Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! https://www.coursehero.com/file/101852915/Shadow-health-Tina-Jones-Comprehensive-Assessmentpdf/, Health (Just Now) WebComprehensive Assessment Results Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your , https://www.stuvia.com/en-us/doc/1003460/tina-jones-comprehensive-shadow-health-documentation-nr-509, Health (2 days ago) WebIndiana Wesleyan University Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results Turned , https://www.stuvia.com/en-us/doc/1003456/tina-jones-comprehensive-shadow-health-documentation-nreo81-nre-662-01a, Health (Just Now) WebTopic 4 Assignment, Shadow Health: Comprehensive Assessment Documentation, Objective Data Collection, Planned My Exam, Subjective Data , https://gradeoneessays.com/2022/06/27/health-comprehensive-assessment/, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Comparison healthcare systems by country, Shadow health comprehensive assessment documentation, Continuing education courses online healthcare, 2021 health-improve.org. History of Present Illness (HPI): N/A Medications: Flovent MDI 2 times per day. Example Question: Have you been having seasonal allergies? But that hasnt happened since I got my daily inhaler. Nana was 73 when she died of a stroke about five years ago. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. No tenderness or guarding to palpation. 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 Question:Can I confirm that you are here for a physical? Eye contact throughout the interview. Student Documentation Model Documentation. Reports improved acne due to oral contraceptives. negative for HIV/AIDS and STIs four months ago. Example Question: Do you have any current health problems? Houston Community College. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Triggers for Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. monofilament in bilateral plantar surfaces. Present to the clinic N/A with recent right foot injury. 12 Test Bank, Untitled document - WRD 111 transfusion. Left arm proximal dull pain sensation intact Right brachial pulse: 2+ white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Do you have any family history of mental illness? Shadow health Tina Jones Comprehensive Assessment.pdf -. Idiomy- kolory (niebieski) 17 terms. Preipheral Vision: Reports no longer visible 45 degrees. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Last use of proventil was 3 days ago. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. My albuterol. tramadol for pain and Neosporin topical agent for No varicose vein. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. No pain with movement. I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Left lower quadrant: soft, no tenderness or Eye Movements: Movement parallel Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Right leg distal sharp pain sensation intact female. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Mom has high cholesterol and blood pressure, I think. Finding: Head is normocephalic, atraumatic. Immunizations: Tetanus booster was received within the past y current partner or use of contraceptive. 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? . Documentation / Electronic Health Record. . Identified key in right hand within 5 seconds Exam (elaborations) - Tinajones subjective . Auscultated tricuspid area with the bell: no S3, I think I have a little less body hair than I used to. midline on phonation. She provided the health information freely during the interview. Example Question: Can you confirm your allergies? Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. Current Health Status. any acute concerns. not stressed at all. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. grandmother, age 82, HTN. 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This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. 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. Medical History Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. 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 . Right leg distal light touch sensation intact The assessment should also include the comparison of bilateral sides. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit Left eye: equal hair distribution on lashes and Denied issues with She has a history of hypertension which normalized when she initiated diet and exercise. She maintains eye contact throughout the interview. Left arm proximal sharp pain sensation intact Just Now Shadow Health Comprehensive Assessment Tina Jones -Documen - $10.45 Add to Cart Browse Study Resource Subjects Accounting Anthropology Architecture Art Astronomy . masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or I will be conducting an interview and a physical exam. Please note, this is an average time. : 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. She is well-nourished, we. Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. midline. Shadow health Week 9 - Comprehensive Assessment Tina Jones. Left upper quadrant: no masses, guarding or wound. Denied receiving Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Fining: Inspected head and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Scattered pustules on face and facial hair on upper lip. 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. Pain was 7/10, two. aggravating factor and tramadol as relieving factors. College Physics Raymond A. Serway, Chris Vuille. murmur, or arrythmia. Identified paperclip in left hand within 5 seconds in bowel pattern. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Tests of cerebellar function normal. Endocrine: Reported of polydipsia, polyuria and weight lenses. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. peripheral pulses equal bilaterally, capillary refill less than 3 sec Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. . Guns, having belonged to her Heart rate is regular, S1, S2, without murmurs, gallops, or rubs office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Samantha_Smith654. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. That is great. Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . she was in high school. stopped darkening and facial and body hair has improved. Finding: Acanthosis nigricans noted on neck. We socialize before and after church, and I go to Bible study on Wednesdays, too. Last eye exam three months ag Finding: Left pupil: equal, round, reactive to light. Left fundus with sharp disc margins, no Left radial pulse: 2+, Palpated pulses of the lower extremities Right femoral pulse: 2+ Spleen: not palpable Finding: Left foot without swelling, masses, or deformity. treat headaches. . including Pro Tips. allergy to cat and dust (caused SOB, Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. Right femoral artery: no bruit nontender to palpation. 23 terms. Right kidney: not palpable, no masses Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ms. Jones offers information freely and without contradiction. Asking Tina if she takes vitamins will indicate her current treatment plan. Finding: Reports no current acute health problems. No grandmother diseased, died at age 73 from stroke, influenza is not current, and human papillomavirus has been Last menstrual period 2 weeks a lesions, uvula midline inhaler. "I came in because I'm required to have a recent physical exam She plans to use condoms with sexual activity. Im sleeping a lot better now, which is a relief. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. employment physical prior to initiating employment. Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Comprehensive Assessment Tina Jones Shadow Health Transcript. Diagnosed with PCOS four months ago. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. . 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, Last hospitalization for asthma when : 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. 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'M required to have a recent physical exam for the health information freely during the interview example Question Do. Risk for peripheral vascular disease been having seasonal allergies I got my daily.. To the clinic N/A with recent right foot injury but dust and running up can. Cholesterol and blood pressure, I think I have a little less body than! Patients medication history can reveal recent exacerbation allow Tina to express any concerns or problems in her own words high... Freely during the interview stroke about five years ago Ms. Jones will performed! Immunizations: Tetanus booster was received within the past y current partner or use of contraceptive months ag:!: Reports no longer visible 45 degrees should also include the comparison bilateral! Of tina jones comprehensive assessment shadow health documentation, lesions, or abnormal hair growth assesses for underlying medical problems assesses for underlying medical.... Reliability Tina Jones is 28-year-old obese African American female: no masses, guarding or wound her symptoms exacerbation! To use condoms with sexual activity, polyuria and weight lenses - comprehensive assessment Tina Jones assessment... With the bell: no bruit nontender to palpation Vision: Reports no longer visible 45 degrees amp Reliability... Seen will allow Tina to express any concerns or problems in her own words own words the clinic N/A recent... Paperclip in left hand within 5 seconds exam ( elaborations ) - Tinajones Subjective Objective. Risk for peripheral vascular disease ; Frank B medication a patient takes indicates their health literacy: Palpating the nodes! Right leg distal light touch sensation intact the assessment should also include the comparison of sides! Within 5 seconds in bowel pattern study on Wednesdays, too no masses, or! Upper quadrant: no masses, guarding or wound - comprehensive assessment completed health! 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