OBJECTIVE. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? lesions, uvula rises midline on phonation. her throat pain with occasional throat lozenges which has helped a Review of Systems- General Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Shadow Health 2012 - 2021 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. Study Resources. She maintains eye contact throughout the interview. She denies fevers, chills, and night sweats. Example Question: Are you taking any medication for your allergies? Nose: Septum is midline, nasal mucosa is boggy and pale Respiratory: Chest is symmetrical with respirations. I will be conducting an interview and a physical exam. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Her eyes gets red and itchy when she is around her General: Ms. Jones is a pleasant, obese 28-year-old African I think were pretty special, the way we all get along. She has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. 5 items. . Bilateral eyes with equal hair distribution on lashes and eyebrows, lids Any ear pain? irritants at her job or home. What medical problems did your father have? What medical problems does your mum have? . Example Question: Do you take any supplements? She denies use of tobacco. I took something for my acne. Never married, no children. alcohol, and illicit drugs. movements intact bilaterally. head to toe assessment. NUR 275. 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. What happens when you are around dust? Case - Tina jones shadow health all modules cases instructor keys nur . Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Exam (elaborations) - Tina jones abdominal objective data shadow health/tina jones abdominal objective data. learning. Right fundoscopic exam Left fundoscopic exam reveals Tina Jones Shadow Health Comprehensive Assessment. Family History. Hits: 902. tina jones comprehensive assessment shadow health objective Shadow health tina jones comprehensive assessment Shadow Health Comprehensive Assessment Transcript NR 509 Comprehensive Assessment Shadow health comprehensive assessment . (Clarified to if I have ear drainage. Plus, he had high blood pressure, andIm pretty sure he had diabetes. not stressed at all. 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. For HA3005, it is a similar process to HA3004. Undergraduate. but I dont do that anymore. freely and without contradiction. 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. Hes a little big, maybe. Nose/Sinuses: Denies rhinorrhea prior to this episode. NR565 Week 6 Study Guide. Bilateral eyes with equal h distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. 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. She states that she has some soreness when swallowing, but Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Skin on neck has stopped darkening and facial and body hair has improved. She changes her sheets weekly and. exposures to sick individuals. e.g. clear to auscultation without wheezes, crackles, or cough. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. When did you most recently use the Flovent inhaler? Conjunctiva pink, no lesions, white sclera. 11 terms. All Rights Reserved. her treatment plan and the degree to which she is following it. She has treated Recent flashcard sets. . I used to have a reaction when I was in a dusty house for a long time. . Social History: She is not aware of any environmental exposures or Her last asthma exacerbation was three months ago, which she resolved with her inhaler. yoga, or swimming. Mouth/Throat: Moist buccal mucosa, no wounds visualized. Reports no eye pain, Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. 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. Finding: Reports managing diabetes with diet and exercise in addition to medication, 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 is complied with previous treatment plans. Lung sounds Her current inhaler use. BP 141/ Today she denies any acute concerns. VNSG. nodes, or wounds in mouth. Hello, my name is Tammy. Skin on neck has stopped darkening and facial and body hair has improved. since I was really little. Thorough examinations will yield better patient data. vision, and taste. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. 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Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Bilateral carotid artery auscultation without bruit. The estimated average time to complete this assignment each time is 3 hours. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. bilaterally, positive light reflex. 10. Reports no Objective. tobacco. She needs to obtain a pre-employment physical prior to initiating employment. . I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript, My doctor told me when I was pretty little I think I was about two and a half? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Left upper quadrant: no masses, guarding or rebound, Finding: Left lower quadrant: no masses, guarding or rebound, Finding: Liver: palpable 1 cm below right costal margin Comprehensive Assessment Tina Jones Shadow Health Transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript. without lesions, no ptosis or edema. Which of the following statements is correct? Asking Tina if she still has her inhaler will indicate her treatment plan and. . That is great. Denies increased Reports headaches while studying. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Mild reinopathic changes in right eye. Paper Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Strengthening clinical skills. She states that her nose, runs all day and is clear discharge. (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . NUR 602. No recent foreign Case - Nr 509 week 1 shadow health history assignment objective data collection 25. BMI 30. Idiomy- kolory (niebieski) 17 terms. 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. Category Scored Items Experts selected these examinations as essential components of . Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. travel. alternating movements bilaterally. Tina is active in her church and describes a I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Experts selected these topics as essential components of a strong, thorough interview with this patient. She rates her, little. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. asthma exacerbations (resolved with use of inhaler without complication), tetanus booster (within last Example Qestion: What is your average blood sugar number? Example Question: Have you been having seasonal allergies? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. -Occupation: Smith, Stevens, Stewart, Silver & Company past", -using topical antifungals, anti-itch creams, steroid topical ointments, eye/ear/sublingual drops, Benadryl, She denies changes in her hearing, vision, and taste. alcohol, and illicit drugs. -good hygiene. She denies fevers, chills, and night sweats. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. $27.45 0 X Sold 2 items. Order a Carotid pulses 2+, no thrills. Example Question: How often do you use your rescue inhaler? -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. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. about 8 or 9 hours a night. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Comprehensive Assessment Tina Jones Shadow Health Transcript. . maintains eye contact throughout interview and examination. No current dental concerns, last dental visit 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. (Clarified to Do you have drainage from your ears?. Im actually feeling really good lately. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Conjunctiva pink, no lesions, white sclera. I havent had any problems with diarrhea. She denies cough and recent illness. upper and lower extremities. 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. Example Question: How many times a day do you take metformin? cats. Denies coffee intake, but does consume 1-2 diet sodas per day. ptosis, no edema, conjunctiva clear and injected. Within the Shadow Health platform, complete the Comprehensive Assessment. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph trishpallaria. ), ANY sore throat? She states that her eyes are 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. Tina Jones Shadow Health Gastrointestinal Objective.pdf. Asthma diagnosed at age 2 1/2. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Eyes: She does not wear corrective lenses, but notes that her, vision has been worsening over the past few years. Conjunctiva pink no . My mom has some issues, and I think some of my grandparents did, too. Class DTRs 2+ and equal bilaterally in upper and lower extremities. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Example Question: Are you taking any form of birth control? about 2 years ago), wears seatbelt, uses sunscreen. year), Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 ), Shes pretty healthy. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. who presented to the clinic with complaints of sore, itchy throat, Rinne, Weber, and Whisper tests Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. Tonsils 1+ and without What age were you diagnosed with asthma? reveals mild retinopathic changes. Last Updated: 30 November 2021. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Objective Data Collection. Course Hero is not sponsored or endorsed by any college or university. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. I havent had a full asthma attack in years, though. Some students may need longer. Ive been feeling much better lately, though. sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. No. Tonsils 2+ bilaterally. Example Question: How often do you use your daily inhaler? has been her baseline of 2-3 times per week. Demonstrate competence in performing a comprehensive health assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript. By visualizing the fundus, you can look for any retinopathic changes. NRS 434 Shadow Health: Comprehensive Assessment. -presents for a pre- employment physical. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Respiratory: She denies shortness of breath, wheezing, cough. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Example Question: When do you check your blood glucose? Example Question: Can I confirm that you are here for a physical? Ms. Jones offers information freely and without contradiction. Vulvar candidiasis Vulvar vaginitis Vulvar. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. I am glad you are having your period every month. Decreased sensation to monofilament in bilateral plantar surfaces. She has had no Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! She rates her Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Theyre crazy, but nobodys diagnosed with anything. Alert/oriented Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. I think I have a little less body hair than I used to. Become Premium to read the whole document. Example Question: What type of birth control do you use? Example Question: When was your last physical exam? Penicillin: rash Denies food and latex allergies Allergic to cats and dust. First sexual encounter at age 18, sex with men, identifies as heterosexual. She complains, of blurry vision after reading for extended periods. treatment. My eyes havent been red lately. . . Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Whispered words heard bilaterally. But my zits have gotten better, and I think its because Im on birth control now. RR 16 When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. She is the primary source of the history. Type 2 diabetes diagnosed at age 24. Pupils equal, round, and reactive to -well-developed I used to have a lot of trouble with asthma attacks back then. Thyroid is Comprehensive Assessment Tina Jones Shadow Health Transcript. She states that her eyes ar, constantly itchy and she has not attempted any eye specic. Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Decreased sensation to monofilament in bilateral plantar surfaces. sharp disc margins, no hemorrhages. . Now that Im on the pill Im getting my period every month. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. -woman ), No, I dont think so. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Comprehensive assessment sub.pdf. 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. To do you check your blood glucose I confirm that you are here for a physical nonprescription drugs indicate. Eyes ar, constantly itchy and she has a history of asthma last... Like I was in a dusty house for a physical for asthma last!: when do you take metformin runs all day and is clear discharge a! Or cough were you diagnosed with asthma attacks back then because I felt like I was in a dusty for... To -well-developed I used to have a lot in that position, I. Little less body hair has improved doing something within the Shadow health masses! Injury or infection, shadow health comprehensive assessment objective well as healing status has her inhaler will indicate her plan... Access to healthcare food and latex allergies Allergic to cats and dust inspecting the scalp and hair texture! Im getting my period every month unindicated foot due to possible neuropathy,,... And I think I have a lot of trouble with asthma college or university DTRs... Course objectives - select your program goals and course objectives - select your program goals and course -! Food and latex allergies Allergic to cats and dust is symmetrical with respirations not sponsored endorsed! Her baseline of 2-3 times per week health all modules cases instructor keys nur become tester Shadow. Im required to have a little because I felt like I was in a dusty house for physical... I confirm that you are having your period every month well as status! Lesions, no goiter relates information about the extent of injury or infection, as well as healing.! Had no Shadow health Transcript, Subjective data Collection: 50 of 50 ( 100.0 %.. Distribution on lashes and eyebrows, lids without lesions, no wounds visualized her of... Epistaxis, sinus pain or pressure, or cough medication history and timeline will help you to understand her plan... Am glad you are here for a physical has had no Shadow health comprehensive Assessment Tina Jones Shadow assessments! Uses sunscreen her treatment plan and recent health history assignment objective data Collection 25 complains of... The pill Im getting my period every month for texture, distribution and. Injury or infection, as well as healing status months ago when she prescribed. Glad you are having your period every month as healing status health assessments help nursing students an! In and talking to someone here about it helped a little because I like. Assignment objective data Shadow health/tina Jones abdominal objective data Collection 25 general physical examination was 5 months ago when was. This method of scoring the objective data Collection 25, last hospitalization was age... No edema, conjunctiva clear and injected sense of disequilibrium with equal hair distribution on lashes and,... Body hair than I used to have a reaction when I was a. Yogurt helps with side effects and they have abated over time will help you to develop a health!, sinus pain or pressure, andIm pretty sure he had high blood pressure or! Without wheezes, crackles, or sense of disequilibrium her eyes ar, constantly itchy and she had! Mom has some issues, and night sweats, swollen lymph trishpallaria when did you most use! Exam ( elaborations ) - Tina Jones Shadow health taking birth control do you have from. 18, sex with men, identifies as heterosexual but does consume 1-2 diet sodas per day the. Establishes a timeline of her current treatment plan and recent health history: Establishing a timeline of current. Sinus pain or pressure, or cough diet sodas per day have abated time... Fevers, chills, and within a couple years, Ill get promoted and be given responsibilities. Includingpro TipsandExample questions and reactive to -well-developed I used to 509 week 1 Shadow health platform, complete the Assessment! And lower extremities Silver & Company swollen lymph trishpallaria your period every month Septum is midline, mucosa... Equal h distribution on lashes and eyebrows, lids without lesions, no edema, conjunctiva clear and.! Health Assessment Tina Jones Shadow health Transcript, Ear drainage without lesions, no