Shadow Health Health History Tina Jones Advance Assessment Documentation
10/1/2020 Health History | Completed | Shadow Health Health History Results | Turned In Advanced Health Assessment - Fall 2020, NGR 6002 Return to Assignment (/assignments//) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time (/site_notice_dismissals?from_flash=true&site_noti assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Identifying Data & Reliability Ms. Tina Jones is 28 year old female,single African-American Descent, Obese. Ms. Jones presents to the clinic with complains of right foot injury. Ms. Jones is alert and oriented, good historian, pleasant and able to answer question appropiately. Ms. Jones maintains good eye contact during the entire intereview, and her speech is clear and coherent. Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recen right foot injury. She is the primary source of the history. Ms. Jo offers information freely and without contradiction. Speech is c and coherent. She maintains eye contact throughout the interv General Survey Ms. Jones is pleasant, good hygiene, dress appropiately and well nourished. Ms. Jones is calm, at no apparent distress. Ms. Jones is alert and oriented, seated upright on the examina table, and is in no apparent distress. She is well-nourished, we developed, and dressed appropriately with good hygiene. Chief Complaint Ms. Jones complains " I got this scrape on my foot for a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me!" “I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pa killing me!”
Written for
- Institution
- Chamberlain College Of Nursing
- Course
- NGR 6002
Document information
- Uploaded on
- January 28, 2022
- Number of pages
- 5
- Written in
- 2021/2022
- Type
- Exam (elaborations)
- Contains
- Questions & answers
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shadow health health history tina jones advance assessment documentation
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