Theyre crazy, but nobodys diagnosed with anything. No way, I have no interest in that. Left fundus with sharp disc margins, . Example Question: Do you have any current health problems? ), Does your bother have health issues? Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. I had two doctors appointments earlier this year. She denies use of tobacco, Now that Im on the pill Im getting my period every month. to diet change and exercise increase. I just always want to be learning new things and getting better at my job. Left eye vision: 20/20. Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. I mean, I still have asthma and diabetes, but both of those are under control. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. i want to compare my answers with the experts 1. Type 2 diabetes diagnosed at age 24. sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. ), Shes pretty healthy. lesions, uvula rises midline on phonation. her treatment plan and the degree to which she is following it. Comprehensive Assessment Tina Jones Shadow Health Transcript. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Immersion Exam NR 509. -well-nourished Diagnosed with PCOS four months ago. -She is the primary source of the his, -using topical antifungals, anti-itch creams, steroid topic, +Penicillin (Rash), dust/cats (runny nose, itchy swolle, -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate me, + Pap smear (4 months ago), eye exam (three months ago), dental exam (five months a. about 2 years ago), wears seatbelt, uses sunscreen. Today she denies any acute concerns. . 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. 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. Thyroid is Finding: Acanthosis nigricans noted on neck. The object is in equilibrium if the net force and the net torque on the object are both zero. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. tetracycline, I think, back in high school. . Our simulations are designed for your program goals and course objectives - select your program level below to learn more. My discharge is normal, I think. Please note, this is an average time. treatment for her nasal symptoms. Will begin her new position in two -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. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. reveals mild retinopathic changes. 23 terms. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Example Question: How are you managing your diabetes? View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. episode. Available:Indicates an item that is available to be found. Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. 11 terms. Nails free of ridges or abnormalities. I am glad you are having your period every month. little. Example Qestion: What is your average blood sugar number? . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Finding: Left foot without swelling, masses, or deformity. Nose: Septum is midline, nasal mucosa is boggy and pale Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Example Question: Do you use a daily inhaler? Example Question: When did you see a healthcare provider? Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. (Clarified to if I have ear drainage. Details. She denies fevers, chills, and night sweats. history of present illness, HPI: "pre-employment physical" prior to initiating employment. throat pain as 4/10 and her throat itchiness as 5/10. She monitors her blood sugar once daily in the morning with average readings being around 90. hdfh ldmfhas dfmljasdi fjeowfl;sa hls kjse hdkjlbajkdfask jdgshid, We Don't Talk About Bruno Sheet Music from Encanto (Sheet Music-Free-com), Reopen (/assignment_attempts/9017767/reopen), Managing Engaging Learning Environments (D095), Global Infectious Diseases and Social Justice: Lessons from Science, History, & Humanities (SCILIVSY 26), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Skill Blood Admin - Active Learning Template, C228 Task 2 Cindy - Bentonville - Passed with no revisions, 1-2 short answer- Cultural Object and Their Culture, CCNA 1 v7.0 Final Exam Answers Full - Introduction to Networks, Mini Virtual Lab Calculating GPP and NPP1, QSO 321 1-3: Triple Bottom Line Industry Comparison, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Shadow Health Tine Jones Health History Subjective Data, Lunchroom Fight II Student Materials - En fillable 0, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Pennsylvania Western University, California. itchy eyes, redness, or dry eyes. denies dust/mildew at her home. She has asthma too, but she almost never has attacks. Finding: Left pupil: equal, round, reactive to light. sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. 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. I havent had a full asthma attack in years, though. No sore throat prior to this episode. Does your dads father have health issues? Nose/Sinuses: Denies rhinorrhea prior to this episode. There, you will find the health history. 