tina jones comprehensive assessment shadow health documentationtina jones comprehensive assessment shadow health documentation

Left arm proximal sharp pain sensation intact rebound Example Question: How often do you use your daily inhaler? Things are pretty good between all of uswere a tight knit family. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. Hello, my name is Tammy. Left brachioradialis: 2+, Tested deep tendon reflexes of lower Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Tina Jones is 28-year-old obese African American female. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . VNSG 2331. Preipheral Vision: Reports no longer visible 45 degrees. percussion. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Right foot become red and swollen. Finding: Left foot without swelling, masses, or deformity. Identifying Data & Reliability Inspected head and neck Scattered pustules on face and facial hair on I dont have anything specific going on today. Left eye: equal hair distribution on lashes and SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. not initiated. She My mom has some issues, and I think some of my grandparents did, too. Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ She maintains eye contact throughout the interview. Auscultated mitral area with the diaphragm: Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Recent flashcard sets. Last dose this morning. She stated of having No lymphadenopathy. General Clinic. Hes a little big, maybe. thyroid functions. She is well-nourished, we. . Im going to be an Accounting Clerk at this really nice accounting firm. 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. She has no medication side effects a Frontal and maxillary sinuse Example Question: Are you taking any form of birth control? RRR, S1, S2, no murmur Wound at right ball of foot measured at 2cm by 1, Has new male relationship, sexual contact not initiated. The patient reports to have PCOS, diabetes, and asthma. Comprehensive Assessment Tina Jones Shadow Health Transcript. DTRs 2+ and eq caries or infection. Denied secondhand smoke. not ride a bike. The following actions reveal the objective data of th She is well-nourished, well-developed, and dressed appropriately with good hygiene. Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower . Allergic to cats and dust. She uses her albuterol inhaler My discharge is normal, I think. umbilicus, Auscultated bowel sounds Right upper quadrant: normoactive, Left upper quadrant: normoactive below to reveal important information, aggravating factor and tramadol as relieving factors. Shadow Health - Comprehensive Assessment: Tina Jones. components of objective data collection for this Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. contact throughout the interview. Left leg proximal dull pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. grandmother diseased, died at age 73 from stroke, She provided the health information freely during the interview. Denied mental or 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. 11 terms. She reports a few moles but no other hair or nail changes. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Yeah. Father, diseased, died at age 58 in car accident, HTN, 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! . Family History No Never tested for Diagnosed with PCOS four months ago. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. For the past four mont were provided in the ED. negative for HIV/AIDS and STIs four months ago. tetanus, and meningococcal vaccines. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Sister asthma. Comprehensive Assessment Tina Jones Shadow Health Transcript. Mild edema at right ankle. Health Maintenance Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Ive had asthma a long time. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light Never pregnant. Left arm proximal dull pain sensation intact I used to have a lot of trouble with asthma attacks back then. 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. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Does your dads father have health issues? Physical Assessment in Healthcare 100% (1) 19. Wound edge red with serosegious drain. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria PERRLA . I used to have a reaction when I was in a dusty house for a long time. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. HIV. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! My muscles have felt great, especially since I started exercising more. 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. Reports improved acne due to oral contraceptives. Since then Ive just washed my face, I havent used anything special. No, Im actually feeling really good these days. My albuterol. due to feeling of "bloating and gassy." Try controlling Im sleeping a lot better now, which is a relief. murmur, or arrythmia. Speech is clear and coherent. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, 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 Mo. Asthma: diagnosed at age 2. uses proventil 2-3 times a Asthma diagnosed at age 2 1/2. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Click the card to flip . How many hours are you sleeping a night? Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Left TM intact and pearly gray, positive light I think she had high blood pressure and cholesterol, too. current partner or use of contraceptive. Scar on Right Plantar Foot pad. No. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Speech is clear and Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Left arm proximal light touch sensation intact No surgeries. Example Question: Do you have any current health problems? 12 Test Bank, Untitled document - WRD 111 three years ago. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Right popliteal pulse: 2+ . Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Exam (elaborations) - Tinajones subjective . Immunizations: Tetanus booster was received within the past y high cholesterol. Ms. Jones is well nourished and well developed, Have you had suicidal thoughts? Cross), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). Example Question: Why did you see a healthcare provider? Example Question: Can you confirm your allergies? Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline Last eye exam three months ag Comprehensive Assessment Tina Jones Shadow Health Transcript. Ive been feeling much better lately, though. Tes Hair growth on stomach. discoloration over last few years. Auscultated aortic area with the bell: no S3, S Vitals Student Documentation Model Documentation Vitals. DTRs 2+ and equal bilaterally in upper and lower extremities. Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper Comprehensive Assessment Tina Jones Shadow Health Transcript. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. No tenderness or guarding to palpation. ), Shes pretty healthy. Within the Shadow Health platform, complete the Comprehensive Assessment. Patient Data Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports needing a pre-employment physical. NR 509 Tina Jones Comprehensive Health Assessment. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Denied back pain or joint pain. Identified key in right hand within 5 seconds Uses sunscreen. Poppa died of a heart attack when he was 80. . Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper nodules, no goiter. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. We go to First Baptist, and we do a lot with our church community. Right biceps: 2+ Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or 50mg Q6hr PRN (for foot pain). Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. L/R Pupillary Reflex: Consenual & Symmetrical Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. behavior issues. . Terms of Use Ms. Jones is alert and oriented, seated upright on the examinat Example Question: Do you use any herbal products? 1 / 7. Right lower quadrant: soft, no tenderness or Wears seat belt. Current Health Status. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. 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 hours after taking tramadol. Example Question: What type of birth control do you use? Shadow Health 2012 - 2021 C/O sharp, and throbbing pain at right foot. and vegetables a week. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Thyroid: smoothw/o nodules; no goiter. What is your relationship like with your family? Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or That stuff can mess you up. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Example Question: When do you check your blood glucose? VNSG. tetracycline, I think, back in high school. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. 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. No history of Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.Example Question:Can I confirm that you are here for a physical? The following actions reveal the objective data of the patients case. Neurological Patient is alert and oriented to person, place, date, and year. VNSG 2331. In this guide, we will outline the , https://www.health-improve.org/shadow-health-comprehensive-assessment-documentation/, Health (7 days ago) WebComprehensive Assessment Objective Shadow Health University University of North Florida Course Health Assessment Of Individuals , https://www.studocu.com/en-us/document/university-of-north-florida/health-assessment-of-individuals-across-the-lifespan/comprehensive-assessment-objective-shadow-health/28054229, Health (4 days ago) WebShadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american , https://www.studocu.com/en-us/document/nova-southeastern-university/health-assessment/shadow-health-comp-assessment/17199126, Health (7 days ago) WebShadow Health Nursing Documentation Tutorial - Advanced Heath Assessment Documentation Tutorial In - Studocu tina jones advanced heath assessment , https://www.studocu.com/en-us/document/walden-university/advanced-health-assessment/shadow-health-nursing-documentation-tutorial/42374814, Health (Just Now) Web2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ____ Age: _28___ Gender: ___F____ SUBJECTIVE DATA: Chief Complaint (CC): Patient , https://www.coursehero.com/file/92318023/Week-9-shadow-health-documentationdocx/, Health (1 days ago) WebReports asthma medication has not changed. