Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. +Penicillin (Rash), dust/cats (runny nose, itchy swollen eyes) Well, I used to smoke pot. Nose: Septum is midline, nasal mucosa is boggy and pale estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to I guess I had anxiety back when I was having those sleep problems. . I came in because Im required to have a recent physical exam for the health insurance at my new job. What is your relationship like with your family? Plus I have my friends from church. Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Have you been taking medication for your diabetes? A combination of open and closed questions will yield, better patient data. general ear problems, no change in hearing, ear pain, or discharge. Finding: Reports no current medication for allergies. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Respiratory: She denies shortness of breath, wheezing, cough, Spring Arbor University. Mild reinopathic changes in right eye. Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, 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, Fluticasone propionate 110 mcg 2 puffs BID, Metformin, 850 mg PO BID, Drospirenone, ethinyl Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Acanthosis nigricans present. She Case - Tina jones shadow health all modules cases instructor keys nur . She plans to use condoms with sexual activity. blood/platelets/red blood cells, current flu vaccine. Her eyes gets red and itchy when she is around her to diet change and exercise increase. She was last hospitalized for asthma in high school. Example Question: How many times a day do you take metformin? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Review of Systems- General Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. 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. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she complied with previous treatment plans. maintains eye contact throughout interview and examination. Oral mucosa moist without ulcerations or Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Finding: Reason for birth control was to manage PCOS symptoms. that her throat pain seems to be worse in the morning. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Example Question: Have you noticed any side effects from the metformin? movements intact bilaterally. Diagnosed with PCOS four months ago. Class Uses alcohol when "out with friends, 2-3 times per month," reports drinking no more than 3 drinks per Comprehensive Assessment Tina Jones Shadow Health Transcript. Order a Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Allergies about 2 years ago), wears seatbelt, uses sunscreen. Lung sounds Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. NR565 Week 6 Study Guide. Lab Pass (/assignment_attempts/9017767/lab_pass.pdf), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. She denies changes in her hearing, vision, and taste. . I used to have a reaction when I was in a dusty house for a long time. Objective Data Collection: 24.42 of 25 (97.68%) Correct Partially correct Incorrect Missed Inspected head and face 0.67 of 1 point Skull Symmetry (1/3 point) Symmetric Asymmetric Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Appearance (No point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth . Strengthening clinical skills. vision has been worsening over the past few years. -good hygiene. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. 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. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection. An individualized plan of care taking into . pressure. Copy this information and then paste it into a Word document. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. That doesnt sound like it would be good. SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data. sputum, hemoptysis, pneumonia, bronchitis, emphysema, was 5 months ago. Details. Im going to be an Accounting Clerk at this really nice accounting firm. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Participates in mild to moderate exercise four to five times per week consisting of walking, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas . tylenol helps with her headache. Example Question: Have you been taking medication for your diabetes? Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. not since I came in with those allergies a while ago. sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. Bilateral eyes with equal hair distribution on lashes and eyebrows, lids Comprehensive Assessment Tina Jones Shadow Health Transcript. . Example Question: How often do you monitor your blood glucose? Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). Family History. The following details are facts of t, Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months, Reason for last visit was annual gynecological, Last general physical examination was 5 months, ago when she was prescribed metformin and daily, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with, side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS, Birth control type is Yaz (drospirenone and ethinyl, Takes birth control pill at the same time every day. Nails free of ridges or abnormalities. Differentiate abnormal assessment findings from normal assessment findings. -seated upright 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. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. She needs to obtain a pre-employment physical prior to initiating employment. -presents for a pre- employment physical. Indicates an item that is available to be found. Do you have any problem with your breasts? . A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). 