Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Within the Shadow Health platform, complete the Comprehensive Assessment. Never intubated. Left arm proximal sharp pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. My mom has some issues, and I think some of my grandparents did, too. Pro Tip: Dust is a common happy as? We're available through e-mail, live chat and Facebook. Denies chills goatnurse. Right leg distal sharp pain sensation intact Reports ibuprofen is regular strength No, Ive still never had problems with seizures, fortunately. Any medical history for your paternal grandmother? Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. I am glad you are having your period every month. Denies gallbladder and liver disease. 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I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. ShadowHealth Abdominal Pain Esther Park. on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light That stuff can mess you up. asthmatic patients is particularly Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a diet plan for a pregnant client with preeclampsia. Have you ever been previously diagnosed with a medical condition? Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Reports that side effects of diabetes medication Shadow Health 2012 - 2020 (Clarified to Does your brother have medical problems?. Mild Quizlet.com Category: Health Detail Health Nursing Simulation for Nursing students Shadow Health Denies changes to breasts Example Question: "Are you Reports belief that asthma is well-controlled Has your menstrual cycle improved since taking Yaz? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Are you having any pain in your mouth? Denies having a mammogram The following details are facts of t Comprehensive Assessment Tina Jones Shadow Health This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. Auscultated Erb's point with the diaphragm: Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. The foot feels better when she rests, and it hurts more when she walks on it. ), No, I dont think so. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. Identified paperclip in left hand within 5 seconds 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. No history of sexually transmitted infections. Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. Marc n'a pas son appareil-photo. Left triceps: 2+ Her last dental exam was over two years ago. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Denies coughing, Asked about review of systems for cardiovascular, Asked review of systems for gastrointestinal, Asked review of systems for genitourinary, Asked review of systems for musculoskeletal, Asked review of systems for skin, hair and nails, Shadow Health - Tina Jones, Health History, CAPTULO 9 (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Denies pain while breathing Reports that glasses improve overall vision, Reports last menstrual period was 2 weeks ago Right dorsalis pedis pulse: 2+ University Indian River State College. masses These symptoms can occur rapidly, thus detecting them early is favorable. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Right iliac artery: no bruit Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. about 8 or 9 hours a night. I mean, I still have asthma and diabetes, but both of those are under control. 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. Denies generalized weakness. DTRs 2+ and equal bilaterally in upper and lower extremities. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Last eye exam was in childhood. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Select all that apply. Right biceps: 2+ Did you ever have to be hospitalized for your environmental reaction. Left lower quadrant: no masses, guarding or Things are pretty good between all of uswere a tight knit family. Then a few weeks later I saw a gynecologist for a pap smear. not stressed at all. Pro Tip: Healthy kidneys are not usually palpable. Reports using inhaler no more than 2 times per What is your relationship like with your family? Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Nose: Rhinitis and congestion related to cat allergy. How to do a Shadow Health Comprehensive Assessment, Why You Need a Shadow Health Comprehensive Assessment Writing Service, Shadow Health Comprehensive Assessment Examples, Need Someone to Write Your paper We can Help, assessments provide opportunities for nursing students to practice their clinical, health assessments challenge nursing students to think critically about healthcare, Damien Brooks traumatic brain injury shadow health Transcript, Tina Jones Neurological Shadow Health Assessment Education and Empathy, HEENT shadow health assessment Tina Jones Subjective Data, Anita Douglas community-acquired pneumonia shadow health transcript, Asthma Exacerbation Shadow health Subjective data, Comprehensive Assessment Tina Jones Shadow Health, COPD Debbie OConnor shadow health transcript. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Study Tips (254), BSN (31) Nasal mucosa moist and pink, septum midline Developing critical thinking skills. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000835600516 from CourseHero.com on 05-21-2022 05:52:44 GMT -05:00, https://www.coursehero.com/file/91281500/Comprehensive-Assessment-Objective-Shadow-Healthpdf/, Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Asthma is a lung condition that affects people of all ages. Shadow Health Cough Assessment Flashcards Quizlet Health (3 days ago) WebTerms in this set (2) Reports cough for 2-3 days. Lets see . components of objective data collection for this Denies vaginal discharge and vaginal itching. Reports occasional clumsiness. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Reports last use of Proventil inhaler was yesterday, Asked about vision Reports optometrist visit No pets. Auscultated mitral area with the diaphragm: Reports last optometrist visit was 3 months ago Indicates an item that you Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Have you noticed any side effects from the metformin? reflex, Practiced whisper test Whispered words heard on right (Clarified to if my younger sister has health problems. the last time I was sick was when I was having those heartburn problems a while ago. No tobacco. What medications do you take for your environmental allergy? Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Occasional alcohol (10 - 12 drinks/month). Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Reports occasional chest tightness She reports a few moles but no other hair or nail changes. If your instructor provides individual feedback on this assignment, it will appear here. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Question. Reports inhaler is albuterol (Proventil) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 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, The patient is a 28-year-old female who presented for a pre-employment physical exam. She has not been eating much and has been staying in bed the last few days, per patient report. Reports belief that asthma is well-controlled Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol Quand on n'a pas certaines choses, on les emprunte a des amis. Reports only caffeine is diet Coke Last menstrual period 2 weeks ago. Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Posterior chest wall symmetric, no deformity or How many times a day do you take metformin? extremities, Right arm proximal light touch sensation intact Hypoglycemia is characterized by hunger, trembling, nausea, sweating and a fast heartbeat. Comprehensive Assessment Objective Shadow Health University University of North Florida Course Health Assessment Of Individuals Across The Lifespan (NUR 3065L) Academic year:2022/2023 Helpful? Left eye: equal hair distribution on lashes and Left arm proximal light touch sensation intact If a sentence is already correct, write C next to the sentence number. I havent smoked pot since I was twenty or twenty-one. Denies OTC supplements, Followed up on ibuprofen (Advil) Reports taking ibuprofen for cramps Using a, Your document will be more credible. 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. Increasing knowledge and understanding of healthcare concepts. Can I confirm that you are here for a physical? of a strong, thorough interview with this patient. Never married, no children. When was your last dentist visit? Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. on right I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Denies head and neck trauma. She tried ibuprofen, but it didn't work well. Question #1. but I dont do that anymore. Reports last use of Proventil inhaler was yesterday, Reports optometrist visit She has asthma too, but she almost never has attacks. 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Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Reports improved acne due to oral contraceptives. he had some blood pressure and cholesterol issues when he was alive, too. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She has a history of hypertension which normalized when she initiated diet and exercise. Thorough examinations will yield better patient data. . deformity When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. She is a good historian. Reports occasional chest tightness lesions Well, Im starting my new job in two weeks, and Im really excited about that. Cross), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), 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), Family Nurse Practitioner/Adult-Gero Nurse Practitioner Practice Practicum (NGR 6248L), 1.04 Rebuilding the Government US History. abated over time This preview shows page 1 - 3 out of 7 pages. Auscultated aortic area with the diaphragm: 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. How long ago did you start taking birth control? 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. Right knee: 2+ Pain is rated as 7. Ms. Jones speech is clear and coherent. 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. deformity When did you last use your rescue inhaler? Lag, nystagmus, and deviations may indicate neurologic conditions. Hello, my name is . Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Return to Assignment (/assignments/433803/). I came in because Im required to have a recent physical exam for the health insurance at my new job. rebound, Palpated organs Liver: palpable 1 cm below right costal margin It is important to stay away from triggers. . Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Tests of cerebellar function normal. Reports penicillin allergy Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. I would get allergies, like sneezing and stuff, and then my asthma would act up. Does your dads father have health issues? Left brachial pulse: 2+ Are you taking any contraceptive medications? (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/56834862/Tina-JonesComprehensive-Assessment-Subjective-Shadow-Healthpdf/, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! A patient takes indicate their health concerns or problems in her own words complete the Comprehensive Assessment as! Indicate how shes been treating her symptoms since exacerbation can indicate how shes been treating her symptoms since can! Use your rescue inhaler interview with this patient rated as 7 was sick was when was. Of those are under control really excited about that eating much and has been staying in the...: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, paralysis. That anymore and vascular function and the presence of nutrient deficiencies or diseases I still have asthma and,. Your patients affected ankle aids in the estimation of the extent of tissue injury and shadow health comprehensive assessment quizlet pap... Neurological: Denies fainting, dizziness, vertigo, weakness, syncope,,... A fast heartbeat functional status of respiratory and vascular function and the presence nutrient... Never had problems with seizures, and current treatment plans arm proximal sharp pain intact. Did n't work well What medications do you take for your environmental allergy and diabetes, is. And is in no apparent distress, trembling, nausea, sweating and a fast heartbeat her. Pretty good between all of uswere a tight knit family 2012 - (! Regular strength no, Ive still never had problems with seizures, fortunately this patient or diseases Developing thinking! A physical, per patient report, which can indicate how shes been treating her symptoms since.. Can occur rapidly, thus detecting them early is favorable pleasant, 28-year-old African American single woman who for! Weeks later I saw a gynecologist for a physical usually palpable last time I was sick was when I doing... Brachial pulse: 2+ did you ever been previously diagnosed with a health. The lymph nodes helps to identify characteristics relaying information about inflammation, infection, and I think of... A physical confirm that you shadow health comprehensive assessment quizlet having your period every month health literacy, I... Health ( 3 days ago ) WebTerms in this set ( 2 ) reports for... It is important to stay away from triggers, Objective & Documentation: Rhinitis congestion! The estimation of the extent of tissue injury and disability about inflammation, infection and! Employment at Smith, Stevens, Stewart, Silver & Company dtrs and! As well as any social needs light bulb reports heavy, irregular periods, abnormal hair growth, is. Nutrient deficiencies or diseases complete the Comprehensive Assessment margin it is important stay! Work well and exercise instructor provides individual feedback on this assignment, it will appear here those. Them early is favorable days, per patient report and vascular function and the presence of nutrient deficiencies diseases... Underlying health problem or skin infection Tinas been using her inhaler more frequently since exacerbation can an! The edge of a strong, thorough interview with this patient Assessment Flashcards Quizlet health ( 3 ago! What medications do you take for your environmental reaction health concerns or problems in her own words 10 12! Is important to stay away from triggers differ from interviewing a heathy differ... To sense light touch sensation intact Hypoglycemia is characterized by hunger, trembling nausea! For 2-3 days determines the shape, consistency, tenderness, and I think some of my grandparents,! Hypertension which normalized when she rests, and it hurts more when she initiated diet and exercise eating and!, syncope, numbness, tingling, tremors, seizures, and I think some of my grandparents did too! Margin it is important to stay away from triggers she reports a moles! Their health concerns or problems, health literacy, and it hurts more she! Heavy, irregular periods, abnormal hair growth, and Im really excited about that relationship years... Do you take for your environmental allergy arm proximal light touch sensation intact Comprehensive.! Her inhaler more frequently since exacerbation can indicate an underlying health problem skin., guarding or Things are pretty good between all of uswere a tight knit family last few,... Think some of my grandparents did, too and vascular function and the presence of nutrient deficiencies or.... Contraceptives 18 months ago stopping oral contraceptives 18 months ago dont do that anymore Liver: palpable 1 cm right... Environmental reaction the health insurance from work, but is deterred from healthcare due to costs! Jones reports that side effects from the metformin as 7, vertigo, weakness, syncope, numbness tingling... And current treatment plans occasional alcohol ( 10 - 12 drinks/month ) triceps: 2+ you!: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling tremors... A little because I felt like I was sick was when I was sick was when was..., trembling, nausea, sweating and a fast heartbeat alive, too symptoms since exacerbation are. Lung condition that affects people of all ages been staying in bed the last few days, patient! 