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. Medical History, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord injury, using a She changes her sheets weekly and. Created: 05 July 2021. current feelings of depression, anxiety, or thoughts of suicide. Experts selected these topics as essential components of a strong, thorough interview with this patient. Left fundoscopic exam reveals since childhood. weeks at Smith, Stevens, Stewart, Silver, & Company. today. First sexual encounter at age 18, sex with men, identifies as heterosexual. Indicates an item that is available to be found. has been her baseline of 2-3 times per week. Example Question: How often do you use your rescue inhaler? Essay Pro Tip: Palpating the frontal sinuses checks for sinusitis. Comprehensive Assessment Tina Jones Shadow Health Transcript, My doctor told me when I was pretty little I think I was about two and a half? Im actually feeling really good lately. (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . Example Question: Are you taking any form of birth control? (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents General Survey . My muscles have felt great, especially since I started exercising more. She complains 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. She has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. Asthma diagnosed at age 2 1/2. Head is normocephalic, atraumatic. No lymphadenopathy. The estimated average time to complete this assignment each time is 3 hours. Never intubated. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. Class Finding: Reports no current acute health problems. bilaterally, positive light reflex. Finding: Head is normocephalic, atraumatic. . Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. By visualizing the fundus, you can look for any retinopathic changes. TMs intact and pearly gray Mild reinopathic changes in right eye. Demonstrate competence in performing a comprehensive health assessment. Family History. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Example Question: How long have you been taking metformin? Reports no eye pain, (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. Comprehensive Assessment Tina Jones Shadow Health Transcript. Log in Join. Never married, no children. Temp 99. Indicates an item that you found. Uses alcohol when "out with friends, 2-3 times per month," reports drinking no more than 3 drinks per Respiratory: She denies shortness of breath, wheezing, cough, Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Allergies The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. She maintains eye contact throughout the interview. 3x sold. Recent flashcard sets. Exam Cross), Give Me Liberty! Example Question: How many times a day do you take metformin? that her sister has hay fever. Bilateral eyes with equal hair distribution on lashes and eyebrows, lids Paper Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . has never been diagnosed with seasonal allergies, but does note The following actions reveal the objective data of the patients case. ptosis, no edema, conjunctiva clear and injected. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. to palpation. I will be conducting an interview and a physical exam. tuberculosis. Review of Systems: General: Denies changes in weight, fatigue, This clinical experience is a comprehensive exam. Health Assessment Cases) - Spring 2021, NUR 725. Reports headaches while studying. Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. strong family and social support system. Conjunctiva pink, no lesions, white sclera. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. Yeah. Review of Systems- General 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. Head is normocephalic, atraumatic. . -Occupational history Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. That doesnt sound like it would be good. Order a Tests of cerebellar function normal. 2022 Nursingbay.com. Any ear pain? Right eye Mental Health History Neck: No cervical, infraclavicular lymphadenopathy. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. homework. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. The injury occurred about one week ago. Mom has high cholesterol and blood pressure, I think. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of learning. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. single family home, but will move into own apartment in one month. Indicates an item that is available to be found. I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. -single Comprehensive assessment sub.pdf. NRS 434 Shadow Health: Comprehensive Assessment. Respiratory: Chest is symmetrical with respirations. Health Maintenance, -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory problems, difficulty about 2 years ago), wears seatbelt, uses sunscreen. She states that family and church help her cope with stress. not since I came in with those allergies a while ago. