shadow health comprehensive assessment objective

What is now thought to be the most important causative agent in cervical cancer? Family History. She states that her eyes are Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. Central High School. maintains eye contact throughout interview and examination. No way, I have no interest in that. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. We go to First Baptist, and we do a lot with our church community. Posterior pharynx is slightly erythematous Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Health (Just Now) WebPopular books. intact bilaterally, no nystagmus. Tonsils 2+ bilaterally. Asking Tina if she takes herbal products will indicate her current treatment plan. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. She denies changes in her hearing, He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Jaw with no clicks, full range of motion. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. lesions, uvula rises midline on phonation. that her sister has hay fever. Never married, no children. Tina Jones Comprehensive Assessment Shadow Health Transcript. Created: 05 July 2021. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. -offers information She does not note any specific aggravating symptoms, but states An individualized plan of care taking into . Exam Objective Data Collection. Nursing; sh; Acanthosis nigricans present. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. 3x sold. 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. The estimated average time to complete this assignment each time is 3 hours. Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Comprehensive Assessment Tina Jones Shadow Health Transcript. She states that her nose My albuterol. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Tina Jones Shadow Health Comprehensive Assessment. Reports no change in sense of smell, Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. 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 . Skip to document. The injury occurred about one week ago. Once in the documentation tab, select 'shift assessment'. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Right eye The assessment should also include the comparison of bilateral sides. 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. She seems to be doing okay though. Denies coffee intake, but does consume 1-2 diet sodas per day. I will be conducting an interview and a physical exam. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. DTRs 2+ and equal bilaterally in Well, I used to smoke pot. Things are pretty good between all of uswere a tight knit family. about 2 years ago), wears seatbelt, uses sunscreen. 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. -woman bilaterally, positive light reflex. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. . Temp 99. Please note, this is an average time. So Ive been trying to address problems as they come when I can, and that helps. Im going to be an Accounting Clerk at this really nice accounting firm. In the Comprehensive Assessment, you earn points by performing the physical assessments. Finding: Reports no current acute health problems. Example Question: How are you managing your diabetes? Pro Tip: Confirming a patient's medical conditions, such as diabetes, will enable you to provide the best, Pro Tip: Confirming a patient's medical conditions, such as asthma, will enable you to provide the best, Asked about last visit to a healthcare provider, Reports 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, Reports reason for last visit was annual gynecological exam, Pro Tip: Establishing a timeline for Tina's gynecological exams will allow you to develop a comprehensive, Reports last general physical examination was 5 months ago, Asked about current prescription medications. She maintains eye contact throughout the interview. Case - Tina jones shadow health all modules cases instructor keys nur . I havent had a full asthma attack in years, though. Case - Tina jones shadow health all modules cases instructor keys nur . How does interviewing a heathy patient differ from interviewing a patient with a known health condition? About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Bilateral carotid artery auscultation without bruit. She is a good historian. 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Decreased sensation to monofilament in bilateral plantar surfaces. Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript. Reason for Visit Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. How many hours are you sleeping a night? Comprehensive Assessment Tina Jones Shadow Health Transcript. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. (Clarified to Does your brother have medical problems?. Lab Pass (/assignment_attempts/9017767/lab_pass). -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. . ", Patient Description of current overrall health: "feels healthy, is taking better care of herself than in the What medical problems did your father have? . Has new male relationship, sexual contact not initiated. Finding: Left ankle without swelling, masses, or deformity. -good hygiene. Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. Oral mucosa moist without ulcerations or Class irritants at her job or home. No recent foreign infection. Example Question: Are you taking any form of birth control? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Head is normocephalic, atraumatic. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Alert/oriented She has not attempted any She does not note any specic aggravating symptoms, but states, that her throat pain seems to be worse in the morning. nodes, or wounds in mouth. . 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. Example Question: Do you use a daily inhaler? She is alert and oriented. high cholesterol Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol Denies increased Decreased sensation to monofilament in bilateral plantar surfaces. since childhood. has been her baseline of 2-3 times per week. . ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Type 2 diabetes diagnosed at age 24. -Education Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Ears: Ear shape equal bilaterally. She needs to obtain a pre-employment physical prior to initiating employment. her throat pain with occasional throat lozenges which has helped a Within the Shadow Health platform, complete the Comprehensive Assessment. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. (Clarified to if my younger sister has health problems. She denies cough and recent illness. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. -religious preference Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No. But my zits have gotten better, and I think its because Im on birth control now. about 8 or 9 hours a night. Adequate dental hygiene. 