3956
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2/24/2019 Comprehensive Assessment | Completed | Shadow Health
lO M oARcPSD| 89
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7
TINA JONES
COMPREHENSI
VE ADVANCED
HEALTH
ASSESSMENT
(WALDEN
UNIVERSITY )
SHADOW HEALTH
Dow nloaded by chue morris ()
, lO MoARcPSD| 89
3956
7
2/24/2019 Comprehensive Assessment | Completed | Shadow Health
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Comprehensive Assessment Results | Turned In
Health Assessment for the BSN - Muskegon - Spring 2019, NUR 2250
Return to Assignment
Your Results Lab Pas s
Overview Documentation / Electronic Health Record
Transcript
Subjective Data Collection Docum entation
Objective Data Collection
Docum entation Vitals
Plan My Exam Student Documentation Model Documentation
• Height: 170 cm
• Weight: 84 kg
Vitals • BMI: 29.0
• Blood Glucose: 100
BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: • RR: 15
37.9 C • HR: 78
• BP:
• Pulse Ox: 99%
• Temperature: 99.0 F
Health History
Student Documentation Model Documentation
Identifying Data & Reliability Ms. Jones is a pleasant, 28-year-old African
American single w oman w ho presents for a pre-
Patient is in no apparent distress. Alert and oriented
employment physical. She is the primary source of
x4. Patient is seated upright on the examination
the history. Ms. Jones offers information freely and
table, she is w ell nourished, and dressed
w ithout contradiction. Speech is clear and coherent.
appropriately for the w eather with good hygiene.
She maintains eye contact throughout the interview .
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