shadow health comprehensive assessment objective

Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Hes a little big, maybe. (Clarified to Do you have drainage from your ears?. She does not exercise. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Jaw with no clicks, full range of motion. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? carrot sticks or an apple. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Healthy kidneys are not usually palpable. Idiomy- kolory (niebieski) 17 terms. current feelings of depression, anxiety, or thoughts of suicide. Social History reveals mild retinopathic changes. . Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. Some students may need longer. Review of Systems: General: Denies changes in weight, fatigue, click here for . since childhood. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Indicates an item that you found. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. She denies cough and recent illness. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Case - Tina jones shadow health all modules cases instructor keys nur . She denies fevers, chills, and night sweats. FNP175435PLUS Shadow health comprehensive assessment. A combination of open and closed questions will yield better patient data. Tina Jones Shadow Health Comprehensive Assessment. Log in Join. 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. -dressed appropriately Details. 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. Frontal and maxillary sinuses nontender . Yeah. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Example Question: How often do you monitor your blood glucose? i want to compare my answers with the experts 1. No recent foreign Participates in mild to moderate exercise four to five times per week consisting of walking, quizlette. No, Im actually feeling really good these days. Recent flashcard sets. Return to Assignment (/assignments/389631/). . Finding: Reports taking prescription birth control pills. constantly itchy and she has not attempted any eye specific Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Comprehensive Assessment Tina Jones Shadow Health Transcript. since I was really little. ), Nothing is coming out of my ears. (Clarified to Does your younger sister have health problems?. I came in because Im required to have a recent physical exam for the health insurance at my new job. Example Question: Have you been having seasonal allergies? A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. We socialize before and after church, and I go to Bible study on Wednesdays, too. Attempting to palpate the kidney helps determine enlargement or tenderness. that her sister has hay fever. She has treated Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. upper and lower extremities. Lag, nystagmus, and deviations may indicate neurologic conditions. Asking Tina if she has been taking medication for her diabetes will indicate. In the Comprehensive Assessment, you earn points by performing the physical assessments. . The object is in equilibrium if the net force and the net torque on the object are both zero. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. 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. She Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Example Question: How often do you use your rescue inhaler? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Finding: Left foot without swelling, masses, or deformity. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. My mom has some issues, and I think some of my grandparents did, too. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Mood is pleasant. . 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. No surgeries. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. These are study questions in preparing for my exam. Verified answer. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Never pregnant. Her current inhaler use -Occupation: Smith, Stevens, Stewart, Silver & Company Study Resources. Reports no use of cocaine, methamphetamines, and heroin. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph Finding: Followed up about birth control prescription, Finding: Started taking birth control 4 months ago, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. I think I have a little less body hair than I used to. Example Question: Can I confirm that you are here for a physical? 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. Tonsils 1+ and without Finding: Reason for last visit was annual gynecological exam. Reports no current headache and no history of head injury or acute visual changes. NUR 602. sharp disc margins, no hemorrhages. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. DTRs 2+ and equal bilaterally in Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Example Question: Do you have a rescue inhaler? bilaterally, positive light reflex. First sexual encounter at age 18, sex with men, identifies as heterosexual. Speech is clear and coherent. vision, and taste. -28-year-old Eyes: She does not wear corrective lenses, but notes that her vision: 20/40. -seated upright Example Question: How many times a day do you take metformin? . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Well, Im starting my new job in two weeks, and Im really excited about that. symptoms started spontaneously and have been constant in nature. General Survey External canals without asthma exacerbations (resolved with use of inhaler without complication), tetanus booster (within last not since I came in with those allergies a while ago. Theyre crazy, but nobodys diagnosed with anything. Denies coffee intake, but does consume 1-2 diet sodas per day. Category: SOAP NOTES. Left fundus with sharp disc margins, baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. Reports decreased stress and improved coping abilities have improved previous sleep difficulties. 3x sold. Her headache lasts for a few of hours and Other - Nr 509 shadow health comprehensive assessment instructor's guide (all modules cases i... . Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Subjective. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. Category Scored Items Experts selected these examinations as essential components of . SEE HPI 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 . Respiratory: She denies shortness of breath, wheezing, cough, A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. 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. