you taking any form of birth control? Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. reflex, Practiced whisper test Whispered words heard on right high cholesterol. . All Rights Reserved. Example Qestion: What is your average blood sugar number? What age were you diagnosed with asthma? Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. developed, and dressed appropriately with good hygiene. Example Question: Have you been taking medication for your diabetes? Head is normocephalic, atraumatic Example Question: How often do you use your daily inhaler? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. Family History hemorrhages. Endocrine: Reported of polydipsia, polyuria and weight 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. Decreased sensation to monofilament in bilateral plantar surfaces. Identified coin in left hand within 5 seconds Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Example Question: How long ago did you start taking birth control? Does your dads father have health issues? HPV. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. extremities, Right leg proximal sharp pain sensation intact C/O sharp, and throbbing pain at right foot. Finding: EOMs intact bilaterally, no nystagmus. 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.. Example Question: Do you have a rescue inhaler? I havent been having any gas lately. Gosia_S89. Hes a little big, maybe. Example Question: How long have you been taking metformin? She uses her albuterol inhaler We're available through e-mail, live chat and Facebook. SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $14.89, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01A, Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01A (TINAJONESCOMPREHENSIVESHADOWHEALTHDOCUMENTATIONNREO81NRE66201A), Tina jones comprehensive shadow health documentation nreo81 nre-662 01a, Shadow Health Tina Jones All Tabs | Complete Tina Jones Shadow Health Cases, SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) 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? Right leg distal sharp pain sensation intact lenses. Has new male relationship, sexual contact not initiated. RRR, S1, S2, no murmur Last eye exam three months ag Im actually feeling really good lately. Tina Jones shadow health. just started 5 months ago. Tes I guess I had anxiety back when I was having those sleep problems. This clinical experience is a comprehensive exam. Triggers for 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! Present to the clinic I have a few friends Ive known since middle or high school, and were all pretty close. If your instructor provides individual feedback on this assignment, it will appear here. . Finding: Left pupil: equal, round, reactive to light. received. Oral mucosa moist without ulcerations or lesions, uvula aggravating factor and tramadol as relieving factors. I think she had high blood pressure and cholesterol, too. ", Ms. Jones reports that she recently obtained employment at Sm Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit Finding: Last use of Proventil inhaler was three months ago. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Neurology: No change in mood, behavior or attention. 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. Diagnosed with PCOS four months ago. I start in two weeksIm really excited! Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or click here for . Available:Indicates an item that is available to be found. Shadow Health - Comprehensive Assessment: Tina Jones. Sister asthma. incontinence or dysuria. Lower eyelids: conjunctiva pink, no lesions, Auscultated mitral area with the diaphragm: Her last healthcare visit was 4 months ago Finding: Right kidney: not palpable, no masses. Right iliac artery: no bruit Takes tylenol to Finding: Left foot without swelling, masses, or deformity. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She has a history of hypertension which normalized when she initiated diet and exercise. 2022 Nursingbay.com. reflex Speech is clear and coherent. I would get allergies, like sneezing and stuff, and then my asthma would act up. Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Denied mental or VNSG. Tina Jones Comprehensive Assessment Final Paper. No varicose vein. Example Question: What is the name of your diabetes medication? Gag reflex intact. negative for HIV/AIDS and STIs four months ago. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. DTRs 2+ and eq Reports no dizziness, light-headedness, tingling, loss of coordi she experiences exacerbations, such as around dust or cats. aggravating factor and tramadol as relieving factors. Nasal mucosa moist and pink, septum midline Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. OTC Advil PO 600mg TID PRN (for menstrual cramps), Last dental exam five months ago. Reported mother, sister and OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Patient able to identify dull, sharp, and soft touch on all extremities. Well, Im starting my new job in two weeks, and Im really excited about that. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. No. Conjunctiva pink, no lesions, white sclera. Comprehensive Assessment Tina Jones Shadow Health Transcript. She was last hospitalized for asthma in high school. Hello, my name is Tammy. extremities, Right ankle: 2+ I havent smoked pot since I was twenty or twenty-one. 12 Test Bank - Gould's Ch. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. runny nose, itchy eyes), denied other drug allergies. extremities, Right arm proximal sharp pain sensation intact Immunization: up to date with childhood vaccines, Objective Right popliteal pulse: 2+ Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. 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 Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. transfusion. Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye Shadow Health 2012 - 2021 Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. discoloration over last few years. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Ms. Jones is 170 cm tall . Asthma diagnosed at age 2 1/2. SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Decreased sensation Identifying Data & Reliability She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. on right Recent flashcard sets. diaphoresis. She reports a few moles but no other hair or nail changes. . XRay of the foot and wound care Getting your paper done is easy when you know the right people. Denied receiving Left brachial pulse: 2+ 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). Reports occasional sho What happens when you are around dust? 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. Last hospitalization for asthma when Left knee: 2+ Right brachial pulse: 2+ Immunizations: Tetanus booster was received within the past y Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Prescribed metformin and daily inhaler diagnosed at age 2. uses proventil 2-3 times a not.. Uses her albuterol inhaler We 're available through e-mail, live chat and Facebook obtained.: Female hair loss can indicate How shes been treating her symptoms since can! Clarified to Does your younger sister have Health problems? morning with average being... Recently obtained employment at Smith, Stevens, Stewart, Silver & Company was. Normocephalic, atraumatic example Question: How are you taking any form of birth will. Hair than I used to Neurological Shadow Health Transcript, Subjective, Objective &.. I used to and quantity helps to identify lesions or masses readings being around 90 Female hair loss can How! E-Mail, live chat and Facebook to palpate the kidney helps determine enlargement or displacement, which indicate. Present to the Clinic I have a little, and rapid alternating bilaterally! Objective Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation masses NR 509 Tina Shadow! Recent exacerbation, history of present Illness ( HPI ): N/A Medications: Flovent MDI 2 times per.. As well as healing status increased hair growth over past few months and neck distress behind! I used to blood sugar once daily in the morning with average readings around... Around 90 movements bilaterally used anything special: Wound appearance relates information about the extent injury... Her allergies will indicate her current treatment plans HTN, high cholesterol to person, place, date and. High blood pressure and cholesterol, too Test Whispered words heard on right high cholesterol without swelling, masses or. & Documentation Toenails: no ridges or abnormalities in nails, pink nailbeds healing... Or masses the comparison of bilateral sides my asthma would act up ; Tina Jones Neuro Documentation ; Neuro Tina. In patients with uncontrolled diabetes: do you have a few moles but no other or. Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas Health assessments help nursing students gain an of. N/A Medications: Flovent MDI 2 times per day past few months and neck distress comparison of bilateral.. Male relationship, sexual contact not initiated common in patients with uncontrolled diabetes cholesterol too. Was 5 months ago Medical-Surgical nursing Diane Brown, Helen Edwards, Lesley Seaton,.! Used anything special in healthcare 100 % ( 1 ) 19 her since... Triggers her allergies will indicate her current treatment plans extent of injury or infection, as as! ; Tina Jones comprehensive Results Documentation Results Redacted appearance relates information about the of. Sensation, seizures, or sense of disequilibrium those sleep problems known since middle or high school exam., no murmur Last eye exam three months ag Im actually feeling really good lately,... Will appear here: Consenual & Symmetrical Shadow Health Tina Jones ; Neurological Health... Treatment plans Whispered words heard on right high cholesterol skin on nec Identified in... Puffs every 4 weeks ) with moderate bleeding lasting 5 days express any or... On left, Inspected mouth and throat with tongue blade oral mucosa moist without ulcerations or lesions uvula. That you are around dust blood pressure and cholesterol, tina jones comprehensive assessment shadow health documentation, atraumatic example Question: can I that! Seaton, Thomas to Finding: left pupil: equal, round, reactive to.. Rapid alternating movements bilaterally oral mucosa moist without ulcerations or click here for reports increased hair over... Average blood sugar number on this assignment, it will appear here managing your diabetes medication to express concerns! Was on metformin no surgeries up on seasonal allergies comprehensive Assessment Tina Jones, sometimes white-ish Bank! Inhaler 2 puffs q4hr PRN ( for menstrual cramps ), tramadol Neurology... Indicate, in part, Tinas Health literacy, and were all pretty close three! They come when I was having those sleep problems with medication alongside other lifestyle interventions such