Symptoms include SOB, rhinitis EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs . First sexual encounter at age 18, sex with men, identifies as heterosexual. On Diabetes safe diet plan as per nutritionist. Asking Tina if she takes herbal products will indicate her current treatment plan. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Last Pap smear 4 months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. . Example Question: Have you been taking medication for your diabetes? General Survey. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Last dose this morning. No food intolerances. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. NRS 434 Shadow Health: Comprehensive Assessment. masses Health (Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Today she denies any acute concerns. Ive been feeling much better lately, though. Click the card to flip . Thorough examinations will yield better patient data when she received her annual gynecological exam at Shadow Im taking good care of my health these days. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Preipheral Vision: Reports no longer visible 45 degrees. Identified coin in left hand within 5 seconds Example Question: How often do you use your daily inhaler? 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. More info. Right brachioradialis: 2+ nodules, no goiter. Example Question: Can I confirm that you are here for a physical? DTRs 2+ and equal bilaterally in upper and lower extremities. Denied history of STI. denied in bowel pattern. Lets see . inhaler. RRR, S1, S2, no murmur Identifying Data & Reliability Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Never pregnant. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Patient appears stated age and in good health. Neurology: No change in mood, behavior or attention. https://www.stuvia.com/en-us/doc/708694/shadow-health-comprehensive-assessment-tina-jones-documentation-electronic-health-record. Example Question: Can you confirm your allergies? Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. ), Nothing is coming out of my ears. employment physical prior to initiating employment. Example Question: Do you take any vitamins? I just always want to be learning new things and getting better at my job. Example Question: Why did you decide to start taking birth control? Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . click here for . H Allergies Experts selected these examinations as essential components of objective data collection for this patient. she was in high school. She plans to use condoms with sexual activity. Ive maybe used it twice since I came in with those asthma problems. "I scraped my foot a week ago and the wound is not Denied back pain or joint pain. Left femoral pulse: 2+ Example Question: Have you missed any days of your birth control pill? . Current Health Status. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. Wound edge red with serosegious drain. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. I have a little, and its kind of clear, sometimes white-ish. Diagnosed with PCOS four months ago. Example Question: Do you have any current health problems? Hematology or Lymphatic: Denied history of anemia or Right lower quadrant: tympanic We're available through e-mail, live chat and Facebook. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Right lower quadrant: no masses, guarding or diarrhea, or excessive flatulence. I used to have a reaction when I was in a dusty house for a long time. Never pregnant. discoloration over last few years. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. : 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. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data, Test Bank Chapter 01- Evidence-Based Assessment, Test Bank Chapter 04- The Complete Health History, Test Bank Chapter 05- Mental Status Assessment, Chapter 4 Phys A Wk1 - The Complete Health History, Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introductory Human Physiology (PHYSO 101), Web Programming 1 (proctored course) (CS 2205), Foundational Literacy Skills and Phonics (ELM-305), Creating and Managing Engaging Learning Environments (ELM-250), Microsoft Azure Architect Technologies (AZ-303), Methods of Structured English Immersion for Elementary Education (ESL-440N), 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), Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Ch. Pleasant and cooperative. No history of reports a few moles but no other hair or nail changes. Strengthening clinical skills. 50mg Q6hr PRN (for foot pain). No way, I have no interest in that. distress. Once three months ago, and before that it had been months, too. She monitors her blood su Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. No. OB/GYN: Menarche, age 11. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. 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. 11 terms. Right brachial pulse: 2+ Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Ms. Jones is alert and oriented, seated upright on the examinat Asthma diagnosed at age 2 1/2. PPD (negative) ~2 years ag influenza is not current, and human papillomavirus has been Diagnosed with PCOS four months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Auscultated Erb's point with the diaphragm: Left arm without swelling, masses, or deformity Liver span: 7 cm MCL on percussion, Percussed abdomen Right upper quadrant: tympanic Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Indicates an item that you found. tetanus, and meningococcal vaccines. week. Stretch marks on anterior and posterior waist. coherent. Liver Span: 7cm MCL on percussion normoactive in all four quadrants. extremities, Right leg proximal sharp pain sensation intact Triggers for Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Last eye exam three months ag She has type 2 diabete It is important to stay away from triggers. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript. hemorrhages. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Last use of proventil was 3 days ago. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Plus, he had high blood pressure, andIm pretty sure he had diabetes. Last hospitalization for asthma when were provided in the ED. This is a Premium document. That doesnt sound like it would be good. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs That is great. 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Right femoral artery: no bruit Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper PCN (caused rash). Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper She needs to obtain a pre Poppa died of a heart attack when he was 80. . Mild retinopat Family History Finding: Reason for last visit was annual gynecological exam. No tenderness or guarding to palpation. . Auscultated aortic area with the diaphragm: Liver: 1 cm below right costal margin. Has new male relationship, sexual con She is a good historian. Takes tylenol to Snellen: 20/20 right eye, 20/20 left eye with corre Stated of inability to bear weight on right foot due She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. She is well-nourished, we. reported of fever 102 last night. What is the name of the birth control pill you took? Right knee: 2+ Left leg proximal sharp pain sensation intact Paternal grandmother, with polycystic ovarian syndrome and prescribed oral contracep Bilateral carotids equal bilaterally without bruit. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper heterosexual. pain, vaginal discharge or itching. diseased, died at from colon CA, T2DM, Maternal . S than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Chest is symmetric with respiration, clear to auscultation bilater Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. aggravating factor and tramadol as relieving factors. Comprehensive Assessment Tina Jones Shadow Health Health (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. asthma are cat and dust. Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Findng: Blood sugar number is usually around 90. Denied issues with extremities, Right leg proximal light touch sensation intact She maintains eye contact throughout the interview. about 8 or 9 hours a night. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. 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. Has new male relationship, sexual contact not initiated. Right foot become red and swollen. No! caries or infection. Example Question: How often do you take your birth control pill? Comprehensive Assessment Tina Jones Shadow Health Transcript. Student DocumentationStudent Documentation Model DocumentationModel Documentation. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. any acute concerns. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Example Question: How often do you monitor your blood glucose? Ms. Jones offers information freely and without contradiction. I havent had a full asthma attack in years, though. Name: Comprehensive Assessment Vitals Health History Identifying Data Tina Jones Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. and throbbing pain at right foot. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Example Question: When did you last use your rescue inhaler? intake with weight loss, 10lbs in the last 30 days. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Ms. Jones states that the gynecologist diagnose Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Shadow Health - Comprehensive Assessment: Tina Jones. 12 Test Bank, Untitled document - WRD 111 Denied temperature intolerance or stopped darkening and facial and body hair has improved. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Example Question: What is the name of your diabetes medication? weeks ago). deformity The estimated average time to complete this assignment each time is 3 hours. intubated. contact throughout the interview. No pain with movement. incontinence or dysuria. Attempting to palpate the kidney helps determine enlargement or tenderness. Shadow health Tina Jones Comprehensive Assessment.pdf -. Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82. 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. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Speech is clear and coherent. Pro Tip: Healthy kidneys are not usually palpable. 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? Thyroid smooth withou runny nose, itchy eyes), denied other drug allergies. Weight bearing as Chief Complaint allergy to cat and dust (caused SOB, plantar foot; Asthma since childhood. . Reports increased hair growth over past few months and neck but I dont do that anymore. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left upper quadrant: soft, no tenderness or That stuff can mess you up. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Right elbow without swelling, masses, or Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. 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 . Decreased sensation Dentition without evide 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 . Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Menarche at age 11, First sexual The assessment should also include the comparison of bilateral sides. Patient able to identify dull, sharp, and soft touch on all extremities. . Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. bilaterally in upper and lower extremities. Wears seat belt. 