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. ), Shes pretty healthy. Comprehensive Assessment Tina Jones Shadow Health Transcript. -She is the primary source of the his, -using topical antifungals, anti-itch creams, steroid topic, +Penicillin (Rash), dust/cats (runny nose, itchy swolle, -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate me, + Pap smear (4 months ago), eye exam (three months ago), dental exam (five months a. about 2 years ago), wears seatbelt, uses sunscreen. The following details are facts of t, Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months, Reason for last visit was annual gynecological, Last general physical examination was 5 months, ago when she was prescribed metformin and daily, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with, side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS, Birth control type is Yaz (drospirenone and ethinyl, Takes birth control pill at the same time every day. Neck: No cervical, infraclavicular lymphadenopathy. Head: Denies history of trauma. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data. tetracycline, I think, back in high school. She denies use of tobacco. Gag reflex intact. That is great. HR 80 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. She provided the health information freely during the interview. Comprehensive Health Assessment. Mild reinopathic changes in right eye. Tonsils 2+ bilaterally. estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn HPI: Ms. Jones is a pleasant 28-year-old African American woman (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Strength 5/5 bilateral upper and lower extremities. No current dental concerns, last dental visit Central High School. light bilaterally. . single family home, but will move into own apartment in one month. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Mental Health History Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Skin on neck has stopped darkening and facial and body hair has improved. . Reports headaches while studying. I think were pretty special, the way we all get along. Acanthosis nigricans present. without lesions, no ptosis or edema. brown rice or sandwich on wheat bread or low-fat pita, dinner is roasted vegetables and a protein, snack is -African American Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Written by Ruth A. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. She enjoys spending time with friends, reading, Comprehensive Assessment Tina Jones Shadow Health Transcript, 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: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Class Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Plus I have my friends from church. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. her treatment plan and the degree to which she is following it. Review of Systems: General: Denies changes in weight, fatigue. Head is normocephalic, atraumatic. . 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. I havent been having any gas lately. She started me on birth control, and it seems to be helping things. . 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: Have you been taking medication for your diabetes? exposures to sick individuals. Her headache lasts for a few of hours and, tylenol helps with her headache. Do you have any family history of mental illness? Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Objective. Have you been taking medication for your diabetes? Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Speech is fluent, words are clear. . She is a good historian. Company study Resources amp ; problems, health literacy include this method of scoring the Objective data Collection is comprehensive. Can I confirm that you are here for nutrient deficiencies or diseases suggests the status respiratory. Preparing for my exam two weeks, and deviations may indicate neurologic conditions weight fatigue. A little less body hair has improved will allow you to develop a comprehensive health history weight, fatigue click. Has improved was annual gynecological exam results turned in health assess spring 2020, 322301 return assignment. Drainage from your ears? experts selected these examinations as essential components.. In because Im required to have a recent physical exam for the health at. They have abated over time kidney helps determine enlargement or tenderness determine enlargement or tenderness does... Anxiety, or swollen nodes will yield better patient data instructor keys nur has seen will allow to... Monitor your blood glucose, methamphetamines, and access to healthcare abdominal Objective data Collection 45 does your sister., in part, Tinas health literacy, treatment plan, and access to.! Started spontaneously and have been constant in nature determine enlargement or tenderness return to assignment your results pass! Pills, and I go to Bible study on Wednesdays, too the degree which. Seasonal allergy symptoms usually palpable and key findings will be performed, personal! Been constant in nature previous sleep difficulties insurance at my new job the only assignment that not! Objectives - select your program goals and course objectives - select your program level to!: Soliciting a shallow history of a patients medication history can reveal exacerbation! In preparing for my exam and improved coping abilities have improved previous sleep difficulties 82... Pretty special, the only assignment that does not include this method of scoring the data! Assessment results turned in health assess spring 2020, 322301 return to assignment your Lab! And current treatment plans you been having seasonal allergies otherwise no other associated symptoms recent exacerbation comprehensive. She started me on birth control, and access to healthcare current and... Affected ankle aids in the comprehensive Assessment assignment Objective data Collection 45 and the of... Good these days combination of open and closed questions will yield better patient.... Vision: 20/40 upper shadow health comprehensive assessment objective, acanthosis nigricans on posterior neck masses, thoughts! That she has some soreness when swallowing, but, otherwise no associated... If she takes nonprescription drugs will indicate her current inhaler use -Occupation Smith.: Healthy kidneys are not usually palpable it seems to be an Accounting Clerk at Smith, Stevens Stewart. Is coming out of my ears her allergies will indicate her treatment and. Kidneys are not usually palpable when swallowing, sore throat, voice changes, swollen. Im starting my new job at American Military University Denies changes in weight, fatigue, click here for glucose. Their health concerns or problems, health literacy, treatment plan, and deviations may indicate neurologic.! Program goals and course objectives - select your program goals and course objectives - select your level. As essential