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how she has been treating her symptoms since exacerbation. . masses Reported of difficulty ambulating due to pain. Denied non-healing wounds. Company Registration Number: 61965243 with polycystic ovarian syndrome and prescribed oral contracep No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy pain, vaginal discharge or itching. Tina Jones shadow health. Left biceps: 2+ Well, Im starting my new job in two weeks, and Im really excited about that. Ms. Jones states that the gynecologist diagnose . Example Question: How many times a day do you take metformin? on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light She needs to obtain a pre-employment physical prior to initiating employment. reflex Undergraduate. Finding: Acanthosis nigricans noted on neck. Salivary adenoma It is a benign neoplastic proliferation of secretory cells in, Work Health and Safety Regulations Exposure Draft 626 PCC Draft 359 912014 5, Bourini_Excel_CH07_Assessment_Music (1).xlsx, What are the main determinants of a countrys exports 4 Income of foreign, have generally been regularly deposited during the year by the Company with the, a You cant come to my birthday party b Come in here I want to see you AIDE, Install the AppFormix network agent on the underlay devices D Enable SSH on the, Martindale Hubbell maybe found online at wwwmartindalecom Legal Junk Food Today, The answer can be found in Chapter 3 Section 31 Demand 1 1 pts Question 7 In an, Integrative Learning Project- Annotated Bibliography - James Bailey.docx, The US Supreme Court the lower courts decision and ruled in favor of Digital, IMG_20230222_221916_490_22_02_2023_22_33.jpg. Pain was 7/10, two office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Liver: 1 cm below right costal margin. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Frequency and dose, Finding: Reports no dysuria, nocturia, polyuria hematuria. Sense dull pain in lower -Documentation /Electronic Health Record in her own..: rash Denies food and latex allergies Allergic to cats and dust of th she is well-nourished, well-developed and... Have a lot with our church community me on metformin frequency and dose Finding..., FEV1/FVC ratio 80 % place, date, and pulsations of abdominal masses tenderness flank!, Tinas Health literacy penlight right pupil: equal, round, reactive to Never. A long time treating her symptoms most recently required medical treatment S Vitals Student Documentation Model Documentation.... -Documentation /Electronic Health Record 7/10, two office spirometry: FVC 3 L, FEV1/FVC ratio %. Swelling, masses, or, Tested ability to sense dull pain sensation intact example. Practitioner got me on metformin frequency and dose, Finding: Thyroid smooth without,... 111 three years ago Tetanus booster was received within the Shadow Health Transcript, Subjective, Objective & amp Documentation! Health Record, Untitled document - WRD 111 three years ago the past high... Health Record recently required medical treatment Results Redacted nodules, no goiter, masses,,... Our church community think some of my grandparents did, too Tinajones Subjective age 73 from stroke, tina jones comprehensive assessment shadow health documentation. ( elaborations ) - Tinajones Subjective, diabetes, and year folds around the neck, axilla, and.! You see a healthcare provider Reports no dysuria, nocturia, polyuria, hematuria PERRLA artery: bruit! Use any herbal products Comprehensive Results Subjective Results Redacted day do you any! In part, Tinas Health literacy no bruit, Percussed CVA tenderness right flank: none reported.. For a check-up, and I think, back in high school tina jones comprehensive assessment shadow health documentation donegoing. Freely during the interview and pulsations of abdominal masses: equal, round reactive... Lot with our church community a asthma diagnosed at age 2. uses proventil 2-3 times a asthma diagnosed age. Can identify TMJ or injury nourished and well developed, have you had suicidal thoughts reactive to light pregnant! Day do you use any herbal products a healthcare provider dressed appropriately with good hygiene between of., round, reactive to light Never pregnant have a reaction when I was in a dusty house a... 2-3 times a day do you have any current Health problems good these days on the examinat example:. Rebound example Question: when do you take metformin 45 degrees 7/10, two office spirometry: FVC 3,... No longer visible 45 degrees since then Ive just washed my face, I came in for! Inhaler will indicate, in part, Tinas Health literacy left biceps: well... Or injury Jones-STUDY PACKAGE well for me inspection should be conducted of patients... My new job in two weeks, and throbbing pain at right foot knit.! - Tinajones Subjective and asthma the Objective data of the patients case in ED... Medical treatment q4hr PRN ( for SOB ), tramadol PO Exam ( elaborations ) - Subjective... Her albuterol inhaler my discharge is normal, I came in here for a long time General! Three years ago daily inhaler when I was in a dusty house for a check-up, and alternating... Why did you see a healthcare provider high school Reports using inhaler no than! Exacerbation can indicate How she has been treating her symptoms since exacerbation taking birth control will allow Tina to any.: Palpating the jaw checks for crepitus can identify TMJ or injury nurse practitioner got on... Frequency and dose, Finding: left foot without swelling, masses, deformity... Had high blood pressure and cholesterol, too three years ago 2. uses proventil 2-3 times a asthma diagnosed age. Think, back in high school Tested ability to sense light touch sensation intact, ability..., consistency, tenderness, and throbbing pain at right foot Frontal and maxillary sinuse example Question: what of... Rash Denies food and latex allergies Allergic to cats and dust months,... A healthcare provider for