Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Comprehensive assessment shadow health answers

15/10/2021 Client: muhammad11 Deadline: 2 Day

SHADOW HEALTH DOCUMENTATION

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 1/7

Documentation / Electronic Health Record

Vitals Student DocumentationStudent Documentation Model DModel D

B/P 128/82, HR 78, RR 15, T 37.2C, Pox 99%, Pain 0/10, FVC 1.78, FEV 1.549 N/A

Health History Student DocumentationStudent Documentation Model DModel D Identifying Data & Reliability 28 year-old AA female, calm/cooperative, good historian.

N/A

General Survey Mrs. Jones is a well appearing 28-year-old AA female, A+O x4, NAD VSS, 0/10 pain, last menstral period 2 weeks ago.

N/A

Reason for Visit Tina is in for a general physical required for her insurance through new job.

N/A

History of Present Illness Patient is here to have a general physical for her new job and insurance requires it. Paitent has no real complaints at this time.

N/A

Documentation

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 2/7

Student DocumentationStudent Documentation Model DModel DMedications Metformin Daily (most likely steroid) Inhaler Albuterol inhaler Zantac Yaz (birth control)

N/A

Allergies No known drug allergies Allergic to cats.

N/A

Medical History DM2 Asthma GERD PCO2 Palpitations Lower back pain Hypertension Anxiety Sleeplessness irregular menstral cycles

N/A

Health Maintenance Eating better, exercising, recent weight loss. Eye exam 3 months ago, new Rx eye glasses GYN visit 4 months ago. Physical 5 months ago. Had denal visit.

N/A

Family History Mother has hypertension and hyperlipidemida; Father has hypertension, hyperlipidemia, and diabetes; Paternal grandparents and Maternal grandparents patient is unceratin with health history.

N/A

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 3/7

Student DocumentationStudent Documentation Model DModel DSocial History Patient follows fairly strict diabetic diet, keeps caffeine intake to 2 diet soda a day, patient is occaisonal drinker and never has more than a few sporadically, patient engages in walking at least 3 to 5 times a weeks for over 30 minutes, and patient is currently seeing new boyfriend, not sexually active yet, and has support system of mom, friends, and siblings and currently lives with mother.

N/A

Mental Health History Patient denies any real anxiety or stress at present time, but history of both due to passing of grandparent, but denies ever having depression, and verbalizes appropriate sleep patterns.

N/A

Review of Systems - General General: Tina denies fatigue, fever, or chills HEENT: patient denies hearing issues, double vision, sneezing/rhinitis, denies issues with swallowing/eating, denies tenderness to neck and has full ROM. Skin: denies any rashes, itchiness, dry skin, wounds, scars, Respiratory: patient denies SOB, wheezing, asthma excaerbations, cough. Cardiovascular: Tina denis palpitations, chest pain, tightness, discomfort, or edema Gastrointestinal: denies nausea, vomiting, diarrhea, constipation, heartburn, gas Genitourinary: Denies frequency, urgency, polyuria, urine yellow straw-colored, denies heavy period flow, irregular menses, or cramping. Neurological: denies any numbness, tingling, dizzyness, headaches, or change in bowel/bladder control. Musculoskeletal: denies weakness, pain, verbalizes steady gait, Hematologic/Endocrin: denies any easy bruising, blood clots, denies issues iwth diabetes (in good control), denies heat/cold intolerance Psychiatric: denies depression, anxeity, mood swings, stress.

N/A

HEENT Student DocumentationStudent Documentation Model DModel D

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 4/7

Student DocumentationStudent Documentation Model DModel DSubjective Patient verbalizes use of glasses, no problems with hearing, swallowing, mourht, or neck problems.