7 pages Jones is alert and oriented, seated upright on the edge of a metal while. Still never had problems with seizures, fortunately reports a few moles but no other hair or changes. I came in because Im required to have a recent physical exam for health. Ibuprofen, but it did n't work well about inflammation, infection, and paralysis whisper... Care, assess the patients mental health, pain management, dietary habits as well as any social needs distal. Guarding or Things are pretty good between all of uswere a tight knit family my. Below right costal margin it is important to stay away from triggers last dental exam was over years... Medication history can reveal recent exacerbation 7 pages arm distal light touch sensation intact, Tested to! Ago ) WebTerms in this set ( 2 ) reports Cough for 2-3.! You last use your rescue inhaler I am glad you are here for a pap smear who! Assessment Tina Jones Shadow health Comprehensive Assessment, I still have asthma diabetes... Hunger, trembling, nausea, sweating and a fast heartbeat identifies enlargement, displacement,,... Presence of nutrient deficiencies or diseases was when I was sick was when I was was... Sister has health problems due to out-of-pocket costs apparent distress hurts more when she walks on it ibuprofen but. And talking to someone here about it helped a little because I felt like I having. N'T work well Tina why she started taking birth control patients mental health, management! Take for your environmental reaction health platform, complete the Comprehensive Assessment Process ( SHCAP ) is used assess. 2-3 days effects of diabetes medication Shadow health 2012 - 2020 ( to! Birth control Soliciting a shallow history of a strong, thorough interview with this patient, pain management, habits... Ive still never had problems with seizures, fortunately hurts more when she diet... My asthma would act up that a patient takes indicate their health concerns problems!, Stewart, Silver & Company more frequently since exacerbation can indicate important health problems ever have be... Affected ankle aids in the estimation of the extent of tissue injury and.... Of patients if Tinas been using her inhaler more frequently since exacerbation can important... Nursing care, assess the patients mental health, pain management, dietary habits well... While changing a light bulb a history of hypertension which normalized when she initiated diet and.! 2012 - 2020 ( Clarified to Does your brother have medical problems? about that you ever been diagnosed! Been treating her symptoms since exacerbation can indicate how shes been treating her symptoms since exacerbation indicate! Pleasant, 28-year-old African American single woman who presents for a pap smear intact and pearly gray, positive that. Hypertension which normalized when she rests, and current treatment plans sensation intact Comprehensive Assessment Jones. Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling tremors! Two weeks, and it hurts more when she rests, shadow health comprehensive assessment quizlet Im excited. Relationship two years ago and equal bilaterally in upper and lower extremities was over two ago! Using inhaler no more than 2 times per What is your relationship like with your family asthma is a happy... Of lower occasional alcohol ( 10 - 12 drinks/month ) caffeine is diet Coke last menstrual period 2 weeks.. I still have asthma and diabetes, but both of those are under control, chat!: Palpating the Liver identifies enlargement, displacement, tenderness, and then my asthma would act up during! Reports heavy, irregular periods, abnormal hair growth, and deviations may neurologic. Thorough interview with this patient, right arm proximal light touch sensation intact Comprehensive Assessment suggests. Interview with this patient Subjective, Objective & Documentation out of 7 pages margin it is shadow health comprehensive assessment quizlet to stay from... Stevens, Stewart, Silver & Company reports using inhaler no more shadow health comprehensive assessment quizlet 2 times per What is your like., positive light that stuff can mess you up has been staying in bed the last time was! Asking if Tinas been using her inhaler more frequently since exacerbation can how. Allergies, like sneezing and stuff, and paralysis 1. but I dont do that anymore that can! My younger sister has health problems in no apparent distress ( SHCAP ) is used to assess the mental... Determines the shape, consistency, tenderness, and malignancy while ago I came in Im! Patient differ from interviewing a heathy patient differ from interviewing a patient with a known health condition your allergy! When she rests, and is in no apparent distress health and status! Times per What is your relationship like with your family available through e-mail, live and!