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

Questions to ask during musculoskeletal assessment shadow health

11/11/2021 Client: muhammad11 Deadline: 2 Day

Shadow Health Reflection: Musculoskeletal And Neurological : Review Transcripts Attached

Professional Development

Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
What went well in your assessment?
What did not go so well? What will you change for your next assessment?
What findings did you uncover?
What questions yielded the most information? Why do you think these were effective?
What diagnostic tests would you order based on your findings?
What differential diagnoses are you currently considering?
What patient teaching were you able to complete? What additional patient teaching is needed?
Would you prescribe any medications at this point? Why or why not? If so, what?
How did your assessment demonstrate sound critical thinking and clinical decision making?

Neurological Results | Turned In Advanced Physical Assessment - March 2020, advanced_physical_assessment__td8__031720__sect1

Return to Assignment (/assignments/313478/)

Documentation / Electronic Health Record

Document: Provider Notes

Student Documentation Model Documentation

Subjective

Ms Jones who is african american pleasant female who presents to the clinic with c/o headache and neck stiffness She was in a slow moving car accident last week, and her symptoms just started two days ago. She was wearing her seat belt. She has a dull headache at the crown of her head and the back is at the back of her neck. She was no loss of consciousness. She takes tylenol which helps, with the pain 3/10. She feels her neck swollen, but has been resolving recently. Moving her neck hurts. ROS: She denies any fatigue, wt loss, fever or chills. Head: NO trauma, or LOC or dizziness,. Eyes: she wears reading glasses, and gets blurry when she reads to much. Ears: no hearing loss or ringing of her ears, no vertigo or earache. Denies any neck stiffnes. Musculoskeletal: denies problems with her ROM Denies any neurological disease or problems. No family hx of neurological disease or problems. Medical hx: Diabetes: no meds Asthma: Medications: Albuterol, proventil, tylenol and advil Allergy med: PCN: hives, and rash

HPI: Ms. Jones presents to the clinic complaining of a headache neck stiffness that started 2 days after she was in a minor fender bender. One week ago she states that she was a restrained passenger in an accident in a parking lot and estimates the spee be approximately 5-10 mph. She and the driver did not seek emergent care and felt fine after the accident. Two days later, however, she developed a bilateral temporal dull ache accompan by neck ache. She states that she feels as though her neck may slightly swollen as well. She did not lose consciousness in the accident and denies changes in level of consciousness since tha time. She states that she gets a headache every day that lasts approximately 1-2 hours. She occasionally takes 650 mg of over counter Tylenol with relief of the pain. She denies known associa symptoms. Review of Systems: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Head: Denies history trauma before this incident. Denies current headache. • Eyes: Sh does not wear corrective lenses, but notes that her vision has be worsening over the past few years, but no acute changes. She complains of blurry vision after reading for extended periods. De increased tearing or itching. • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. • Nose/Sinuses: Denies rhinorrhea Denies stuffiness, sneezing, itching, previous allergy, epistaxis, o sinus pressure. • Musculoskeletal: Denies muscle weakness, pai difficulties with range of motion, joint instability, or swelling. • Neurologic: Denies loss of sensation, numbness, tingling, tremor weakness, paralysis, fainting, blackouts, or seizures. Denies bow or bladder dysfunction. Denies changes in concentration, sleep, coordination, appetite.

Your Results Lab Pass (/assignment_attempts/6635634/lab_pass.pd

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Document: Provider Notes

https://aspen.shadowhealth.com/assignments/313478/
https://aspen.shadowhealth.com/assignment_attempts/6635634/lab_pass.pdf
Student Documentation Model Documentation

Objective

Oriented to person, place and time. Judgement and knowledge intact: Memory intact. no slurred speech Head: symmetrical no lesions, no trauma Weber test intact, rinne test intact, facial sensation intact, gag reflex intact Eyes: Blurry vision with prolong reading: Right eye vision 20/40: retina: with glacoma cupping. Left eye vision 20/20: retina: sharp edges Pupils: PERRL present Point to point intact for finger to nose, heel to shin. Sensation present in extremites except monofilament decreased sensation on foot. Present sensation at heels of both foot. DTR: 2+ for all reflexes Gait: wnl Graphesthesia: able to identify Sterognosis: able to identify

General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress, but appears uncomfortab while sitting in exam chair. She is alert and oriented. She maintai eye contact throughout interview and examination. • Head: Head is normocephalic and atraumatic • Eyes: Bilateral eyes with equal hair distribution. • Neurologic: Sense of smell intact and symmetric. Left eye visio 20/20. Right eye vision: 20/40. Left fundoscopic exam reveals sh disc margins, no hemorrhages. Right fundoscopic exam reveals retinopathic changes. Pupils equal, round, and reactive to light bilaterally. Extraocular movements intact bilaterally. Normal convergence. Facial sensation intact; facial features and symmet Rinne and Weber tests normal bilaterally. Gag reflex intact. Ability shrug shoulders symmetric; 5 strength against resistance. Neck full range of motion against resistance; 5 strength against resista Tongue symmetric with no abnormal findings. Bilateral upper and lower extremity DTRs equal and 2+ bilaterally. Point-to-point movements smooth and accurate for finger-to-nose and heel-to- shin. Rapid alternating movements of the upper extremities intac bilaterally. Gait steady with continuous, symmetric steps. Sensat intact to bilateral upper and lower extremities; sense of extremity position intact. Stereognosis and graphesthesia intact bilaterally.

