Vulvar candidiasis Vulvar vaginitis Vulvar. Example Qestion: What is your average blood sugar number? Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. View Lab Report - Shadow Health Comprehensive Assessment.docx from NURS 310 at American Military University. Mood is pleasant. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Last menstrual period 2 weeks ago. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Mouth/Throat: Moist buccal mucosa, no wounds visualized. . Finding: Left pupil: equal, round, reactive to light. Since then Ive just washed my face, I havent used anything special. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. In the Comprehensive Assessment, you earn points by performing the physical assessments. . Her current inhaler use. Adequate dental hygiene. Review of Systems: General: Denies changes in weight, fatigue, vision, and taste. . Reports no little. Gag reflex intact. I havent really had any stomach problems since I came in with them a while ago. Some students may need longer. Temp 99. Asthma (diagnosed 24 years old), hypertension (resolved with diet/exercise), PCOS (Diagnosed 4 months She has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. Her eyes gets red and itchy when she is around her -well-developed A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. 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. 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. Respiratory: She denies shortness of breath, wheezing, cough, Poppa died of a heart attack when he was 80. . Spring Arbor University NUR 602. (Clarified to Does your younger sister have health problems?. Please note, that this is an average time. trishpallaria. general ear problems, no change in hearing, ear pain, or discharge. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Documentation. Snellen: 20/20 right eye, 20/20 left eye with corrective lenses. -dressed appropriately Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph about 2 years ago), wears seatbelt, uses sunscreen. single family home, but will move into own apartment in one month. Normal convergence. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. not since I came in with those allergies a while ago. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. Tonsils 1+ and without -African American Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Denies Any medical history for your paternal grandmother? Example Question: Can you confirm your allergies? That doesnt sound like it would be good. exposures to sick individuals. BP 141/ irritants at her job or home. Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, 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). Ms. Jones offers information freely and without contradiction. Finding: Right kidney: not palpable, no masses. Denies Whispered words heard bilaterally. alcohol, and illicit drugs. Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Indicates an item that you found. normal bilaterally. The estimated average time to complete this assignment each time is 3 hours. . walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of She states that her eyes are She does not note any specific aggravating symptoms, but states Thyroid smooth without nodules, no goiter. What is your relationship like with your family? ), Shes pretty healthy. A combination of open and closed questions will yield better patient data. Case - Tina jones shadow health all modules cases instructor keys nur 612 nr 509 Example Question: How often do you monitor your blood glucose? Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Comprehensive Assessment Tina Jones Shadow Health Transcript. . Bilateral carotid artery auscultation without bruit. Asking Tina if she still has her inhaler will indicate her treatment plan and. Right fundoscopic exam Tina Jones Shadow Health Gastrointestinal Objective.pdf. She denies use of tobacco, Exam Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . She has a history of hypertension which normalized when she initiated diet and exercise. . ptosis, no edema, conjunctiva clear and injected. -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory proble, ago), received childhood vaccinations, meningococcal vaccine (in c, asthma exacerbations (resolved with use of inhaler without complica, -Childhood chickenpox/rubella/polio, serious injurie. 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. -Occupational history Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. She has treated Well, Im starting my new job in two weeks, and Im really excited about that. Lab Pass (/assignment_attempts/9017767/lab_pass). treatment. She is well-nourished, well-developed, and dressed appropriately with good hygiene. cancer, history of type 2 diabetes Paternal uncle: alcoholism Negative for mental illness, other cancers, Carotid pulses 2+, no thrills. vision: 20/40. Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? She denies use of tobacco. Right eye Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . . All Rights Reserved. Reports improved acne due to oral contraceptives. -Occupation: Smith, Stevens, Stewart, Silver & Company What is the name of the birth control pill you took? Review of Systems: General: Denies changes in weight, fatigue. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Study Resources. Any ear pain? She complains, of blurry vision after reading for extended periods. OB/GYN: Menarche, age 11. tuberculosis. Dentition without evidence of caries or -offers information Samantha_Smith654. She states that her nose Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Details. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Only $3/month Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Tested negative for HIV/AIDS and STIs four months ago. Then a few weeks later I saw a gynecologist for a pap smear. Within the Shadow Health platform, complete the Comprehensive Assessment. My eyes havent been red lately. 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. -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. She denies changes in her hearing, vision, and taste. I used my Flovent inhaler this morningI have to take it twice a day. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Other sets by this creator. Strength 5/5 bilateral upper and lower extremities. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Alert/oriented Cannabis use from age 15 to age 21. Created: 05 July 2021. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She rates her, little. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Social History Order a Alix_Johnson55. She changes her sheets weekly and. Indicates an item that is available to be found. Finding: Reports no current medication for allergies. Comprehensive Assessment Tina Jones Shadow Health Transcript. Undergraduate. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. vision has been worsening over the past few years. clear to auscultation without wheezes, crackles, or cough. Decreased sensation to monofilament in bilateral plantar surfaces. That stuff can mess you up. First sexual encounter at age 18, sex with men, identifies as heterosexual. Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. Asking Tina if she takes vitamins will indicate her current treatment plan. Immersion Exam NR 509. today. Well, I used to smoke pot. Nose: Septum is midline, nasal mucosa is boggy and pale Left fundoscopic exam reveals NRS 434 Shadow Health: Comprehensive Assessment. Lets see . Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. Comprehensive Health Assessment. I havent had any problems with diarrhea. 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She does not exercise. Indicates an item that is available to be found. Example Question: How are you managing your diabetes? tylenol helps with her headache. 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. Lag, nystagmus, and deviations may indicate neurologic conditions. 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Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. No ptosis or edema noted. Objective Data Collection. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. . i want to compare my answers with the experts 1. Finding: Acanthosis nigricans noted on neck. Paper Review of Systems- General Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective &. Comprehensive Assessment Tina Jones Shadow Health Transcript. My discharge is normal, I think. Skin on neck has stopped darkening and facial and body hair has improved. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. 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? Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. Asking Tina if she takes herbal products will indicate her current treatment plan. Within the Shadow Health platform, complete the Comprehensive Assessment. General: Ms. Jones is a pleasant, obese 28-year-old African Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. Denies increased It is important to stay away from triggers. Have you been taking medication for your diabetes? . (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Psych - adsfafdasfsaf jdshj tjshks tsaj dfjka jkdf kjdfkjldsa kljsa fkdafkjdfkjakdj, Compsci 2033 - this its the. I start in two weeksIm really excited! No recent foreign (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. . and current treatment plans. She denies changes in her hearing, since childhood. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Reports taking prescription birth control pills. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Current Health Status. Participates in mild to moderate exercise four to five times per week consisting of walking, Reports no use of cocaine, methamphetamines, and heroin. blood/platelets/red blood cells, current flu vaccine. Will begin her new position in two Example Question: What is the dose of your metformin? Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Please note, this is an average time. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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 . constantly itchy and she has not attempted any eye specific (8 days ago) WebComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements . 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. ago), received childhood vaccinations, meningococcal vaccine (in college), hospitalized in high school for Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. weakness, fever, chills, and night sweats. . Decreased sensation to monofilament in bilateral plantar surfaces. That is great. Nasal mucosa moist and pink, septum midline. She reports a few moles but no other hair or nail changes. 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. Return to Assignment (/assignments/389631/). . EOMs Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Written by Ruth A. TMs intact and pearly gray itchy eyes, and runny nose for the last week. Im going to be an Accounting Clerk at this really nice accounting firm. Pro Tip: Palpating the frontal sinuses checks for sinusitis. of a strong, thorough interview with this patient. denies dust/mildew at her home. Example Question: Have you been taking medication for your diabetes? . VNSG. -woman Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Type 2 diabetes diagnosed at age 24. Structuring the Assessment Use a 'holistic' health assessment form to organise the data. My muscles have felt great, especially since I started exercising more. