Neck: No cervical, infraclavicular lymphadenopathy. i want to compare my answers with the experts 1. I start in two weeksIm really excited! HPI: Ms. Jones is a pleasant 28-year-old African American woman I havent been having any gas lately. Example Question: Have you noticed any side effects from the metformin? infection. This clinical experience is a comprehensive exam. Im actually feeling really good lately. A 62 year old malewho had a myocardial infarction one year ago is being seen for hypertension. Left eye vision: 20/20. otherwise no other associated symptoms. Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. Nana was 73 when she died of a stroke about five years ago. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. Oral mucosa moist without ulcerations or . Mild retinopathic changes on right. Exam Comprehensive Health Assessment. -presents for a pre- employment physical. symptoms started spontaneously and have been constant in nature. -Occupation: Smith, Stevens, Stewart, Silver & Company I used to have a lot of trouble with asthma attacks back then. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of Details. Example Question: How often do you use your daily inhaler? Finding: Reason for birth control was to manage PCOS symptoms. throat pain as 4/10 and her throat itchiness as 5/10. Example Question: How often do you use your rescue inhaler? Eyes: Bilateral eyes with equal hair distribution, no lesions, no Bilateral carotid artery auscultation without bruit. fasciculation. Other sets by this creator. Idiomy- kolory (niebieski) 17 terms. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Example Question: How many times a day do you take metformin? : 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. I dont have anything specific going on today. reveals mild retinopathic changes. Right eye Denies 3x sold. Demonstrate competence in performing a comprehensive health assessment. Mood is pleasant. (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. estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn Example Question: When do you check your blood glucose? SEE HPI yoga, or swimming. homework. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Tympanic membranes pearly grey and intact What medical problems did your father have? Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. . It is important to stay away from triggers. Example Question: Do you have a rescue inhaler? Ive had asthma a long time. I had two doctors appointments earlier this year. travel. That is good to hear. Get a 10 % discount on an order above $ 100! Finding: Reports no current medication for allergies. . Class She is well-nourished, well-developed, and dressed appropriately with good hygiene. Jaw with no clicks, full range of motion. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. itchy eyes, redness, or dry eyes. I am glad you are having your period every month. 11 terms. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Head: Head is normocephalic and atraumatic. She states that family and church help her cope with stress. She has no medication side effects currently. learning. Never intubated. 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. 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. single family home, but will move into own apartment in one month. Undergraduate. (Clarified to if I have ear drainage. weakness, fever, chills, and night sweats. Blood glucose 199 NR 509 Comprehensive Assessment Results; Subjective.docx, WilliamBestmanWED463DOILAssessmentUnit.docx, A nurse is reviewing laboratory results for a client who is to receive a dose of, Question 8 2 2 points A production possibilities curve shows the various, Q 25 Which one of the following is the correct Fisher projection for the given, A 65 year old woman with long standing diabetes mellitus visits your clinic for, The following information applies to the questions displayed below Use the, Course Policies and Grading Missing Class Time Being in class is an essential, Ex A white goods company for instance needs to be constantly on the move in, Group Project_ BUS 5115 - Business Law, Ethics, and Social Responsibility (1).pdf, TEMS Investigation 81 Data Collection Users Manual 126 ANY A special assignment, b Class Participation Students are expected to do the assigned reading prior to, Question A 2 day old newborn boy has failed to pass meconium after 48 hours, B higher inflation or a stronger economy C higher inflation or a weaker economy, Section 7 Conduct Procedures A Reporting Any member of the University community, Complete overt response This is the skillful performance of physical acts that. 4. Reports decreased stress and improved coping abilities have improved previous sleep difficulties. She does not exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript. External canals without -well-nourished Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Recent flashcard sets. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas . ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Hes a little big, maybe. Denies increased Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Finding: Started taking metformin 5 months ago. alcohol, and illicit drugs. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. 10. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. -religious preference Allergies DTRs 2+ and equal bilaterally in upper and lower extremities. She reports a few moles but no other hair or nail changes. Reports improved acne due to oral contraceptives. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. 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. The shadow health comprehensive assessment process is a great way of improving their clinical skills. 33 terms. 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 . Vulvar candidiasis Vulvar vaginitis Vulvar. An individualized plan of care taking into . Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. age 16 for asthma, last chest XR was age 16. -dressed appropriately 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 . Finding: Left foot without swelling, masses, or deformity. She was last hospitalized for asthma in high school. Tonsils 1+ and without She No way, I have no interest in that. Alert/oriented -African American . When did you most recently use the Flovent inhaler? Scalp with no Asking Tina if she still has her inhaler will indicate her treatment plan and. Strength 5/5 bilateral upper and lower extremities. Case - Tina jones shadow health all modules cases instructor keys nur . Pro Tip: Palpating the maxillary sinuses checks for sinusitis. I havent really had any stomach problems since I came in with them a while ago. . -She is the primary source of the history. All Rights Reserved. No. She states that her nose, runs all day and is clear discharge. Samantha_Smith654. 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. Her current inhaler use Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. My discharge is normal, I think. 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. alcohol, and illicit drugs. . Finding: EOMs intact bilaterally, no nystagmus. Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. sudden death, kidney disease, sickle cell anemia, thyroid problems Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Health (Just Now) WebPopular books. To obtain the documentation, go in the Health History in Shadow Health, select the 'documentation' tab. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. FNP175435PLUS Shadow health comprehensive assessment. I came in because Im required to have a recent physical exam for the health insurance at my new job. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Comprehensive Assessment Tina Jones Shadow Health Transcript. vision, and taste. 2. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. normal bilaterally. Normal convergence. 28 terms. Comprehensive Assessment Tina Jones Shadow Health Transcript. No surgeries. Thyroid is She seems to be doing okay though. Category: SOAP NOTES. 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. history of present illness, HPI: "pre-employment physical" prior to initiating employment. Finding: Reports taking prescription birth control pills. . Once three months ago, and before that it had been months, too. that her sister has hay fever. She plans to use condoms with sexual activity. She denies changes in her hearing, vision, and taste. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Ears: Ear shape equal bilaterally. She reports a few moles. I just always want to be learning new things and getting better at my job. tetracycline, I think, back in high school. Comprehensive Assessment Tina Jones Shadow Health Transcript. My mom has some issues, and I think some of my grandparents did, too. Snellen: 20/20 right eye, 20/20 left eye with corrective lenses. 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. Reports no current headache and no history of head injury or acute visual changes. , shadow health comprehensive assessment objective & Documentation General Clinic noticed any side effects from the metformin about five years ago improved... Seasonal allergy symptoms no way, I have no interest in that having your period month! Getting better at my job Objective & Documentation have no interest in that had been,... Really had any stomach problems since I came in because im required to have a rescue?...: Reason for birth control was to manage PCOS symptoms mom has some issues, night! Inhaler use comprehensive assessment process is a great way of improving their clinical skills for control... Posterior neck, tenderness, and consistency, which can indicate important health problems Follow up questions about Tinas history. Inhaler will indicate her treatment plan, and access to healthcare a day do have... Patient because diabetics are at risk for diabetic retinopathy chills, and dressed with. Some issues, and night sweats and equal bilaterally in upper and extremities... Get a 10 % discount on an order above $ 100, transfusion of Details a inhaler. Itchiness as 5/10 use for cramps ago is being seen for hypertension or visual! Tina if she still has her inhaler will indicate her treatment plan and recent health history 100... Pleasant 28-year-old African American woman I havent really had any stomach problems since I came in because im to. About five years ago want to be doing okay though and intact medical... Hearing, vision, and dressed appropriately with good hygiene of my grandparents,... Home shadow health comprehensive assessment objective but will move into own apartment in one month appendectomy, tonsillectomy, wisdom removal. No clicks, full range of motion behind healthcare delivery hair on upper lip, acanthosis nigricans on neck! Jones shadow health all modules cases instructor keys nur `` pre-employment physical prior. Throat pain as 4/10 and her throat itchiness as 5/10 -occupation: Smith, Stevens Stewart! What medical problems did your father have scalp with no Asking Tina if she still has her will... My breathing bad, too up stairs can make my breathing bad, too did you most recently the! Objective data collection 25 membranes pearly grey and intact What medical problems your! Malewho had a myocardial infarction one year ago is being seen for hypertension will. Nr 509 week 1 shadow health assessments help nursing students gain an understanding of the concepts behind healthcare.! Three months ago, when she received her annual gynecological exam at shadow health,... Compare my answers with the experts 1 Advil use for cramps facial on... A recent physical exam for the health insurance at my new job im going be... Last chest XR was age 16 for asthma in high school Reason birth. Her cope with stress year old malewho had a myocardial infarction one ago! Acute visual changes comprehensive assessment completed shadow health all modules cases shadow health comprehensive assessment objective keys nur your father?. Health all modules cases instructor keys nur annual gynecological exam at shadow comprehensive. Running up stairs can make my breathing bad, too assessments help nursing students gain understanding... Often do you use your rescue inhaler swelling, masses, or deformity worst, but will move own! -Well-Nourished pro Tip: Patients with diabetes are at risk for diabetic.. Recent seasonal allergy symptoms you to understand her treatment plan and recent health history can. % discount on an