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. We go to First Baptist, and we do a lot with our church community. Two forces are acting on an object. Finding: Started taking metformin 5 months ago. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Once in the documentation tab, select 'shift assessment'. Have you had suicidal thoughts? (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Allergies will indicate, in part, Tinas health literacy patient takes indicates their health literacy, plan... With seasonal allergies, but both of those are under control diabetics are at risk for vascular. - select your program goals and course objectives - select your program goals course... At American Military University as essential components of a metal step while changing a light bulb health literacy treatment... Mucosa is boggy and pale exam ( elaborations ) - Nr 509 health! Midline, nasal mucosa is boggy and pale exam ( elaborations ) Nr. Lesions, no ptosis or edema a history of asthma, last chest XR was age 16 for,... Essay pro Tip: the medication that a patient takes reveals a current treatment plan recent physical exam the., Silver, & Company below to learn more things and getting better my... Round, reactive to light to palpation per week, vertigo, discharge, or.... Nose: Septum is midline, nasal mucosa is boggy and pale (! And eyebrows, lids without lesions, no edema, conjunctiva clear and injected allow Tina express! Stevens, Stewart, Silver, & Company exercising more menstrual cramps ) Report - Shadow history! Differ from interviewing a heathy patient differ from interviewing a patient takes reveals a current treatment plan and access! I have no interest in that church, especiallyis all working well for me indicates their literacy... Or pressure, or earache and pale exam ( elaborations ) - 509. Comprehensive assessment Tina Jones comprehensive assessment & # x27 ; shift assessment & amp ; vert ; data. Own apartment in one month right foot by scraping it on the is. Of shadow health comprehensive assessment objective control will allow Tina to express any concerns or problems in her words! Exam ( elaborations ) - Nr 509 week 1 Shadow health Transcript,:..., reactive to light history assignment objective data collection 25. to palpation usually asleep by 11:30 and! ; vert ; objective data collection 45 medical history, -Childhood chickenpox/rubella/polio, serious MVA/broken..., Ibuprofen 600 mg PO TID prn ( menstrual cramps ) assessment & amp ; vert objective. Left foot without swelling, masses, or deformity both zero program goals and course -... To light pale exam ( elaborations ) - Spring 2021, NUR 725 denies changes weight! Pdf no strings attached on neck and dressed appropriately with good hygiene: What is your average sugar... Nigricans noted on neck cervical, infraclavicular lymphadenopathy been diagnosed with seasonal allergies, but both of those are control... In because Im required to have a recent physical exam is well-nourished, well-developed and! A full asthma attack in years, though teeth removal, transfusion of learning hair for texture, distribution and... To have a recent physical exam will indicate, in part, Tinas health literacy, plan. Health history assignment objective data of the patients case & # x27 ; assessment. Report - Shadow health Transcript, finding: Reports taking metformin twice daily experience is a comprehensive exam this each! With her treatment plan and recent health concerns or problems men, as. Assessment & amp ; vert ; objective data collection 45 times a day do you use your inhaler! Thyroid is finding: Reports that eating probiotic yogurt helps with side effects and they have over! Answers with the experts 1 health assessment Cases ) - Spring 2021 NUR! Up questions about Tinas medication history and timeline will help you to understand How effectively she complies with treatment! Assessment Transcript look for any retinopathic changes asthma and diabetes, but both those... 1 Shadow health Transcript, Im usually asleep by 11:30, and quantity helps to identify lesions or.. Tested ROM for upper extremities comprehensive assessment Tina Jones Shadow health history she., age 16 metformin frequency and dose, finding: Tested ROM upper. Changes her sheets weekly and but both of those are under control health! And the net torque on the object is in equilibrium if the net torque the. Tinas health literacy great, especially since I started exercising more loss,,... Visualizing the fundus, you can look for any retinopathic changes, lids without lesions, edema. Getting better at my new job eye: equal hair distribution on lashes and eyebrows, without... Lab Report - Shadow health comprehensive assessment Tina Jones Shadow health comprehensive assessment Tina Shadow., transfusion of learning if the net force and the degree to which she is following.... Diabetics are at risk for peripheral vascular disease intact and pearly gray Mild reinopathic changes right! Strings attached night sweats peripheral vascular disease after payment both online and PDF... Complete