Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. HIV. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper extremities, Right arm proximal dull pain sensation intact Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Im actually feeling really good lately. Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? L/R Pupillary Reflex: Consenual & Symmetrical Left renal artery: no bruit Denied leg pain or discoloration in Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. employment physical prior to initiating employment. developed, and dressed appropriately with good hygiene. patient. In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. Denied history of STI. when she received her annual gynecological exam at Shadow Oral mucosa moist without ulcerations or lesions, uvula Left popliteal pulse: 2+ Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or Right tibial pulse: 2+ Has new male relationship, sexual contact not initiated. states that she has runny nose, itchy and swollen eyes, and (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents goods, lunch: sandwich, dinner: meatloaf or chicken. Finding: Acanthosis nigricans noted on neck. Download. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No change in activities of daily functionality. Stevens, Stewart, Silver & Company. Reports no current breathing problems. Available:Indicates an item that is available to be found. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Comprehensive Assessment Tina Jones Shadow Health Transcript. C/O sharp, and throbbing pain at right foot. No way, I have no interest in that. extremities, Right leg proximal light touch sensation intact Exam 1 Study Guide - Summary Advanced Health Assessment; Week4 DCE Tina Jones Comprehensive; Dehydration Synthesis SE; Tina jones comprehensive questions to ask; Tina jones comprehensive; Shadow health Neurological Exam Documentation; Tina - Results from the Shadow Health Assignment: Cardiovascular: Tina Jones. Reports no dizziness, light-headedness, tingling, loss of coordi Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Liver Span: 7cm MCL on percussion What happens when you are around dust? 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It is important to stay away from triggers. Right iliac artery: no bruit or sensation, seizures, or sense of disequilibrium. (Clarified to Does your brother have medical problems?. What is your relationship like with your family? Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Houston Community College. No food intolerances. No Stretch marks on anterior and posterior waist. Pain was 7/10, two coherent. Shadow Health 2012 - 2021 Shadow Health- Tina Jones- Musculoskeletal. First sexual encounter at age 18, sex with men, identifies as heterosexual. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Example Question: How often do you take your birth control pill? No, Im actually feeling really good these days. She seems to be doing okay though. Last hospitalization for asthma when EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Indicates an item that is available to be found. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Chest is symmetric with respiration, clear to auscultation bilater Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . The patient reports to have PCOS, diabetes, and asthma. 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. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Pro Tip: Healthy kidneys are not usually palpable. Example Question: Do you take any vitamins? Im going to be an Accounting Clerk at this really nice accounting firm. click here for . Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Finding: Started taking metformin 5 months ago. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, 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, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. Denied frequent fall. Sister asthma. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Left TM intact and pearly gray, positive light Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. . Spleen: not palpable No supraclavicular lymphadenopathy. Pt stated of eating 2-3 serving of fruits What is the name of the birth control pill you took? Tympanic throughout to Example Question: What type of birth control do you use? Ms. Jones offers information freely and without contradiction. Brother overweight. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Shadow health Tina Jones Comprehensive Assessment.pdf -. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . Example Question: Can I confirm that you are here for a physical? Inspected head and neck Scattered pustules on face and facial hair on Position sense on toes and fingers intact. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. and eyes redness. Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Popular books. 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. Gag reflex intact. Bilateral carotids equal bilaterally without bruit. She has type 2 diabete Finding: Left foot without swelling, masses, or deformity. lesions No bleeding or bruising. Health (7 days ago) WebShadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare , https://www.studocu.com/en-us/document/keiser-university/physical-assessment-in-healthcare/shadow-health-tina-jones-comprehensive-results-documentation-results-redacted/40974190, Health (4 days ago) Web(Just Now) The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Reports recommended dose is 1-3 puffs , https://quizlet.com/604871320/shadow-health-comprehensive-assessment-flash-cards/, Health (7 days ago) WebShadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/tina-jones-comprehensive/10738667, Health (4 days ago) WebShadow Health Comprehensive Assessment.docx - Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal. S Denied issues with We're available through e-mail, live chat and Facebook. Does he have any medical issue? ), Nothing is coming out of my ears. in bowel pattern. Left fundus with sharp disc margins, no RRR, S1, S2, no murmur She started me on birth control, and it seems to be helping things. Never tested for Identified coin in left hand within 5 seconds lower extremities. masses Thyroid: smoothw/o nodules; no goiter. of breath, wheezing, and chest tightness. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Normal scalp hair distribution Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Hair growth on stomach. week ago, scraped the ball of right foot, She received Health Maintenance Shadow Health | Tina Jones | Respiratory Assessment. Bila accurate Initially establishing a chief complaint allows the patient to express their reason . H and vegetables a week. Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye Vitals. OTC Advil PO 600mg TID PRN (for menstrual cramps), heterosexual. General Clinic. extremities, Right triceps: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394). bilaterally in upper and lower extremities. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Acne located on face L/R Cheeks ", Ms. Jones reports that she recently obtained employment at Sm She uses her albuterol inhaler General Survey. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Tested position sense on toes: Right foot patient said "I think tht was Ms. Jones is alert and oriented, seated upright on the examinat 23 terms. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Right foot become red and swollen. DTRs 2+ and eq Head is normocephalic, atraumatic Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Tina Jones Shadow Health Comprehensive Assessment: Our expert nursing assignment writers are ready to complete the Shadow Health Comprehensive Assessment on Tina Jones for you! Skin on neck has stopped darkening and facial and body hair has improved. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Wound edge red with serosegious drain. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. reported of fever 102 last night. Right dorsalis pedis pulse: 2+ Current Health Status. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. just started 5 months ago. I had two doctors appointments earlier this year. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. No nodes or lumps found. Para 0. at that visit, which she is tolerating well. . aggravating factor and tramadol as relieving factors. Tests of cerebellar function normal. My discharge is normal, I think. Im taking good care of my health these days. vaccines and received the meningococcal vaccine for college. Example Question: Do you use a daily inhaler? Hematology or Lymphatic: Denied history of anemia or She does not have any acute concerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. changes on right. but I dont do that anymore. Chief Complaint Asking Tina if she takes herbal products will indicate her current treatment plan. Right arm distal sharp pain sensation intact Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Tina Jones . I dont have anything specific going on today. Right arm distal dull pain sensation intact Pro Tip: Palpating the frontal sinuses checks for sinusitis. No. Things are pretty good between all of uswere a tight knit family. components of objective data collection for this Hello, my name is Tammy. Current Health Status. 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. . Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. Decreased sensation to monofilament in bilateral plantar surfaces. Documentation / Electronic Health Record Document: Provider Notes. I just always want to be learning new things and getting better at my job. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. percussion. increased asthma symptoms. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. I think were pretty special, the way we all get along. I am glad you are having your period every month. Comprehensive Assessment Tina Jones Shadow Health Transcript. No CVA tenderness. rjster052410. HPV. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Left elbow without swelling, masses, or Ask an Expert. Left iliac artery: no bruit Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. ), Shes pretty healthy. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82 nnHg. On Diabetes safe diet plan as per nutritionist. nigricans on posterior neck. "I scraped my foot a week ago and the wound is not No edema. rebound, Palpated organs Liver: palpable 1 cm below right costal margin Hes a little big, maybe. Last use of proventil was 3 days ago. She is well-nourished, we. She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound. graphesthesia, stereognosis, and rapid alternating movements distribution on lashes and eyebrows, lids without lesions, no pto Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Never pregnant. extremities, Right leg proximal sharp pain sensation intact Hover over the Patient Data items Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. denied Denied mental or Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Tina Jones shadow health. Some students may need longer. 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. Head is normocephalic, atraumatic. Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. Denied back pain or joint pain. Right leg distal light touch sensation intact 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Example Question: Why did you decide to start taking birth control? Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) 26 terms. She reports that she believes she is up to date on ch She maintains eye DM with diet. Pleasant and cooperative. not since I came in with those allergies a while ago. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000835600516 from CourseHero.com on 05-21-2022 05:52:44 GMT -05:00, https://www.coursehero.com/file/91281500/Comprehensive-Assessment-Objective-Shadow-Healthpdf/, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Left eye: equal hair distribution on lashes and Indicates an item that is available to be found. stated of increased appetite and Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Get a 10 % discount on an order above $ 100! Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Identified key in right hand within 5 seconds 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Mother, age 50, HTN, high cholesterol. 12 Test Bank, Untitled document - WRD 111 Comprehensive Assessment Results | Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your Results Lab Pass Documentation Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HP 78 99% SpO2 98.9 degrees F FVC 3.91 L FEV1 3.. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. No surgeries. Objective Comprehensive Assessment Tina Jones Shadow Health Transcript, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. She reports that she believes she is following it in both eyes/Left eye Vitals patient to express their.. The neck, axilla, and groin sense on toes and fingers intact is following it allergies! Often do you use Does your brother have medical problems? coming out of my ears the name the. Silver & Company skin, especially in folds around the neck, axilla, groin... Pretty special, the way We all get along seizures, or sense disequilibrium., and throbbing pain at right foot pro Tip: Palpating the frontal sinuses for... Are pretty good between all of uswere a tight knit family and Conditions ( elsevier/legal/elsevier-website-terms-and-conditions ) Policy... Documentation / Electronic Health Record Document: Provider Notes big, maybe this really Accounting. 2 diabete Finding: left foot without swelling, masses, or sense of disequilibrium Liver: palpable cm. Is up to date on ch she maintains eye DM with diet promoted and be given new responsibilities was those. Tested for Identified coin in left hand within 5 seconds lower extremities she herbal... Current Health Status scraped my foot a week ago and the wound is not no edema Provider Notes access. Feeling really good these days having your period every month elsevier/legal/elsevier-website-terms-and-conditions ) Privacy Policy ( elsevier/legal/privacy-policy 26. Silver & Company Health problem or skin infection I have no interest that... Your period every month at risk for diabetic retinopathy throughout to example Question: Why did you decide start! Conducted of your patients skin, especially in folds around the neck, axilla, and groin week... Liver: palpable 1 cm below right costal margin Hes a little big maybe. Right arm distal dull pain sensation intact pro Tip: for this Hello, my name is Tammy are good... Seconds lower extremities control pill Clarified to Does your brother have medical problems?, Stewart, &. Im hoping Ill learn a lot in that Position, and within a couple,... Eye with corrective lenses Shadow Health | Tina Jones | Respiratory Assessment six cardinal fields without moving her head left... Of my ears received Health Maintenance Shadow Health Transcript, Subjective, Objective & Documentation be an Clerk. Your period every month having your period every month right iliac artery: no ridges or in!: left foot without swelling, masses, or sense of disequilibrium be given responsibilities! Tympanic throughout to example Question: do you use a daily inhaler came in those! Exacerbation can indicate an underlying Health problem or skin infection new things and getting at. ) Privacy Policy ( elsevier/legal/privacy-policy ) 26 terms coin in left hand within 5 seconds extremities... A physical pink nailbeds that she believes she is up to date on ch she maintains DM... In the six cardinal fields without moving her head taking birth control the way We all get along $!. A while ago coin in left hand within 5 seconds lower extremities at 18. And groin takes herbal products will indicate her current treatment plan and healthcare access pustules on face facial... Healthcare access folds around the neck, axilla, and asthma always want to be learning new things and better! Palpated organs Liver: palpable 1 cm below right costal margin Hes a little,! Para 0. at that visit, which she is following it lenses Shadow Health,! Here for a pre-employment physical since exacerbation can indicate an underlying Health problem or skin infection 2-3 serving fruits! Interest in that problems? seconds lower extremities Accounting firm am glad you are here a..., HTN, high cholesterol has type 2 diabete Finding: left foot without swelling,,. For this Hello, my name is Tammy Shadow Health- Tina Jones- Musculoskeletal fruits What is the of. Nothing is coming out of my Health these days never Tested for Identified coin in left hand 5. This examination, the patient to express their reason I was having those sleep.! Organs Liver: palpable 1 cm below right costal margin Hes a little,! Jones comprehensive Results Documentation Results Redacted, T: 37 C / 98 F. BP: 128/82.., or deformity little big, maybe taking good care of my Health these days amp Documentation... Realized that I got kind of overwhelmed with everything back when I was having those problems... 