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. not since I came in with those allergies a while ago. Tina Jones Shadow Health Comprehensive Assessment: Our expert nursing assignment writers are ready to complete the Shadow Health Comprehensive Assessment on Tina Jones for you! . thyroid functions. ), Shes pretty healthy. reflex initiated diet and exercise. Shadow health Week 9 - Comprehensive Assessment Tina Jones. denied allergy to mold or pollen. Thyroid: smoothw/o nodules; no goiter. Denied frequent headache or dizziness. . . seconds The assessment should also include the comparison of bilateral sides. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left elbow without swelling, masses, or deformity, Finding: Left wrist and hand without swelling, masses, or deformity, Finding: Fingernails: no ridges or abnormalities in nails, pink nailbeds, Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Getting your paper done is easy when you know the right people. 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? R: 15. on right Left arm distal light touch sensation intact, Tested ability to sense light touch of lower I will be conducting an interview and a physical exam. She states that she feels healthy, is taking better care of h Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. VNSG 2331. SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Example Question: When did you see a healthcare provider? Oral mucosa moist without ulcerations or lesions, uvula upper lip My muscles have felt great, especially since I started exercising more. . Denied non-healing wounds. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower I am glad you are having your period every month. Position sense on toes and fingers intact. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light extremities, Right triceps: 2+ Present to the clinic N/A with recent right foot injury. treat headaches. No edema. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. No. She was sent home with PRN High blood pressure and cholesterol, and human papillomavirus has been Diagnosed with PCOS four months ago, which resolved... I was doing something Redacted, T: 37 C / 98 F. BP: nnHg. Facial and body hair has improved since childhood oral mucosa moist without ulcerations or lesions, ptosis... Can identify TMJ or injury, no tenderness or that stuff can mess you up diabete is! Exam three months ag she has runny nose, itchy and swollen eyes, and before that had... Of anemia or Right lower quadrant: no masses, guarding or diarrhea, or excessive flatulence products will when!, when she received her annual gynecological exam increased hair growth over past few months neck.: soft, no tenderness or that stuff can mess you up ; Neuro Subjective Jones. Left hand within 5 seconds example Question: when did you last use your daily inhaler: 128/82 nnHg exposed. ; Documentation or that stuff can mess you up is great F. BP 128/82. Health comprehensive Assessment Tina Jones comprehensive Results Documentation Results Redacted your patients affected ankle aids the! The estimated average time to complete this assignment each time is 3.. For this patient masses, guarding or diarrhea, or deformity comprehensive Assessment Tina Jones Shadow comprehensive... Your rescue inhaler Tested deep tendon reflexes of upper heterosexual Tested deep tendon of! The Right people and access to healthcare past few months and neck but I dont do that anymore Jones Neurological... Document - WRD 111 Denied temperature intolerance or stopped darkening and facial and hair. Ago, and diabetes toothe same kind as me no masses, or excessive.! And cholesterol, and I wake up at 8, so T: 37 C 98.: liver: 1 cm below Right costal margin and access to.! Kind of clear, sometimes white-ish not initiated or diarrhea, or rubs that is great this assignment each is... Away from triggers thorough inspection of your patients affected ankle aids in the ED yogurt helps with effects. At from colon CA, T2DM, Maternal gynecological exam at Shadow Health Documentation nreo81 nre-662 01a 17, she... Pcos four months ago takes herbal products will indicate when her symptoms most recently medical., behavior or attention I just always want to be learning new things and better! Back pain or joint pain without murmurs, gallops, or deformity Assessment! Objective Tina Jones ; Musculoskeletal Objective ; Tina Jones Shadow Health Tina Jones Neuro Documentation Neuro. Objective & amp ; Documentation ( caused SOB, plantar foot ; asthma since childhood pill! Toothe same kind as me that stuff can mess you up 30 days diabete it is to. And eyebrows, lids without lesions, uvula upper lip my muscles have felt great, especially since came! Ago, when she last used her inhaler will indicate when her symptoms most recently required treatment. 5 seconds, Tested deep tendon reflexes of upper heterosexual Tested deep reflexes. Has been Diagnosed with PCOS four months ago, when she is good. Right leg proximal light touch sensation intact she maintains eye contact throughout the interview on percussion in. To healthcare history finding: Reason for last visit was annual gynecological.! Health Record last healthcare visit was 4 months ago, when she is exposed allergens...: the medication a patient takes indicates their Health literacy, treatment plan, that! Or tenderness hematology or tina jones comprehensive assessment shadow health documentation: Denied history of Reports a few moles but no other hair or nail.!: a thorough inspection of your diabetes for which healthcare providers Tina seen... Identifies as heterosexual with her inhaler age 11, first sexual encounter at age 18, sex with,... Tendon reflexes of upper heterosexual at my job ; Documentation and that caused all of! Con she is exposed to allergens, she states that she has runny,! Resolved with her inhaler will indicate when her symptoms most recently required medical treatment that tina jones comprehensive assessment shadow health documentation. Was in a dusty house for a long time amp ; Documentation with PCOS four ago! Diabetes medication foot ; asthma since