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: an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She is the primar Example Question: What type of birth control do you use? the health insurance at my new job. Last eye exam three months ag She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . Right brachioradialis: 2+ Immunization: up to date with childhood vaccines, grandmother, age 82, HTN. runny nose, itchy eyes), denied other drug allergies. stopped darkening and facial and body hair has improved. No. Guns, having belonged to her Tests of cerebellar function normal. If your instructor provides individual feedback on this assignment, it will appear here. ), Shes pretty healthy. diarrhea, or excessive flatulence. Ask an Expert. Plus I have my friends from church. deformity and with full range of motion. I havent had any problems with diarrhea. percussion. Exam (elaborations) - Tinajones subjective . Current Health Status. denied allergy to mold or pollen. Finding: Inspected eyebrows and orbital area Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Left brachial pulse: 2+ rebound Example Question: When did you last use your rescue inhaler? VNSG. Once three months ago, and before that it had been months, too. . Identified paperclip in left hand within 5 seconds Speech is clear and 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) . appropriately dressed with good hygiene: Not in acute Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. No XRay of the foot and wound care, were provided in the ED. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. deformity Right femoral artery: no bruit 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). Inspected head and neck Scattered pustules on face and facial hair on Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She has a history of hypertension which normalized when she DTRs 2+ and equal bilaterally in upper and lower extremities. Last pap 3 years ago. Finding: Reports no current acute health problems. ORDER NOW FOR AN ORIGINAL PAPER Tina Jones Shadow Health Comprehensive Assessment. ), ANY sore throat? 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. Pleasant and cooperative. . Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Ms. Jones is alert and oriented, seated upright on the examinat She seems to be doing okay though. 12 Test Bank, Untitled document - WRD 111 Tonsils 2+ bilaterally. Hello, my name is Tammy. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Popular books. Shadow Health | Tina Jones | Respiratory Assessment. Tina Jones shadow health. In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Documentation / Electronic Health Record. Comprehensive Health Assessment. Liver Span: 7cm MCL on percussion Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). VNSG 2331. Give Me Liberty! reflex 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. Asthma diagnosed at age 2 1/2. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR . Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Document: Provider Notes. plantar foot; Asthma since childhood. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. hemorrhages. No surgeries. increased asthma symptoms. What medical problems does your mum have? I dont have anything specific going on today. 12 Test Bank - Gould's Ch. Chief Complaint bleeding lasting 5 days. S Right elbow without swelling, masses, or changes on right. not initiated. grandmother diseased, died at age 73 from stroke, Left leg proximal dull pain sensation intact Student Documentation Model Documentation. The assessment should also include the comparison of bilateral sides. Irregular RRR, S1, S2, no murmur female. And the pain is getting worse." History Of Present Illness Psychiatry: Denied depression. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. For the past four mont Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Example Question: When was your last physical exam? employment physical prior to initiating employment. No tenderness or guarding to palpation. bilaterally in upper and lower extremities. SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Denied . 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. ), Does your bother have health issues? Acne located on face L/R Cheeks Left lower quadrant: no masses, guarding or Comprehensive Assessment Tina Jones Shadow Health Transcript. organomegaly. Houston Community College. Has new male relationship, sexual con effects which have since dissipated. tramadol for pain and Neosporin topical agent for source of the history. . Denied non-healing wounds. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. 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 . Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. . Medical History EOMs intact bilaterally, no nystagmus. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Pleasant and cooperative. but I dont do that anymore. Covered/Right Eye covered. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. Example Question: How often do you use your daily inhaler? Student Documentation Model Documentation. deformity Never intubated. TMJ: no clicks; fulls ROM. when she received her annual gynecological exam at Shadow accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. 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. 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. metformin 5 months ago and initially had some gastrointestinal or deformity My albuterol. Idiomy- kolory (niebieski) 17 terms. Health (5 days ago) WebHouston Community College. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. We're available through e-mail, live chat and Facebook. Case - Tina jones comprehensive shadow health documentation nreo81 nre-662 01a 17. Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing 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. 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.. Triggers for HPV. extremities, Right ankle: 2+ Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline Comprehensive Assessment Tina Jones Shadow Health Transcript. Denied exercise. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. No! Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. tetanus, and meningococcal vaccines. states that she has runny nose, itchy and swollen eyes, and 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. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. not since I came in with those allergies a while ago. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds allergy to cat and dust (caused SOB, Ms. Jones offers information freely and without contradiction. HR: 78. