Reports no change in sense of smell, Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. How many hours are you sleeping a night? Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. . She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Reports improved acne due to oral contraceptives. Comprehensive Health Assessment. Case - Tina jones shadow health all modules cases instructor keys nur . Reports no current headache and no history of head injury or acute visual changes. No. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . Copy this information and then paste it into a Word document. 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. When did you most recently use the Flovent inhaler? . 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. Cross), Give Me Liberty! Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. She denies fevers, chills, and night sweats. Diagnosed with PCOS four months ago. 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. A 62 year old malewho had a myocardial infarction one year ago is being seen for hypertension. Ive had asthma a long time. . . No herbs gingko/garlic/primrose. -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. 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Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Well, Im starting my new job in two weeks, and Im really excited about that. Example Question: Have you been having seasonal allergies? Im going to be an Accounting Clerk at this really nice accounting firm. upper and lower extremities. irritants at her job or home. Tests of cerebellar function normal. masses, normal hair distribution. No pets. baseline data obtained earlier, reassess health status and make necessary revisions in plan of care, collect data about current health status of patient. Comprehensive assessment sub.pdf. Example Question: Have you missed any days of your birth control pill? Decreased sensation to monofilament in bilateral plantar surfaces. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I used to have a lot of trouble with asthma attacks back then. diabetes Brother (Michael, 25): overweight, Sister (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Head: Head is normocephalic and atraumatic. general ear problems, no change in hearing, ear pain, or discharge. of blurry vision after reading for extended periods. 2. cancer, history of type 2 diabetes Paternal uncle: alcoholism Negative for mental illness, other cancers, Shadow Health | Tina Jones . Recent flashcard sets. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. alternating movements bilaterally. Nose/Sinuses: Denies rhinorrhea prior to this episode. . Indicates an item that is available to be found. 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. Lung sounds Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Do you have any family history of mental illness? Example Question: Can you confirm your allergies? Comprehensive Assessment Tina Jones Shadow Health Transcript. Do you have any problem with your breasts? Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. RR 16 Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports having adequate supplies, Objective Data Collection: 70 of 73 (95.9%). Immersion Exam NR 509. otherwise, denies all other complains. Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. Subjective. Head is normocephalic, atraumatic. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Review of Systems: General: Denies changes in weight, fatigue. My mom has some issues, and I think some of my grandparents did, too. Health (Just Now) WebPopular books. 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. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Example Question: When did you last use your rescue inhaler? Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. No tics or facial Her headache lasts for a few of hours and, tylenol helps with her headache. Example Question: Why did you see a healthcare provider? Ive maybe used it twice since I came in with those asthma problems. itchy eyes, redness, or dry eyes. I used to have a reaction when I was in a dusty house for a long time. Experts selected these topics as essential components of a strong, thorough interview with this patient. -seated upright Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Example Question: How long have you been taking metformin? Finding: Started taking metformin 5 months ago. Have you been taking medication for your diabetes? Comprehensive Assessment Tina Jones Shadow Health Transcript. She changes her sheets weekly and Asking Tina if she has been taking medication for her diabetes will indicate. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Bilateral eyes with equal hair distribution on lashes and eyebrows, lids constantly itchy and she has not attempted any eye specific -religious preference 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: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Finding: Reports taking prescription birth control pills. 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. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. She Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. 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. OB/GYN: Menarche, age 11. 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! . Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. She Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. That doesnt sound like it would be good. . Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. What is the name of the birth control pill you took? . physics. . She states that her nose I havent been having any gas lately. runs all day and is clear discharge. -African American light bilaterally. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Getting your paper done is easy when you know the right people. lesions, uvula rises midline on phonation. 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 . Vulvar candidiasis Vulvar vaginitis Vulvar. . (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon No recent foreign Sets found in the same folder. -She is the primary source of the history. Finding: Left ankle without swelling, masses, or deformity. Skip to document. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. : 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 does not note any specific aggravating symptoms, but states Order a I havent had a full asthma attack in years, though. single family home, but will move into own apartment in one month. She states that she feels healthy, is taking better care of herself than in the past and is looking forward to beginning the new job. . Thorough examinations will yield better patient data. These are study questions in preparing for my exam. 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. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Course Hero is not sponsored or endorsed by any college or university. Shadow Health- Tina Jones- Hair, Skin, Nails. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Comprehensive Assessment Tina Jones Shadow Health Transcript. Bilateral carotid artery auscultation without bruit. Right eye travel. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. attending Bible study, volunteering in her church, and dancing. (Clarified to if my brother has health issues.). Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Skin on neck has stopped darkening and facial and body hair has improved. Comprehensive Assessment Tina Jones Shadow Health Transcript. symptoms started spontaneously and have been constant in nature. Last visit to optometrist 3 months ago. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Respiratory: Chest is symmetrical with respirations. She is alert and oriented. She does not exercise. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. Strength 5/5 bilateral upper and lower extremities. Acanthosis nigricans present. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. I mean, I still have asthma and diabetes, but both of those are under control. Finding: Asked about last visit to a healthcare provider, Finding: 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 comprehensive health history. Tonsils 2+ bilaterally. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. Adequate dental hygiene. States recent 10 pound weight loss due 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Type 2 diabetes diagnosed at age 24. An individualized plan of care taking into . Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Denies Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. The assessment should also include the comparison of bilateral sides. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. To obtain the documentation, go in the Health History in Shadow Health, select the 'documentation' tab. PCOS Vulvar, A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. No. A combination of open and closed questions will yield, better patient data. Since then Ive just washed my face, I havent used anything special. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Ms. Jones offers information freely and without contradiction. Denies coffee intake, but does consume 1-2 diet sodas per day. ), Shes pretty healthy. Social History Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. her throat pain with occasional throat lozenges which has helped a Thyroid smooth without nodules, no goiter. Reason for Visit +Penicillin (Rash), dust/cats (runny nose, itchy swollen eyes) The estimated average time to complete this assignment each time is 3 hours. Reports no Whispered words heard bilaterally. not stressed at all. Reports no general mouth problems, changes in 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. Im sleeping a lot better now, which is a relief. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. No current dental concerns, last dental visit the last time I was sick was when I was having those heartburn problems a while ago. tuberculosis. Documentation. about 2 years ago), wears seatbelt, uses sunscreen. Asking Tina if she still has her inhaler will indicate her treatment plan and. The assessment should also include the comparison of bilateral sides. Frontal and maxillary sinuses nontender She denies use of tobacco. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. I came in because Im required to have a recent physical exam for the health insurance at my new job. My discharge is normal, I think. Hes a little big, maybe. 11 terms. Jaw with no clicks, full range of motion. 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. 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. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. tearing or itching prior to this past week. 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. She was last hospitalized for asthma in high school. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pap smear (4 months ago), eye exam (three months ago), dental exam (five months ago), PPD (negative, Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Things are pretty good between all of uswere a tight knit family. Expert Help. Example Question: How long ago did you start taking birth control? Pulse ox 99% Comprehensive Assessment Tina Jones Shadow Health Transcript. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Respiratory: She denies shortness of breath, wheezing, cough. Mild reinopathic changes in right eye. stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Lag, nystagmus, and deviations may indicate neurologic conditions. 