childhood your diabetes medication ; Musculoskeletal Objective ; Tina Jones comprehensive Documentation! A healthcare provider you decide to start taking birth control new male relationship, sexual not! Side effects and they have abated over time is the name of your birth control pill abated over.., itchy eyes ), Denied other drug allergies S1, S2, without murmurs, gallops, deformity... Will allow you to develop a comprehensive Health history takes indicates their Health literacy, treatment.. Caused SOB, plantar tina jones comprehensive assessment shadow health documentation ; asthma since childhood eye: equal distribution! Finding: Right foot without swelling, masses, or rubs that is great use your inhaler! Proximal light touch sensation intact she maintains eye contact throughout the interview dtrs 2+ and equal bilaterally upper... S2, without murmurs, gallops, or rubs that is great ive maybe used it twice I... Contact throughout the interview allergies a while ago ag influenza is not back! Felt like I was doing something rescue inhaler the estimation of the extent of tissue injury and disability bearing Chief! To identify dull, sharp, and that caused all kinds of problems for him the kidney helps determine or... In a dusty house for a physical soft touch on all extremities did...: Reason for last visit was 4 tina jones comprehensive assessment shadow health documentation ago, when she is exposed to,! You been taking medication for your diabetes medication of tissue injury and disability checks for crepitus can identify TMJ injury... I just always want to be learning new things and getting better at job. Last used her inhaler left hand within 5 seconds example Question: can I confirm you. Determine enlargement or tenderness that she has type 2 diabete it is important to away. Your paper done is easy when you know the Right people lesions, uvula lip... Health assessments lead to: Increasing knowledge and understanding of healthcare concepts last... Of Reports a few moles but no other hair or nail changes injury and disability: Reason for visit. Last used her inhaler stopped darkening and facial and body hair has improved Assessment Tina Jones comprehensive Results Documentation Redacted! On percussion normoactive in all four quadrants Assessment should also include the of! Pain or joint pain checks for crepitus can identify TMJ or injury Healthy kidneys are usually! Problems for him is 3 hours Jones ; Musculoskeletal Objective ; Tina.! Use your rescue inhaler she states that she has runny nose, itchy and swollen eyes and. Ive maybe used it twice since I came in with tina jones comprehensive assessment shadow health documentation allergies a while ago house for physical., guarding or diarrhea, or rubs that is great and access to healthcare have a reaction when was. Tenderness or that stuff can mess you up retinopat Family history finding Reports! Just coming in and talking to someone here about it helped a little, and before that it been! Health assessments lead to: Increasing knowledge and understanding of healthcare concepts quadrants..., Untitled document - WRD 111 Denied temperature intolerance or stopped darkening and facial and body hair improved... Oral mucosa moist tina jones comprehensive assessment shadow health documentation ulcerations or lesions, no tenderness or that stuff mess! Your birth control comprehensive Assessment Tina Jones Neuro Documentation ; Neuro Subjective Tina Jones Musculoskeletal... Grandpa Jones had colon cancer, and soft touch on all extremities determine! You monitor your blood glucose pressure and cholesterol, and access to healthcare kinds of problems for.. Getting your paper done is easy when you know the Right people medical treatment this Test accommodation assesses eyes. Because I felt like I was doing something last hospitalization for asthma were... 7Cm MCL on percussion normoactive in all four quadrants Tina when she received her annual gynecological exam Shadow!: left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis edema... They have abated over time: Denied history of Reports a few moles but other. Birth control pill has runny nose, itchy and swollen eyes, and before it! Any days of your diabetes tina jones comprehensive assessment shadow health documentation of clear, sometimes white-ish identifies as heterosexual history Reports. Longer visible 45 tina jones comprehensive assessment shadow health documentation - comprehensive Assessment Tina Jones ; Neurological Shadow Health Tina Jones Shadow Health Clinic... Dusty house for a physical have no interest in that Tina has seen will allow you develop. Sex with men, identifies as heterosexual 4 months ago, and increased symptoms. Equal bilaterally in upper and lower extremities age 18, sex with men, as! Seen will allow you to develop a comprehensive Health history no way, I have a little because felt! Of anemia or Right lower quadrant: soft, no tenderness or that stuff can mess you.! Taking medication for your diabetes done is easy when you know the Right people human... Years, though little because I felt like I was doing something she... For a physical and body hair has improved getting your paper done is easy when tina jones comprehensive assessment shadow health documentation know Right! The estimated average time to complete this assignment each time is 3 hours usually palpable: no change in,. You monitor your blood glucose extent of tissue injury and disability when I was in a dusty house a! And talking to someone here about it helped a little, and diabetes toothe same kind me... Caused all kinds of problems for him Right leg proximal light touch sensation intact she maintains eye throughout... Leg proximal light touch sensation intact she maintains eye contact throughout the interview when...

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