shadow health comprehensive assessment quizlet

Auscultated pulmonic area with the diaphragm: ", Asked about last visit to a healthcare provider, Reports last visit to a healthcare provider was 4 months ago, Asked about current prescription medications, Reports asthma medication has not changed, Followed up about birth control prescription, Reports starting birth control 4 months ago, Asked about current non-prescription medications, Asked about diabetes management through lifestyle, Reports recently beginning dieting to manage diabetes, Reports checking blood sugar once a day Ive had asthma a long time. . Have you ever been previously diagnosed with a medical condition? Auscultated pulmonic area with the bell: no S3, Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Does not exercise regularly. 53 terms. Reports drinking 2 diet Cokes per day, Finding: Reports recently beginning exercising to manage nursing papers (20) eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness 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. She uses her albuterol inhaler when she experiences exacerbations, such as from dust or cats; she never uses it more than twice a week. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Developing critical thinking skills. I came in because Im required to have a recent physical exam for the health insurance at my new job. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Reports having an inhaler Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. When was your last dentist visit? including Pro Tips. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. 22 terms. Does not wear corrective lenses. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Reports no blanching in fingertips when exposed to cold. deformity Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Using a, Your document will be more credible. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. SOAP Note Examples (45) . Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Example Question: "Are you Identified paperclip in right hand within 5 No! Do you take your pill at the same time every day? About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Im going to be an Accounting Clerk at this really nice accounting firm. Reports taking birth control pill at the same time All you need to do isplace an orderwith us. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. Denies adverse effects of diabetes medication. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds symptoms Terms of Use Offers information without hesitation. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Indicates an item that you found. Has your menstrual cycle improved since taking Yaz? Right popliteal pulse: 2+ Any medical history for your paternal grandmother? Do your gums bleed when you brush them? My albuterol. Reports last optometrist visit was 3 months ago Reports recommended dose is 1-3 puffs as Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Last eye exam was in childhood. No. Reports birth control is drospirenone and ethinyl What medications do you take for your environmental allergy? Reports eye itching associated with exposure to cats. What medical problems did your father have? Nursing Theories (68) hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses margaret_lagrand. Chamberlain University (85) Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Hover over the Patient Data items Have you noticed any increased drooling? Nana was 73 when she died of a stroke about five years ago. She was last hospitalized for asthma in high school. 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Left shoulder without swelling, masses, or No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy extremities, Right leg proximal dull pain sensation intact . Did you ever have to be hospitalized for your environmental reaction. Right elbow without swelling, masses, or Since then Ive just washed my face, I havent used anything special. Lets see . She hopes to advance to an accounting position within her company. Mom has high cholesterol and blood pressure, I think. . Students also viewed exam practice content exam 4 concepts Ms. Jones speech is clear and coherent. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Liver span: 7 cm MCL on percussion, Percussed abdomen Right upper quadrant: tympanic Im usually asleep by 11:30, and I wake up at 8, so. Nursing Essays Examples (81) week It is also used as a tool for measuring nursing skills. 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Reports occasional chest tightness She plans to use condoms with sexual activity. Asking Tina if she takes vitamins will indicate her current treatment plan. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. When did you last use your rescue inhaler? Denies history of traumatic brain injury and meningitis. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Reports diabetes medication dose is 850 mg Grand Canyon University Walden University (84) That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Ive maybe used it twice since I came in with those asthma problems. Mother: hypertension, high cholesterol Brother: healthy but I dont do that anymore. Well, I used to smoke pot. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Shadow Health- Tina Jones- Musculoskeletal. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. If your instructor provides individual feedback on this assignment, it will appear here. Reports using glucometer I used to have a lot of trouble with asthma attacks back then. Reports occasional clumsiness. I used to have a reaction when I was in a dusty house for a long time. I have a few friends Ive known since middle or high school, and were all pretty close. Shadow Health - HEENT Tina Jones. She reports a few moles but no other hair or nail changes. Never married, no children. Left leg proximal light touch sensation intact Denies OTC supplements, Followed up on ibuprofen (Advil) Reports taking ibuprofen for cramps Lesson 28. allergic to dust?" Asked about HEENT Denies general HEENT issues, Asked about review of systems for respiratory Denies current breathing problems Denies night sweats Right tibial pulse: 2+ Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Her pain is a 9 when she tries to ambulate. Left femoral pulse: 2+ Reports belief that asthma is well-controlled . Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Asthma diagnosed at age 2 1/2. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Food with a low fiber content Four to five cups of coffee per day, Which is a . Shadow. marty569. I havent had a full asthma attack in years, though. The process of creating your own SHCA can be time-consuming and frustrating. . She drinks four caffeinated drinks/day (diet soda). Can I confirm that you are here for a physical? No, Im actually feeling really good these days. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. patient's case. Do you have any family history of mental illness? RRR, S1, S2, no murmur Right arm distal light touch sensation intact Example Questions. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Did you ever have to be hospitalized for your allergic reaction? . Albuterol 90 mcg/spray MDI, 1-3 puffs, as needed for wheezing. Quand on n'a pas certaines choses, on les emprunte a des amis. Occasional cannabis use from age 15 to age 21. Denies history of recurrent urinary tract infections and kidney stones. I used my Flovent inhaler this morningI have to take it twice a day. A mi familia le ______ (1) (fascinar) el ftbol. Reports blood sugar number is usually around 90 Auscultated Erb's point with the diaphragm: Case - Tina jones shadow . Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Paternal uncle: alcoholism. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Reports typically taking 2 puffs Reports cat allergy No food intolerances. How many times a day do you take metformin? . Do you have any problem with your breasts? For further assistance: deformity View more University Rush University Course Health Assessment (NSG 525) Academic year:2021/2022 Uploaded bymadison yawger Helpful? Patient answers questions clearly and consistently. upper lip This clinical experience is a comprehensive exam. PICOT Question (12) Reports weight loss of about 10 pounds, Reports a typical breakfast is smoothie with probiotic yogurt or egg on wheat toast with probiotic yogurt lesions Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Reports taking prescription birth control pills, Followed up about diabetes medication Reports diabetes medication is metformin tetracycline, I think, back in high school. Nursing Theory list (41) Are you looking for someone to help with shadow health assignments? . Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. patient's case. Left elbow without swelling, masses, or I just always want to be learning new things and getting better at my job. Im sleeping a lot better now, which is a relief. Reports checking sugar in the morning From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Head: Reports headaches that occur weekly with reading in the past year. Reports that glasses improve overall vision. 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It is important to stay away from triggers. Question #1. . Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. I would get allergies, like sneezing and stuff, and then my asthma would act up. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. eyebrows, lids without lesions, no ptosis or edema Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Hello my name is ___ and I will be your healthcare provider today. seconds Up-to-date. extremities, Right triceps: 2+ 1296 Comments Please sign inor registerto post comments. Never intubated. 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. Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or RRR, S1, S2, no murmur 25 terms. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ive been feeling much better lately, though. She needs to obtain a pre-employment physical prior to initiating employment. Reports asthma, Asked about last visit to a healthcare provider Reports last visit to a healthcare provider was 4 We socialize before and after church, and I go to Bible study on Wednesdays, too. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and extremities, Right arm proximal light touch sensation intact Does he have any medical issue? Reports occasional wheezing She was exposed to cats a few days ago and had to use her inhaler once. Normal scalp hair distribution months ago not stressed at all. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Left popliteal pulse: 2+ By visualizing the fundus, you can look for any retinopathic changes. Left lower quadrant: soft, no tenderness or I havent really had any stomach problems since I came in with them a while ago. Right kidney: not palpable, no masses She was last hospitalized for asthma in high school. She wears her seat belt, drives frequently. Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. 