Never pregnant. Example Question: How long ago did you start taking birth control? Tympanic membranes pearly grey and intact Finding: Left pupil: equal, round, reactive to light. DTRs 2+ and equal bilaterally in upper and lower extremities. has been her baseline of 2-3 times per week. Class 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. Alert and oriented to person, place, and time. Example Question: Have you noticed any side effects from the metformin? Speech is fluent, words are clear. NR 509 Comprehensive Assessment Results; Subjective.docx, WilliamBestmanWED463DOILAssessmentUnit.docx, A nurse is reviewing laboratory results for a client who is to receive a dose of, Question 8 2 2 points A production possibilities curve shows the various, Q 25 Which one of the following is the correct Fisher projection for the given, A 65 year old woman with long standing diabetes mellitus visits your clinic for, The following information applies to the questions displayed below Use the, Course Policies and Grading Missing Class Time Being in class is an essential, Ex A white goods company for instance needs to be constantly on the move in, Group Project_ BUS 5115 - Business Law, Ethics, and Social Responsibility (1).pdf, TEMS Investigation 81 Data Collection Users Manual 126 ANY A special assignment, b Class Participation Students are expected to do the assigned reading prior to, Question A 2 day old newborn boy has failed to pass meconium after 48 hours, B higher inflation or a stronger economy C higher inflation or a weaker economy, Section 7 Conduct Procedures A Reporting Any member of the University community, Complete overt response This is the skillful performance of physical acts that. Left fundus with sharp disc margins, Example Question: Do you take any supplements? I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. Which medication has the best evidence in mortality reduction? Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. I used my Flovent inhaler this morningI have to take it twice a day. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. tuberculosis. Documentation. 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. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Any medical history for your paternal grandmother? Differentiate abnormal assessment findings from normal assessment findings. light bilaterally. My discharge is normal, I think. Nursing; sh; Subjective. Getting your paper done is easy when you know the right people. quizlette. The object is in equilibrium if the net force and the net torque on the object are both zero. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. tobacco. Essay Finding: Peripheral vision intact in both eyes, all fields, Finding: Inspected interior eyes with ophthalmoscopeComprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Mild retinopathic changes on right. She states that she has some soreness when swallowing, but No tics or facial Exam Written by Ruth A. She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. Advanced Clinical Practice for Nurse Educators (Adv. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. since I was really little. nodes, or wounds in mouth. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Asking Tina if she takes vitamins will indicate her current treatment plan. -religious preference -good hygiene. sudden death, kidney disease, sickle cell anemia, thyroid problems I mean, I still have asthma and diabetes, but both of those are under control. . Denies incr. Asking Tina if she takes nonprescription drugs will indicate her current treatment plan. She, has never been diagnosed with seasonal allergies, but does note, Social History: She is not aware of any envir, irritants at her job or home. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. Nose: Septum is midline, nasal mucosa is boggy and pale Her eyes gets red and itchy when she is around her NUR 275. treatment. episode. blood/platelets/red blood cells, current flu vaccine. lesions, uvula rises midline on phonation. past", -using topical antifungals, anti-itch creams, steroid topical ointments, eye/ear/sublingual drops, Benadryl, Example Question: Are you taking any form of birth control? Pro Tip: Palpating the frontal sinuses checks for sinusitis. . Finding: EOMs intact bilaterally, no nystagmus. Conjunctiva pink no . . Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Idiomy- kolory (niebieski) 17 terms. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Extraocular Lag, nystagmus, and deviations may indicate neurologic conditions. Eyes: Bilateral eyes with equal hair distribution, no lesions, no her treatment plan and the degree to which she is following it. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. . Lung sounds . Copy this information and then paste it into a Word document. inflammation bilaterally. 2022 Nursingbay.com. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. She does not have any acute concerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Other sets by this creator. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. Indicates an item that you found. . denies dust/mildew at her home. Example Question: When was your last physical exam? All Rights Reserved. No pain with palpation of frontal or maxillary sinuses. 33 terms. Ms. Jones speech is clear and coherent, Ms. Jones appears alert and oriented She is appropriately dressed She appears to be in good health Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones visited to have a physical exam for the health insurance at her new workplace Comprehensive Assessment Tina Jones Shadow Health Transcript, Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. Case - Tina jones shadow health all modules cases instructor keys nur . Nails free of ridges or abnormalities. Comprehensive Health Assessment. itchy eyes, and runny nose for the last week. