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. stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus Lag, nystagmus, and deviations may indicate neurologic conditions. She has a history of hypertension which normalized when she initiated diet and exercise. Asking Tina if she still has her inhaler will indicate her treatment plan and. Verified answer. Comprehensive Assessment Tina Jones Shadow Health Transcript. Other sets by this creator. Which medication has the best evidence in mortality reduction? Gag reflex intact. Example Question: What is the name of your diabetes medication? current feelings of depression, anxiety, or thoughts of suicide. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. little. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. 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. Her eyes gets red and itchy when she is around her What medical problems does your mum have? Alix_Johnson55. Lab Pass (/assignment_attempts/9017767/lab_pass.pdf), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Example Question: How many times a day do you take metformin? (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Reports improved acne due to oral contraceptives. 10. Course Hero is not sponsored or endorsed by any college or university. She reports a few moles but no other hair or nail changes. Recent flashcard sets. Category Scored Items Experts selected these examinations as essential components of . learning. asthma exacerbations (resolved with use of inhaler without complication), tetanus booster (within last The assessment should also include the comparison of bilateral sides. ), Shes pretty healthy. tearing or itching prior to this past week. External canals without Example Question: What type of birth control do you use? Study Resources. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Psych - adsfafdasfsaf jdshj tjshks tsaj dfjka jkdf kjdfkjldsa kljsa fkdafkjdfkjakdj, Compsci 2033 - this its the. 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. If your instructor provides individual feedback on this assignment, it will appear here. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Comprehensive Assessment Tina Jones Shadow Health Transcript. No. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. What is now thought to be the most important causative agent in cervical cancer? Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Thyroid is Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. Ive maybe used it twice since I came in with those asthma problems. I used to have a reaction when I was in a dusty house for a long time. I havent been having any gas lately. that her throat pain seems to be worse in the morning. Scalp with no Example Question: When did you last use your rescue inhaler? Tina gets headache and blurry visions when she is reading or studying for too long. Comprehensive assessment sub.pdf. 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. movements intact bilaterally. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Subjective. Comprehensive Assessment Tina Jones Shadow Health Transcript. Which of the following statements is correct? She complains Does he have any medical issue? . . Pap smear (4 months ago), eye exam (three months ago), dental exam (five months ago), PPD (negative, Example Question: Have you missed any days of your birth control pill? A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. Reports headaches while studying. Nana was 73 when she died of a stroke about five years ago. To obtain the documentation, go in the Health History in Shadow Health, select the 'documentation' tab. SEE HPI has been her baseline of 2-3 times per week. -She is the primary source of the history. ), ANY sore throat? She has not attempted any SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data. pressure. intact bilaterally, no nystagmus. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. vision: 20/40. Tina Jones Shadow Health Comprehensive Assessment. itchy eyes, and runny nose for the last week. otherwise no other associated symptoms. Right fundoscopic exam She provided the health information freely during the interview. She does not note any specic aggravating symptoms, but states, that her throat pain seems to be worse in the morning. Once in the documentation tab, select 'shift assessment'. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. high cholesterol Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol I would get allergies, like sneezing and stuff, and then my asthma would act up. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Indicates an item that is available to be found. tobacco. Nose/Sinuses: Denies rhinorrhea prior to this episode. . Jaw with no clicks, full range of motion. . 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 1/10 Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Lab Pass Indicates an item that you found. Last Updated: 30 November 2021. I havent had a full asthma attack in years, though. (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). Comprehensive Assessment Tina Jones Shadow Health Transcript. 1. Spring Arbor University. Rinne, Weber, and Whisper tests Conjunctiva pink, no lesions, white sclera. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. 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. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. Indicates an item that you found. Within the Shadow Health platform, complete the Comprehensive Assessment. Ive been feeling much better lately, though. Details. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Finding: Acanthosis nigricans noted on neck. Uses alcohol when "out with friends, 2-3 times per month," reports drinking no more than 3 drinks per She states that her nose, runs all day and is clear discharge. Family History. Only $3/month normal bilaterally. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Course Hero is not sponsored or endorsed by any college or university. treatment for her nasal symptoms. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. Adequate dental hygiene. Mariah_Slatunas. By visualizing the fundus, you can look for any retinopathic changes. . I just always want to be learning new things and getting better at my job. Tina gets headache and blurry visions when she is reading or Last menstrual period 2 weeks ago. She is a good historian. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. -Education Bilateral eyes with equal h distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. She states that her eyes ar, constantly itchy and she has not attempted any eye specic. denies dust/mildew at her home. Poppa died of a heart attack when he was 80. . The daily inhaler is Flovent, and the rescue inhaler is Proventil. sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). was 5 months ago. Do you have any problem with your breasts? Bilateral carotid artery auscultation without bruit. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. EOMs Advanced Clinical Practice for Nurse Educators (Adv. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. 11 terms. who presented to the clinic with complaints of sore, itchy throat, Thyroid smooth without nodules, no goiter. Pro Tip: Confirming a patient's medical conditions, such as diabetes, will enable you to provide the best, Pro Tip: Confirming a patient's medical conditions, such as asthma, will enable you to provide the best, Asked about last visit to a healthcare provider, Reports last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a, Reports reason for last visit was annual gynecological exam, Pro Tip: Establishing a timeline for Tina's gynecological exams will allow you to develop a comprehensive, Reports last general physical examination was 5 months ago, Asked about current prescription medications. Example Question: Are you taking any form of birth control? -Mrs. Jones Reliable historian No ptosis or edema noted. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . . . Cannabis use from age 15 to age 21. Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. past", -using topical antifungals, anti-itch creams, steroid topical ointments, eye/ear/sublingual drops, Benadryl, Tina is active in her church and describes a Comprehensive Assessment Tina Jones Shadow Health Transcript. Left fundus with sharp disc margins, The following actions reveal the objective data of the patients case. Some students may need longer. Some students may need longer. 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. Mouth/Throat: Moist buccal mucosa, no wounds visualized. Pro Tip: Palpating the frontal sinuses checks for sinusitis. I think I have a little less body hair than I used to. Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. . She, has never been diagnosed with seasonal allergies, but does note, Social History: She is not aware of any envir, irritants at her job or home. Example Question: How often do you use your daily inhaler? I think were pretty special, the way we all get along. . Any medical history for your paternal grandmother? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Inspected lower extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right leg without swelling, masses, or deformity, Finding: Right knee without swelling, masses, or deformity, Findin: Right ankle without swelling, masses, deformity, or discoloration. These are study questions in preparing for my exam. Demonstrate competence in performing a comprehensive health assessment. 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. sudden death, kidney disease, sickle cell anemia, thyroid problems I have a little, and its kind of clear, sometimes white-ish. No surgeries. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. Her current inhaler use. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Respiratory: She denies shortness of breath, wheezing, cough. Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Decreased sensation to monofilament in bilateral plantar surfaces. tetracycline, I think, back in high school. Finding: Left foot without swelling, masses, or deformity. since I was really little. 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. Shadow Health - Tina Jones, Health History. Comprehensive Assessment Tina Jones Shadow Health Transcript, Im usually asleep by 11:30, and I wake up at 8, so. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . 26 terms. Tonsils 1+ and without : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She states that these taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. Example Question: Have you been having seasonal allergies? She monitors her blood sugar once daily in the morning with average readings being around 90.

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