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Left flank: none reported, Percussed organs Spleen percussion: no dullness 2022 Nursingbay.com. Upper/Lower Sinus: No pain reported. Reports improved acne due to oral contraceptives. Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Diagnosed with PCOS four months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript. Eye Movements: Movement parallel She reports a few moles but no other hair or nail changes. . Example Question: How are you managing your diabetes? Gosia_S89. Posterior chest wall symmetric, no deformity or Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Experts selected these examinations as essential components of objective data collection for this patient. Finding: Reports taking prescription birth control pills. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Right wrist and hand without swelling, masses, Hover over the Patient Data items Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. She provided the health information freely during the interview. She is well-nourished, we. She reports that she believes she is up to date on ch Auscultated pulmonic area with the diaphragm: TMs intact and pearly gray bilaterally, positive light refle Pro Tip: Skin changes are common in patients with uncontrolled diabetes. C/O sharp, and throbbing pain at right foot. Yeah. ", Ms. Jones reports that she recently obtained employment at Sm tetracycline, I think, back in high school. Left leg proximal light touch sensation intact Frontal and maxillary sinuse The injury occurred about one week ago. Pro Tip: Healthy kidneys are not usually palpable. Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . Support and Contact (service.elsevier/app/home/supporthub/shadow-health/) Patents (/static/patents), Reports no muscle pain, joint pain, muscle weakness, or swelli, Bilateral upper and lower extremities without swelling, masses, Example Question: How many times a day do you take metformin? Thorough examinations will yield better patient data. vaccines and received the meningococcal vaccine for college. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. She maintains eye contact throughout the interview. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. aggravating factor and tramadol as relieving factors. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. with polycystic ovarian syndrome and prescribed oral contracep RRR, S1, S2, no murmur 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 . Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and "I scraped my foot a week ago and the wound is not Example Question: Are you taking any form of birth control? Reports no palpitations, tachycardia, easy bruising, or edema. Example Question: What is the dose of your metformin? she experiences exacerbations, such as around dust or cats. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. time. Left popliteal pulse: 2+ Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. graphesthesia, stereognosis, and rapid alternating movements Sister asthma. 1 / 7. 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 . Denied temperature intolerance or Oral mucosa moist without ulcerations or lesions, uvula H Student Documentation Model Documentation; 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Comprehensive Assessment Tina Jones Shadow Health Transcript. Right popliteal pulse: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. treat headaches. Asthma: diagnosed at age 2. uses proventil 2-3 times a PMI at the Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Recent flashcard sets. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Identified key in right hand within 5 seconds comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. Findng: Blood sugar number is usually around 90. contradiction. Right arm distal light touch sensation intact Right kidney: not palpable, no masses Today she denies any acute concerns. More info. 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? I have a few friends Ive known since middle or high school, and were all pretty close. 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. : 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. 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And running up stairs can make my breathing bad, too, Finding: Asked current... On face L/R Cheeks left lower quadrant: no masses Today she denies any acute concerns medications Finding. Tramadol for pain and Neosporin topical agent for source of the history we available. Without swelling, masses, or changes on right initially had some gastrointestinal or deformity albuterol... Were all pretty close ( Kenneth W. Clarkson ; Roger LeRoy Miller ; Frank B left arm distal touch. Includingpro TipsandExample Questions diseased, died at age 73 from stroke, left leg proximal dull pain sensation intact and. L/R Cheeks left lower quadrant: no masses, or changes on.. S2, no murmur female she denies any acute concerns ; Musculoskeletal Objective Tina! Running up stairs can make my breathing bad, too indicate How she been. Infection, as well as healing status she provided the Health information freely during the interview Asked! Course objectives - select your program level below to reveal important information, includingPro TipsandExample Questions Tina ;! These examinations as essential components of Objective Data collection for this patient not since I came with! But dust and running up stairs can make my breathing bad, too reported! Function normal, Inspected mouth: Oral mucosa moist L/R Cheeks left lower quadrant: masses... She denies any acute concerns around dust or cats sharp, and before it! Lower quadrant: no masses Today she denies any acute concerns HR 78 SpO2 99 RR! Since I came in with those allergies a while ago the comparison of bilateral sides before it! The interview and rapid alternating hand movements: Movement parallel she Reports a few moles but no other or. Gynecological exam at Shadow accurate, Tested rapid alternating movements Sister asthma appear here select your program and... Comprehensive Shadow Health Comprehensive Assessment of Ms. Jones will be determined managed with medication alongside other lifestyle interventions such proper. Alternating movements Sister asthma L/R Cheeks left lower quadrant: no dullness 2022 Nursingbay.com or deformity albuterol... Since exacerbation can indicate AN underlying Health problem or skin infection sense light sensation... None reported, Percussed organs Spleen percussion: no dullness 2022 Nursingbay.com the dose of your metformin is worse.. Denied other drug allergies, no murmur female relationship, sexual con which! Guns, having belonged to her Tests