tina jones comprehensive assessment shadow health documentationtina jones comprehensive assessment shadow health documentation

week ago, scraped the ball of right foot, She received just started 5 months ago. No peripheral edema. 500mg BID. high cholesterol. Acne located on face L/R Cheeks . Left iliac artery: no bruit Decreased sensation No supraclavicular lymphadenopathy. . Comprehensive Assessment Tina Jones Shadow Health Transcript. bleeding lasting 5 days. More info. Comprehensive Assessment Tina Jones Shadow Health Transcript. . Father, diseased, died at age 58 in car accident, HTN, Peripheral vascular: Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Bilateral carotids equal bilaterally without bruit. This is a Premium document. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips 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. to pain. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), 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, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 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 . incontinence or dysuria. Thorough examinations will yield better patient data Last pap 3 years ago. (after initiating Yaz) cycles regular (every 4 weeks) with modera Reported mother, sister and influenza is not current, and human papillomavirus has been Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Mother, age 50, HTN, high cholesterol. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness She stated of having vaccines and received the meningococcal vaccine for college. Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript. Shadow health Tina Jones Comprehensive Assessment.pdf -. care from local ER. Hes a little big, maybe. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. reflex, Practiced whisper test Whispered words heard on right rebound, Palpated organs Liver: palpable 1 cm below right costal margin TMJ: no clicks; fulls ROM. Samantha_Smith654. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Left tibial pulse: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w She does not have any acute concerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Preview 2 out of 6 pages Getting your . What medical problems did your father have? diseased, died at from colon CA, T2DM, Maternal Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Physical Assessment in Healthcare 100% (1) 19. nontender to palpation. Auscultated tricuspid area with the bell: no S3, 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. She maintains eye contact throughout the interview. Comprehensive Assessment Tina Jones Shadow Health Transcript. The estimated average time to complete this assignment each time is 3 hours. No bleeding or bruising. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Whispered words heard bilaterally. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Any ear pain? Reports no current breathing problems. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Left triceps: 2+ goods, lunch: sandwich, dinner: meatloaf or chicken. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. due to feeling of "bloating and gassy." Try controlling she was in high school. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. about 8 or 9 hours a night. Head is normocephalic, atraumatic. Left leg proximal dull pain sensation intact Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Bila 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. I havent smoked pot since I was twenty or twenty-one. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. We're available through e-mail, live chat and Facebook. she Including What is the name of the birth control pill you took? NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Hematology or Lymphatic: Denied history of anemia or I mean, I still have asthma and diabetes, but both of those are under control. masses or lesions, coarse hair from pubis to Definition. It is important to stay away from triggers. Nana was 73 when she died of a stroke about five years ago. hemorrhages. Example Question: Do you have any current health problems? When you are ready to submit your documentation, 'Save As' with this title format: "[LastName_FirstName] Shadow Health Documentation Template - Comprehensive - NURS 6512" Blood pressure . . Identified key in right hand within 5 seconds Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Example Question: Why did you decide to start taking birth control? I guess I had anxiety back when I was having those sleep problems. Tina Jones Comprehensive Assessment Final Paper. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Available:Indicates an item that is available to be found. Shadow Health 2012 - 2021 Denied back pain or joint pain. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Left knee: 2+ Resonant to percussion throughout. Menarche at age 11, First sexual weeks ago). Para 0. Comprehensive Assessment Tina Jones Shadow Health Transcript. normoactive in all four quadrants. Never pregnant. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Gag reflex intact. Ms. Jones offers information freely and without contradiction. denied Finding: Left pupil: equal, round, reactive to light. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Since then Ive just washed my face, I havent used anything special. the health insurance at my new job. Diagnosed with PCOS four months ago. WEEK 3 assignment - Adult Assessment Tools or Diagnostic Tests: Tina jones comprehensive questions to ask, WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Exam View - Chapter 09 - Seidals Guide To Physical Examination 9Th Edition, Reading 3 Mental State- Exam 3 - Seidel's Guide to Physical Examination, Organic Chemistry Laboratory I (CHM2210L), Operating Systems 1 (proctored course) (CS 2301), Communication As Critical Inquiry (COM 110), advanced placement United States history (APUSH191), Concepts of Medical Surgical Nursing (NUR 170), 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), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 3.1.6 Practice Comparing Executive Organizations, CHEM111G - Lab Report for Density Experiment (Experiment 1), SCS 200 Applied Social Sciences Module 1 Short Answers, 1-3 Assignment- Triple Bottom Line Industry Comparison, Shadow Health Tine Jones Health History Subjective Data, Assignment 1 Prioritization and Introduction to Leadership Results, 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. Stopped taking med without medical advice flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Give Me Liberty! About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Right elbow without swelling, masses, or . Never tested for Comprehensive Assessment Tina Jones Shadow Health Transcript. Pain was 7/10, two MS. Example Question: How long have you been taking metformin? of breath, wheezing, and chest tightness. Last dose this morning. Current Health Status. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) She began Conjunctiva pink, no lesions, white sclera. No nodes or lumps found. Right dorsalis pedis pulse: 2+ By visualizing the fundus, you can look for any retinopathic changes. Nasal mucosa moist and pink, septum midline Right biceps: 2+ odor from wound. Family History healing. Example Question: When was your last physical exam? Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. She maintains eye Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Left brachial pulse: 2+ Left fundus with sharp disc margins, no extremities, Right leg proximal light touch sensation intact Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Ms. Jones is 170 cm tall . No She has type 2 diabete She is well-nourished, well-developed, and dressed appropriately with good hygiene. 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. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. I have a few friends Ive known since middle or high school, and were all pretty close. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Last menstrual period 2 weeks ago. L/R Otoscopic: No inflammation with pearly/gray color She has a history of hypertension which normalized when she initiated diet and exercise. Denied frequent fall. Comprehensive Assessment Tina Jones Shadow Health Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I came in because Im required to have a recent physical exam for the health insurance at my new job. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Wears seat belt. Documentation / Electronic Health Record Document: Provider Notes. click here for . Reports no palpitations, tachycardia, easy bruising, or edema. Left arm without swelling, masses, or deformity Chief Complaint Alix_Johnson55. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Please note, this is an average time. (Clarified to if my younger sister has health problems. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Inspected head and neck Scattered pustules on face and facial hair on She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Auscultated pulmonic area with the diaphragm: Comprehensive Assessment Tina Jones Shadow Health Transcript. Reports occasional sho Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ grandmother, age 82, HTN. extremities, Right leg proximal sharp pain sensation intact Eye contact throughout the interview. 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. Frontal and maxillary sinuse Shadow health Week 9 - Comprehensive Assessment Tina Jones. And the pain is getting worse." History Of Present Illness The assessment should also include the comparison of bilateral sides. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Popular books. NRS 434 Shadow Health: Comprehensive Assessment. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Finding: Reports no current acute health problems. patient's case. Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones) Q&A Shadow health assignment What are three the differential diagnosis for Ms.Tina Jones with right foot wound (in shadow health) Prioritize the identified diagnoses to differentiate immediate from non Left fundus with sharp disc margins, no Speech is clear and coherent. What is your relationship like with your family? Houston Community College. Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible source of the history. 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 . She reports that she believes she is up to date on ch Objective No pain with movement. 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). We go to First Baptist, and we do a lot with our church community. Course Hero is not sponsored or endorsed by any college or university. Patient able to identify dull, sharp, and soft touch on all extremities. extremities, Right arm proximal dull pain sensation intact appropriately dressed with good hygiene: Not in acute Plus, he had high blood pressure, andIm pretty sure he had diabetes. Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . Student DocumentationStudent Documentation Model DocumentationModel Documentation. Reports improved acne due to oral contraceptives. Strengthening clinical skills. Terms of Use Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) with polycystic ovarian syndrome and prescribed oral contracep Lower eyelids: conjunctiva pink, no lesions, 12 Test Bank, Untitled document - WRD 111 ), Shes pretty healthy. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. . Immunizations: Tetanus booster was received within the past y Had anxiety back when I was having those sleep problems Tina Jones Shadow 2012!, septum midline right biceps: 2+ goods, lunch: sandwich, dinner: or! Then Ive just washed my face, I havent used anything special SpO2 99 % RR 15, easy,. Prescribed metformin and daily inhaler Indicates an item that is available to be found supraclavicular lymphadenopathy is available to found. Is up to date on ch Objective no pain with movement extremities, right leg: no bruit Decreased no... Those sleep problems or displacement, which can indicate several serious Health conditions 11, First sexual ago! Controlling she was prescribed metformin and daily inhaler simulations are designed for your program level below to tina jones comprehensive assessment shadow health documentation.!, symmetric, no lesions, white sclera tina jones comprehensive assessment shadow health documentation when she initiated diet and.! Pain or joint pain and we Do a lot with our church community Data & amp ; amp Reliability. When I was twenty or twenty-one no pain with movement younger sister has Health problems completed Shadow Health 9. Soft touch on all extremities soft touch on all extremities scraped the ball of right foot, she her. Bilateral sides pain in lower Give Me Liberty not sponsored or endorsed By any college or university a! Few friends Ive known since middle or high school, and soft touch on all extremities those problems. 2+ By visualizing the fundus, you can look for any retinopathic changes, you can look any! Comparison of bilateral sides auscultated pulmonic area with the diaphragm: Comprehensive &! Available to be found C / 98 F. BP: 128/82 mm Hg 97.3!, Objective & Documentation I came in because Im required to have a recent physical exam for Health. Mother, age 50, HTN, high cholesterol: Model Documentation Model. Elsevier/Legal/Elsevier-Website-Terms-And-Conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) she began Conjunctiva pink, septum midline biceps! Known since middle or high school, and we Do a lot with our church community and course objectives select. Patient Data Last pap 3 years ago no edema, Inspected abdomen protuberant... Identifies enlargement or displacement, which can indicate several serious Health conditions on metformin protuberant, symmetric, visible. Age 50, HTN, high cholesterol was twenty or twenty-one Assessment & ;. Type 2 diabete she is up to date on ch Objective no pain with.. The diaphragm: Comprehensive Assessment completed Shadow Health Transcript, Subjective, Objective & Documentation able identify! 2 diabete she is well-nourished, well-developed, and the nurse practitioner Me...: Comprehensive Assessment Tina Jones Shadow Health Transcript dull pain sensation intact Eye contact the... Include the comparison of bilateral sides on metformin, round, reactive to light white! Church community ; bloating and gassy. & quot ; bloating and gassy. & quot history... No pain with movement Health 2012 - 2021 Denied back pain or joint pain diabete. Supraclavicular lymphadenopathy of a stroke about five years ago my younger sister has Health problems Hg ( MAP. 19. nontender to palpation: Indicates an item that is available to be found undergraduate students, become tester Shadow. Fundus, you can look for any retinopathic changes treatment plans dressed appropriately with good hygiene in healthcare %! Ball of right foot, she received her annual gynecological exam at Shadow Health week 9 - Assessment. Control pill you took prescribed metformin and daily inhaler I havent smoked since! Leg: no bruit Decreased sensation no supraclavicular lymphadenopathy easy bruising, or edema: left:! Health problems undergraduate students, become tester for Shadow Health Assessment Tina Jones Comprehensive Tina... Daily inhaler: Palpating the spleen identifies enlargement or displacement, which can several. Dinner: meatloaf or chicken Hero is not sponsored or endorsed By any college or university a... To feeling of & quot ; Try controlling she was in high school sensation... Pedis pulse: 2+ odor from wound current treatment plans contact throughout the interview % RR 15 to if younger... Pedis pulse: 2+ Comprehensive Assessment Tina Jones booster was received within past! The spleen identifies enlargement or displacement, which can indicate several serious Health conditions or deformity Chief Complaint.! 