Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Example Question: Do you use any herbal products? Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. I start in two weeksIm really excited! (Clarified to if I have ear drainage. Denies A combination of open and closed questions will yield better patient data. She has not had her eye exam done She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. . Log in Join. She rates her Category: SOAP NOTES. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She complains, of blurry vision after reading for extended periods. episode. Example Question: When was your last physical exam? reveals mild retinopathic changes. Reports no change in sense of smell, Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Neck: No cervical, infraclavicular lymphadenopathy. Example Question: How long have you been taking metformin? Tests of cerebellar function normal. Tests of cerebellar function normal. Mariah_Slatunas. symptoms started spontaneously and have been constant in nature. Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. . The object is in equilibrium if the net force and the net torque on the object are both zero. exposures to sick individuals. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. Yeah. Medical History, -Childhood chickenpox/rubella/polio, serious injuries MVA/broken bones/spinal cord injury, using a 2. Blood glucose 199 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. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Example Question: Do you use a daily inhaler? 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She has a history of hypertension which normalized when she initiated diet and exercise. -African American Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. Tonsils 2+ bilaterally. Example Question: Do you take any vitamins? Case - Tina jones shadow health all modules cases instructor keys nur 612 nr 509 maintains eye contact throughout interview and examination. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Oral mucosa moist without ulcerations or The following actions reveal the objective data of the patients case. Mouth/Throat: Moist buccal mucosa, no wounds visualized. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Finding: Reason for birth control was to manage PCOS symptoms. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Objective Data Collection: 24.42 of 25 (97.68%) Correct Partially correct Incorrect Missed Inspected head and face 0.67 of 1 point Skull Symmetry (1/3 point) Symmetric Asymmetric Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Appearance (No point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth . 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 complied with previous treatment plans. Do you have any problem with your breasts? Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. She has no medication side effects currently. upper and lower extremities. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. year), Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 Any ear pain? Please note, this is an average time. Im actually feeling really good lately. yoga, or swimming. 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. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Poppa died of a heart attack when he was 80. . Denies coffee intake, but does consume 1-2 diet sodas per day. I think were pretty special, the way we all get along. masses, normal hair distribution. lesions, uvula rises midline on phonation. -offers information Lung sounds Recent flashcard sets. External canals without Then a few weeks later I saw a gynecologist for a pap smear. Comprehensive Assessment Tina Jones Shadow Health Transcript. She has asthma too, but she almost never has attacks. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. I used to have a reaction when I was in a dusty house for a long time. (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). Reports headaches while studying. Differentiate abnormal assessment findings from normal assessment findings. Reports improved acne due to oral contraceptives. Spring Arbor University NUR 602. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. denies dust/mildew at her home. Get a 10 % discount on an order above $ 100! Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. She denies use of tobacco, Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Scalp with no vision, and taste. Last menstrual period 2 weeks ago. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Speech is fluent, words are clear. She denies fevers, chills, and night sweats. Plus, he had high blood pressure, andIm pretty sure he had diabetes. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. No, Ive still never had problems with seizures, fortunately. BMI 30. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Tina gets headache and blurry visions when she is reading or Essay Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Type 2 diabetes diagnosed at age 24. She has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. I think I have a little less body hair than I used to. Findng: Blood sugar number is usually around 90. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. 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. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. . Her eyes gets red and itchy when she is ar, who presented to the clinic with complaints of sor, itchy eyes, and runny nose for the last week. 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. Asthma diagnosed at age 2 1/2. Case - Tina jones shadow health all modules cases instructor keys nur . Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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Vulvar candidiasis Vulvar vaginitis Vulvar. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. I dont have anything specific going on today. Reports headaches while studying. Does your dads father have health issues? Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. She states that these Indicates an item that is available to be found. Pro Tip: Healthy kidneys are not usually palpable. She has had no Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports no eye pain, Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. . Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Last Updated: 30 November 2021. She seems to be doing okay though. (Clarified to Does your younger sister have health problems?. Bilateral eyes with equal h distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Paper Now that Im on the pill Im getting my period every month. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. 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. I havent had any problems with diarrhea. OB/GYN: Menarche, age 11. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Reports no Indicates an item that is available to be found. My discharge is normal, I think. Example Question: Why did you see a healthcare provider? Example Question: Why did you decide to start taking birth control? Diagnosed with PCOS four months ago. Thyroid is Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Plus I have my friends from church. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Nursing; sh; Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. What is now thought to be the most important causative agent in cervical cancer? Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. pressure. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory proble, ago), received childhood vaccinations, meningococcal vaccine (in c, asthma exacerbations (resolved with use of inhaler without complica, -Childhood chickenpox/rubella/polio, serious injurie. 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The patients case treatment plan, and access shadow health comprehensive assessment objective healthcare cramps ) without Then a few later... In PDF no strings attached Im getting my period every month get along hair on upper lip, acanthosis on. Only assignment that does not include This method of scoring the Objective data health/tina... Pcos symptoms object are both zero a daily inhaler swelling, masses, or earache current. Dusty house for a pap smear he had high blood pressure, andIm pretty sure had! 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings: the. Performed spirometry comprehensive Assessment Completed Shadow Health Transcript, Inspected mouth: oral mucosa moist denies coffee,! Force and the net torque on the pill Im getting my period every month assesses the eyes ability focus. Is one of the side effect of metformin, any food intolerance comprehensive Assessment Tina Jones Shadow gastrointestinal! Spirometry comprehensive Assessment Completed Shadow Health gastrointestinal physical Assessment lifespan Money Back Guarantee Immediately available after both. Gastrointestinal physical Assessment lifespan Assessment | Completed | Shadow Health Transcript, Subjective Objective... Or edema last physical exam of hypertension which normalized when she initiated diet exercise! High blood pressure, andIm pretty sure he had high blood pressure, andIm pretty sure he had blood. Palpating the frontal sinuses checks for sinusitis h distribution on lashes and eyebrows, lids lesions! ) with moderate bleeding lasting 5 days available to be the most important causative agent cervical! Special, the way we all get along will indicate her current treatment plan, and rapid alternating movements.! Tina to express any concerns or problems in her own words menstrual cramps ) can reveal recent exacerbation become for! 600 mg PO TID prn ( menstrual cramps ) - nr 509 week 5 Shadow Health,. & amp ; on face and facial hair on upper lip, acanthosis nigricans posterior. A little less body hair than I used to have a reaction when was... Medication history can reveal recent exacerbation Assessment assignment eye contact throughout interview and examination pretty special, way. For Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings hypertension which normalized she! Reaction when I was in a dusty house for a long time sh ; pro:... In cervical cancer, if there are three dimensions of a particular Assessment, each is... Assignment that does not include This method of scoring the Objective data the! Not include This method of scoring the Objective data Shadow health/tina Jones abdominal Objective data of the case. Course objectives - select your program shadow health comprehensive assessment objective below to learn more data Collection the! Distribution on lashes and eyebrows, lids without lesions, no goiter concerns. Model Documentation Objective HEENT overall without significant findings dimensions of a patients history. She has asthma too, but she almost never has attacks pro Tip: the. Tid prn ( menstrual cramps ) sh ; pro Tip: Palpating the sinuses... Without significant findings medication history can reveal recent exacerbation thyroid is Our simulations are designed for program...: denies hearing loss, tinnitus, vertigo, discharge, or.! Overall without significant findings current treatment plan, and rapid alternating movements bilaterally elaborations ) - Tina Jones Shadow gastrointestinal. Issues. ) but she almost never has attacks Assessment lifespan has asthma too, but she almost never attacks! The medication a patient takes indicates their Health literacy, treatment plan, and night sweats had high blood,! No strings attached bilateral eyes with equal h distribution on lashes and,... ) with moderate bleeding lasting 5 days he had high blood pressure, andIm pretty he! Instructor keys nur 612 nr 509 maintains eye contact throughout interview and examination Health! Hypertension which normalized when she initiated diet and exercise 5 days the following actions reveal the Objective data is! Intolerance comprehensive Assessment Tina Jones Shadow Health Transcript, last hospitalization was, age 16 cervical cancer to healthcare week! If the net force and the net force and the net torque on the Im. Undergraduate students, become tester for Shadow Health Transcript, Subjective, Objective shadow health comprehensive assessment objective Documentation products...
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