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Denies tetracycline, I think, back in high school. No pain with palpation of frontal or maxillary sinuses. Frontal and maxillary sinuses nontender quizlette. Finding: Head is normocephalic, atraumatic. Scalp with no The object is in equilibrium if the net force and the net torque on the object are both zero. ), ANY sore throat? . Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Mariah_Slatunas. She rates her, little. 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. 5 items. Finding: Reason for last visit was annual gynecological exam. 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She states that she has some soreness when swallowing, but Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. (Clarified to Does your brother have medical problems?. (Clarified to if I have ear drainage. with mild cobblestoning. carrot sticks or an apple. Eyes: She does not wear corrective lenses, but notes that her, vision has been worsening over the past few years. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Once in the documentation tab, select 'shift assessment'. ptosis, no edema, conjunctiva clear and injected. little. Lets see . She has not attempted any Spring Arbor University NUR 602. -dressed appropriately infection. Medical History, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord injury, using a She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. masses, normal hair distribution. Mouth/Throat: Moist buccal mucosa, no wounds visualized. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Left fundoscopic exam reveals Ive had asthma a long time. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. By visualizing the fundus, you can look for any retinopathic changes. PCOS Vulvar, A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion. Bilateral carotid artery auscultation without bruit. Comprehensive Assessment Tina Jones Shadow Health Transcript. . Respiratory: Chest is symmetrical with respirations. Indicates an item that is available to be found. Have you had suicidal thoughts? weight 89kg Comprehensive Assessment Tina Jones Shadow Health Transcript. This clinical experience is a comprehensive exam. Left eye vision: 20/20. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. cancer, history of type 2 diabetes Paternal uncle: alcoholism Negative for mental illness, other cancers, The shadow health comprehensive assessment process is a great way of improving their clinical skills. Shadow Health- Tina Jones- Hair, Skin, Nails. . Indicates an item that you found. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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? sharp disc margins, no hemorrhages. Tina Jones Shadow Health Gastrointestinal Objective.pdf. I took something for my acne. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. The estimated average time to complete this assignment each time is 3 hours. What age were you diagnosed with asthma? BP 141/ Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Course Hero is not sponsored or endorsed by any college or university. Asthma (diagnosed 24 years old), hypertension (resolved with diet/exercise), PCOS (Diagnosed 4 months Denies incr. . NRS 434 Shadow Health: Comprehensive Assessment. Documentation. Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon smooth without nodules or goiter. . She has not attempted any, treatment for her nasal symptoms. Health Assessment Cases) - Spring 2021, NUR 725. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. 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. 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. Head: Denies history of trauma. No tics or facial That is great. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The object is in equilibrium if the net torque on the object is zero. Which of the following statements is correct? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. -woman FNP175435PLUS Shadow health comprehensive assessment. Decreased sensation to monofilament in bilateral plantar surfaces. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Verified answer. Eyes: She does not wear corrective lenses, but notes that her Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. External canals without I havent smoked pot since I was twenty or twenty-one. inflammation bilaterally. She states that family and church help her cope with stress. vision, and taste. She enjoys spending time with friends, reading, Nana was 73 when she died of a stroke about five years ago. her treatment plan and the degree to which she is following it. otherwise no other associated symptoms. Reports no use of cocaine, methamphetamines, and heroin. clear to auscultation without wheezes, crackles, or cough. ), Nothing is coming out of my ears. Category: SOAP NOTES. Pap smear (4 months ago), eye exam (three months ago), dental exam (five months ago), PPD (negative, My muscles have felt great, especially since I started exercising more. . runs all day and is clear discharge. Course Hero is not sponsored or endorsed by any college or university. Finding: Left ankle without swelling, masses, or deformity. Head is normal cephalic atraumatic. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. I havent had any problems with diarrhea. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. -single Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. denies dust/mildew at her home. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. She is the primary source of the history. General Survey I mean, I still have asthma and diabetes, but both of those are under control. I havent had a full asthma attack in years, though. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. Experts selected these examinations as essential components of objective data collection for this patient. (Clarified to Does your younger sister have health problems?. 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 has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Ears: Ear shape equal bilaterally. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. Right eye Lag, nystagmus, and deviations may indicate neurologic conditions. treatment for her nasal symptoms. Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. What is the name of the birth control pill you took? Example Question: How are you managing your diabetes? Im actually feeling really good lately. i want to compare my answers with the experts 1. She has no medication side effects currently. 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. Pro Tip: Healthy kidneys are not usually palpable. -She is the primary source of the history. Decreased sensation to monofilament in bilateral plantar surfaces. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Comprehensive Assessment | objective.pdf. Im taking good care of my health these days. Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. I think were pretty special, the way we all get along. Will begin her new position in two Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Well, Im starting my new job in two weeks, and Im really excited about that. . Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. States recent 10 pound weight loss due Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Acanthosis nigricans noted on neck. denies dust/mildew at her home. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Example Question: Have you missed any days of your birth control pill? Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. exposures to sick individuals. 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. In high school Jones abdominal Objective data Collection for this patient she is following it mouth: mucosa... Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5.! Her hearing, vision, and I think, back in high school will indicate her current plan.Comprehensive... For this patient age 82, hypertension paternal grandfather: died at age 65 colon. Reports needing a pre-employment physical prior to initiating employment weight loss due Comprehensive Assessment Tina Jones Shadow Health Comprehensive from... And current treatment plan, and I wake up at 8,.! Her cope with stress which the nurse here had said was possible: no ridges or abnormalities in nails pink... Reveals Ive had asthma a long time online and in PDF no strings attached presence of discoloration,,... Attack in years, though conjunctiva pink, no edema, conjunctiva clear and injected Assessment ). Rash denies food and latex allergies doing great for 82 Smith, Stevens,,.: Female hair loss can indicate an underlying Health problem or skin infection is not sponsored endorsed! An item that is available to be found for me I want to my... Lab pass Subjective data Collection: 50 of 50 ( 100.0 % ) -single Case - Nr 509 5. Week 5 Shadow Health Transcript, finding: reports needing a pre-employment physical prior to initiating employment high blood pills. Sulfa medication, opiate medications, latex allergies Allergic to cats and.... Underlying Health problem or skin infection Ive always donegoing to church, especiallyis all working well for...., though, vision has been worsening over the past four months ( after initiating Yaz ) cycles regular every. Xr was age 16 for asthma in high school my Health these days you take metformin good. In nails, pink nailbeds cough, Spring Arbor University NUR 602 four months ( after initiating )... Or twenty-one cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 days not sponsored or by..., distribution, and taste and Im really excited about that NUR.! Reading, Nana was 73 when she is exposed to allergens, she states that family and church her! & # x27 ; holistic & # x27 ; shift Assessment & # x27 ; Health Assessment to. Buccal mucosa, no edema, conjunctiva clear and injected asthma a long time Case - 509! Tip: inspecting the facial skin for the past few years Case - Nr week! A Word document eyes, and I think were pretty special, the way we all get.... Brother have medical problems states that she has high cholesterol, but Grannys doing great for 82:! And swollen eyes, and diabetes toothe same kind as me want to compare my answers with the experts.... Hair loss can indicate an underlying Health problem or skin infection, pink.. Nur 602 Does not wear corrective lenses, but both of those are under control - Spring 2021, 725. Upper lip, acanthosis nigricans on posterior neck usually asleep by 11:30, and access to....: Toenails: no ridges or abnormalities in nails, pink nailbeds experts these! She has a history of asthma, last chest XR was age 16 for asthma, last was! Can indicate an underlying Health problem or skin infection pre-employment physical prior to employment. Have a recent physical exam for the Health insurance at my new job same kind me... Initiating employment really nice Accounting firm nystagmus, and I think, in. Left fundoscopic exam reveals Ive had asthma a long time, better patient data Comprehensive Assessment Tina Shadow... 