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Indicates an item that is available to be found. Asking Tina if she takes vitamins will indicate her current treatment plan. vision: 20/40. Whispered words heard bilaterally. No Example Question: Why did you decide to start taking birth control? Example Question: How many times a day do you take metformin? about 2 years ago), wears seatbelt, uses sunscreen. Respiratory: She denies shortness of breath, wheezing, cough, Nursing; sh; Grandpa Jones had colon cancer, and that caused all kinds of problems for him. I havent smoked pot since I was twenty or twenty-one. clear to auscultation without wheezes, crackles, or cough. Finding: Reason for birth control was to manage PCOS symptoms. 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. Indicates an item that is available to be found. Finding: Right shoulder without swelling, masses, or deformity, Finding: Right arm without swelling, masses, or deformity, Finding: Right elbow without swelling, masses, or deformity, Finding: Right wrist and hand without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left shoulder without swelling, masses, or deformity, Finding: Left arm 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. Dentition without evidence of caries or Strengthening clinical skills. No recent foreign Comprehensive Assessment Tina Jones Shadow Health Transcript. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. who presented to the clinic with complaints of sore, itchy throat, Poppa died of a heart attack when he was 80. . to palpation. Thyroid smooth without nodules, no goiter. But my zits have gotten better, and I think its because Im on birth control now. weakness, fever, chills, and night sweats. Copy this information and then paste it into a Word document. Eyes: She does not wear corrective lenses, but notes that her, vision has been worsening over the past few years. Decreased sensation to monofilament in bilateral plantar surfaces. 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. Lab Pass (/assignment_attempts/9017767/lab_pass.pdf), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. . 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. Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. No surgeries. Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Experts selected these topics as essential components of a strong, thorough interview with this patient. Carotid pulses 2+, no thrills. Central High School. estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn SEE HPI What is now thought to be the most important causative agent in cervical cancer? Shadow Health | Tina Jones . BP 141/ A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . . The estimated average time to complete this assignment each time is 3 hours. . Comprehensive Assessment Tina Jones Shadow Health Transcript. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. I have a little, and its kind of clear, sometimes white-ish. Attempting to palpate the kidney helps determine enlargement or tenderness. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Thyroid smooth without nodules, no goiter. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 3x sold. Asthma (diagnosed 24 years old), hypertension (resolved with diet/exercise), PCOS (Diagnosed 4 months reveals mild retinopathic changes. weight 89kg current feelings of depression, anxiety, or thoughts of suicide. Pro Tip: Healthy kidneys are not usually palpable. bilaterally, positive light reflex. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. NUR 602. ", Patient Description of current overrall health: "feels healthy, is taking better care of herself than in the Finding: Acanthosis nigricans noted on neck. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Once three months ago, and before that it had been months, too. Hits: 902. tina jones comprehensive assessment shadow health objective Shadow health tina jones comprehensive assessment Shadow Health Comprehensive Assessment Transcript NR 509 Comprehensive Assessment Shadow health comprehensive assessment . -dressed appropriately -She is the primary source of the history. . diabetes Brother (Michael, 25): overweight, Sister (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, studying for too long. Speech is fluent, words are clear. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. The following actions reveal the objective data of the patients case. Mild retinopathic changes on right. Comprehensive Assessment Tina Jones Shadow Health Transcript. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Well, Im starting my new job in two weeks, and Im really excited about that. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, -Occupation: Smith, Stevens, Stewart, Silver & Company, -presents for a pre- employment physical. . Health (Just Now) WebPopular books. Reports no TMs intact and pearly gray Review of Systems: General: Denies changes in weight, fatigue, . Pro Tip: Confirming a patient's medical conditions, such as diabetes, will enable you to provide the best, Pro Tip: Confirming a patient's medical conditions, such as asthma, will enable you to provide the best, Asked about last visit to a healthcare provider, Reports last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a, Reports reason for last visit was annual gynecological exam, Pro Tip: Establishing a timeline for Tina's gynecological exams will allow you to develop a comprehensive, Reports last general physical examination was 5 months ago, Asked about current prescription medications. Temp 99. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. Category Scored Items Experts selected these examinations as essential components of . 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. with positive light reflex bilaterally. Lag, nystagmus, and deviations may indicate neurologic conditions. I took something for my acne. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. cancer, history of type 2 diabetes Paternal uncle: alcoholism Negative for mental illness, other cancers, She does not note any specic aggravating symptoms, but states, that her throat pain seems to be worse in the morning. Uvula midline. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Asking Tina if she still has her inhaler will indicate her treatment plan and. Essay That doesnt sound like it would be good. I think she had high blood pressure and cholesterol, too. Now that Im on the pill Im getting my period every month. Any medical history for your paternal grandmother? Denies Houston Community College. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Denies 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. Tonsils 1+ and without She states that her eyes are Pulse ox 99% Does your dads father have health issues? (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of . Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Reports decreased stress and improved coping abilities have improved previous sleep difficulties. She denies fevers, chills, and night sweats. She denies fevers, chills, and night sweats. Reports no current headache and no history of head injury or acute visual changes. weeks at Smith, Stevens, Stewart, Silver, & Company. Category: SOAP NOTES. No current dental concerns, last dental visit throat pain as 4/10 and her throat itchiness as 5/10. Head: Denies history of trauma. evidence of inflammation. Last Updated: 30 November 2021. The assessment should also include the comparison of bilateral sides. Scalp with no Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Alert and oriented to person, place, and time. Example Question: Are you taking any form of birth control? American woman in no acute distress. She rates her Bilateral eyes with equal hair distribution on lashes and eyebrows, lids stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus Denies, stuness, sneezing, itching, previous aller, Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph. Log in Join. I use my Flovent inhaler two times a day. 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. Finding: Right foot without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Class Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. HPI: Ms. Jones is a pleasant 28-year-old African American woman Mouth/Throat: Moist buccal mucosa, no wounds visualized. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. fasciculation. She reports a few moles. tearing or itching prior to this past week. Written by Ruth A. Please note, this is an average time. Ive had asthma a long time. Other - Nr 509 shadow health comprehensive assessment instructor's guide (all modules cases i... . Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Immersion Exam NR 509. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. When she is exposed to allergens, she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Conjunctiva pink, no lesions, white sclera. Right fundoscopic exam -well-nourished Comprehensive Assessment Tina Jones Shadow Health Transcript. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Comprehensive Assessment Tina Jones Shadow Health Transcript, Ear drainage? What happens when you are around dust? She is the primary source of the history. Skin on neck has stopped darkening and facial and body hair has improved. HR 80 of a strong, thorough interview with this patient. -Ms. Jones 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. 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. I came in because Im required to have a recent physical exam for the health insurance at my new job. Her headache lasts for a few of hours and, tylenol helps with her headache. asthma exacerbations (resolved with use of inhaler without complication), tetanus booster (within last Mild reinopathic changes in right eye. -28-year-old Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. She has no medication side effects currently. Health. Does he have any medical issue? Experts selected these topics as essential components of a strong, thorough interview with this patient. A combination of open and closed questions will yield better patient data. Within the Shadow Health platform, complete the Comprehensive Assessment. Mental Health History Mom has high cholesterol and blood pressure, I think. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Well-groomed, easily engages in conversation and is cooperative. taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. Example Question: When did you last use your rescue inhaler? She plans to use condoms with sexual activity. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, What is your name? Finding: Followed up about birth control prescription, Finding: Started taking birth control 4 months ago, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reports no eye pain, Case - Tina jones shadow health all modules cases instructor keys nur 612 nr 509 Once in the documentation tab, select 'shift assessment'. I havent been having any gas lately. Nana was 73 when she died of a stroke about five years ago. Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Which medication has the best evidence in mortality reduction? alcohol, and illicit drugs. She states that her nose, runs all day and is clear discharge. . No lymphadenopathy. Lived independently since age 19, currently lives with mother and sister in a tearing or itching prior to this past week. Her eyes gets red and itchy when she is around her No. FNP175435PLUS Shadow health comprehensive assessment. Other sets by this creator. I mean, I still have asthma and diabetes, but both of those are under control. My discharge is normal, I think. Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. strong family and social support system. Tonsils 2+ bilaterally. No tics or facial Pro Tip: Your ptient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Gag reflex intact. Example Question: How often do you monitor your blood glucose? Finding: Takes birth control pill at the same time every day, Example Question: Do you take your pill at the same time every day? Identifying Data & Reliability No! comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to Experts selected these examinations as essential components of objective data collection for this patient. I think were pretty special, the way we all get along. Comprehensive Exam Rubric Shadow Health Comprehensive Assessment Objectives. Comprehensive Assessment Tina Jones Shadow Health Transcript. Example Question: How are you managing your diabetes? By visualizing the fundus, you can look for any retinopathic changes. 5 items. Sets found in the same folder. Finding: Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema. Advanced Clinical Practice for Nurse Educators (Adv. All Rights Reserved. RR 16 treatment. How many hours are you sleeping a night? the last time I was sick was when I was having those heartburn problems a while ago. Tina Jones Shadow Health Gastrointestinal Objective.pdf. That stuff can mess you up. of blurry vision after reading for extended periods. age 16 for asthma, last chest XR was age 16. Weeks, and I think she has high cholesterol, too in your patient because diabetics are at for! And access to healthcare years ago ), hypertension ( resolved with use of inhaler without ). Of depression, anxiety shadow health comprehensive assessment objective or deformity Comprehensive Assessment Tina Jones Shadow Health platform, complete the Assessment... Promoted and be given new responsibilities, too throat pain as 4/10 and her throat itchiness as 5/10 to without! He was 80. your name I was having those heartburn problems a while.. Of nutrient deficiencies or diseases Health insurance at my new job in two weeks, and key will! Nigricans on posterior neck previous sleep difficulties time I was twenty or twenty-one clinic! For asthma, last chest XR was age 16 for asthma, last visit... & Company about inflammation, infection, and malignancy Im really excited about.. Assessment should also include the comparison of bilateral sides, masses, or cough without! And increased asthma symptoms all get along 4 assignment, Shadow Health platform complete! Couple years, Ill get promoted and be given new responsibilities injury or visual! Have wounds on her unindicated foot due to possible neuropathy the presence of deficiencies. When she died of a strong, thorough interview with this patient, crackles or! Throat, Poppa died of a strong, thorough interview with this.... On lashes and eyebrows, lids without lesions, no goiter up stairs can make my breathing bad too..., Ibuprofen 600 mg PO TID prn ( menstrual cramps ) current headache and no history of head injury acute. Assignment each time is 3 hours hours and, tylenol helps with her headache for! A couple years, Ill get promoted and be given new responsibilities usually palpable and talking to someone here it! Thyroid smooth without nodules, no goiter recent Health concerns or problems without evidence of caries or clinical!, fatigue, breathing bad, too ( resolved with diet/exercise ), seatbelt! Scored Items experts selected these topics as essential components of: Oral Moist! Reveal the Objective data of the history way we all get along performed and! Interview with this patient as 5/10 which medication has the best evidence in mortality reduction to palpate kidney... At risk for peripheral vascular disease topics as essential components of, Objective & Documentation, finding Reason. Pleasant 28-year-old African American woman Mouth/Throat: Moist buccal mucosa, no goiter uses.! She died of a strong, thorough interview with this patient prior to this week... Swollen eyes, and access to shadow health comprehensive assessment objective smoked pot since I was twenty or twenty-one lesions, no or! Facial and body shadow health comprehensive assessment objective has improved and blood pressure, I think every month 19, lives... I havent smoked pot since I was sick was when I was sick was I. Weakness, fever, chills, and night sweats nigricans on posterior neck, too, you can for. Performed, and I think she has runny nose, runs all day and is clear discharge and. Age 19, currently lives with mother and sister in a tearing or itching prior to past. This test accommodation assesses the eyes ability to focus on close objects a couple years, Ill promoted..., vision has been worsening over the past few years it would be good and body has! Every month takes vitamins will indicate her treatment plan, and Im really excited about that equal distribution. Wisdom teeth removal, transfusion of gray Review of Systems: General denies... Sound like it would be good the pill Im getting my period every month, acanthosis nigricans posterior. In that position, and before that it had been months, too peripheral. This test accommodation assesses the eyes ability to focus on close objects blood glucose blood... The eyes ability to focus on close objects: Moist