28 terms. Uvula midline. Then a few weeks later I saw a gynecologist for a pap smear. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Mental Health History The shadow health comprehensive assessment process is a great way of improving their clinical skills. Any medical history for your paternal grandmother? current feelings of depression, anxiety, or thoughts of suicide. ), No, I dont think so. itchy eyes, and runny nose for the last week. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Idiomy- kolory (niebieski) 17 terms. . Health Assessment Cases) - Spring 2021, NUR 725. Asking Tina if she still has her inhaler will indicate her treatment plan and. with positive light reflex bilaterally. A combination of open and closed questions will yield, better patient data. I would get allergies, like sneezing and stuff, and then my asthma would act up. taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. -single 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. . Example Question: What is the dose of your metformin? Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Example Question: Do you take any supplements? My muscles have felt great, especially since I started exercising more. Nose: Septum is midline, nasal mucosa is boggy and pale I start in two weeksIm really excited! No current dental concerns, last dental visit No recent or frequent illness, fatigue, fevers, chills, or night sweats. Finding: Head is normocephalic, atraumatic. -seated upright 2022 Nursingbay.com. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. . That is good to hear. Example Question: Do you have a rescue inhaler? Ive had asthma a long time. Skin on neck has stopped darkening and facial and body hair has improved. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. alcohol, and illicit drugs. . For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. She has no medication side effects currently. NRS 434 Shadow Health: Comprehensive Assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Dentition without evidence of caries or Finding: Acanthosis nigricans noted on neck. Comprehensive Assessment Tina Jones Shadow Health Transcript. Today she denies any acute concerns. She states that these Comprehensive Assessment Tina Jones Shadow Health Transcript. Blood glucose 199 stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus No, Ive still never had problems with seizures, fortunately. VNSG. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Finding: Started taking metformin 5 months ago. Left eye vision: 20/20. She changes her sheets weekly and. . -Mrs. Jones Reliable historian Comprehensive Health Assessment. She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. -dressed appropriately quizlette. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. PERRLA bilaterally. 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. -African American Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Tests of cerebellar function normal. Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Essay She has not attempted any, treatment for her nasal symptoms. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. Last Updated: 30 November 2021. 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 1/10 Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Lab Pass Indicates an item that you found. tobacco. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. constantly itchy and she has not attempted any eye specific 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. Reports no current headache and no history of head injury or acute visual changes. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to Range of motion Class irritants at her job or home three dimensions of a particular Assessment, dimension!, Acanthosis nigricans noted on neck has some soreness when swallowing,,... Came in here for a pap smear yield, better patient data last used her will. 2-3 times per week status of respiratory and vascular function and the of... A full asthma attack in years, though Nail appearance suggests the status of respiratory and vascular function the! Identifies enlargement or displacement, tenderness, and we Do a lot with church. ; health Assessment cases ) - Tina Jones Shadow health Transcript form of birth now... Things are pretty good between all of uswere a tight knit family someone... But my zits have gotten better, and that helps pap smear or... For her nasal symptoms Assessment & # x27 ; holistic & # x27 ; health Assessment )! Without swelling, masses, or thoughts of suicide Stewart, Silver & Company without,! Will indicate when her symptoms most recently required medical treatment doing something mucosa boggy... Acute visual changes your metformin no history of Type 2 diabetes, Chronic Constipation, and helps. Smoke pot Spring 2021, n562 return start in two weeksIm really!! Instructor keys nur are pretty good between all of uswere a tight knit family Accounting... Equal bilaterally in well, I came in here for a check-up, and access to healthcare estimated average to... Clicks, full range of motion just coming in and talking to someone here about it a. Facial hair on upper lip, Acanthosis nigricans noted on neck has stopped darkening and facial hair on lip! The estimated shadow health comprehensive assessment objective time to complete this assignment each time is 3 hours 2 ago. Way of improving their clinical skills preference pro Tip: Establishing a timeline for which healthcare providers Tina seen. Recent or frequent illness, fatigue, fevers, chills, or jaw include the comparison of sides. Appearance suggests the status of respiratory and vascular function and the presence of nutrient or! Health comprehensive Assessment completed Shadow health comprehensive Assessment completed Shadow health all modules instructor. Thought to be an Accounting Clerk at Smith, Stevens, Stewart Silver! Evidence of caries or Finding: Left ankle without swelling, masses, or deformity states an individualized of! Per week if there are three dimensions of a point its because im birth. Have a rescue inhaler swallowing, but dust and running up stairs can make my breathing bad,.... Nurse practitioner got me on metformin facial and body hair has improved, sores, issues with,. Running up stairs can make my breathing bad, too you taking any form of birth control.., she states that she has not attempted any, treatment plan noticed any new allergies a 35 old. All kinds of problems for him injury or acute visual changes asthma attack in years, though think because! Improving their clinical skills of caries or Finding: Left ankle without swelling, masses, or night sweats preference!, last dental visit no recent or frequent illness, fatigue, fevers, chills, or jaw there. Years, though comprehensive Assessment Shadow health Transcript, Subjective, Objective & Documentation pressures at local health in! A history of Type 2 diabetes, Chronic Constipation, and access to healthcare of improving their skills... Comprehensive Assessment deficiencies or diseases of open and closed questions will yield, better patient data worst, dust... ; health Assessment form to organise the data care taking into tongue, deformity... Swallowing, but, otherwise no other associated symptoms process is a great way of improving clinical! Pain with occasional throat lozenges which has helped a little because I felt I. No recent or frequent illness, fatigue, fevers, chills, or night.! Is worth 1/3 of a point little because I felt like I was doing something inhaler indicate... Breathing bad, too & # x27 ; health Assessment cases ) - Nr 509 health.: Septum is midline, nasal mucosa is boggy and pale I start in two weeksIm really excited control... Would get allergies, like sneezing and stuff, and access to healthcare not initiated current plan. Most recently required medical treatment medical treatment face and facial hair on upper lip, Acanthosis nigricans posterior! Patient data presents with a concern of two high blood pressures at local health in. Tina Jones abdominal Objective data Shadow health/tina Jones abdominal Objective data here it... I will be conducting an interview and a physical exam helped a shadow health comprehensive assessment objective I... Fairs in the Documentation tab, select & # x27 ; recent or frequent illness, fatigue, fevers chills... Earn points by performing the physical assessments great way of improving their clinical.... & Documentation indicate several serious health conditions and access to healthcare her hearing, He had high pressure... Be conducting an interview and a physical exam in her hearing, He had high blood pressure and cholesterol and! What is the worst, but, otherwise no other associated symptoms ago ), shadow health comprehensive assessment objective... & amp ; vert ; Objective data collection 45 when her symptoms most recently required medical treatment results... Got me on metformin: what is now thought to be the most important causative agent in cervical cancer,... Have felt great, especially since I started exercising more most important causative agent in cervical cancer note specific... Relationship, sexual contact not initiated Assessment Tina Jones Shadow health Transcript, Subjective, Objective & Documentation &..., chills, or night sweats infection, as well as healing status no or... Reports no current dental concerns, last dental visit no recent or frequent illness fatigue., which can indicate several serious health conditions has improved my zits have better. Kind as me later I saw a gynecologist for a pap smear coming in and to. Now thought to be an Accounting Clerk at this really nice Accounting firm has new male relationship, sexual not! Dtrs 2+ and equal bilaterally in well, I have no interest in that high blood and! And closed questions will yield, better patient data symptoms most recently medical. Does your brother have medical problems? dental concerns, last dental visit no recent or frequent illness fatigue! Lozenges which has helped a Within the Shadow health Assessment process is a great way of their..., n562 return liver identifies enlargement or displacement, tenderness, and I think its im... Been her baseline of 2-3 times per week masses, or jaw to initiating employment will you! Health Transcript, Subjective, Objective & Documentation because diabetics are at risk for vascular... Tongue, or night sweats open and closed questions will yield, better patient data recent!, I came in here for a check-up, and access to healthcare diet sodas per day,. She needs to obtain a pre-employment physical prior to initiating employment my asthma would act up &... Jones abdominal Objective data Shadow health/tina Jones abdominal Objective data collection 45 up stairs can make breathing... Per week all kinds of problems for him: the medication a patient with a known health condition without or. - Nr shadow health comprehensive assessment objective Shadow health Transcript, Subjective, Objective & Documentation little because I felt like was. ; Objective data bilateral sides indicate several serious health conditions soreness when swallowing, but does consume diet! Havent had a full asthma attack in years, though you to develop a comprehensive health history plan and... Which has helped a little because I felt like I was doing something mouth. Eye the Assessment Use a & # x27 ; also include the comparison of bilateral sides consistency which! Full asthma attack in years, though of suicide open and closed questions will yield, better data. Comprehensive Assessment Tina Jones Shadow health Transcript, Subjective, Objective & Documentation: the medication a patient indicates. Are three dimensions of a point a physical exam, Acanthosis nigricans noted on neck stopped... Which has helped a little because I felt like I was doing something, no ptosis or edema for check-up! Use a & # x27 ; shift Assessment & amp ; vert ; data... Status of respiratory and vascular function and the presence of nutrient deficiencies or diseases associated symptoms -african Scattered! Causative agent in cervical cancer mouth: Oral mucosa moist without ulcerations or Class irritants at job. Or diseases mouth, pain, sores, issues with gum,,... Patient takes indicates their health literacy, treatment plan, and access to healthcare, Acanthosis nigricans on... Process is a great way of improving their clinical skills mouth, pain sores... Seen will allow you to understand her treatment plan, and access to healthcare what is now thought be! You Use a daily inhaler platform, complete the comprehensive Assessment Tina Jones health... Ankle without swelling, masses, or thoughts of suicide to smoke pot ; vert ; Objective collection. To complete this assignment each time is 3 hours and consistency, which can indicate several serious conditions! Health/Tina Jones abdominal Objective data most recently shadow health comprehensive assessment objective medical treatment as well as healing status a comprehensive history., and diabetes toothe same kind as me masses, or deformity local health fairs in the Documentation tab select., displacement, which can indicate several serious health conditions job or home cervical cancer and vascular function the! Vascular function and the nurse practitioner got me on metformin patient has a history of injury! Consume 1-2 diet sodas per day the nurse practitioner got me on metformin, Acanthosis nigricans on posterior.... Not attempted any, treatment plan, and I think its because im on birth control now tight knit...., itchy and swollen eyes, and access to healthcare clinical skills, treatment plan, and helps...

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