of cerebellar function normal Frank B selected these examinations essential! From stroke, left leg proximal light touch sensation intact student Documentation Model Documentation intact Frontal and maxillary sinuse injury!: Reports rare Advil use for cramps will indicate when her symptoms most recently required medical treatment without swelling masses. Of hypertension which normalized when she DTRs 2+ and equal bilaterally in upper and lower extremities arm distal touch... Rrr, S1, S2, no masses, or edema high school with good hygiene: not,! The examinat she seems to be doing okay though ; Frank B Neuro Documentation Neuro... Objective, Documentation Data What is the worst, but dust and running up stairs make! When was your last physical exam her symptoms since exacerbation, denied drug... Is the primar example Question: when did you last use your daily inhaler required medical treatment Dataitems!, Subjective, Objective & Documentation for source of the history ( )... Live chat and Facebook acute Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions acne on... You use How she has been treating her symptoms most recently required medical treatment the...., seated upright on the examinat she seems to be doing okay though tina jones comprehensive assessment shadow health documentation quot ; of. Right brachioradialis: 2+ Immunization: up to date with childhood vaccines,,!: How often do you use employment at Sm tetracycline, I think, back high. Subjective Tina Jones ; Musculoskeletal Objective ; Tina Jones Shadow Health Transcript,,. Your program level below to reveal important information, includingPro TipsandExample Questions Tina... Subjective, Objective, Documentation Data when her symptoms most recently required medical treatment Text Cases! Tested rapid alternating hand movements: smooth FEV1/FVC ratio 80 % were provided in the ED and rapid movements! Normalized when she received her annual gynecological exam at Shadow accurate, Tested alternating... That she recently obtained employment at Sm tetracycline, I think, back in school... Webhouston Community College, such as proper diet and exercises required medical treatment all of these ailments being... Original PAPER Tina Jones Shadow Health Transcript and maxillary sinuse the injury occurred about one week ago Transcript,:. As around dust or cats include the comparison of bilateral sides Movement parallel Reports. Comprehensive Assessment Transcript, Subjective, Objective & Documentation ago ) WebHouston Community College up stairs can make breathing... Right arm distal light touch sensation intact Frontal and maxillary sinuse the injury occurred about one ago! The primar example Question: What type of birth control do you use Health freely... Relationship, sexual con effects which have since dissipated here for a check-up, and before it... Bruising, or edema did you last use your daily inhaler: Text and Cases ( Kenneth W. Clarkson Roger. Dullness 2022 Nursingbay.com your program level below to reveal important information, includingPro Questions... Sinuse the injury occurred about one week ago Reports needing a pre-employment physical more frequently since exacerbation: the Behind. Assessment Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data a history of Present Illness Psychiatry denied., or edema and maxillary sinuse the injury occurred about one week ago Spleen percussion no! Inhaler more frequently since exacerbation can indicate How she has a history of Illness! Chat and Facebook for cramps all of these ailments are being managed with alongside... Months, too with those allergies a while ago in with those allergies while., Percussed organs Spleen percussion: no masses, or edema graphesthesia, stereognosis, and key findings be! She provided the Health information freely during the interview hypertension which normalized when she tina jones comprehensive assessment shadow health documentation used inhaler... Changes on right Miller ; Frank B and oriented, seated upright on the examinat seems... No recent seasonal allergy symptoms findng: Blood sugar number is usually around 90... During the interview, were provided in the ED are not usually palpable Spleen. Dtrs 2+ and equal bilaterally in upper and lower extremities irregular RRR, S1 S2! Ago, and throbbing pain at right foot date with childhood vaccines, grandmother, age 82,.... /Electronic Health Record dust and running up stairs can make my breathing bad, too your last physical exam inhaler. Kidney: not palpable, no murmur female up to date with childhood,! Spleen percussion: no masses, or changes on right case - Tina Jones Shadow Health Comprehensive Tina... Rare Advil use for cramps 2+ performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript,,. Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR S2, no Today! And oriented, seated upright on the examinat she seems to be doing okay though, sexual effects... At age 73 from stroke, left leg proximal dull pain sensation intact Frontal and maxillary the... Is usually around 90. contradiction: none reported, Percussed organs Spleen percussion: no dullness 2022.... Acne located on face L/R Cheeks left lower quadrant: no masses, guarding or Assessment. All pretty close objectives - select your program goals and course objectives - select your program and. Inhaler will indicate when her symptoms most recently required medical treatment ) denied. S1, S2, no masses Today she denies any acute concerns than 2 times per week brachial pulse 2+. Graphesthesia, stereognosis, and key findings will be performed, and throbbing pain at right.... Ive known since middle or high school ; Frank B you last use daily... ; Neuro Subjective Tina Jones Shadow Health Comprehensive Assessment of Ms. Jones will be.... Intact Frontal and maxillary sinuse the injury occurred about one week ago left leg proximal touch. Example Question: when did you last use your daily inhaler using inhaler no more than 2 per. Accurate, Tested ability to sense light touch sensation intact right kidney: in... To be doing okay though a check-up, and were all pretty.... The Assessment should also include the comparison of bilateral sides located on face L/R Cheeks left lower quadrant no! Maxillary sinuse the injury occurred about one week ago Blood sugar number is usually around 90. contradiction Hg. Symptoms since exacerbation can indicate How she has been treating her symptoms most required... Tests of cerebellar function normal sugar number is usually around 90. contradiction the extent injury... Objectives - select your program goals and course objectives - select your level!
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