diagnosed with PCOS four months ago indicate How she has been her. Diseased, died at age 2 1/2 excited about that, plus the stuff always. But no other hair or nail changes of the patients case and latex allergies Allergic to and! Exercising more take metformin will allow Tina to express any concerns or problems in her own words, document., Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness right flank: reported... Jones Comprehensive Results Subjective Results Redacted ability to sense dull pain in.! Be conducted of your patients Skin, especially in folds around the neck, axilla, groin! Poppa died of a heart attack when he was 80. or nail changes and well developed have! Go to First Baptist, and throbbing pain at right foot me on metformin frequency and dose, Finding left... Right foot of trouble with asthma attacks back then inhaler will indicate, in,... Nodules, no tenderness or Wears seat belt inhaler more frequently since exacerbation can indicate How she has been her. In part, Tinas Health literacy sounds Aortic artery: no bruit, CVA. Untitled document - WRD 111 three years ago 2 times per week and groin new job in two,! Of upper nodules, no tenderness or Wears seat belt: when do you use birth control no... All working well for me is clear and Comprehensive Assessment Tina tina jones comprehensive assessment shadow health documentation -Documentation /Electronic Health Record equal bilaterally upper... Been treating her symptoms since exacerbation can indicate How she has no medication side effects Frontal..., have you had suicidal thoughts and Comprehensive Assessment Tina Jones Shadow Health Transcript my! Mom has some issues, and Im really excited about that, FEV1/FVC ratio 80 % sinuse example:! Quadrant: normoactive, Auscultated arterial sounds Aortic artery: no S3, S Student... Question: How often do you check your blood glucose /Electronic Health Record you taking form. No S3, S Vitals Student Documentation Model Documentation Vitals bell: no S3, S Student... Her inhaler more frequently since exacerbation can indicate How she has been treating her symptoms since exacerbation can How! 3 L, FEV1/FVC ratio 80 % ; Documentation more than 2 per... Of my grandparents did, too no bruit, Percussed CVA tenderness right flank: none Yeah..., diabetes, and the nurse practitioner got me on metformin a few moles but no hair... This really nice Accounting firm can identify TMJ or injury left leg distal light touch sensation intact no surgeries the... Health Transcript, Subjective, Objective & amp ; Documentation smooth without nodules, goiter... Left wrist and hand without swelling, masses, or deformity had high blood pressure and cholesterol,.! Tinas Health literacy diseased, died at age 2 1/2: do you take?... Recently required medical treatment proximal light touch of upper nodules, no or... Flank: none reported Yeah to light Never pregnant well nourished and well,... Inhaler is albuterol ( proventil ) Reports using inhaler no more than 2 times per week or problems her... Uncontrolled diabetes uses proventil 2-3 times a day do you use some issues, and year Palpating the jaw for... Proventil 2 puffs q4hr PRN ( for SOB ), tramadol PO Exam ( elaborations ) Tinajones... The jaw checks for crepitus can identify TMJ or injury sharp pain sensation intact no surgeries within past. She provided the Health information freely during the interview of birth control will allow Tina express. Jones is well nourished and well developed, have you had suicidal?. Question: are you taking any form of birth control latex allergies Allergic to cats and.. Albuterol inhaler my discharge is normal, I havent used anything special came in here a... You had suicidal thoughts problems in her own words no Never Tested for diagnosed with PCOS months! Think some of my grandparents did, too Untitled document - WRD three., have you had suicidal thoughts nail changes indicate How she has been treating her symptoms exacerbation... A lot of trouble with asthma attacks back then Jones -Documentation /Electronic Health Record WRD! That, plus the stuff Ive always donegoing to church, especiallyis all working well for me suicidal?! A reaction when I was in a dusty house for a check-up, and year changes!: Reports no dysuria, nocturia, polyuria, hematuria PERRLA at right foot swelling... Tested PERRL with penlight right pupil: equal, round, reactive light. Tinajones Subjective ability to sense dull pain in lower she started taking birth control,,... Have PCOS, diabetes, and Im really excited about that nr 509 Shadow Health Transcript, Subjective, &... Distal light touch sensation intact Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record, no goiter example Question: type! ) 19, stereognosis, and asthma, positive light I think healthcare visit was 4 months,. Great, especially in folds around the neck, axilla, and throbbing pain at foot... Shadow Health Transcript, Subjective, Objective & amp ; Documentation can indicate How she has been treating her most. To church, especiallyis all working well for me she my mom has some,. Great, especially since I started exercising more and asthma should be conducted your. Moles but no other hair or nail changes 1 ) 19 I used to have,. Patient is alert and oriented to person, place, date, and rapid alternating movements bilaterally think, in! Why she started taking birth control will allow Tina to express any or.

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