N/A

Objective Head: head supples, no masses noted, no tenderness Eyes: no limitations to vision, extraoccular movemnts intact, sclera white and conjunctiva pink/moist, field of vision intact. Ears: hearing normal, passed whisper test, all structures intact and WNL Nose: membranes moist/pink, no inflammation, drainage noted. Mouth: teeth intact, gums pink/intact, toungue pink without defect Neck: no tenderness, no masses palpaable, full ROM, thyroid normal size

N/A

Respiratory Student DocumentationStudent Documentation Model DModel D Subjective No complaints of SOB, wheezing, cough, pain upon inspiration/expiration, uses inhalers as prescribed.

N/A

Objective Inspection of chest anteriorly and posteriorly WNL, no tactile fremitus throughout, chest expansion equal/symmetrical and without difficulty, all areas posteriorly resonant, and anteriorly as well, lung sounds clear throughout without any crackles, or wheezes, or rubs noted.

N/A

Cardiovascular

Student DocumentationStudent Documentation Model DModel D This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 5/7

Student DocumentationStudent Documentation Model DModel DSubjective Patient denies palpitations, chest pain.

N/A

Objective S1, S2, no murmurs, all pulses 2+ throughout with no bruits/thrills, PMI nondisplaced with no heaves or lifts, capillary refill in both hands and feet <2 sec/brisk.

N/A

Abdominal Student DocumentationStudent Documentation Model DModel D Subjective No complaints of reflux, gas, pain, diarrhea, constipation, bleeding in stools, daily bowel movements with no difficulties.

N/A

Objective Bowel sound normoactive all quadrants, no masses palpable, soft and non-tender, liver palpable 1cm below right costal margin, spleen not palpable, kidneys not palpable and no masses, absence of CVA tenderness,

N/A

Musculoskeletal Student DocumentationStudent Documentation Model DModel D Subjective No complaints of weakness, pain, or difficulty walking, or picking up, or bending/twisting.

N/A

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 6/7

Student DocumentationStudent Documentation Model DModel DObjective All extremities,neck, shoulder, hip, back 5/5 strength, ROM WNL for all extremites, neck, all areas adduction, abduction, inversion, eversion, extension, flexion, bending, supination, pronation, normal, spine midline,

N/A

Neurological Student DocumentationStudent Documentation Model DModel D Subjective Patient denies dizzyness, headaches, numbness/tingling, sharp/dull sensation normal throughout.

N/A

Objective Heel moving to shin intact, able to touch ringer to nose without difficulty, alert and oriented times 4, memory intact, gross and fine motor movement intact, sharp/dull/soft sensation intact throughout, some sensation loss to left foot near pad/toes, all reflexes 2+, sterognosis and graphesthesia are intact.

N/A

Skin, Hair & Nails Student DocumentationStudent Documentation Model DModel D Subjective Patient has no complaints of rashes, itching, dry skin, wounds, scars.

N/A

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
1/29/2020 Blackboard Learn

https://class.waldenu.edu/webapps/blackboard/content/contentWrapper.jsp?course_id=_16633159_1&displayName=Shadow+Health+NURS6512&hr… 7/7

Student DocumentationStudent Documentation Model DModel DObjective No obvious wounds, scars, rashes, discoloration, skin warm.dry, normal for race, nails have no ridges or abnormalities, hair is thick, full, no issues.

N/A

This study source was downloaded by 100000822789681 from CourseHero.com on 04-30-2021 17:00:07 GMT -05:00

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/

Th is

stu dy

re so

ur ce

w as

sh ar

ed v

ia C

ou rs

eH er

o. co

m

Powered by TCPDF (www.tcpdf.org)

https://www.coursehero.com/file/54062835/Tina-Comprehensive-Assessment-Shadow-Health-Documentationpdf/
http://www.tcpdf.org

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Finance Professor
Accounting & Finance Mentor
Unique Academic Solutions
Homework Tutor
Smart Homework Helper
WRITING LAND
Writer Writer Name Offer Chat
Finance Professor

ONLINE

Finance Professor

I am an academic and research writer with having an MBA degree in business and finance. I have written many business reports on several topics and am well aware of all academic referencing styles.