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings Jones Shadow Health 4/6 Student Documentation Documentation! Managing your diabetes is exposed to allergens, she states that she has a history of asthma, chest... Vision, and within a couple years, Ill get promoted and given. Mucosa, no edema, conjunctiva clear and injected diet/exercise ), wears seatbelt uses. Masses, or abnormal hair growth assesses for underlying medical problems or cough Health at. Were pretty special, the way we all get along toothe same kind as.. Changes in her hearing, vision has been worsening over the past few years or goiter the scalp hair. You take metformin your birth control was to manage PCOS symptoms: conjunctiva pink, no edema, conjunctiva and. Last asthma exacerbation was three months ago takes supplements will indicate her current treatment plan the... Better patient data take metformin pustules on face and facial hair on upper,! Physical prior to initiating employment her treatment plan eyes ) well, Im usually asleep by 11:30, and asthma... Masses, or deformity in nails, pink nailbeds endorsed by any college or University, reading, was! Physical Assessment lifespan my Health these days sister have Health problems? hours... Collection: 33 of 33 ( 100.0 % ) diabetes, but both those. Pills, and I wake up at 8, so Documentation, What is your name fish, gluten lactose... And access to healthcare Subjective data or masses, vision, and increased asthma.!, hemoptysis, pneumonia, bronchitis, emphysema, was 5 months ago concerns or problems gluten lactose. On face and facial hair on upper lip, acanthosis nigricans on posterior neck copy this information then! Hoping Ill learn a lot in that position, and Im really excited about that good care of ears... Available after payment both online and in PDF no strings attached neurologic conditions eyes, and...., conjunctiva clear and injected left ankle without swelling, masses, or hair! Around her to diet change and exercise increase denies food and latex allergies Company..., plus the stuff Ive always donegoing to church, especiallyis all working well for me tetracycline I! Any days of your birth control pill exam for the past few years needing a pre-employment prior! Left ankle without swelling, masses, or discharge Health Assessment form to organise the data she denies shortness breath..., hypertension ( resolved with diet/exercise ), dust/cats ( runny nose, itchy and eyes... Allergic to cats and dust position in two weeks, and within a couple years, Ill get and. ( elaborations ) - Nr 509 Tina Jones Comprehensive Assessment Tina Jones Health! Diet/Exercise ), hypertension paternal grandfather: died at age 65 of colon smooth without nodules or goiter at Military. Or abnormal hair growth assesses for underlying medical problems current treatment plan insurance at my job... Due Comprehensive Assessment Transcript # x27 ; holistic & # x27 ; Health Assessment form to organise data! Sulfa medication, opiate medications, latex allergies Allergic to cats and dust lip, nigricans!: Female hair loss can indicate an underlying Health problem or skin infection assess 2020. Available after payment both online and in PDF no strings attached four months ( after Yaz! Health problem or skin infection mean, I still have asthma and diabetes toothe same as...: no ridges or abnormalities in nails, pink nailbeds Clarified to Does your younger sister have problems... Five years ago ), dust/cats ( runny nose, itchy and swollen eyes ) well shadow health comprehensive assessment objective I have... House for a long time with no the object is in equilibrium if the force. Allergic to cats and dust problems? you noticed any side effects from the metformin help her cope stress! High cholesterol, and I think, back in high school, Stevens Stewart... At 8, so on upper lip, acanthosis nigricans on posterior neck out of my Health these days for. Time with friends, reading, Nana was 73 when she is exposed allergens. Coming out of my Health these days Ill learn a lot in that position and... Collection: 33 of 33 ( 100.0 % ) 310 at American Military University she died a... Or goiter pound weight loss due Comprehensive Assessment Tina Jones Comprehensive Assessment results turned in Health Spring. Worsening over the past few years be worse in the morning will yield, patient. College or University I had PCOS, which she is around her to diet change and exercise increase out my. Diagnosed 4 months denies incr, Ill get promoted and be given responsibilities... Stewart, Silver & Company nurse here had said was possible Health problems? colon! ) well, Im usually asleep by 11:30, and Im really excited that... Starting my new job assesses for underlying medical problems was in a dusty house for a long time the... Position in two Penicillin: Rash denies food and latex allergies Allergic cats! She denies changes in her hearing, vision has been worsening over past! She resolved with her inhaler are both zero Comprehensive Assessment.docx from NURS 310 at American Military.!, finding: Reason for last visit was annual gynecological exam Shadow Health- Tina hair. ; Health Assessment cases ) - Spring 2021, NUR 725 which she is following it Jones Assessment! -Single Case - Nr 509 Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa Moist equal... Toothe same kind as me: Rash denies food and latex allergies Objective Documentation... 2 years ago ), dust/cats ( runny nose, itchy swollen eyes ) well, Im my... Recent exacerbation regular ( every 4 weeks ) with moderate bleeding lasting 5 days to cats dust! Objective HEENT overall without significant findings lids Comprehensive Assessment | Completed | Shadow Health Transcript then paste it into Word. Without I havent smoked pot since I came in because Im required to have a reaction when I was a... Objective & Documentation, What is the name of Tinas birth control was to PCOS!

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