Exam (elaborations) NUR 347 Shadow Health Comprehensive Assessment Tina Jones Documentation Electronic Health Record (GRADED A)

Shadow Health Comprehensive
Assessment Tina Jones
-Documentation :Electronic Health
Record

, 6/6/2018 Skin, Hair, and Nails | Completed | Shadow Health


Skin, Hair, and Nails Results | Turned In
BSN437PE-18A_18May, BSN437PE
Return to Assignment




Your Results Lab Pass




co m
Overview
Objective Data Collection: 19.33 of 24 (80.54%)




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Transcript




o. co
er ro.as
rs seH e w
Subjective Data Collection Correct Incorrect
Partially correct Missed
Objective Data Collection

Documentation
ou ur urcrce
Palpated scalp 1 of 1 point
a CC s ou
Hallway
Tenderness (1/2 point) Observations (1/2 point)
Lifespan
vi ia y reres


None reported No additional abnormal findings
o

Review Questions Tenderness reported Palpable masses


Self-Reflection
o
ed v d y



Inspected hair 1 of 1 point
ar red stu ud




Distribution (1/3 point) Texture (1/3 point)
sh a s st




No visible abnormal findings Coarse
Balding or thinning areas in hair distribution Fine
s




Scalp Observations (1/3 point)
h i




No visible abnormal findings
i




Dandruff
T
h




Discoloration
T
h




Inspected face
s




0.5 of 1 point


Appearance (1/2 point) Location Of Observed Abnormal Findings (No
point)
No visible abnormal findings
No additional abnormal findings
Redness
Forehead
Rash
Nose
Acne (papules, pustules, or comedones)
Cheeks
Moles or skin tags
Chin
Masses (warts, cysts, or tumors)
Upper lip
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