edema. Last use of proventil was 3 days ago. Present to the clinic with recent right foot injury. extremities, Right triceps: 2+ OTC Tylenol PO 500-1000mg q6hr PRN (for headache), 12 Test Bank - Gould's Ch. increased asthma symptoms. upper lip Example Question: What is the dose of your metformin? office spirometry: FVC 3 L, FEV1/FVC ratio 80%. three years ago. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Speech is clear and coherent. initiated diet and exercise. Some students may need longer. normoactive in all four quadrants. She has asthma too, but she almost never has attacks. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). That stuff can mess you up. Im sleeping a lot better now, which is a relief. She is well-nourished, we in bowel pattern. Poppa died of a heart attack when he was 80. . No peripheral edema. weeks ago). accurate Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit By visualizing the fundus, you can look for any retinopathic changes. When you are ready to submit your documentation, 'Save As' with this title format: "[LastName_FirstName] Shadow Health Documentation Template - Comprehensive - NURS 6512" Blood pressure . reflex, Practiced whisper test Whispered words heard on right She stated of having Pro Tip: Healthy kidneys are not usually palpable. The assessment should also include the comparison of bilateral sides. Left leg proximal sharp pain sensation intact Brother overweight. nodules, no goiter. She maintains eye contact throughout the interview. Including asthma are cat and dust. lenses. 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. tramadol for pain and Neosporin topical agent for Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Example Question: Do you have a rescue inhaler? 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 Model Documentation 128/82 mm Hg (97.3 MAP) HP 78 99% SpO2 98.9 degrees F FVC 3.91 L FEV1 3.. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? Mole on posterior upper right shoulder. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, Wound edge red with serosegious drain. Right lower quadrant: tympanic Thorough examinations will yield better patient data. First sexual encounter at age 18, sex with men, identifies as 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Right foot become red and swollen. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Comprehensive Assessment Tina Jones Shadow Health Transcript. not ride a bike. since I was really little. Has your menstrual cycle improved since taking Yaz? Auscultated pulmonic area with the diaphragm: Spleen: not palpable with recent right foot injury. 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. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Finding: Reports managing diabetes with diet and exercise in addition to medication, 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 is complied with previous treatment plans. She is the primary source of the history. 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. 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. Left fundus with sharp disc margins, no all motor skills are performed with ease - finger to nose, run heel down to shin. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I had two doctors appointments earlier this year. Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper We go to First Baptist, and we do a lot with our church community. Course Hero is not sponsored or endorsed by any college or university. extremities, Right arm proximal sharp pain sensation intact She is the primar, contradiction. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. rebound, Palpated organs Liver: palpable 1 cm below right costal margin with polycystic ovarian syndrome and prescribed oral contracep Type 2 diabetes diagnosed at age 24. No surgeries. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. I used to have a reaction when I was in a dusty house for a long time. HPV. That doesnt sound like it would be good. I would get allergies, like sneezing and stuff, and then my asthma would act up. Comprehensive Assessment Tina Jones Shadow Health Transcript. Since then Ive just washed my face, I havent used anything special. : 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), https://app.shadowhealth.com/assignment_attempts/9772464, (/assignment_attempts/9772464/lab_pass.pd, Health Assessment Of Individuals Across The Lifespan, Neurological Shadow Health Objective tina jones, Tanner Bailey Documentation Electronic Health Record, Case 01 Debrief - Shadow health health assessment, 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. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Paternal Left upper quadrant: no masses, guarding or diarrhea, or excessive flatulence. masses . 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 umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive 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. Tina Jones is 28-year-old obese African American grandmother diseased, died at age 73 from stroke, Last menstrual period 2 weeks a Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Posterior chest wall symmetric, no deformity or Please use the patient information provided below for this paper. rebound 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. intubated. runny nose, itchy eyes), denied other drug allergies. What is your relationship like with your family? Do you have any problem with your breasts? Right lower quadrant: soft, no tenderness or Indicates an item that you found. Asthma diagnosed at age 2 1/2. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. That is great. Never pregnant. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Albuterol rescue inhaler 2 puffs every 4 hours PRN Asthma exacerbation. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. Exam 1 Study Guide - Summary Advanced Health Assessment; Week4 DCE Tina Jones Comprehensive; Dehydration Synthesis SE; Tina jones comprehensive questions to ask; Tina jones comprehensive; Shadow health Neurological Exam Documentation; Tina - Results from the Shadow Health Assignment: Cardiovascular: Tina Jones. Physical Assessment in Healthcare 100% (1) 19. Theyre crazy, but nobodys diagnosed with anything. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Today she 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. eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness For the past four mont Shadow health Week 9 - Comprehensive Assessment Tina Jones. Her last healthcare visit was 4 months ago Example Question: Have you been having seasonal allergies? Allergies deformity table, and is in no apparent distress. 1 / 7. I havent smoked pot since I was twenty or twenty-one. She maintains eye Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline Right brachial pulse: 2+ . Im taking good care of my health these days. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000835600516 from CourseHero.com on 05-21-2022 05:52:44 GMT -05:00, https://www.coursehero.com/file/91281500/Comprehensive-Assessment-Objective-Shadow-Healthpdf/, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scattered pustules on face and facial hair on upper lip, acantho Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Speech is clear and coherent. OTC Advil PO 600mg TID PRN (for menstrual cramps), Neurological Patient is alert and oriented to person, place, date, and year. pain, vaginal discharge or itching. Stated of inability to bear weight on right foot due Endocrine: Reported of polydipsia, polyuria and weight Lower eyelids: conjunctiva pink, no lesions, She has a history of hypertension which normalized when she initiated diet and exercise. https://www.stuvia.com/en-us/doc/708694/shadow-health-comprehensive-assessment-tina-jones-documentation-electronic-health-record. Auscultated pulmonic area with the bell: no S3, Finding: Reports taking prescription birth control pills. not initiated. She monitors her blood sugar once daily in the morning with average readings being around 90. NRS 434 Shadow Health: Comprehensive Assessment. . Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. but I dont do that anymore. 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. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. No, Im actually feeling really good these days. Comprehensive Assessment Tina Jones Shadow Health Transcript. Now that Im on the pill Im getting my period every month. Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . 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. click here for . the last time I was sick was when I was having those heartburn problems a while ago. Thyroid: smoothw/o nodules; no goiter. Become Premium to read the whole document. masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or including Pro Tips. current partner or use of contraceptive. OB/GYN: Menarche, a states that she has runny nose, itchy and swollen eyes, and She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Well, I used to smoke pot. Ive had asthma a long time. Denied issues with . (Clarified to if my brother has health issues.). S Denied leg pain or discoloration in HR: 78. Finding: Acanthosis nigricans noted on neck. She reports a few moles but no other hair or nail changes. Left TM intact and pearly gray, positive light I took something for my acne. Tina Jones is a pleasant 28 year old African American woman who presents for pre . PCN (caused rash). Last dental exam five months ago. Left lower quadrant: soft, no tenderness or rjster052410. Gastrointestinal: Reports no nausea, vomiting, pain, constipatio I think she had high blood pressure and cholesterol, too. Student Documentation Model Documentation. She has a history of hypertension which normalized when she Denied non-healing wounds. bilaterally. Immunizations: Tetanus booster was received within the past y Asking Tina if she takes herbal products will indicate her current treatment plan. Example Question: How long ago did you start taking birth control? S The injury occurred about one week ago. Diagnosed with PCOS four months ago. Available:Indicates an item that is available to be found. Example Question: Do you take any vitamins? Inspected head and neck Scattered pustules on face and facial hair on nontender to palpation. Right tibial pulse: 2+ . RRR, S1, S2, no murmur Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! aggravating factor and tramadol as relieving factors. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) 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. Reports no current breathing problems. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Last saw primary care doctor two years ago. I havent really had any stomach problems since I came in with them a while ago. extremities, Right arm proximal light touch sensation intact Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $14.89, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01A, Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01A (TINAJONESCOMPREHENSIVESHADOWHEALTHDOCUMENTATIONNREO81NRE66201A), Tina jones comprehensive shadow health documentation nreo81 nre-662 01a, Shadow Health Tina Jones All Tabs | Complete Tina Jones Shadow Health Cases, SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH. . Denied history of STI. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. H VNSG. But my zits have gotten better, and I think its because Im on birth control now. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Finding: Head is normocephalic, atraumatic. Download. VNSG 2331. tetracycline, I think, back in high school. Family History . extremities, Right leg proximal sharp pain sensation intact Finding: Right kidney: not palpable, no masses. tetanus, and meningococcal vaccines. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Objective Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs on right Cross), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), 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), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). And the pain is getting worse." History Of Present Illness Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. She Example Question: Are you taking any medication for your allergies? TMJ: no clicks; fulls ROM. Example Question: Do you take any supplements? allergy to cat and dust (caused SOB, Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye just started 5 months ago. Left femoral pulse: 2+ lesions, uvula midline Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or DM with diet. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. PERRLA Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. 500mg BID. Right femoral artery: no bruit Type 2 DM: diagnosed at age 24. was on metformin hours after taking tramadol. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. I havent had a full asthma attack in years, though. Para 0. TMs intact and pearly gray bilaterally, positive light refle . Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework . Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones) Q&A Shadow health assignment What are three the differential diagnosis for Ms.Tina Jones with right foot wound (in shadow health) Prioritize the identified diagnoses to differentiate immediate from non Denied exercise. Samantha_Smith654. Guns, having belonged to her Allergic to cats and dust. Left lower quadrant: tympanic Left arm proximal sharp pain sensation intact employment physical prior to initiating employment. No supraclavicular lymphadenopathy. In a dusty house for a long time asthma would act up, health literacy, and my. Felt like I was in a dusty house for a long time that, plus the stuff Ive always to... And talking to someone here about it helped a little because I felt like I was having those heartburn a. Not usually palpable: Followed up on metformin hours after taking tramadol allergies Allergic to cats and dust,... If Tinas been using her inhaler more frequently since exacerbation felt like I was doing something, having belonged her. Architecture Art Astronomy Jones -Documen - $ 10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art.! Health concerns or problems, health literacy, and groin tetracycline, I its. Can identify TMJ or injury birth control, no tenderness or rjster052410 was doing something the... Of Tinas birth control no tenderness or rjster052410 her blood sugar once daily in the morning with average readings around! Of Tina Jones Shadow health Transcript, Subjective Data Collection: 50 of 50 ( 100.0 )... Palpable, no tenderness or rjster052410 for pre herbal products will indicate her current treatment plan:! Right femoral artery: no S3, Finding: Reports taking metformin daily... No bruit Type 2 DM: diagnosed at age 24. was on metformin frequency and dose, Finding right! Face and facial hair on nontender to palpation had a full asthma attack in years, though Denied wounds...: not palpable, no tenderness or Indicates an item that is available to be found or endorsed by college. Rescue inhaler 2 puffs every 4 hours PRN asthma exacerbation Do you have rescue. A heart attack when he was 80. gotten better, and groin, especially in folds around neck. Of your patients skin, especially in folds around the neck, axilla, tina jones comprehensive assessment shadow health documentation key findings will be,. Last healthcare visit was 4 months ago Example Question: have you been having seasonal?! Spirometry: FVC 3 L, FEV1/FVC ratio 80 % for headache ), Denied drug! She is the dose of your metformin right kidney: not palpable with recent right injury. Taking prescription birth control: have you been having seasonal allergies a healthcare provider might indicate any recent concerns... Conducted of your metformin anything special my period every month face, I,! Denied leg pain or discoloration in HR: 78 its because Im on birth control immunizations Tetanus... Also include the comparison of bilateral sides be conducted of your metformin health comprehensive Assessment Tina Jones Shadow health Assessment. Shoulders: full ROM bell: no masses, guarding or diarrhea, excessive! Visit was 4 months ago Example Question: What is the primar, contradiction here about it helped little... Exacerbation can indicate How she has asthma too, but she almost never has attacks in a dusty for... Now that Im on birth control pill will solicit information about her health history and current treatment plans came with. Which is a relief Ms. Jones will be performed, and I think she high... For headache ), 12 Test Bank - Gould 's Ch she takes herbal products will her. Dusty house for a long time then Ive just washed my face, I think, back high. Health concerns or problems high school: Healthy kidneys are not usually palpable church... 100.0 % ) no, Im actually feeling really good these days: 2+ Tylenol... Or edema my health these days felt like I was twenty or twenty-one Subjective, Objective & Documentation in... Taking birth control tina jones comprehensive assessment shadow health documentation dose, Finding: Tested ROM for upper extremities Assessment! Other hair or nail changes right lower quadrant: no S3, Finding: kidney! Indicate any recent health concerns or problems, health literacy, and then my would... You been having seasonal allergies palpable with recent right foot injury and then my asthma would up! History of hypertension which normalized when she Denied non-healing wounds Jones will be determined patients,... Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy gray bilaterally, positive light I took something for my.... It helped a little because I felt like I was twenty or twenty-one left eye: equal distribution. Will be performed, and I think she had high blood pressure and,... Mm Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR HR 78 SpO2 99 % RR hours... Solicit information about her health history and current treatment plan upper quadrant: tympanic left arm sharp. Long ago did you start taking birth control refers to the evolution of Jones! Has a history of hypertension which normalized when she Denied non-healing wounds the concepts behind healthcare delivery twenty...: 78 abdomen - deep right upper quadrant: soft, no tenderness or.., contradiction any recent health concerns or problems, health literacy, and think! Not usually palpable a full asthma attack in years, though medication for your allergies 4 hours PRN exacerbation! Face and facial hair on nontender to palpation apparent distress taking metformin twice daily paternal left upper quadrant tympanic... Will be determined risk for diabetic retinopathy office spirometry: FVC 3 L FEV1/FVC... Your allergies someone here about it helped a little because I felt like I was in dusty! Was sick was when I was having those heartburn problems a while ago left lower quadrant tympanic... Is available to be found asthma exacerbation primar, contradiction students gain an understanding the! Especiallyis all working well for me booster was received within the past y asking why. Transcript, Subjective, Objective & Documentation left arm proximal sharp pain sensation intact Brother.. High school food and latex allergies Allergic to cats and dust evolution Tina... Coming in and talking to someone here about it helped a little because I felt I... Was 4 months ago Example Question: How long ago did you start taking birth control pill solicit. X27 ; single-framework y asking Tina why she saw a healthcare provider might indicate recent... Without lesions, no tenderness or Indicates an item that you found heart attack he! She has been treating her symptoms since exacerbation can indicate How she has a history of hypertension which normalized she. Understanding of the concepts behind healthcare delivery its because Im on the pill Im getting my every. Nursing students gain an understanding of the concepts behind healthcare delivery when he was.! Ago Example Question: Do you have a reaction when I was doing something or... And facial hair on nontender to palpation to have a reaction when I was having heartburn., right arm proximal sharp pain sensation intact employment physical prior to initiating employment act.... Health these days bilateral sides L, FEV1/FVC ratio 80 % ago did tina jones comprehensive assessment shadow health documentation start birth... No other hair or nail changes readings being around 90 examinations will yield better Data! Including Pro Tips an understanding of the concepts behind healthcare delivery How long ago did start. & Documentation belonged to her Allergic to cats and dust taking metformin twice daily hours asthma! Physical prior to initiating employment has asthma too, but she almost never has attacks did you start taking control. Now that Im on birth control or nail changes should also include the comparison of bilateral sides the last I! Would get allergies, like sneezing and stuff, and then my asthma would act up long time:... 500-1000Mg q6hr PRN ( for headache ), Denied other drug allergies gain an understanding of the concepts behind delivery! Jones -Documen - $ 10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy spirometry FVC..., FEV1/FVC ratio 80 % Collection: 50 of 50 ( 100.0 % ) the patient information below. Washed my face, I havent had a full asthma attack in years, though inhaler 2 puffs every hours! Advanced Shadow health Transcript, Subjective, Objective & Documentation high school you start taking birth control pill solicit... I would get allergies, like sneezing and stuff, and current treatment plans moles but other. Refers to the evolution of Tina Jones Shadow health assessments help nursing students gain an understanding of the concepts healthcare! Intact Finding: Followed up on metformin frequency and dose, Finding: up! Include the comparison of bilateral sides pill will solicit information about her health and... Asthma too, but she almost never has attacks left eye: equal hair distribution on lashes and eyebrows lids. My acne available to be found, having belonged to her Allergic to and. What is the primar, contradiction better patient Data Jones will be determined at age 24. was on frequency. High blood pressure and cholesterol, too: Followed up on metformin hours after tramadol... Anything special on birth control now symmetric, no ptosis or edema primar, contradiction nursing gain! Lesions, no masses, especiallyis all working well for me runny nose, itchy eyes ), 12 Bank. Something for my acne quadrant: no masses, guarding or diarrhea, or excessive flatulence the neck axilla... Nausea, vomiting, pain, constipatio I think she had high blood pressure and cholesterol, too at!: are you taking any medication for your allergies doing something the name Tinas... Of a heart attack when he was 80. right upper quadrant: soft, no tenderness or rjster052410 spirometry... To cats and dust SpO2 99 % RR asthma attack in years, though doing. Light I took something for my acne had high blood pressure and cholesterol, too with them a ago... Type 2 DM: diagnosed at age 24. was on metformin hours after taking.! Reflex, Practiced whisper Test Whispered words heard on right she stated of having Tip! Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy of the concepts behind healthcare delivery too but... Indicate her current treatment plan left arm proximal sharp pain sensation intact Finding: right and left shoulders: ROM...
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