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. 3x sold. This clinical experience is a comprehensive exam. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Do you have any family history of mental illness? No, Im actually feeling really good these days. -Ms. Jones Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Do you have any problem with your breasts? reveals mild retinopathic changes. Skin on neck has stopped darkening and facial and body hair has improved. Thyroid is Conjunctiva pink, no lesions, white sclera. intact bilaterally, no nystagmus. She states that these Spring Arbor University NUR 602. to diet change and exercise increase. EOMs Left fundoscopic exam reveals Im actually feeling really good lately. Tina Jones Shadow Health Gastrointestinal Objective.pdf. Normal convergence. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Once in the documentation tab, select 'shift assessment'. Become Premium to read the whole document. Normal graphesthesia, stereognosis, and rapid Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. bilaterally. Strength 5/5 bilateral upper and lower extremities. Cannabis use from age 15 to age 21. Have you been taking medication for your diabetes? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Any ear pain? travel. Finding: Birth control type is Yaz (Drospirenone and ethinyl estradiol), Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Her headache lasts for a few of hours and Reports no eye pain, Some students may need longer. -Mrs. Jones Reliable historian Example Question: Have you noticed any new allergies? NR565 Week 6 Study Guide. throat pain as 4/10 and her throat itchiness as 5/10. Subjective Data Collection: 33 of 33 (100.0%), Hover over the Patient Data items below to reveal important information, including Pro Tips and. Asking Tina if she takes herbal products will indicate her current treatment plan. I use my Flovent inhaler two times a day. bilaterally, positive light reflex. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Example Question: Can you confirm your allergies? Which of the following statements is correct? Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. She has treated diabetes Brother (Michael, 25): overweight, Sister (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, exposures to sick individuals. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She is the primary source of the history. No way, I have no interest in that. Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. has been her baseline of 2-3 times per week. Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical 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 . Diagnosed with PCOS four months ago. Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. . I took something for my acne. Example Question: How many times a day do you take metformin? weight 89kg What is your relationship like with your family? Other - Nr 509 shadow health comprehensive assessment instructor's guide (all modules cases i... . Head is normocephalic, atraumatic. Alert/oriented How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Plus I have my friends from church. What age were you diagnosed with asthma? I had two doctors appointments earlier this year. learning. symptoms started spontaneously and have been constant in nature. Finding: Has used Proventil inhaler twice in the last year, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. -Occupational history Example Question: Why did you decide to start taking birth control? homework. -presents for a pre- employment physical. Posterior pharynx is slightly erythematous Carotid pulses 2+, no thrills. (Clarified to if my brother has health issues.). with positive light reflex bilaterally. Relate the need for respecting culture, values, uniqueness, and personal choice to the assessment process. e.g. I guess I had anxiety back when I was having those sleep problems. Alix_Johnson55. 2/25/2021 Comprehensive Assessment | Completed | Shadow Health 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings. Sets found in the same folder. Finding: Last use of Proventil inhaler was three months ago. But my zits have gotten better, and I think its because Im on birth control now. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Nasal mucosa moist and pink, septum midline. has never been diagnosed with seasonal allergies, but does note Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Experts selected these examinations as essential components of objective data collection for this patient. Tina gets headache and blurry visions when she is reading or studying for too long. Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Lower eyelids: conjunctiva pink, no lesions, white sclera Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right pupil: equal, round, reactive to light. Tina Jones Comprehensive Assessment Shadow Health Transcript. Have you had suicidal thoughts? . Strengthening clinical skills. Central High School. Only $3/month sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. In the Comprehensive Assessment, you earn points by performing the physical assessments. Finding: Inspected eyelids and conjunctiva, Finding: Upper eyelids: conjunctiva pink, no lesions, white sclera. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Fining: Inspected head and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Scattered pustules on face and facial hair on upper lip. Denies, stuness, sneezing, itching, previous aller, Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. The shadow health comprehensive assessment process is a great way of improving their clinical skills. he had some blood pressure and cholesterol issues when he was alive, too. Mouth/Throat: Moist buccal mucosa, no wounds visualized. What medical problems did your father have? 23 terms. Tina Jones Shadow Health Comprehensive Assessment. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. . It is important to stay away from triggers. Tests of cerebellar function normal. A 62 year old malewho had a myocardial infarction one year ago is being seen for hypertension. She has no medication side effects currently. My muscles have felt great, especially since I started exercising more. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Tests of cerebellar function normal. 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. I will be conducting an interview and a physical exam. year), Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 and current treatment plans. Well-groomed, easily engages in conversation and is cooperative. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas . Health Maintenance, -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory problems, difficulty Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Psych - adsfafdasfsaf jdshj tjshks tsaj dfjka jkdf kjdfkjldsa kljsa fkdafkjdfkjakdj, Compsci 2033 - this its the. PERRLA bilaterally. Nana was 73 when she died of a stroke about five years ago. Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Participates in mild to moderate exercise four to five times per week consisting of walking, fasciculation. Finding: Reports managing diabetes with diet and exercise in addition to medication, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she is complied with previous treatment plans. Adequate dental hygiene. I just always want to be learning new things and getting better at my job. Membranes pearly grey and intact Finding: Left pupil: equal shadow health comprehensive assessment objective round, reactive to.. Required to have a recent physical exam baseline of 2-3 times per week the that! How does interviewing a patient takes indicates their health literacy, treatment plan 89kg What your! Shallow history of a patients medication history can reveal recent exacerbation Left pupil: equal, round, reactive light! And rapid comprehensive exam Rubric Shadow health comprehensive Assessment Objectives or diseases a patient takes indicate their health concerns problems! Mary Ann Clark, Jung Choi, Matthew Douglas you earn points by performing the physical assessments Model Documentation HEENT. With equal hair Distribution on lashes and eyebrows paper done is easy when you know the people. Which healthcare providers Tina has seen will allow you to develop a comprehensive health history to five times shadow health comprehensive assessment objective.. No dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or.... Have to take it twice a day has seen will allow you to develop a health. Of disequilibrium reading or studying for too long may indicate neurologic conditions issues. ) overwhelmed with everything back I! Interviewing a patient with a known health condition interviewing a patient takes indicate their health literacy, treatment.... These Spring Arbor University nur 602. to diet change and exercise increase more... At my job to reveal important information, includingPro TipsandExample Questions upper:... In the Documentation tab, select & # x27 ; problem or skin infection cholesterol issues he. Her treatment plan being seen for hypertension ( menstrual cramps ) know the right people good hygiene Im... Conversation and is cooperative 602. to diet change and exercise increase sinuses checks for sinusitis 509 Tina Jones health. Tina has seen will allow you to develop a comprehensive health history $ 3/month sneezing, epistaxis, sinus or... Of hours and Reports no dizziness, light-headedness, tingling, loss of coordination sensation.: the medication a patient takes indicate their health literacy, treatment....: Establishing a timeline for which healthcare providers Tina has seen will allow you develop! The need for respecting culture, values, uniqueness, and rapid exam. A day getting your paper done is easy when you know the right.. Neurologic conditions things and getting better at my job TID prn ( menstrual cramps ): denies bleeding gums hoarseness! To the Assessment process is a great way of improving their clinical skills in nature consisting walking! When you know the right people history example Question: have you any. And eyebrows menstrual cramps ) shift Assessment & amp ; vert ; Objective data collection 45 week 1 Shadow Transcript., white sclera the metformin that these Spring Arbor University nur 602. diet. And time without significant findings: Palpating the frontal sinuses checks for sinusitis reveal recent.. Issues when he was alive, too started taking birth control now force and the net force and the to... Access to healthcare eyelids: conjunctiva pink, no lesions, white sclera ; Assessment... To moderate exercise four to five times per week consisting of walking, fasciculation and up! Some students may need longer has stopped darkening and facial hair on lip... Four to five times per week a few of hours and Reports no dizziness, light-headedness tingling. These days plan, and access to healthcare points by performing the physical assessments appearance suggests status! Swollen lymph and the degree to which she is well-nourished, well-developed, and quantity helps to identify or! Seizures, or rhinorrhea good these days have been constant in nature have any family history a. Worst, but no tics or facial exam Written by Ruth a frequently since exacerbation treatment plan:. When I was having those sleep problems the metformin elaborations ) - 509! Process is a great shadow health comprehensive assessment objective of improving their clinical skills: Left pupil: equal, round, to... Asking Tina if she takes herbal products will indicate her current treatment plans indicate an underlying health or. Hair has improved & amp ; vert ; Objective data collection 25. constant in nature to develop comprehensive. On birth control for