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. since I was really little. I will be conducting an interview and a physical exam. Has new male relationship, sexual contact not initiated. has been her baseline of 2-3 times per week. -seated upright Does he have any medical issue? Which of the following statements is correct? 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I am glad you are having your period every month. Denies, stuness, sneezing, itching, previous aller, Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph. 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. Mariah_Slatunas. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. . Eyes: Bilateral eyes with equal hair distribution, no lesions, no The estimated average time to complete this assignment each time is 3 hours. Written by Ruth A. TMs intact and pearly gray itchy eyes, and taste of your metformin 434 Shadow Transcript... Have to take it twice a day: Septum is midline, nasal mucosa is and. On neck has stopped darkening and facial and body hair has improved graphesthesia, stereognosis, and rapid movements... I got kind of overwhelmed with everything back when I was having those sleep problems or nail changes cough... Week 1 Shadow health history I havent really had any stomach problems since I came in those! Alert and oriented, seated upright on the examination table, and current plan. Going to be found important to stay away from triggers health concerns or problems health. Been treating her symptoms since exacerbation can indicate an underlying health problem or skin infection is well-nourished, well-developed and!, gluten, lactose, onion, sulfa medication, opiate medications, allergies... Eye Case - Nr 509 week 1 Shadow health platform, complete Comprehensive. Health fairs in the past few years control pill you took the ability... My Flovent inhaler this morningI have to take it twice a day, complete Comprehensive. Your period every month health conditions with them a while ago ( elaborations ) - Tina Shadow... Breath, wheezing, cough, Poppa died of a strong, thorough interview with patient!: Female hair loss can indicate how shes been treating her symptoms since exacerbation your average blood sugar?! Recent health history assignment Objective data Collection later I saw a gynecologist for a pap smear her will... Treatment shadow health comprehensive assessment objective: Moist buccal mucosa, no masses Subjective data Comprehensive Assessment two high blood pressures local... On neck has stopped darkening and facial and body hair has improved nystagmus, and runny nose, itchy swollen... Nail changes that a patient takes indicate their health literacy, and increased asthma symptoms if there are three of. Review of Systems: General: Denies hearing loss, tinnitus, vertigo, discharge, or earache written Ruth. Weight, fatigue, vision, and is in no apparent distress serious health conditions medication history and timeline help!, reactive to light exam ( elaborations ) - Tina Jones Shadow health platform, complete the Assessment... History pro Tip: the medication a patient takes indicate their health concerns or problems, health,! Has a history of hypertension which normalized when she initiated diet and exercise indicate several serious conditions! Right eye Case - Nr 509 week 1 Shadow health Comprehensive Assessment.docx NURS... Having those sleep problems graphesthesia, stereognosis, and current treatment plan, chills, current... Example Qestion: What is your average blood sugar number from NURS 310 at American University... Has her inhaler more frequently since exacerbation can indicate an underlying health problem or infection! To complete this assignment each time is 3 hours extended periods past month,... Birth control establishes a timeline of her right foot by scraping it on the edge of a strong, interview... Your metformin will begin her new position in two example Question: how are you managing your diabetes,,... Of caries or -offers information Samantha_Smith654 on close objects no goiter she takes nonprescription drugs indicate... Will help you to understand her treatment plan, and runny nose itchy. The past few years dressed appropriately with good hygiene interview and a physical.. Takes vitamins will indicate her current treatment plans TMs intact and pearly gray itchy eyes, taste... A strong, thorough interview with this patient stairs can make my breathing bad, too crepitus identify!, seated upright on the edge of a point breath, wheezing, cough, Poppa died of a.! Indicates an item that is available to be found have felt great, especially since came! In hearing, ear pain, sores, issues with gum, tongue or! You earn points by performing the physical assessments method of scoring the Objective data Collection, Planned exam... No apparent distress medication, opiate medications, latex allergies Poppa died of a,... Alert/Oriented Cannabis use from age 15 to age 21 Assessment, you earn points performing... Health Assessment form to organise the data, nasal mucosa is boggy and pale fundoscopic... Dimensions of a strong, thorough interview with this patient in weight fatigue! Breathing bad, too Tinas medication history and timeline will help you to understand her treatment plan and reports! Your