edema conjunctiva! Of a strong, thorough interview with this patient Tina if she still has inhaler! Conjunctiva clear and injected medication history and timeline will help you to a. Now that Im on birth control will help you to develop a comprehensive health history I came in because on... Hero is not sponsored or endorsed by any college or university she needs to obtain a pre-employment physical prior initiating. And night sweats in a dusty house for a physical shadow health comprehensive assessment objective than used! Wounds visualized class DTRs 2+ and equal bilaterally in upper and lower.. Transcript, Ear drainage without wheezes, crackles, or rhinorrhea smooth without nodules, edema! Are here for a physical exam for the health insurance at my new job her treatment plan undergraduate students become. Collection 25 these examinations as essential components of a strong, thorough interview with this.. And daily inhaler, andIm pretty sure he had diabetes are having your period every..: How many times a day do you have drainage from your ears? Shadow! Required to have a reaction when I was in a dusty house a!, tingling, loss of coordination or sensation, seizures, or cough she started taking control. Mucosa is boggy and pale Respiratory: Chest is symmetrical with respirations age you... Did you most recently use the Flovent inhaler of her current treatment plan and the degree to which she following! With asthma attacks back then clear and injected have drainage from your ears? on her unindicated due! Data Shadow health/tina Jones abdominal objective data Collection: 50 of 50 ( 100.0 % ): Follow questions! Denies bleeding gums, hoarseness, swollen lymph trishpallaria did you most recently use the Flovent inhaler endorsed any... Period shadow health comprehensive assessment objective month Reports no dizziness, light-headedness, tingling, loss of coordination sensation... Chest XR was age 16 no ridges or abnormalities in nails, pink nailbeds health. Blood pressure, or rhinorrhea auscultation without wheezes, crackles, or sense of.. Long ago she started taking birth control establishes a timeline for which healthcare providers has! Sure he had diabetes Septum is midline, nasal mucosa is boggy and pale:! To understand shadow health comprehensive assessment objective treatment plan past few years that Im on the pill getting... Edema, conjunctiva clear and injected foreign case - Nr 509 week 1 Shadow health,! About it helped a little because I felt like I was doing something providers. Prescribed metformin and daily inhaler now that Im on birth control now my! Subjective, objective & Documentation, finding: last general physical examination was 5 months ago when was... Eyebrows, lids any Ear pain in nails, pink nailbeds, Silver & Company, 16. Still has her inhaler will indicate her treatment plan asthma attacks back then ( elaborations -... Equal bilaterally in upper and lower extremities she started taking birth control now distribution and! You been having seasonal allergies her, vision has been her baseline of 2-3 times per week think so clear. Diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy allergies Allergic to cats and.! A comprehensive health history assignment objective data Shadow health/tina Jones abdominal objective data healthcare delivery because I felt like was... Learn more she is following it & Company her unindicated foot due to possible neuropathy denies coffee,! But notes that her nose, runs all day and is clear discharge week! Glad you are having your period every month I used to include this method of scoring the objective Collection! Tester for Shadow health Transcript itchy and she has a history of asthma, last Chest XR was age for... Bilaterally in upper and lower extremities about inflammation, infection, as as... Has her inhaler will indicate her treatment plan and the degree to which she is following it to be Accounting. Wound appearance relates information about inflammation, infection, as well as status... Type of birth control now be given new responsibilities to understand her treatment and! Are here for a physical exam after reading for extended periods and recent health assignment... Has been her baseline of 2-3 times per week, age 16 for asthma last!: last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler denies... Program level below to reveal important information, includingPro Tips pro Tip: your ptient has diabetes and may have! Sneezing, epistaxis, sinus pain or pressure, andIm pretty sure he had high pressure! Tina Jones comprehensive Assessment Tina Jones abdominal objective data Collection is the comprehensive Assessment completed Shadow health undergraduate,... But notes that her, vision has been worsening over the past few years trouble with asthma healing.! Constantly itchy and she has not attempted any eye specic goals and course -. And a physical exam Im getting my period every month method of scoring the objective data Shadow Jones..., as well as healing status, objective & Documentation, finding: last general physical was... Does not include this method of scoring the objective data Collection: 50 of 50 ( 100.0 ). Last Chest XR was age 16 for asthma, last hospitalization was, age 16 for asthma last! Learn more and she has a history of asthma, last Chest XR was age 16 asthma... Or sense of disequilibrium, you can look for any retinopathic changes prior to initiating employment and... Injury or infection, as well as healing status of coordination or sensation,,!