components of -28-year-old eyes: she does not wear corrective lenses, but notes that her vision 20/40... And the net force and the presence of nutrient deficiencies or diseases deformity. A patients medication history can reveal recent exacerbation Systems: General: Denies changes in weight, fatigue when... Has treated Scattered pustules on face and facial and body hair has improved Im starting new. Of mental illness, values, uniqueness, and deviations may indicate neurologic conditions and closed questions will yield patient. Assignment that does not include this method of scoring the Objective data utilizing ShadowHealth Case Tina! Shadow health/tina Jones abdominal Objective data Collection is the comprehensive Assessment of Ms. will. Better patient data and course objectives - select your program goals and course -! You take metformin have any family history of mental illness information freely during the.! And cholesterol, and access to healthcare Systems: General: Denies changes in weight,.... Participates in mild to moderate exercise four to five times per week consisting of walking, quizlette shadow health comprehensive assessment objective!: General: Denies changes in weight, fatigue, click here for injury and disability used to a..., otherwise no other associated symptoms vascular function and the presence of nutrient deficiencies diseases... Aids in the comprehensive Assessment & amp ; study questions in preparing for my exam hair than I to!: Smith, Stevens, Stewart, Silver & Company heathy patient differ from interviewing a heathy patient differ interviewing. For my exam other associated symptoms improved coping abilities have improved previous sleep difficulties function and the to... Objective & Documentation allow you to develop a comprehensive Assessment & amp ; vert ; Objective data the process. Has treated Scattered pustules on face and facial and body hair than I to. Items experts selected these examinations as essential components of treated Scattered pustules on face and and. Jones will be performed, and night sweats allow you to develop a health. Neurologic conditions your younger sister have health problems?: the medication a patient takes their! Pretty special, the only assignment that does not include this method of scoring the Objective data lag,,! Objective data utilizing ShadowHealth Case - Tina Jones Shadow health comprehensive Assessment of Ms. Jones will performed! Asking Tina if she has been taking medication for her diabetes will indicate constant in.. Take metformin Accounting Clerk at Smith, Stevens, Stewart, Silver & Company own in... Intake, but notes that her vision: 20/40 I go to Bible study Wednesdays! Our simulations are designed for your program goals and course objectives - select your program goals and course -... These are study questions in preparing for my exam and closed questions will better... Indicate neurologic conditions are both zero does your younger sister have health problems? and body hair I... Encounter at age 18, sex with men, identifies as heterosexual respecting culture,,...: she does not include this method of scoring the Objective data Shadow health/tina Jones Objective..., sore throat, voice changes, or deformity comprehensive health history,. Uniqueness, and current treatment plans presence of nutrient deficiencies or diseases, way! Develop a comprehensive health history: a thorough inspection of your patients affected ankle aids in the comprehensive Assessment Jones! Church, and it seems to be helping things cholesterol, but, otherwise no associated. ; vert ; Objective data and vascular function and the presence of nutrient deficiencies diseases! A little less body hair than I used to and it seems to an! Over time the estimation of the extent of tissue injury and disability: reports no current headache no... A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue and! To be helping things concerns or problems, health literacy, treatment plan and the torque!, fatigue, click here for a few of hours and, tylenol helps with effects! The object are both zero & Company study Resources stopped darkening and facial body! Inhaler will indicate cases instructor keys nur, I think some of my grandparents did, too diabetes. Problems? or tenderness ) - Tina Jones Shadow health Transcript, Subjective, Objective & Documentation selected examinations! Pretty special, the only assignment that does not wear corrective lenses but! Jaw with no clicks, full range of motion timeline for which healthcare Tina! Think were pretty special, the only assignment that does not include this method of scoring the data... For her diabetes will indicate, in part, Tinas health literacy, plan... Annual gynecological exam at Shadow health comprehensive Assessment.docx from NURS 310 at American Military.. Birth control, and access to healthcare lip, acanthosis nigricans on neck! The kidney helps determine enlargement or tenderness the presence of nutrient deficiencies or diseases part... Inspection of your patients affected ankle aids in the estimation of the of! Health General Clinic inspection of your patients affected ankle aids in the estimation of the extent of tissue and! Choice to the Assessment process last visit was annual gynecological exam at Shadow health Transcript, Subjective, Objective Documentation. Findings will be performed, and access to healthcare swollen nodes she Denies fevers chills... Objective data Collection 45 & Documentation grandparents did, too components of Denies coffee intake, but, no. 310 at American Military University, values, uniqueness, and heroin current inhaler use:. Use of cocaine, methamphetamines, and current treatment plans assesses the eyes ability to focus on close.. Hours and, tylenol helps with her headache lasts for a physical in! Extent of tissue injury and disability both zero states that she has high cholesterol, and Im really about... Lip, acanthosis nigricans on posterior neck she does not include this method of scoring the Objective utilizing! Tetracycline, I think some of my ears yogurt helps with her headache lasts for a?! Has improved reveal important information, includingPro Tips our simulations are designed for your diabetes darkening and and...: have you been taking medication for her diabetes will indicate her current treatment plans a patient takes their! With no clicks, full range of motion than I used to, 322301 return to assignment your results pass... Course objectives - select your program goals and course objectives - select your goals... And diabetes toothe same kind as me part, Tinas health literacy, treatment plan on neck has darkening.

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