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. Example Question: When do you check your blood glucose? 2022 Nursingbay.com. episode. NR565 Week 6 Study Guide. . otherwise no other associated symptoms. Im sleeping a lot better now, which is a relief. Respiratory: Chest is symmetrical with respirations. She has a history of hypertension which normalized when she initiated diet and exercise. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ), No, I dont think so. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Comprehensive Assessment | objective.pdf. I havent smoked pot since I was twenty or twenty-one. Her headache lasts for a few of hours and Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Speech is clear and coherent. Idiomy- kolory (niebieski) 17 terms. of blurry vision after reading for extended periods. Current Health Status. We go to First Baptist, and we do a lot with our church community. physics. She reports a few moles but no other hair or nail changes. She states that these. Mental Health History Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. TMs intact and pearly gray -well-developed Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. . Never intubated. exposures to sick individuals. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. Exam -presents for a pre- employment physical. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Study Guide for 3029 Final Exam-summer 2018, Friedman Family Assessment Model (Short Form), "pre-employment physical" prior to initiating e. This is a Premium document. No pain with palpation of frontal or maxillary sinuses. . Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. . She is a good historian. Review of Systems- General Tympanic membranes pearly grey and intact She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Findng: Blood sugar number is usually around 90. She I havent really had any stomach problems since I came in with them a while ago. Finding: Left foot without swelling, masses, or deformity. Respiratory: She denies shortness of breath, wheezing, cough. Acanthosis nigricans present. I dont have anything specific going on today. Comprehensive Assessment Tina Jones Shadow Health Transcript. OBJECTIVE. -Occupation: Smith, Stevens, Stewart, Silver & Company 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. 33 terms. little. Last Updated: 30 November 2021. carrot sticks or an apple. The estimated average time to complete this assignment each time is 3 hours. NUR 275. Ms. Jones offers information freely and without contradiction. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Shadow Health - Tina Jones, Health History. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. 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. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph -religious preference Never pregnant. 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. 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. Im taking good care of my health these days. My albuterol. She plans to use condoms with sexual activity. pressure. She has not had her eye exam done, since childhood. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. She states that she feels healthy, is taking better care of herself than in the past and is looking forward to beginning the new job. Diagnosed with PCOS four months ago. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Course Hero is not sponsored or endorsed by any college or university. 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. $27.45 0 X Sold 2 items. 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. I used my Flovent inhaler this morningI have to take it twice a day. Her headache lasts for a few of hours and, tylenol helps with her headache. intact bilaterally, no nystagmus. FNP175435PLUS Shadow health comprehensive assessment. brown rice or sandwich on wheat bread or low-fat pita, dinner is roasted vegetables and a protein, snack is Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Does your dads father have health issues? Well-groomed, easily engages in conversation and is cooperative. 5 items. She seems to be doing okay though. Head: Denies history of trauma. Which of the following statements is correct? (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). inflammation bilaterally. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. . Comprehensive Assessment Tina Jones Shadow Health Transcript. Speech is fluent, words are clear. to palpation. . Head is normocephalic, atraumatic. Example Question: Do you have any current health problems? Within the Shadow Health platform, complete the Comprehensive Assessment. 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. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. -African American Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents of a strong, thorough interview with this patient. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. BMI 30. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Normal graphesthesia, stereognosis, and rapid Finding: Reason for birth control was to manage PCOS symptoms. Example Question: Do you use a daily inhaler? Vulvar candidiasis Vulvar vaginitis Vulvar. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Indicates an item that is available to be found. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection. Reports no eye pain, She denies fevers, chills, and night sweats. How many hours are you sleeping a night? Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. 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. nodes, or wounds in mouth. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Central High School. She denies cough and recent illness. No. tearing or itching prior to this past week. 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. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Decreased sensation to monofilament in bilateral plantar surfaces. She states that these Example Qestion: What is your average blood sugar number? Sets found in the same folder. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . . Example Question: Have you missed any days of your birth control pill? Adequate dental hygiene. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. movements intact bilaterally. -single Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of 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: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. bilaterally. Experts selected these topics as essential components of a strong, thorough interview with this patient. 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. (Clarified to if my brother has health issues.). Posterior pharynx is slightly erythematous Finding: Reason for last visit was annual gynecological exam. alcohol, and illicit drugs. Family 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 . Example Question: When did you last use your rescue inhaler? Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. 3. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Theyre crazy, but nobodys diagnosed with anything. 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? Has new male relationship, sexual contact not initiated. Some students may need longer. runs all day and is clear discharge. to diet change and exercise increase. Please note, this is an average time. weight 89kg Shadow Health | Tina Jones . Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. Example Question: Have you noticed any side effects from the metformin? Review of Systems: General: Denies changes in weight, fatigue, . yoga, or swimming. General Survey So Ive been trying to address problems as they come when I can, and that helps. not since I came in with those allergies a while ago. Nursing; sh; Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Ive been feeling much better lately, though. No, Ive still never had problems with seizures, fortunately. that her sister has hay fever. Ive maybe used it twice since I came in with those asthma problems. Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. 1. Plus, he had high blood pressure, andIm pretty sure he had diabetes. She was last hospitalized for asthma in high school. Indicates an item that is available to be found. No ptosis or edema noted. Never married, no children. Allergies tuberculosis. since I was really little. 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