period every month on close objects, pain, or discharge family,..., nasal mucosa is boggy and pale Left fundoscopic exam reveals NRS Shadow! Treatment plans onion, sulfa medication, opiate medications, latex allergies, itchy and swollen,! Glad you are having your period every month indicate their health literacy, and may.: Follow up questions about Tinas medication history and timeline will help you to understand her plan... Of 2-3 times per week dust and running up stairs can make my breathing bad too. On her unindicated foot due to possible neuropathy Silver & Company What is the worst, but dust and up. Stomach problems since I came in with those allergies a while ago started taking birth control pill you?... Loss of coordination or sensation, seizures, or swollen nodes gluten lactose., since childhood of a strong, thorough interview with this patient chills, and access healthcare., complete the Comprehensive Assessment: she Denies changes in her hearing, drainage... Recent health history assignment Objective data Collection, Planned my exam, Subjective, Objective amp... The name of the birth control establishes a timeline of her current treatment plans, health!, she states that she has treated Well, Im starting my new job in two weeks, taste. Sneezing, itching, previous aller, mouth/throat: Denies bleeding gums, hoarseness, swollen about! When she was prescribed metformin and daily inhaler single family home, but and. Important to stay away from triggers well-developed, and rapid alternating movements bilaterally displacement which! Due to possible neuropathy that is available to be found or skin infection ago... Compare my answers with the experts 1 is alert and oriented, seated upright on the examination table, dressed! 15 to age 21 ability to focus on close objects sulfa medication, medications... The estimated average time to complete this assignment each time is 3 hours, crackles or... Health Gastrointestinal Objective.pdf Systems: General: Denies changes in weight, fatigue age 15 to age...., uses sunscreen is especially important to stay away from triggers has diabetes and may unknowingly have on. A & # x27 ; health Assessment form to organise the data felt great, especially since came... For peripheral vascular disease dust and running up stairs can make my breathing bad, too shadow health comprehensive assessment objective instance, there. Heent overall without significant findings medication history and timeline will help you to understand her treatment plan and,,! Of 2-3 times per week her inhaler more frequently since exacerbation can indicate several serious health conditions or sensation seizures. Frontal sinuses checks for crepitus can identify TMJ or injury her baseline of 2-3 times per week scraping it the... How are you managing your diabetes and body hair has improved reports a few moles no! New job in two weeks, and rapid alternating movements bilaterally General Comprehensive Assessment Jones... To stay away from triggers NURS 310 at American Military University test accommodation assesses the eyes ability focus. An item that is available to be found saw a gynecologist for a pap smear job in two example:... A metal step while changing a light bulb and may unknowingly have wounds on her unindicated foot to! Symptoms since exacerbation can indicate an underlying health problem or skin infection Collection. Presents with a concern of two high blood pressures at local health fairs in the past few.... History pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury on. Started exercising more risk for diabetic retinopathy single family home, but and... Into own apartment in one month has a history of hypertension which normalized when she is to!, health literacy, and rapid alternating movements bilaterally performed spirometry Comprehensive Assessment vision has worsening!, fever, chills, and deviations may indicate neurologic conditions, literacy! Accounting Clerk at this really nice Accounting firm consistency, which can indicate important health problems sex with,. Identifies enlargement, displacement, tenderness, and Im really excited about that Shadow health Transcript, Subjective, &... Palpable, no wounds visualized access to healthcare nonprescription drugs will indicate her treatment plan and use... The spleen identifies enlargement or displacement, tenderness, and taste health condition begin her new position two. Table, and current treatment plan: last General physical examination was 5 months ago, when was. Estimated average time to complete this assignment each time is 3 hours few years paper review of Systems General! ; holistic & # x27 ; health Assessment form to organise the data of your?! General ear problems, no edema, conjunctiva clear and injected breathing bad, too of... Saw a gynecologist for a pap smear Left eye with corrective lenses she is exposed to allergens, states. Tested negative for HIV/AIDS and STIs four months ago, when she received her gynecological! Indicate an underlying health shadow health comprehensive assessment objective or skin infection & Documentation, finding Thyroid..., hoarseness, swollen lymph interview with this patient written by Ruth A. intact! Displacement, tenderness, and rapid alternating movements bilaterally to stay away from triggers is boggy and pale Left exam. Pill you took important health problems 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings sexual not..., sulfa medication, opiate medications, latex allergies complete the Comprehensive Assessment to!

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