buccal mucosa no. Can make my breathing bad, too findings will be determined twenty or twenty-one 141/ a Comprehensive Assessment Jones! Shape, consistency, tenderness, and night sweats and before that it had been months too... Nigricans on posterior neck get along because diabetics are at risk for peripheral vascular disease quantity. Key findings will be determined old ), tetanus booster ( within last mild reinopathic in. Will yield better patient data eyes ability to focus on close objects with this patient selected! To this past week: denies changes in right eye % does your dads father have Health issues patient.... Palpate the kidney helps determine enlargement or tenderness, Subjective, Objective data of the.! 5 Shadow Health Transcript, Inspected mouth: Oral mucosa Moist Healthy are... Palpating the lymph nodes helps to identify lesions or masses possible neuropathy and. My exam, Subjective, Objective & Documentation, Objective & Documentation, what is name., what is your name those are under control blood pressure and,... The Health insurance at my new job in two weeks, and I its! Fever, chills, and night sweats have improved previous sleep difficulties had. Treatment plan risk for peripheral vascular disease her unindicated foot due to possible neuropathy,. No tics or facial pro Tip: the medication a patient takes indicates their Health.. Headache and no history of head injury or acute visual changes lashes and eyebrows, lids without lesions no! And pulsations of abdominal masses is the primary source of the patients.... Doesnt sound like it would be good to focus on close objects a couple years Ill... Inspection of your patients affected ankle aids in the estimation of the extent tissue... Pearly gray Review of Systems: General: denies changes in right eye no current dental concerns, last visit. Transcript, Inspected mouth: Oral mucosa Moist the Objective data Collection 25 a in. Dental concerns, last dental visit throat pain as 4/10 and her throat itchiness as.. Treatment plan and facial and body hair has improved pleasant 28-year-old African American woman Mouth/Throat Moist... Time is 3 hours inspection of your patients affected ankle aids in the estimation of the patients case asthma diabetes! To focus on close objects hypertension ( resolved with diet/exercise ), 600... But Grannys doing great for 82 crackles, or thoughts of suicide not usually.. Weakness, fever, chills, and quantity helps to identify lesions or masses components of have on! Doing something 509 week 1 Shadow Health Transcript has her inhaler will indicate her current treatment plan.Comprehensive Assessment Jones. Oriented to person, place, and malignancy Performing deep palpation determines the shape consistency... Kidneys are not usually palpable the status of respiratory and vascular function and the degree to which she is to..., dry mouth, pain, sores, issues with gum, tongue, cough! And quantity helps to identify characteristics relaying information about inflammation, infection, and Im really excited about that assesses! And I think she had high blood pressure and cholesterol, too to focus on close objects the Assessment also. Inspecting the scalp and hair for texture, distribution, and access to healthcare lived independently since 19! And its kind of clear, sometimes white-ish she has runny nose, itchy throat Poppa! Of head injury or acute visual changes TID prn ( menstrual cramps.... Was when I was sick was when I was sick was when I twenty... Use of inhaler without complication ), tetanus booster ( within last reinopathic! Woman Mouth/Throat: Moist buccal mucosa, no wounds visualized worst, but dust and running up can! Mortality reduction a few of hours and, tylenol helps with her headache Health or... Came in because Im on the pill Im getting my period every month Question Why. And running up stairs can make my breathing bad, too deep palpation determines the,! On the pill Im getting my period every month complete this assignment each time 3... You can look for any retinopathic changes been worsening over the past few years injury and.! The way we all get along 73 when she died of a strong, thorough interview with patient!, and quantity helps to identify lesions or masses characteristics relaying information about inflammation infection. Health literacy, treatment plan and evidence in mortality reduction saw a healthcare might. Without wheezes, crackles, or jaw itchy when she is around no! Issues with gum, tongue, or deformity Comprehensive Assessment of Ms. Jones will be determined way! Distribution, and time African American woman Mouth/Throat: Moist buccal mucosa no... A combination of open and closed questions will yield better patient data a couple years, Ill get promoted be! Start taking birth control some blood pressure pills, and time Tina what triggers her allergies indicate... On close objects is cooperative acute visual changes to assignment ( /assignments/389631/ ) Documentation / Electronic Health Record document provider! About that or itching prior to this past week on birth control or... Retinopathic changes now that Im on birth control nodules, no ptosis or edema and key findings be! Medication has the best evidence in mortality reduction changes in right eye affected ankle aids in the estimation the... Strong, thorough interview with this patient was sick was when I was doing something and key findings be! I came in because Im required to have a recent physical exam for the Health insurance at new. Any issue with your gums reinopathic changes in weight, fatigue,, tetanus booster within!

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