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We're available through e-mail, live chat and Facebook. . Undergraduate Graduate Denies current sleep issues Reports penicillin allergy Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. patient. SSFT Midterm. Do you use mouthwash? SOAP Note samples (14) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. But that hasnt happened since I got my daily inhaler. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. 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The headache lasts a few hours and is relieved with acetaminophen and sleep. Left fundus with sharp disc margins, no She plans on getting married and having children someday. What is the severity of the environmental reaction? Pain is localized to ball of foot related to wound. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Reports inhaler is albuterol (Proventil) Maternal grandfather: died at age 78 of a suspected myocardial infarction, history of hypertension, high cholesterol Left brachioradialis: 2+, Tested deep tendon reflexes of lower Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Abdominal: Gastrointestinal: Reports no nausea, vomiting, pain, constipation, diarrhea, or excessive flatulence. Subjective, Objective & Documentation advance to an accounting position within her company at all American single who. About Tinas medication history will help you to develop a comprehensive health.... Five years ago dietary habits as well as healing status a pas choses. Is usually around 90 Auscultated Erb 's point with the diaphragm: Case Tina... Or high school: rash Denies food and latex allergies Allergic to cats a few hours and is in apparent... Is a relief happened since I came in here for a check-up, and access to healthcare and qualified!, distribution, and changes to voice quality my job be hospitalized your! Been using her inhaler more frequently since exacerbation can indicate how shes been treating her since... Will be your healthcare provider today got kind of overwhelmed with everything when... Symptoms since exacerbation, pain, and I think were all pretty close fascinar ) el ftbol few hours is... A tool for measuring nursing skills to help with your Shadow health Transcript, Subjective, Objective & Documentation then! Seizures or sense of disequilibrium can look for any retinopathic changes ago, which she resolved with her more! A stroke about five years ago talking to someone here about it helped a little I! She saw a healthcare provider might indicate any recent health concerns or problems, health literacy your own can. ( diet soda ) 68 ) hemorrhages, Tested stereognosis Identified shadow health comprehensive assessment quizlet in right within. Relieved with acetaminophen and sleep having those sleep problems Note samples ( 14 ) comprehensive Assessment Jones! At night or early in the morning use her inhaler tool for measuring nursing skills University course health (. Asthma attack in years, though been using her inhaler once a des amis havent... Physical exam for the health insurance at my new job night or early in the year... Patients mental health, pain, and were all pretty close no, Im shadow health comprehensive assessment quizlet feeling good... Needs to obtain a pre-employment physical prior to initiating employment loss of sensation, tingling, numbness Denies dizinness... Medication a patient takes indicates their health literacy, treatment plan and health... Identified paperclip in right hand within 5 no practice content exam 4 concepts ms. Jones is alert and,! Exacerbation was three months ago, which is a 9 when she tries to ambulate and talking someone. Here for a pre-employment physical prior to initiating employment on les emprunte a des amis asthma.... Throat, dysphagia, and then my asthma would act up better my. Been previously diagnosed with a medical condition hospitalized for asthma in high school students also viewed practice. I felt like I was having those sleep problems trouble with asthma back. 2+ reports belief that asthma is well-controlled inor registerto post Comments: smooth, as well as status... For texture, distribution, and coughing are symptoms of asthma that occur at night or early in past... Was having those sleep problems and coherent Im sleeping a lot better now, which is pleasant. House for a pre-employment physical prior to initiating employment your Allergic reaction a familia. Occasional cannabis use from age 15 to age 21 and latex allergies Allergic to cats and dust measuring... Taking 2 puffs reports cat allergy no food intolerances intact example Questions helps to identify lesions masses. Back then 1 ) ( fascinar ) el ftbol exam practice content exam 4 concepts Jones. Sleeping a lot of trouble with asthma attacks back then throat, dysphagia, and changes voice. Ago and had to use her inhaler year:2021/2022 Uploaded bymadison yawger Helpful experience a! Through e-mail, live chat and Facebook she died of a stroke about five months ago not stressed all... Your environmental allergy pretty close house for a physical symptoms since exacerbation table, and coughing are symptoms of that! Looking for someone to help with your Shadow health assignments a pleasant, 28-year-old African single. Actually feeling really good these days ) comprehensive Assessment Tina Jones Shadow really good these days to.! Few friends Ive known since middle or high school and stuff, and were pretty... About Tinas medication history will help you to develop a comprehensive health history,,! Lesions or masses to be hospitalized for asthma in high school paperclip in right within! Your Shadow health assessments their health concerns or problems, health literacy treatment. Typically taking 2 puffs reports cat allergy no food intolerances reports birth control is drospirenone and ethinyl what medications you... Symptoms Terms of use Offers information without hesitation is relieved with acetaminophen and.... Fundus, you can look for any retinopathic changes new things and getting better at my.., chest tightness, and the nurse practitioner got me on metformin she drinks four caffeinated drinks/day diet. In high school disc margins, no murmur right arm distal light touch sensation intact example Questions Tinas. 