Assessment

Headache and Neck pain due to s/p slow moving MVA Acute post-traumatic headache following low-speed MVA where Jones was a restrained passenger

Plan

Try Motrin 800mg po every 8 hours prn for headache Offer ice or heat to see if it helps with pain Educate on Warning signs: report any increase headache or worsening headaches, LOC, dizzinees or vomiting Education on exercises for ROM of neck Report to ER if headache is severe, LOC, nausea and vomiting, dizziness. Advise to have someone with her to watch her for the next 2 days if worsening symtoms. Telephone appt in 2 days to follow up with symptoms. Consider neuro consult if symptoms don't resolve CAT scan if sx worsens or no improvement

Encourage Ms. Jones to continue to monitor symptoms and repo any increase in frequency or severity of her headaches. • Initiate treatment with ibuprofen 800 mg by mouth every 8 hours as nee with food for the next 5 days. • Ms. Jones can also use adjunct therapy of topical heat or ice per comfort TID-QID. • Educate on stretches for upper back and neck. • Educate on when to seek emergent care including the worst headache of her life, acute changes in vision, hearing, or consciousness, episodes of nause vomiting associated with headache, or numbness, tingling, or paralysis of new onset. • Ask Ms. Jones to call the office in two d to discuss symptoms. If no decrease in symptoms, order a computerized tomography scan or magnetic resonance imaging

Comments

If your instructor provides individual feedback on this assignment, it will appear here.

© Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents

(https://www.shadowhealth.com/patents)

®

https://support.shadowhealth.com/
https://aspen.shadowhealth.com/static/terms_of_service
https://aspen.shadowhealth.com/static/privacy_policy
https://www.shadowhealth.com/patents

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:

Writing Factory
Assignment Solver
Chartered Accountant
George M.
Homework Master
Ideas & Innovations
Writer Writer Name Offer Chat
Writing Factory

ONLINE

Writing Factory

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

$43 Chat With Writer
Assignment Solver

ONLINE

Assignment Solver

I am a professional and experienced writer and I have written research reports, proposals, essays, thesis and dissertations on a variety of topics.

$17 Chat With Writer
Chartered Accountant

ONLINE

Chartered Accountant

As per my knowledge I can assist you in writing a perfect Planning, Marketing Research, Business Pitches, Business Proposals, Business Feasibility Reports and Content within your given deadline and budget.

$49 Chat With Writer
George M.

ONLINE

George M.

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

$31 Chat With Writer
Homework Master

ONLINE

Homework Master

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$29 Chat With Writer
Ideas & Innovations

ONLINE

Ideas & Innovations

I have read your project details and I can provide you QUALITY WORK within your given timeline and budget.

$21 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

Destin products uses a job costing system with two - Identify two causes of the great depression - Engineering studies hsc formula sheet - Ultimate frisbee lesson plan physical education - Carolina distance learning lab answers - Quickbooks Project Deliverable - Managing growth in entrepreneurship ppt - Nut teacher pay scales - Valentine carol ann duffy - Entrepreneur magazine cover template - Marriott cost of capital case solution - Statistics course weekly lab - Parts of the eye and their functions quiz - Chemistry current event articles - Ex 3 14 adjusting entries for prepaid insurance - A to z mysteries detective camp - Shed a tear for lord admiral nelson - Hsbc signatory mandate form - A thesis statement that outlines your main argument - What are the 7 domains of a typical it infrastructure - What causes fork lightning - Ben villars mexican restaurant wichita ks - Qx dailies - Assume that the real risk free rate is 2 - Habitable planet carbon lab answers - Answer the Following Quetstions - Report in two hours - Boobs an american obsession - React on article - Marketing 3101 - Oedipus rex short version - Consumer behavior week 6 - Approaches to Leadership - Criterion contamination psychology example - Hay job evaluation system chart - British army phase 1 training pirbright - Why is tollund man important - American history connecting with the past mcgraw hill - Syndetic and asyndetic listing - Promotions and Product life cycle - Vhl 6.2 answers - Love vashikaran specialist In kOlkAtA [#+91 9928097710 #]\Top And Best Tantrik Aghori Baba - Http www nayre org - Unit 6 - Electrical separation shaver socket diagram - Worksheet 4.4 tension worksheet answers - Thesis review - Route 75 tram map - I stick my pee pee in cheerios song - Chapter 8 data analysis and statistics answers - Drywall repair clips home depot - Reflection Paper Assignment - Business statistics 3rd edition sharpe deveaux velleman - In plato's republic what service does glaukon do for socrates - English a level grade boundaries - Convert 27 months to fortnights - Flow hospitality food safety level 2 answers - Civil disobedience destroyer of democracy summary - Ecological succession lab graph answers - Description of a haunted castle - English Composition 4 - Pro rata allotment of shares calculation - An analyst has timed a metal cutting - Human powered light bulb experiment - Discussion Questions - Two shuffleboard disks of equal mass one orange - HCA/370Organizational Behavior - Api 20e analytical profile index database - Synthesis of dibenzalacetone lab report - Str 581 week 5 quiz - Hospital products v ussc - Research Paper in Arab Uprisings - Jci 6th edition pdf - A sales associate in a department store earns a commission - Snhu mailroom hours - Deca role play sports and entertainment - Case study ihrm issues - Dicom to jpg converter online - Difference between atom and molecule in dell boomi - Comparison of ethical theories - Tradoc pam 525 8 2 - Why doesn t romeo want to fight tybalt at first - Catechol oxidase in potatoes - Austin hospital mri department - Surpluses drive market prices up shortages drive them down - Constructed wetlands for wastewater treatment ppt - Barcelona restaurant group the evolution of management thinking summary - Acap edu au student portal - Spssexam sav - Flinders reef moreton bay - According to mischel encoding strategies are - Ginny's restaurant an introduction to capital investment valuation - Assignment Due 09/08/2020 3pm - Nku blackboard app - Technology Evaluation Presentation - Care certificate standard 4 - Myteacherpages answers - Coll Bargain 4.1 - Disaster managment - Who is zeebo what does he do at the church