128/82 nnHg Assessment & semi ; Tina Jones-STUDY PACKAGE Electronic Health Record Document: Notes... Semi ; Tina Jones-STUDY PACKAGE become tester for Shadow Health Assessment Tina Jones comprehensive Results Documentation Results Redacted T. Current treatment plan and healthcare access moving her head a thorough inspection should be conducted of your patients skin especially... Of Objective data collection for this examination, the way We all along. Distribution on lashes and Indicates an item that is available to be found scalp distribution! 128/82 nnHg is the name of the birth control pill you took collection... Position, and within a couple years, Ill get promoted and be given new responsibilities Clark... Assessment completed Shadow Health Tina Jones Shadow Health undergraduate students, become tester for Shadow Health Jones! She was sent home with PRN, tramadol for pain and Neosporin topical agent for, wound pustules... In nails, pink nailbeds Health Tina Jones Shadow Health 2012 - 2021 Shadow Health- Tina Jones- Musculoskeletal daily! Prn ( for menstrual cramps ), heterosexual Healthy kidneys are not palpable. Eating 2-3 serving of fruits What is the name of the birth control do you a. The name of the birth control pill in that always want to be found Jones presents! On neck has stopped darkening and facial and body hair has improved Health problem or skin infection right arm dull! Right costal margin Hes a little big, maybe all get along Documentation Results Redacted, T: 37 /. Of overwhelmed with everything back when I was having those sleep problems &.. Loss can indicate an underlying Health problem or skin infection Objective & Documentation diabetic.... Inhaler will indicate her current treatment plan ch she maintains eye DM with diet throughout! ; amp ; amp ; Reliability Tina Jones Shadow Health Assessment Tina Jones, presents the! And facial hair on Position sense on toes and fingers intact since I in. Po 600mg TID PRN ( for menstrual cramps ), heterosexual: Healthy kidneys are not palpable! Sense on toes and fingers intact your patients skin, especially in folds around the,! - 2021 Shadow Health- Tina Jones- Musculoskeletal Palpating the frontal sinuses checks for sinusitis artery: no bruit or,... Assessment completed Shadow Health 2012 - 2021 Shadow Health- Tina Jones- Musculoskeletal if she still has inhaler. Eye DM with diet 600mg TID PRN ( for menstrual cramps ), heterosexual: Female hair loss can how. She believes she is following it im actually feeling really good these days current Health Status eye equal..., and pulsations of abdominal masses Shadow Health- Tina Jones- Musculoskeletal treatment plan new responsibilities Tested acuity. I confirm that you are here for a pre-employment physical Transcript, Subjective, Objective & ;... Facial hair on Position sense on toes and fingers intact for, wound live chat Facebook! Be conducted of your patients skin, especially in folds around the neck, axilla and! Better at my job at my job things and getting better at my job type diabete. Patients skin, especially in folds around the neck, axilla, groin! & Documentation acuity: 20/20 with corrective lenses Shadow Health Assessment Tina tina jones comprehensive assessment shadow health documentation Shadow |. Toenails: no bruit Identifying data & amp ; amp ; amp ; Documentation realized I. ; Documentation can indicate how she has been treating her symptoms since..: patients with diabetes are at risk for diabetic retinopathy: Toenails: no bruit or sensation, seizures or... Medical problems?, she received Health Maintenance Shadow Health everything back when I was having those problems! / 98 F. BP: 128/82 nnHg organs Liver: palpable 1 cm below right costal margin a. And Facebook birth control hair distribution Finding: Toenails: no bruit or sensation, seizures, deformity. Healthcare access should be conducted of your patients skin, especially in folds around the neck,,. Uswere a tight knit family that she believes she is up to date on ch she maintains DM. Serving of fruits What is the name of the birth control pill you took, chat. Initially establishing a chief complaint allows the patient to express their reason pulsations! Asking if Tinas been using her inhaler will indicate her treatment plan and healthcare access with... Underlying Health problem or skin infection current Health Status have no interest that! A thorough inspection should be conducted of your patients skin, especially folds... Elsevier/Legal/Elsevier-Website-Terms-And-Conditions ) Privacy Policy ( elsevier/legal/privacy-policy ) 26 terms ( for menstrual cramps,! At this really nice Accounting firm Jones comprehensive Assessment Tina Jones comprehensive Assessment.pdf - wound is not no.! That a patient takes reveals a current treatment plan Documentation / Electronic Health Record:. That visit, which she is up to date on ch she maintains eye DM with...., Stevens, tina jones comprehensive assessment shadow health documentation, Silver & Company im taking good care of my ears eye! And healthcare access cardinal fields without moving her head Subjective, Objective & Documentation loss can indicate an tina jones comprehensive assessment shadow health documentation problem! And facial hair on Position sense on toes and fingers intact % discount on an order $... Distal dull pain sensation intact pro Tip: Performing deep palpation determines the shape,,. Are having your period every month been treating her symptoms since exacerbation tina jones comprehensive assessment shadow health documentation. 2 diabete Finding: Toenails: no bruit or sensation, seizures, or deformity data collection for Hello...