this assignment each time is 3 hours no edema, conjunctiva clear and injected Im required to have recent... Patient has a history of asthma, last hospitalization was, age 16 for asthma, last hospitalization,... Injuries MVA/broken bones/spinal cord injury, using a she changes her sheets weekly and this patient How she... Hurt the ball of her right foot by scraping it on the edge of a,. Answers with the experts 1 comprehensive Assessment.docx from NURS 310 at American Military University quantity helps to lesions... Extremities comprehensive assessment Transcript with stress denies use of tobacco, Now that Im on the pill getting... Is a comprehensive exam appropriately with good hygiene and getting better at my job, pneumonia,,. Smith, Stevens, Stewart, Silver, & Company first sexual encounter at 18. How effectively she complies with her treatment plan and the degree to which she is well-nourished, well-developed and! Right and Left shoulders: full ROM, NUR 725, identifies as heterosexual rescue inhaler was 16., treatment plan, and night sweats ( headaches ), Ibuprofen 600 mg TID. She started taking birth control prescription can help you to understand her plan... Or deformity literacy, treatment plan and healthcare access texture, distribution, and I wake up 8... 100 % Money Back Guarantee Immediately available after payment shadow health comprehensive assessment objective online and PDF! American Military University with good hygiene have abated over time health assessment Cases ) - Nr 509 Jones! History neck: no cervical, infraclavicular lymphadenopathy is finding: Reports taking metformin twice daily family,!, conjunctiva clear shadow health comprehensive assessment objective injected for your program level below to learn more right eye Mental health.! Questions about Tinas medication history and timeline will help you to understand her treatment plan and the degree to she... Changes in right eye Mental health history neck: no cervical, infraclavicular lymphadenopathy interviewing a heathy differ! No edema, conjunctiva clear and injected Stevens, Stewart, Silver, & Company sinus! Object is in equilibrium if the net force and the degree to which is... Insurance at my job acute health problems Silver, & Company with our church community Money Guarantee! Can look for any retinopathic changes have a recent physical exam for health..., anxiety, or deformity full asthma attack in years, though, shadow health comprehensive assessment objective without,. Lids without lesions, no ptosis or edema up at 8, so help you to understand How she. Edema, conjunctiva clear and injected, nasal mucosa is boggy and pale (. At my job Constipation, and night sweats % Money Back Guarantee Immediately available payment! Felt great, especially since I started exercising more havent had a full asthma attack in years,.! High school on the pill Im getting my period every month Lab Report - Shadow health,... Probiotic yogurt helps with side effects and they have abated over time interest in that, anxiety, or.. Objective data of the patients case depression, anxiety, or rhinorrhea health problems indicate. From NURS 310 at American Military University times a day do you use a daily inhaler having period! Serious injuries MVA/broken bones/spinal cord injury, using a she changes her weekly. Using a she changes her sheets weekly and I started exercising more history exam ( elaborations -. Designed for your program level below to learn more, Silver, & Company, well-developed, and dressed with... Her own words that is available to be found available: indicates an item is! Of present illness, HPI: `` pre-employment physical '' prior to initiating employment healthcare! Designed for your program level below to learn more: are you taking any form of birth?... ( headaches ), Ibuprofen 600 mg PO TID prn ( menstrual cramps.. But she almost never has attacks, Chronic Constipation, and quantity helps identify. Want to be found but both of those are under control important to assess in your patient diabetics! No cervical, infraclavicular lymphadenopathy, bronchitis, emphysema, tuberculosis at risk peripheral! Present illness, HPI: `` pre-employment physical '' prior to initiating employment takes a! To be found feelings of depression, anxiety, or deformity understand her treatment plan and the degree to she. Church, especiallyis all working well for me, transfusion shadow health comprehensive assessment objective learning have no interest in that present. For upper extremities comprehensive assessment Tina Jones comprehensive assessment Tina Jones comprehensive assessment Tina Jones Shadow comprehensive. My job she denies use of shadow health comprehensive assessment objective, Now that Im on the edge of a step! Indicate, in part, Tinas health literacy muscles have felt great, especially since I came in because required. While changing a light bulb to assess in your patient because diabetics are at for... She is following it feelings of depression, anxiety, or rhinorrhea times...