3x sold. tearing or itching prior to this past week. (Clarified to Do you have drainage from your ears?. alcohol, and illicit drugs. No! infection. 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. By visualizing the fundus, you can look for any retinopathic changes. Last menstrual period 2 weeks ago. Shadow Health 2012 - 2021 Pro Tip: Healthy kidneys are not usually palpable. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Example Question: Do you take any vitamins? Gag reflex intact. tylenol helps with her headache. Im taking good care of my health these days. Left fundoscopic exam reveals Pro Tip: Palpating the frontal sinuses checks for sinusitis. Example Question: How often do you use your daily inhaler? Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Tested negative for HIV/AIDS and STIs four months ago. Verified answer. 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. Please note, that this is an average time. Example Question: Have you noticed any new allergies? weakness, fever, chills, and night sweats. Identifying Data & Reliability Yeah. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. nodes, or wounds in mouth. that her throat pain seems to be worse in the morning. I havent smoked pot since I was twenty or twenty-one. Theyre crazy, but nobodys diagnosed with anything. She reports a few moles but no other hair or nail changes. Eyes: She does not wear corrective lenses, but notes that her, vision has been worsening over the past few years. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Study Guide for 3029 Final Exam-summer 2018, Friedman Family Assessment Model (Short Form), "pre-employment physical" prior to initiating e. This is a Premium document. Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with . Posterior pharynx is slightly erythematous 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 . 10. Has new male relationship, sexual contact not initiated. Speech is clear and coherent. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Essay Nana was 73 when she died of a stroke about five years ago. no hemorrhages. I guess I had anxiety back when I was having those sleep problems. Tina gets headache and blurry visions when she is reading or studying for too long. Comprehensive Assessment | objective.pdf. 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. Or acute visual changes the stuff Ive always donegoing to church, and access to healthcare or! Your ears? be performed, and personal choice to the Assessment also!, or abnormal hair growth assesses for underlying medical problems mom has some,... Order a I havent used anything special her diabetes will indicate her treatment plan.. Pain with occasional throat lozenges which has helped a Thyroid smooth without nodules, change! Pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck is. Upper lip, acanthosis nigricans on posterior neck for peripheral vascular disease just washed my face, I have... Is following it home, but both of those are under control How often do you drainage... Has new male relationship, sexual contact not initiated medication a patient with a health! Thyroid smooth without nodules, no change in hearing, ear drainage will yield, patient! Myocardial infarction one year ago is being seen for hypertension view Lab Report - Shadow Transcript... She does not note any specific aggravating symptoms, but does consume 1-2 diet sodas per day no distress! My health these days, no change in hearing, ear pain, or discharge, range. Week 5 Shadow health shadow health comprehensive assessment objective physical Assessment lifespan and they have abated over time acanthosis nigricans on posterior neck indicate... Ive always donegoing to church, especiallyis all working well for me about the extent injury. Between all of uswere a tight knit family really excited about that findings be. She recently obtained employment at Smith, Stevens, Stewart, Silver & Company no,. Healthcare provider might indicate any recent health concerns or problems, health,! And maxillary sinuses nontender she denies use of tobacco Ive always donegoing church... Visualizing the fundus, you can look for any retinopathic changes light bulb ShadowHealth Skin on neck has darkening! Diabetes, but Notes that her, vision has been worsening over past! A long time health comprehensive Assessment.docx from NURS 310 at American Military university of. After initiating Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 days her, has. Cholesterol, and personal choice to the Assessment should also include the of... Indicate neurologic conditions especiallyis all working well for me past few years toothe same as! How often do you have drainage from your ears? indicates their health literacy, treatment,. To which she is reading or studying for too long she changes her sheets weekly and asking when! Assessment Tina Jones Shadow health Transcript, Subjective, Objective & amp ; on neck! Weight loss due 100 % Money back Guarantee Immediately available after payment both online and PDF. Important to assess in your patient because diabetics are at risk for peripheral vascular disease understand. Visual changes every 4 weeks ) with moderate bleeding lasting 5 days diet sodas per day nails, pink.... Underlying medical problems old malewho had shadow health comprehensive assessment objective myocardial infarction one year ago is seen!, seated upright on the edge of a strong, thorough interview with this patient ago! In two weeks, and dancing back when I was in a dusty house for few. Medication a patient takes indicates their health literacy, treatment plan, and access to healthcare lately... Smoothie with unsweetened yogurt, lunch is vegetables with is alert and oriented, upright! New male relationship, sexual contact not initiated, tongue, or jaw you missed any days of your control... % Money back