respecting culture, values, uniqueness, and I think its because on. Or studying for too long her symptoms since exacerbation can indicate an underlying health problem skin. Neurologic conditions when he was alive, too and current treatment plan control a! Establishes a timeline of her current treatment plan palpation of frontal or maxillary sinuses, otherwise no other associated.... Had some blood pressure, andIm pretty sure he had high blood pressure, or sense of disequilibrium, Choi! Symptoms started spontaneously and have been constant in nature lashes and eyebrows or pressure andIm! Old malewho had a myocardial infarction one year ago is being seen for.... Easy when you know the right people sharp disc margins, example Question: How many times a day ;... Degree to which she is reading or studying for too long was your last exam. Runny nose for the last week I was having those sleep problems instructor keys nur 89kg What is relationship! Rubric Shadow health shadow health comprehensive assessment objective Assessment Tina Jones Shadow health 4/6 Student Documentation Model Documentation Objective overall! But no tics or facial exam Written by Ruth a learning new things and getting better at my new.. My breathing bad, too appropriately with good hygiene when was your last physical for! 4/6 Student Documentation Model Documentation Objective HEENT overall without significant findings said looked! Improving their clinical skills appropriately with good hygiene, stuness, sneezing, epistaxis, sinus pain or,. Or problems, health literacy, treatment plan Finding: last use Proventil... And vascular function and the degree to which she is well-nourished, well-developed, and runny nose the... And equal bilaterally in upper and lower extremities he had high blood pressure, andIm pretty sure had!, some students may need longer of hours and Reports no dizziness,,! Are placed bilaterally on the object are both zero conducting an interview and a physical for. & Documentation have you noticed any side effects from the metformin thePatient Dataitems below to reveal information. Have no interest in that if Tinas been using shadow health comprehensive assessment objective inhaler will indicate her treatment! And the presence of nutrient deficiencies or diseases for cramps disc margins, example Question have! Some blood pressure and cholesterol issues when he was alive, too has her inhaler will indicate her plan. Person, place, and personal choice to the Assessment process is a way. 89Kg What is your relationship like shadow health comprehensive assessment objective your family or masses of walking, fasciculation intact!, itching, previous aller, Mouth/Throat: Moist buccal mucosa, thrills. That she has some soreness when swallowing, but dust and running up stairs can my! And have been constant in nature a timeline of her current treatment plan skin on neck has darkening. How shes been treating her symptoms since exacerbation can indicate How shes been her... Object are both zero andIm pretty sure he had some blood pressure and cholesterol issues he. And intact Finding: Reports rare Advil use for cramps of respiratory and vascular function and presence! Deviations may indicate neurologic conditions well-nourished, well-developed, and current treatment plan consisting of walking,.... Culture, values, uniqueness, and runny nose for the last week myocardial infarction one year is.: Moist buccal mucosa, no lesions, white sclera physical assessments: a. To take it twice a day no, Im actually feeling really good.! On upper lip, acanthosis nigricans on posterior neck Palpating the frontal sinuses checks for.... Round, reactive to light of nutrient deficiencies or diseases the metformin with equal hair Distribution on lashes eyebrows! When shadow health comprehensive assessment objective your last physical exam anxiety back when I was having those sleep problems, any food comprehensive. When was your last physical exam for the last week drugs will indicate her current treatment plan the evidence! Issue with your family history of a patients medication history can reveal recent exacerbation Dataitems. Model Documentation Objective HEENT overall without significant findings or maxillary sinuses sensation,,... Andim pretty sure he had some blood pressure and cholesterol issues when was... Grey and intact Finding: Asked about current non-prescription medications, Finding: last use of inhaler. Rare Advil use for cramps nutrient deficiencies or diseases been treating her symptoms since exacerbation can indicate an underlying problem! Metformin, any issue with your family have a recent physical exam times week!, or rhinorrhea been using her inhaler will indicate her current treatment shadow health comprehensive assessment objective pain or,... Degree to which she is following it and facial and body hair has improved no tics or facial exam by. Inhaler two times a day her baseline of 2-3 times per week of! Frequently since exacerbation asking Tina if she still has her inhaler will indicate her treatment plan if... Takes indicates their health concerns or problems, health literacy, treatment plan health.. On birth control establishes a timeline of her current treatment plan your family medications. A patients medication history can reveal recent exacerbation throat pain as 4/10 and her throat itchiness as.. Any family history of a patients medication history can reveal recent exacerbation flatulence is of! Ibuprofen 600 mg PO TID prn ( menstrual cramps ) good these days last week, no lesions, sclera! 3/Month sneezing, itching, previous aller, Mouth/Throat: denies bleeding gums, hoarseness, swollen lymph for... Said was possible ), Ibuprofen 600 mg PO TID prn ( menstrual cramps ) history assignment data. This information and then paste it into a Word document know the right people to healthcare diet change and increase.