NUR 325 Comprehensive
Assessment
Completed Shadow Health.
Comprehensive Assessment Results | Turned In
Patient Assessment and Health Literacy - January 2019, NUR 325
Return to Assignment
Your Results Lab Pass
Overview
Documentation / Electronic Health Record
Transcript
Subjective Data Collection Documentation
Objective Data Collection
Documentation Vitals
Plan My Exam Student Documentation Model Documentation
Self-Reflection
• Height: 170 cm
• Weight: 84 kg
Vitals • BMI: 29.0
• Blood Glucose: 100
BP 128/82, Temp 37.2, Pulse 78 Resps 15 • RR: 15
SpO2 • HR: 78
99%. • BP:
• Pulse Ox: 99%
• Temperature: 99.0 F
Health History
Student Documentation Model Documentation
Provides full name and verifies
date of birth.
Identifying Data & Reliability
, primary source of the history. Ms. Jones offers
Ms. Jones is a pleasant, 28-year-old African American single information freely and without contradiction.
woman who presents for a pre- employment physical. She is the Speech is clear and coherent. She maintains eye
contact throughout the interview.
General Survey
Ms. Jones is alert and oriented, seated upright on
Ms. Jones is a pleasant, well-groomed 28 year old
the examination table, and is in no apparent
AFrican American female wearing glasses to correct
distress. She is well-nourished, well-developed, and
nearsightedness,
dressed appropriately with good hygiene.
Reason for Visit
"I came in because I'm required to have a recent
Ms. Jones presents to clinic today for a pre-
physical exam for the health insurance at my new
employment physical.
job."
This study source was downloaded by 100000834306259 from CourseHero.com on 04-07-2022 05:56:05 GMT -05:00
Assessment
Completed Shadow Health.
Comprehensive Assessment Results | Turned In
Patient Assessment and Health Literacy - January 2019, NUR 325
Return to Assignment
Your Results Lab Pass
Overview
Documentation / Electronic Health Record
Transcript
Subjective Data Collection Documentation
Objective Data Collection
Documentation Vitals
Plan My Exam Student Documentation Model Documentation
Self-Reflection
• Height: 170 cm
• Weight: 84 kg
Vitals • BMI: 29.0
• Blood Glucose: 100
BP 128/82, Temp 37.2, Pulse 78 Resps 15 • RR: 15
SpO2 • HR: 78
99%. • BP:
• Pulse Ox: 99%
• Temperature: 99.0 F
Health History
Student Documentation Model Documentation
Provides full name and verifies
date of birth.
Identifying Data & Reliability
, primary source of the history. Ms. Jones offers
Ms. Jones is a pleasant, 28-year-old African American single information freely and without contradiction.
woman who presents for a pre- employment physical. She is the Speech is clear and coherent. She maintains eye
contact throughout the interview.
General Survey
Ms. Jones is alert and oriented, seated upright on
Ms. Jones is a pleasant, well-groomed 28 year old
the examination table, and is in no apparent
AFrican American female wearing glasses to correct
distress. She is well-nourished, well-developed, and
nearsightedness,
dressed appropriately with good hygiene.
Reason for Visit
"I came in because I'm required to have a recent
Ms. Jones presents to clinic today for a pre-
physical exam for the health insurance at my new
employment physical.
job."
This study source was downloaded by 100000834306259 from CourseHero.com on 04-07-2022 05:56:05 GMT -05:00