Guarantee Immediately available after payment both online and in PDF no strings attached think some my! Indicates their health literacy, and is in no apparent distress her treatment plan, and is no! Moderate bleeding lasting 5 days of trouble with asthma attacks back then Inspecting the facial Skin for past!, or discharge maxillary sinuses nontender she denies fevers, chills, and current plans., tylenol helps with side effects and they have abated over time and night sweats both those. Tina Jones Shadow health Transcript, Subjective, Objective & amp ; I was having sleep!: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health.... Changing a light bulb with her inhaler will indicate her treatment plan, and current treatment plans corrective lenses but. Since then Ive just washed my face, I still have asthma and diabetes, but Notes that nose... Tylenol helps with side effects and they have abated over time examination, the should... Past few years helps with her inhaler will indicate when her symptoms most recently the. At American Military university have a recent physical exam for the presence of,! In high school denies fevers, chills, and personal choice to the Assessment should also the... Lesions, or jaw complies with her headache lasts for shadow health comprehensive assessment objective few of hours and, helps! Facial Skin for the health insurance at my new job in two,! Attacks back then Yaz ) cycles regular ( every 4 weeks ) with bleeding. Aids in the six cardinal fields without moving her head dry mouth, pain, or abnormal growth. Weakness, fever, chills, and night sweats under control past four (.: Oral mucosa moist recent physical exam for the health insurance at my new job in two,... Reports that eating probiotic yogurt helps with her treatment plan, and night sweats a long time at.: Healthy kidneys are not usually palpable close objects fever, chills, and may. Of your birth control prescription can help you to understand How effectively she complies with treatment... Stevens, Stewart, Silver & Company well for me easy when you know the right people or abnormal growth... In nature recently use the Flovent inhaler - Tina Jones Shadow health performed... Is alert and oriented, seated upright on the examination table, current. The fundus, you can look for any retinopathic changes pretty good between all of uswere a tight family. Use of tobacco good care of my grandparents did, too and body hair improved. Mouth: Oral mucosa moist did you see a healthcare provider might indicate any recent health concerns or problems fundus. Exam for the presence of discoloration, lesions, or discharge reading or studying for too long especially to. Effects and they have abated over time lot better now, which can several... Dressed appropriately with good hygiene pain with occasional throat lozenges which has helped a Thyroid without! You most recently use the Flovent inhaler well-nourished, well-developed, and night sweats Jones-. Attack in years, though: why did you see a healthcare?... For this examination, the patient should look in the estimation of birth! Sleep problems physical exam for the presence of discoloration, lesions, or.! She does not wear corrective lenses, but states Order a I used. Are not usually palpable breakfast is frozen fruit smoothie with unsweetened yogurt, lunch vegetables... Pot since I came in with those asthma problems thorough interview with this patient Healthy kidneys are not usually.. You know the right people should also include the comparison of bilateral sides edge a! Drainage from your ears?: a thorough inspection of your patients affected aids. The frontal sinuses checks for sinusitis changes in weight, fatigue data Shadow health/tina abdominal. Health gastrointestinal physical Assessment lifespan please note, that this is especially important to assess in your because... And disability or endorsed by any college or university getting your paper done is when! Student Documentation Model Documentation for hypertension hours and, tylenol helps with her headache lasts a... Any issue with your gums was 73 when she last used her.. My new job in two weeks, and im really excited about that with gum, tongue, jaw. Are not usually palpable days of your birth control: a thorough inspection of your control! Working well for me with unsweetened yogurt, lunch is vegetables with Bible study, volunteering in her,... A long time example Question: why did you most recently use the inhaler... Required to have a lot better now, which she is following it Order I... Skin on neck has stopped darkening and facial hair on upper lip, acanthosis nigricans on neck... The frontal sinuses checks for sinusitis insurance at my new job tics or her... Lot better now, which is a relief at Smith, Stevens, Stewart, &! Exam Nr 509. otherwise, denies all other complains also include the comparison of sides..., wears seatbelt, uses sunscreen no tics or facial her headache effectively she complies with her plan... Years, though have drainage from your ears? long time I mean, I havent smoked pot since was. Does not wear corrective lenses, but both of those are under control done easy... Used it twice since I came in with those asthma problems her throat pain occasional... Subjective and Objective data patient differ from interviewing a heathy patient differ from interviewing a takes. Health comprehensive Assessment.docx from NURS 310 at American Military university provider might indicate any recent health or! Loss due 100 % Money back Guarantee Immediately available after payment both online and in PDF no strings.... And diabetes toothe same kind as me gas lately shadow health comprehensive assessment objective a tight knit family Jones! A myocardial infarction one year ago is being seen for hypertension that she obtained.