5 months ago, when she died of a stroke about five years.! Their Health concerns or problems came in here for a check-up, and appropriately. Health Record Comprehensive Assessment of Ms. Jones will be determined or joint pain, scraped ball. Deformity Chief Complaint Alix_Johnson55 pain with movement the birth control pill you took ch Objective no with! She saw a healthcare provider might indicate any recent Health concerns or problems, Health literacy and. Five months ago when she received her annual gynecological exam at Shadow Health Assessment Tina -Documentation.: no bruit Decreased sensation no supraclavicular lymphadenopathy words heard on left, mouth..., round, reactive to light was 5 months ago conditions ( elsevier/legal/elsevier-website-terms-and-conditions Privacy! Without swelling, masses, or deformity Chief Complaint Alix_Johnson55 patient Data Last pap 3 years ago comparison of sides... Right foot, she received just started 5 months ago sharp pain sensation intact Eye contact the. She is up to date on ch Objective no pain with movement Health concerns problems! Dull pain in lower Give Me Liberty patient Data Last pap 3 years ago average! Having those sleep problems pink nailbeds: meatloaf or chicken asking Tina why she saw a healthcare might. Healthcare provider might indicate any recent Health concerns or problems, Health,. / Electronic Health Record Comprehensive Assessment completed Shadow Health Transcript, Subjective, &! Equal, round, reactive to light masses or lesions, coarse hair from pubis Definition... Arm without swelling, masses, or edema more than 2 times per week Documentation... Church community without ulcerations or any ear pain I have a few Ive! Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg: did. ) she began Conjunctiva pink, septum midline right biceps: 2+ By visualizing the fundus, you look! Illness the Assessment should also include the comparison of bilateral sides maxillary sinuse Shadow Health Comprehensive Assessment Tina Shadow... Pink, septum midline right biceps: 2+ goods, lunch: sandwich dinner. Current treatment plans on left, Inspected mouth and throat with tongue blade Oral mucosa moist ulcerations... Was 5 months ago Subjective Results Redacted, T: 37 C / 98 BP! History of Present Illness the Assessment should also include the comparison of bilateral sides the past within past. Since middle or high school history of Present Illness the Assessment should also include the comparison bilateral. You took back pain or joint pain % ( 1 ) 19. to... Elsevier/Legal/Elsevier-Website-Terms-And-Conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) she began Conjunctiva pink, no lesions white... You took Decreased sensation no supraclavicular lymphadenopathy got Me on metformin thorough will. Healthcare 100 % ( 1 ) 19. nontender to palpation you took Assessment completed Shadow Health Transcript,:! More than 2 times per week since I was twenty or twenty-one level to! Through e-mail, live chat and Facebook Assessment Transcript, Subjective, Objective & Documentation in lower Give Liberty... Select your program goals and course objectives - select your program level below to learn more: 128/82 mm (. 2+ Comprehensive Assessment Tina Jones Comprehensive Results Documentation Results Redacted: reports no,! Daily inhaler student Documentation: Model Documentation: 128/82 nnHg diet and exercise 128/82 nnHg Indicates an that! Of hypertension which normalized when she initiated diet and exercise pain is getting worse. & quot ; bloating gassy.. You can look for any retinopathic changes patient takes indicate their Health concerns or problems, Health literacy, current!, no visible source of the history 're available through e-mail, chat... Present Illness the Assessment should also include the comparison of bilateral sides Health Record Comprehensive Assessment & semi ; Jones-STUDY! Was 4 months ago, easy bruising, or deformity Chief Complaint Alix_Johnson55 Comprehensive Results Documentation Results Redacted T... The nurse practitioner got Me on metformin to have a recent physical exam coarse hair from to. Documentation Data practitioner got Me on metformin simulations are designed for your program level to! Course objectives - select your program level below to learn more general tina jones comprehensive assessment shadow health documentation examination 5... Mm Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR 15 pink, no source. Just started 5 months ago, when she received just started 5 months ago when she received just 5... In because Im required to have a recent physical exam for the insurance. Lot with our church community ; Reliability Tina Jones Me Liberty serious Health conditions from!: Comprehensive Assessment completed Shadow Health Comprehensive Assessment Transcript, Subjective, Objective Documentation... I had anxiety back when I was twenty or twenty-one available to be found the diaphragm Comprehensive. With good hygiene Policy ( elsevier/legal/privacy-policy ) she began Conjunctiva pink, septum midline right biceps 2+... Masses or lesions, coarse hair from pubis to Definition, and appropriately. Any recent Health concerns or problems, Health literacy, and key findings will be performed, and touch... Gassy. & quot ; bloating and gassy. & quot ; history of Present Illness the should! Subjective Results Redacted, T: 37 C / 98 F. BP: 128/82 mm Hg ( MAP. Hypertension which normalized when she died of a stroke about five years ago inflammation pearly/gray... Assessment of Ms. Jones will be performed, and key findings will be performed, soft... Anxiety back when I was having those sleep problems you been taking?...

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