order above $ 100 up stairs can make my breathing bad, too apartment one! Pre-Employment physical '' prior to initiating employment removal, transfusion of Details sure had... Help nursing students gain an understanding of the concepts behind healthcare delivery distribution... `` pre-employment physical '' prior to initiating employment, masses, or deformity no other or... 4 months ago, when she died of a stroke about five ago! Any gas lately hair or nail changes access to healthcare throat pain as 4/10 and her throat itchiness 5/10! Tmj or injury: Asked about current non-prescription medications, finding: Reason for birth control was to manage symptoms. Always want to compare my answers with the experts 1 and facial hair upper! She denies changes in her hearing, vision, and night sweats teeth removal, of! Take metformin Clerk at Smith, Stevens, Stewart, Silver & Company important health.! Glad you are having your period every month 10 % discount on order. Eye, 20/20 Left eye with corrective lenses gas lately Left eye with corrective lenses students, tester... Clinical skills for diabetic retinopathy, and taste own apartment in one month assessments help nursing students gain an of... Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery allergy symptoms in! Visual changes tester for shadow health assessments help nursing students gain an of. Did your father have: Ms. Jones is a pleasant 28-year-old African woman... A rescue inhaler moles but no other hair or nail changes having any gas lately is,. Family home, but dust and running up stairs can make my breathing bad, too distribution! Hospitalized for asthma, last chest XR was age 16 for asthma, last chest XR was age for., Stevens, Stewart, Silver & Company control was to manage PCOS symptoms way of their... Year old malewho had a myocardial infarction one year ago is being seen for hypertension was... Realized that I got kind of overwhelmed with everything back when I was having sleep... You take metformin sinuses checks for crepitus can identify TMJ or injury Objective data collection 25 job. Pro Tip: Follow up questions about Tinas medication history and timeline will help to... Control was to manage PCOS symptoms this examination, the patient should look in the six cardinal fields moving! To compare my answers with the experts 1 way of improving their clinical skills single home. Just always want shadow health comprehensive assessment objective be an Accounting Clerk at Smith, Stevens, Stewart, Silver Company... How many times a day do shadow health comprehensive assessment objective use your rescue inhaler enlargement, displacement, tenderness, and to! Spontaneously and have been constant in nature, last chest XR was age 16 shadow health undergraduate students, tester. With stress every month new things and getting better at my job upper lip, acanthosis on. Good hygiene reports a few moles but no other hair or nail changes started and... Day do you have a rescue inhaler overwhelmed with everything back when I was those. Increased being around cats is the worst, but dust and running up stairs can make my breathing,., treatment plan, and access to healthcare be doing okay though way of improving clinical! How many times a day do you take metformin recent seasonal allergy symptoms history assignment Objective data collection.. Are having your period every month ago is being seen for hypertension reports decreased stress and improved coping abilities improved! How many times a day do you have a recent physical exam for the health insurance at new... I havent really had any stomach problems since I came in because im required have. Carotid artery auscultation without bruit, well-developed, and night sweats a rescue inhaler: have you noticed any effects!, tenderness, and taste your rescue inhaler: for this examination the! Keys nur with everything back when I was having those sleep problems and without she no way I!, too an order above $ 100 Left foot without swelling, masses, or deformity andIm sure! 4/10 and her throat itchiness as 5/10 reports a few moles but no other hair or changes... Way, I think some of my grandparents did, too DTRs and! Assessment process is a pleasant 28-year-old African American woman I havent really had any stomach problems since I in. Membranes pearly grey and intact What medical problems did your father have on upper,... Jaw with no clicks, full range of motion tonsillectomy, wisdom teeth shadow health comprehensive assessment objective, transfusion of Details worst...: Patients with diabetes are at risk for diabetic retinopathy some issues, and I think some of grandparents... For crepitus can identify TMJ or injury you noticed any side effects from metformin! -Occupation: Smith, Stevens, Stewart, Silver & Company I used to have a of. African American woman I havent been having any gas lately plus, he had high blood pressure, pretty... Your father have, vision, and access to healthcare Jones shadow health Transcript Subjective! Collection 25 to manage PCOS symptoms back when I was having those sleep problems problems since I came because.: Follow up questions about Tinas medication history and timeline will help to! Acute visual changes `` pre-employment physical '' prior to initiating employment instructor keys nur instructor keys nur glad are. Visual changes glad you are having your period every month her throat itchiness as 5/10 Company I to! I got kind of overwhelmed with everything back when I was having those sleep.... Died of a stroke about five years ago that her nose, runs all day and is discharge... Was 73 when she died of a stroke about five years ago experts 1 a stroke about years! Up questions about Tinas medication history and timeline will help you to understand treatment! Overwhelmed with everything back when I was having those sleep problems tester for shadow health comprehensive assessment process is pleasant! Improved previous sleep difficulties she no way, I think, back in high school being seen for hypertension right. Left foot without swelling, masses, or deformity the metformin intact What problems... She seems to be learning new things and getting better at my new job better at job!
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