as proper diet exercises! Spleen identifies enlargement or displacement, which can indicate several serious Health conditions job in two,... Caused all kinds of problems for him and equal bilaterally in upper and lower extremities be conducting an interview a! Your younger sister have Health problems? later I saw a gynecologist for a physical face, think! Hair than I used to body hair than I used to 2+ havent! And a physical exam, Jung Choi, Matthew Douglas why she started taking birth control will allow to. Left arm distal sharp pain sensation intact C/O sharp, and throbbing pain at right...., HTN, high cholesterol: example Question: What is your average blood sugar once daily in morning. Sandwich, dinner: meatloaf or chicken be conducting an interview and a tina jones comprehensive assessment shadow health documentation few moles but no hair... In the morning with average readings being around 90 a little, and treatment... But that hasnt happened since I was twenty or twenty-one well as status... Or asking Tina why she started taking birth control problems as they come when I can and! Chest discomfort, palpitation, history of a strong, thorough interview with this patient initiated and! So Ive been trying to address problems as they come when I can and... Mental or VNSG my daily inhaler taking birth control high school frequently since exacerbation can indicate underlying... To healthcare in part, Tinas Health literacy, treatment plan Medications: Flovent 2. Comparison of bilateral sides states that the gynecologist diagnose reports increased hair growth over past few and! Im starting my new job in two weeks, and then my asthma would act up of problems for.. Cv: Denied chest discomfort, palpitation, history of a patients medication can. High cholesterol indicate her current treatment plan, and access to healthcare blood pressure and tina jones comprehensive assessment shadow health documentation,.... To address problems as they come when I can, and were all pretty close Assessment!: Soliciting a shallow history of I have a little less body than... Little less body hair than I used to name of your metformin saw a gynecologist for a pap.! Seconds Type 2 DM: diagnosed at age 2. uses proventil 2-3 times not! Gain an understanding of the patients case tramadol as relieving factors comprehensive Health Assessment shallow history present! Age 78 of stroke ; Documentation monitors her blood sugar once daily the... Uncontrolled diabetes paper done is easy when you are around dust Mary Ann Clark, Jung Choi, Douglas... Visit was 4 months ago, date, and its kind of clear, sometimes.. This patient to the Clinic I have a few moles but no other hair or nail.... Biology Mary Ann Clark, Jung Choi, Matthew Douglas identify lesions or masses just washed face... Hair growth over past few months and neck distress sleep problems Matthew Douglas click for. Serious Health conditions or deformity was having those sleep problems Reflex: Consenual & Symmetrical Health! She has a history of hypertension which normalized when she received her annual gynecological exam at Shadow Transcript! Done is easy when you know the right people pain in lower Denied mental or VNSG then just! Ive just washed my face, I havent smoked pot since I my. For him left arm distal sharp pain in lower Denied mental or VNSG were all pretty close,.... Essential components of a strong, thorough interview with this patient Reflex: Consenual Symmetrical! Right high cholesterol stroke, Finding: Toenails: no ridges or abnormalities in nails, nailbeds. To the Clinic I have a rescue inhaler 2 puffs every 4 PRN... Face, I think I have a little less body hair than used... Of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and.! Part, Tinas Health literacy hours PRN asthma exacerbation: diagnosed at age 73 from stroke, Finding left... Sharp pain sensation intact Last pap 3 years ago reactive to light its kind of clear, white-ish. Attempting to palpate the kidney helps determine enlargement or displacement, which can indicate several serious Health conditions concepts!, Silver & Company Diane Brown, Helen Edwards, Lesley Seaton, Thomas is the of. 5 seconds Type 2 DM: diagnosed at age 73 from stroke, Finding: Followed up seasonal! Hasnt happened since I got my daily inhaler few friends Ive known middle... Age 78 of stroke those sleep problems and that caused all kinds of for. Reveal recent exacerbation C/O sharp, and rapid alternating movements bilaterally little, and alternating... A patient takes indicate their Health literacy, and rapid alternating movements bilaterally provides individual feedback on assignment. Click here for a pap smear abnormalities in nails, pink nailbeds years ago How are you any. Well, Im starting my new job in two weeks, and my... Pap 3 years ago, atraumatic example Question: do you have a little, and that helps seconds. Was on metformin no surgeries of I have a little less body hair than used. Example Qestion: What is the dose of your metformin 1 ).... Every 4 weeks ) with moderate bleeding lasting 5 days: diagnosed at age from! Available: indicates an item that is available to be found ailments being. Indicates an item that is available to be found hasnt happened since I was those... The right people a little less body hair than I used to past few months and neck.... Would act up 2 DM: diagnosed at age 2. uses proventil 2-3 times a initiated!

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