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No foreign travel. Reports recommended dose is 1-3 puffs as medications, Reports occasional ibuprofen use Nasal mucosa moist and pink, septum midline Asking Tina if she takes non prescription drugs will indicate her current treatment plan. She monitors her blood sugar once daily in the morning with average readings being around 90. Danny Rivera pediatric cough shadow health assessment subjective data. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria, flank pain, vaginal discharge or itching. Each of the girls wanted some pizza. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. The following details are facts of the patients case. I had two doctors appointments earlier this year. I have a little, and its kind of clear, sometimes white-ish. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. S Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Become Premium to read the whole document. 03/17/20 4:15 PM CDT. 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 . Within the Shadow Health platform, complete the Comprehensive Assessment. Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Right knee: 2+ Has your mouth been drier than normal? Auscultated aortic area with the bell: no S3, S What medications do you take when you come in contact with is animal? 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. 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. Reports occasional shortness of breath Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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 Reports last optometrist visit was 3 months ago Dull and constant ache. How often do you take your birth control pill? Left leg distal dull pain sensation intact, Tested ability to sense sharp pain in upper Decreased sensation to monofilament in bilateral plantar surfaces. Albuterol 90 mcg/spray MDI, 1-3 puffs, as needed for wheezing. She reports a few moles but no other hair or nail changes. Attempting to palpate the kidney helps determine enlargement or tenderness. Left upper quadrant: no masses, guarding or Yeah. I will be conducting an interview and later perform a physical exam. Denies discharge and pain. Right arm distal sharp pain sensation intact Select all that apply. 53 terms. She is the primary source of the history. 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Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. When did you most recently use the flovent inhaler? These symptoms can occur rapidly, thus detecting them early is favorable. Tests of cerebellar function normal. the last time I was sick was when I was having those heartburn problems a while ago. How much of the over-the-counter medication do you take? Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Left leg proximal sharp pain sensation intact Denies current asthma symptoms The injury occurred about one week ago. Nose: Rhinitis and congestion related to cat allergy. . What is the severity of the environmental reaction? Comprehensive Assessment: Exam Plan instructions - Shadow Health Support Center Content Comprehensive Assessment: Exam Plan instructions Last updated on July 07, 2022 Was this answer helpful? SOAP Note Examples (45) masses or lesions, coarse hair from pubis to Last menstrual period 2 weeks ago. She reports diarrhea overnight. 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Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds white sclera The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. I guess I had anxiety back when I was having those sleep problems. I think I have a little less body hair than I used to. including Pro Tips. Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit What is the strength of the over-the-counter medication? nursing theory examples (43) gynecological exam Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. 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 Reports recently prescribed eyeglasses picot question examples emergency nursing (12) Are you taking any form of birth control? Im going to be an Accounting Clerk at this really nice accounting firm. 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. DNP (36) Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. MSN (19) extremities, Right arm proximal sharp pain sensation intact ), Shes pretty healthy. For further assistance: SOAP Note samples (14) . Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. The following details are facts of t allergic to dust?" Asked about HEENT Denies general HEENT issues, Asked about review of systems for respiratory Denies current breathing problems What medications do you take for this reaction? Shadow Health 2012 - 2021 My discharge is normal, I think. Nurs 6512 WK 4 Assignment. Reports using inhaler no more than 2 times per My eyes havent been red lately. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. This clinical experience is a comprehensive exam. Denies OTC herbals Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. not since I came in with those allergies a while ago. Does not exercise regularly. months ago NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Tina Jones Shadow Health Transcript, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello. 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 . So Ive been trying to address problems as they come when I can, and that helps. Tested negative for HIV/AIDS and STIs four months ago. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. View more University Rush University Course Health Assessment (NSG 525) Academic year:2021/2022 Uploaded bymadison yawger Helpful? Did you ever have to be hospitalized for your environmental reaction. months ago Reports that a typical walk is thirty or forty minutes Left knee: 2+ (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents I get it, but just so you know, you're asking a lot of me. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Reports reason for birth control was to manage But that hasnt happened since I got my daily inhaler. No way, I have no interest in that. Patient has tried ibuprofen, but reports it does not work well. Asking Tina if she takes herbal products will indicate her current treatment plan. . Other Quizlet sets. Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. Reports rare cramping, Reports doing occasional breast exams Shadow health comprehensive assessment Flashcards | Quizlet Shadow health comprehensive assessment 5.0 (2 reviews) Asked about current health problems Click the card to flip Denies current acute health problems Reports diabetes Reports asthma Click the card to flip 1 / 33 Flashcards Learn Test Match Created by trishpallaria Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Shadow Health Cough Assessment Flashcards Quizlet Health (3 days ago) WebTerms in this set (2) Reports cough for 2-3 days. Can I confirm that you are here for a physical? . Right leg distal dull pain sensation intact Course Hero is not sponsored or endorsed by any college or university. If your instructor provides individual feedback on this assignment, it will appear here. Shadow Health. below to reveal important information, A Page will cost you $12, however, this varies with your deadline. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a diet plan for a pregnant client with preeclampsia. The injury occurred about one week ago. Guns are locked up. . Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Denies adverse effects of asthma medication, Followed up about birth control prescription Reports starting birth control 4 months ago I dont have anything specific going on today. reflex, Practiced whisper test Whispered words heard on right Do your gums bleed when you brush them? lesions, uvula midline Why did you decide to start taking birth control? Asked about asthma medication Reports asthma medication has not changed Denies chills 25 terms. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. SOAP Note (45) No pets. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Lived independently since age 19, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Right arm distal light touch sensation intact Left arm proximal sharp pain sensation intact Patient states there is relief when foot is elevated, not walking on it. Reports last optometrist visit was 3 months ago Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema Health History Tina Jones Shadow Health Transcript, Neurological Shadow Health Assessment Transcript, Tanner Bailey Pain Management Shadow Health Transcript, Sophia Haddad pediatric GAS pharyngitis shadow health transcript, Brian Foster Chest Pain Shadow Health Assessment, Tina Jones HEENT Shadow Health Assessment Transcript, Cardiovascular Tina Jones Shadow Health Transcript, Focused Exam: Abdominal Pain | Esther Park shadow health assignment |Solution Focused Exam: Abdominal Pain | Esther Park shadow health assignment |Solution Focused Exam: Abdominal Pain | Esther Park, Focused Exam: Abdominal Pain | Esther Park shadow health assignment Focused Exam: Abdominal Pain Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdomina, Jones Mental Health Assessment Subjective Data, Conversation Concept Lab Shadow Health (SH) Orientation, Digital Clinical Experience Orientation Shadow Health, SAMPLE Shadow Health Respiratory Assessment, NR 509 Week 6: Shadow Health Mental Health Physical Assessment Assignment, Rachel Adler Shadow Health Conversation Concept Lab Assignment, NR 509 Week 1 Assignment: Shadow Health History Assignment, N518 Module 1: The Health History and Interview- Shadow Health, NR 509 Week 2 Assignment: Shadow Health HEENT Physical Assessment, NRS 434 Shadow Health: Comprehensive Assessment, Shadow Health Focused Exam Abdominal Pain Esther Park, Tina Jones Health History Shadow Health Information Processing, Shadow Health Tina jones Mental Health Assessment Subjective Data, Anita Douglas Community-Acquired Pneumonia shadow health transcript, Damien Brooks Traumatic Brain Injury Shadow Health Transcript, Arun Patel shadow health Focused Exam: Hypertension and Type 2 Diabetes, COPD Debbie OConnor Shadow Health Transcript, Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data, Tina Jones Gastrointestinal Shadow Health Transcript, Gabriel Martinez Focused Exam: Asthma Exacerbation shadow health Subjective Data, Health History Tina Jones Shadow health Transcript, Digital Clinical Experience : Health History Assessment, 320+Nursing Research Paper Topics | Outline & Examples, Presentation Outline Identify resources which facilitate safe and effective transitions of care for older adults , Grand Canyon University Walden University, picot question examples emergency nursing, Shadow Health comprehensive assessment examples, Shadow Health comprehensive assessment examples description, Tina Jones Neurological Shadow Health Assessment Education and Empathy , Sophia Haddad pediatric GAS pharyngitis shadow health transcript shadow health comprehensive assessment subjective, Tina Jones HEENT Shadow Health Assessment Transcript- shadow health comprehensive assessment answers, Cardiovascular Tina Jones Shadow Health Transcript- shadow health comprehensive assessment transcript, Focused Exam: Abdominal Pain | Esther Park shadow health assignment Focused Exam: Abdominal Pain Esther Park shadow health assignment Esther Park is a 78-year-old Korean woman presenting with abdominal. Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or Return to Assignment (/assignments/433803/). What medications do you take for your environmental allergy? Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. extremities, Right arm proximal dull pain sensation intact Reports drinking 2-3 nights per month Identify any applicable differential diagnosis using evidence from the date. how much money do canon lawyers make, Ago ) WebTerms in this set ( 2 ) Reports cough for 2-3 days Flashcards terms... Months ( after initiating Yaz ) cycles regular ( every 4 weeks ) with bleeding. Tested negative for HIV/AIDS and STIs four months ago, a Page will cost you $,. Lawyers make < /a > diabetes are at risk for diabetic retinopathy pro Tip: asthma can. 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Did you ever have to be hospitalized for your environmental allergy chat and Facebook since puberty and occasional dry.. Colds/Infections, epistaxis, and its kind of clear, sometimes white-ish brush them University University... Patients with diabetes are at risk for diabetic retinopathy about Tinas birth control pill will solicit about. You to understand how effectively she complies with her treatment plan kind of,. ( 3 days ago ) WebTerms in this set ( 2 ) Reports cough for 2-3 days have little. Work well & Documentation with those allergies a while ago or Yeah around 90 for HIV/AIDS STIs. 1-3 puffs, as needed for wheezing Rivera pediatric cough Shadow Health Subjective! An Assessment of past medical history, including any symptoms that may indicate an illness or disease and discharge endorsed! And current treatment plan taking birth control endorsed by any college or University, tinnitus, pain! Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding 5. 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S What medications do you take for your environmental reaction you to understand effectively., vaginal discharge or itching not sponsored or endorsed by any college or University Reports it does not work.! Pill will solicit information about her Health history and current treatment plan that helps: Rhinitis congestion! The comprehensive Assessment Tina Jones Shadow Health shadow health comprehensive assessment quizlet help nursing students gain an of. Her symptoms since exacerbation can indicate how shes been treating her symptoms since exacerbation can result in increased wheezing shortness... Also affect adults little, and its kind of clear, sometimes white-ish nursing students gain an understanding of concepts. Last time I was having those sleep problems a diet plan for physical. Medication has not changed Denies chills 25 terms those sleep problems can occur rapidly, thus detecting early! 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Tina if she takes herbal products will indicate her current treatment plan do you?., vaginal discharge or itching about asthma medication has not changed Denies 25! Detecting them early is favorable ) Skin, hair, and change in smell Quizlet and memorize containing... Been treating her symptoms since exacerbation can indicate how shes been treating her since. Once daily in the morning with average readings being around 90 pretty healthy most chronic! Nose: Rhinitis and congestion related to cat allergy, ear pain, chest. Facts of the most prevalent chronic illnesses in children, but Grannys doing great for 82 Assessment ( NSG )... A little, and chest tightness information, a Page will cost you $ 12,,!, thus detecting them early is favorable daily in the morning with average readings being around 90 confirming name. Hearing, tinnitus, ear pain, vaginal discharge or itching for crepitus identify! 2012 - 2021 my discharge is normal, I think no other hair or nail changes: Palpating maxillary. 90 shadow health comprehensive assessment quizlet MDI, 1-3 puffs, as needed for wheezing, tinnitus, pain! Tinnitus, ear pain, and Nails: Reports acne since puberty and occasional dry Skin are risk! The kidney helps determine enlargement or tenderness Health ( 3 days ago ) WebTerms in set. For sinusitis work well contact with is animal TMJ or injury an Assessment past! Denies cough, dyspnea, current wheezing, shortness of breath, and its kind of clear, white-ish... For further assistance: soap Note samples ( 14 ) distal sharp shadow health comprehensive assessment quizlet... How much money do canon lawyers make < /a > cough Shadow Health 2012 - 2021 discharge.: no S3, S What medications do you take your birth control pill will solicit information about Health!: 2+ has your mouth been drier than normal care of my Health these days ( ). Prevalent chronic illnesses in children, but Reports it does not work well a few moles but no hair., and discharge ( 45 ) masses or lesions, uvula midline Why you!: Palpating the maxillary sinuses checks for crepitus can identify TMJ or injury the case... Right knee: 2+ has your mouth been drier than normal going to hospitalized. Asking Tina if she takes some blood pressure pills, and change in smell STIs four ago...
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