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

Tina jones neurological assessment answers

05/12/2021 Client: muhammad11 Deadline: 2 Day

Shadow Health Reflection: Musculoskeletal And Neurological : Review Transcripts Attached

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:

Professional Accountant
Ideas & Innovations
A Grade Exams
Smart Accountants
Calculation Master
Engineering Solutions
Writer Writer Name Offer Chat
Professional Accountant

ONLINE

Professional Accountant

I have assisted scholars, business persons, startups, entrepreneurs, marketers, managers etc in their, pitches, presentations, market research, business plans etc.

$27 Chat With Writer
Ideas & Innovations

ONLINE

Ideas & Innovations

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

$15 Chat With Writer
A Grade Exams

ONLINE

A Grade Exams

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

$25 Chat With Writer
Smart Accountants

ONLINE

Smart Accountants

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

$22 Chat With Writer
Calculation Master

ONLINE

Calculation Master

I reckon that I can perfectly carry this project for you! I am a research writer and have been writing academic papers, business reports, plans, literature review, reports and others for the past 1 decade.

$39 Chat With Writer
Engineering Solutions

ONLINE

Engineering Solutions

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

$50 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

Chemical test to identify hydrogen gas - Audi a4 convertible roof position sensor - Lost my vce certificate - Environmental Health (case 2) - BHA415 Module 1 Discussion Post 1 - Nbn fixed wireless signal strength test - Discussion: Professional Nursing and State-Level Regulations - Microflix activity immunology infection and initial response - Stakeholder Involvement - Sea moss dr axe - Dark secret - List of jumbled words with answers - Discussion #4 - 40 cm diameter in inches - Unit 4 Assessment - Environmental Literacy Plan – Phase IV - Vce theatre studies monologues 2021 - Carnival game project probability - Hawkesbury river county council - Course paper - Analysis of Negotiating Style - Spartan funerary customs and rituals - Mini golf castro valley groupon - Identify 3 peer-reviewed nursing journals. - Project managers must use discipline to control ____ - Services marketing discussion - Agility skill - 59a lloyd st strathmore - The links lady bay golf - Gobble cakes is a bakery that specializes in cupcakes - Certified general accountants of ontario - Discussion - Intrinsic motivation and self determination in human behavior - Who wrote blood brothers - Gibbs reflective cycle wikipedia - Disney supplier code of conduct - Topic 5 DQ 2 - Crime scene investigation research paper - How do documented backup and recovery procedures help achieve rto - The respiratory membrane consists of - How early punishments have influences modern correctional philosophy - Finance - Give me liberty eric foner second edition - The strategic target of a best cost provider is - Psychological first aid online post test answers - Fpga vs asic design flow - Avinash kaushik dashboard - Greenhouse gases bbc bitesize - What does cross burning mean - Discussion - Fortune 1000 companies in charlotte nc - Hamlin college of midwives - Pan macmillan the book thief - Weighted average calculator for payroll - Help us improve this course for future students - Need by Monday - PICOT Question Paper - How to calc percentage yield - Consumer discretionary industry analysis - HR (MANA APRCH/MRKT U_4_RPL) - Order 2392796: Supporting a Positive Student-Centered Culture - Subnetting worksheet - Post its notes on a marriage summary - Dc power supply circuit symbol - Human reproductive system vocabulary - Statement of internal control schools - What are ford's core competencies - Richard haas oregon historical society - C7 - Dental hygiene national board - National Parks - Ibm datapower soa appliance - Analysis of copper in a brass sample - Naplan online test administration handbook for teachers - Cost accounting involves the measuring recording and reporting of - Act government school jobs - 1.6 kg in grams - Hampshire social services adults - Reflection paper about business ethics - Dwight grabs jim's junk bloopers - Ordinarily, what source of evidence should least affect audit conclusions? - Two page research paper on "Security Issues with IoT Based Smart Home Devices" - Hapag lloyd open top container dimensions - 2b mindset food list - Community DQ 1 - Fairness by chinelo okparanta summary - Response checks and check backs are most commonly used - 93 little hobart street glass castle - Irish air corps spitfire - Exact values circular functions - Ethical Behavior of Business Students at Bo Diddley Tech - Dalton's law example in real life - Multicultural centre for women's health - The little prince journal - Community psychology linking individuals and communities 3rd ed pdf - Outline of essay technology and education - Operation of astable multivibrator - Vending machine mdb interface - Northeastern film major - Find the grams in 1.26 x10 4 mol of hc2h3o2 - Transition from nurse practitioner to doctor