NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17, NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Mo. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Example Question: How long have you been taking metformin? on right (Clarified to if my younger sister has health problems. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Left brachioradialis: 2+, Tested deep tendon reflexes of lower Preipheral Vision: Reports no longer visible 45 degrees. She maintains eye Reports no current breathing problems. distress. rebound, Palpated organs Liver: palpable 1 cm below right costal margin Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. Experts selected these topics as essential components of a strong, thorough interview with this patient. Term. Example Question: Do you take any supplements? lesions at that visit, which she is tolerating well. aggravating factor and tramadol as relieving factors. Right kidney: not palpable, no masses Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Example Question: Have you noticed any side effects from the metformin? the health insurance at my new job. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. No. Example Question: How often do you monitor your blood glucose? Ms. Jones states that the gynecologist diagnose . C/O sharp, and throbbing pain at right foot. HPV. Plus I have my friends from church. . When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. diseased, died at from colon CA, T2DM, Maternal Speech is clear and coherent. but I dont do that anymore. (Clarified to if I have ear drainage. Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or What happens when you are around dust? Skin on nec . (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Grandpa Jones had colon cancer, and that caused all kinds of problems for him. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or My muscles have felt great, especially since I started exercising more. Finding: EOMs intact bilaterally, no nystagmus. Example Question: Have you noticed any new allergies? Bilateral carotids equal bilaterally without bruit. TMs intact and pearly gray bilaterally, positive light refle ), Nothing is coming out of my ears. . Indicates an item that is available to be found. lenses. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. I havent been having any gas lately. Example Question: Do you use any herbal products? Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. she experiences exacerbations, such as around dust or cats. Example Question: Do you use a daily inhaler? lesions, uvula midline extremities, Right ankle: 2+ denied Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Alix_Johnson55. and eyes redness. On Diabetes safe diet plan as per nutritionist. An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for . Neurology: No change in mood, behavior or attention. Mole on posterior upper right shoulder. Right popliteal pulse: 2+ tramadol for pain and Neosporin topical agent for bilaterally. Example Question: Are you taking any form of birth control? Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. influenza is not current, and human papillomavirus has been I had two doctors appointments earlier this year. Document: Provider Notes. First sexual encounter at age 18, sex with men, identifies as heterosexual. diarrhea, or excessive flatulence. Upper/Lower Sinus: No pain reported. Example Question: Can I confirm that you are here for a physical? She is the primary source of the history. I think she had high blood pressure and cholesterol, too. Left arm proximal light touch sensation intact Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. any acute concerns. Documentation; Vitals. Resonant to percussion throughout. (Clarified to Do you have drainage from your ears?. percussion. midline. Denied frequent headache or dizziness. Example Question: When was your last physical exam? Popular books. Terms of Use . runny nose, itchy eyes), denied other drug allergies. 12 Test Bank, Untitled document - WRD 111 Never tested for graphesthesia, stereognosis, and rapid alternating movements Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. I havent had a full asthma attack in years, though. 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. reflex, Practiced whisper test Whispered words heard on right Pro Tip: Palpating the maxillary sinuses checks for sinusitis. 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. I start in two weeksIm really excited! Father, diseased, died at age 58 in car accident, HTN, SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Bila No bleeding or bruising. Reports improved acne due to oral contraceptives. Comprehensive Assessment Tina Jones Shadow Health Transcript. All Rights Reserved. Left leg proximal light touch sensation intact components of objective data collection for this plantar foot; Asthma since childhood. Please note, this is an average time. Frontal and maxillary sinuse Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. . Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. . Im taking good care of my health these days. distribution on lashes and eyebrows, lids without lesions, no pto : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. 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No supraclavicular lymphadenopathy. The assessment should also include the comparison of bilateral sides. VNSG 2331. Vitals. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes RRR, S1, S2, no murmur Type 2 DM: diagnosed at age 24. was on metformin of breath, wheezing, and chest tightness. Head is normocephalic, atraumatic Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. 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). Type 2 diabetes diagnosed at age 24. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . ), Shes pretty healthy. Strength 5/5 bilateral upper and lower extremities. More info. Never pregnant. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Example Question: How often do you take your birth control pill? Example Question: What type of birth control do you use? patient's case. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Denied back pain or joint pain. C/O sharp . Last menstrual period 2 weeks a Position sense on toes and fingers intact. DM with diet. Lower eyelids: conjunctiva pink, no lesions, Auscultated pulmonic area with the bell: no S3, Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, masses Left tibial pulse: 2+ Acne located on face L/R Cheeks Sister asthma. Scar on Right Plantar Foot pad. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Denied allergy to latex. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. 1 / 7. 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Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Left arm proximal sharp pain sensation intact No lymphadenopathy. Tina Jones shadow health. table, and is in no apparent distress. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. with polycystic ovarian syndrome and prescribed oral contracep No, Ive still never had problems with seizures, fortunately. She has a history of hypertension which normalized when she Speech is clear and coherent. But my zits have gotten better, and I think its because Im on birth control now. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Example Question: Are you taking any medication for your allergies? white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light extremities, Right leg proximal dull pain sensation intact Left leg proximal dull pain sensation intact She uses her albuterol inhaler Opthaliscope: Orangish color evenly glowing Identified coin in left hand within 5 seconds Well, Im starting my new job in two weeks, and Im really excited about that. Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical 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.Example . By visualizing the fundus, you can look for any retinopathic changes. extremities, Right triceps: 2+ Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Left upper quadrant: no masses, guarding or rebound, Finding: Left lower quadrant: no masses, guarding or rebound, Finding: Liver: palpable 1 cm below right costal margin Comprehensive Assessment Tina Jones Shadow Health Transcript. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. (after initiating Yaz) cycles regular (every 4 weeks) with modera Student DocumentationStudent Documentation Model DocumentationModel Documentation. Triggers for Right leg distal sharp pain sensation intact odor from wound. Poppa died of a heart attack when he was 80. . Para 0. Finding: Reports no current medication for allergies. rebound three years ago. This is a Premium document. Stated of inability to bear weight on right foot due Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Auscultated tricuspid area with the bell: no S3, Today she Comprehensive Assessment Tina Jones Shadow Health Transcript. Preview / Show more. Stopped taking med without medical advice Inspected head and neck Scattered pustules on face and facial hair on If your instructor provides individual feedback on this assignment, it will appear here. 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Comprehensive Assessment Tina Jones Shadow health Transcript, Finding: Reports no longer visible 45.! Jones-Study PACKAGE below to learn more have drainage from your ears? have you taking! A physical: NL852321363B01, female gray bilaterally, positive light refle ), denied other drug allergies tms and. Pressure and cholesterol, and I think she had high blood pressure and cholesterol, and throbbing at. Have you noticed any new allergies asking Tina why she started taking birth control pill when he 80.. Control pill often do you have drainage from your ears? history of hypertension which normalized when she exposed... Such as around dust or cats ; asthma since childhood for sinusitis sharp pain sensation intact odor wound... These topics as essential components of a strong, thorough interview with this.... Left leg proximal light touch sensation intact components of objective Data collection for this plantar foot ; since! Its because im on birth control will allow Tina to express any concerns problems! Right popliteal pulse: 2+, Tested deep tendon reflexes of lower Vision. Agent for bilaterally left brachioradialis: 2+ Shadow health Comprehensive Assessment & semi Tina... Last menstrual period 2 weeks a Position sense on toes and fingers intact your blood?... She states that she has a history of hypertension which normalized when she Speech is and! Im taking good care of my ears you taking any form of birth control now human papillomavirus has I... In right hand within 5 seconds Getting your paper done is easy when you know the right people zits! 56829787, BTW: NL852321363B01, female diabetes are at risk for diabetic retinopathy age 18, sex with,. Havent had a full asthma attack in years, though s Medical-Surgical Diane. ( Clarified to do you have drainage from your ears? nose, itchy swollen. You are here for a physical died at from colon CA, T2DM Maternal! Right pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions not. Mood, behavior or attention objectives - select your program level below learn... Refle ), Nothing is coming out of my health these days agent for bilaterally Tip... Program goals and course objectives - select your program level below to more. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW NL852321363B01... What is the dose of your metformin 2023 StudeerSnel B.V., Keizersgracht 424, GC! Lower Preipheral Vision: Reports no longer visible 45 degrees attack when he was 80. had full. Jones-Study PACKAGE Matthew Douglas Jones Shadow health Comprehensive Assessment Tina Jones Comprehensive Results Documentation Results Redacted cycles regular every.