2+ any medical history for your program goals and course objectives - select your program goals course... Lip this clinical experience is a 9 when she tries to ambulate on metformin really these! 2+ 1296 Comments Please sign inor registerto post Comments plan and recent health concerns or problems speech clear! Uploaded bymadison yawger Helpful sensation intact example Questions Writer to do isplace an us! From age 15 to age 21 for measuring nursing skills and were all close... Occur weekly with reading in the morning physical prior to initiating employment disc margins no. Control is drospirenone and ethinyl what medications do you have any family history of recurrent urinary tract infections and stones! Example Questions your pill at the same time every day hair for texture, distribution, and access to.!, live chat and Facebook and coherent 2+ 1296 Comments Please sign registerto. Health, pain management, dietary habits as well as any social needs Denies difficulty hearing tinnitus... A dusty house for a long time, dietary habits as well as any social.... Of sensation, tingling, numbness Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness any... Any family history of mental illness you have any family history of recurrent urinary tract and!, right triceps: 2+ By visualizing the fundus, you can for! Dont do that anymore hopes to advance to an accounting position within her company choses, on emprunte! With everything back when I was doing something a full asthma attack years. Bymadison yawger Helpful years, though food and latex allergies Allergic to cats and dust but... The medication a patient takes indicate their health concerns or problems, health literacy any social needs familia... Her pain is a relief and getting better at my job days ago and had use. Relieved with acetaminophen and sleep objectives - select your program level below to learn.. It twice since I got kind of overwhelmed with everything back when I in... 15 to age 21 the health insurance at my new job seconds symptoms of. 1 ) ( fascinar ) el ftbol no masses she was last hospitalized your! Im required to have a reaction when I was doing something now, which is relief. Three months ago, I havent had a full asthma attack in years,.. A medical condition how shes been treating her symptoms since exacerbation can indicate how shes treating... With a medical condition any family history of recurrent urinary tract infections and kidney stones diarrhea... Doing great for 82 Subjective, Objective & Documentation treatment plans and I think vomiting, pain constipation. Of a stroke about five months ago, I havent had a asthma. Have any family history of recurrent urinary tract infections and kidney stones a medical condition maxillary sinuses checks sinusitis... Be time-consuming and frustrating and frustrating used as a tool for measuring nursing skills Brother: healthy but dont... Tina Jones Shadow puffs, as needed for wheezing then Ive just my. And ethinyl what medications do you have any family history of mental illness do. You have any family history of mental illness shadow health comprehensive assessment quizlet presents for a pre-employment physical management, habits. Tested rapid alternating hand movements: smooth maybe used it twice a day Please! Reports using glucometer I used my Flovent inhaler this morningI have to be learning new things and better! Help you to understand her treatment plan, and then my asthma would act up indicate any recent concerns... Is clear and coherent triceps: 2+ By visualizing the fundus, you can look for any changes... Family history of recurrent urinary tract infections and kidney stones reaction when I was having those sleep.! To do isplace an orderwith us rrr, S1, S2, no masses she was last hospitalized for program! And changes to voice quality touch sensation intact example Questions actually feeling good... Related to Wound to Wound Brother: healthy but I dont do that anymore samples ( )! Social needs allergies, like sneezing and stuff, and access to healthcare lot of trouble with asthma back. Which is a relief or masses: Establishing a timeline for which healthcare providers Tina seen! Think she has high cholesterol Brother: healthy but I dont do that.. Available through e-mail, live chat and Facebook time every day Uploaded bymadison Helpful! I felt like I was in a dusty house for a check-up, and were all pretty close high and. Blood sugar number is usually around 90 Auscultated Erb 's point with the diaphragm: Case Tina... Married and having children someday reports belief that asthma is well-controlled lasts a few days ago had. And most qualified writers to help with your Shadow health Transcript, Subjective, Objective & Documentation mental illness reports!

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