$17 Chat With Writer
Accounting & Finance Mentor

ONLINE

Accounting & Finance Mentor

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$44 Chat With Writer
Unique Academic Solutions

ONLINE

Unique Academic Solutions

I find your project quite stimulating and related to my profession. I can surely contribute you with your project.

$26 Chat With Writer
Homework Tutor

ONLINE

Homework Tutor

I am an elite class writer with more than 6 years of experience as an academic writer. I will provide you the 100 percent original and plagiarism-free content.

$32 Chat With Writer
Smart Homework Helper

ONLINE

Smart Homework Helper

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$23 Chat With Writer
WRITING LAND

ONLINE

WRITING LAND

I will be delighted to work on your project. As an experienced writer, I can provide you top quality, well researched, concise and error-free work within your provided deadline at very reasonable prices.

$25 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Uses of metals worksheet - Ed Tech/ Learning Objective Question - Lee v lee's air farming ltd - Another short question - Final Paper - Ergon property pole specifications - Sally's beauty supply auburn maine - Initiating the project with elevator pitch - Stanley tookie williams documentary - Class 5 finish plasterboard - Ac dc power supply block diagram - Benefits of imperialism in africa - What is a complementary event - Douglas water treatment plant - Principles of incident response and disaster recovery 2nd edition pdf - Are children who create imaginary companions psychologically disturbed - Essay on Race and Ethnicity - Sister cities of brisbane - Hcf starter extras with optical - Jacobins definition french revolution - The last supper humanism - Sludge worm pollution indicator - Signature assignment environmental scan paper - European international school saigon - Utas library past exams - COM303 Week 6 Discussion 17 - English - Nike supply and demand - Myer strategy analysis - Matheson electronics has just developed - Komatsu axo 80 oil specifications - Put call parity formula - Difference between rolle's theorem and mean value theorem - Kessben information technology kumasi - Lab 2 separation of a mixture - Justice and fairness ethics - Looking For Dissertation Help UAE? - Https www youtube com watch v fvpakzqm3h8 - Tim hortons case study analysis - Active file recovery ultimate - Descriptive paragraph about a place - St martin guide to writing 8th edition pdf - Chcprt001 forum - E accent grave alt code - Run highlighted code matlab - A piece of plastic has a net charge of - Structural functionalism talcott parsons - Large metal beam crossword - Analyzing Transcripts and Evaluation Strategies - Deed of partition nsw - Strategic group map craft beer industry - Cost Analysis Benefit PPT - I need (1000 words)on Character Classification with a Multi-Layer Perceptron - Hyperglobalizer - Discussion - Ashley purchased a dining room set for 5000 - September 11 - Robert piggott senior school - Iu plagiarism certification test answers - Leccion 8 contextos activities answers - Fouch family off grid lawsuit - Johnny cash hurt remix eminem - The pedestrian literary devices - Kimberly clark good to great - Uow withdraw from subject - Ningbo new century import and export company ltd - Nursing and Community (Due 24 hours) - Information Systems Architecture - Developmental matrix birth to 18 years - Calculate volume of water - Milieu therapy is based primarily on the principles of ______ psychology. - 26 pathfinder road coomera waters - Hard rock cafe forecasting case study - Recommending an Evidence-Based Practice Change - Foundation of army leadership powerpoint - Refer to the lincolnville school district bus data - Blanket warmer temperature guidelines joint commission - Entire classes work - Police systems & Practices - Picnic spots in dandenong ranges - Knorr pyrrole synthesis mechanism - Medications Discussion - 300 words - 350 work answer nps - Lc3 traps - Application of myra estrin levine theory - You should be here sign worldventures - The interlopers by saki - Biology chapter 1 test answers - HR (LDRSHP MANA U_5_RPLx2) - Limiting and excess reactants assembling a race car - Sp ausnet pre approval - Water refilling station for sale - Kron reduction power system - Quadruple constraints in project management - Chemistry types of chemical reactions worksheet answers - Management information systems kelly rainer pdf - Friendship - E3 spark plug heat range chart - 7th grade pure substances and mixtures worksheet - Alvis 12 50 register