Comprehensive Assessment | Completed | Shadow Health.
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
https://www.stuvia.com/doc/1727580/nurs-325-final-paper-comprehensive-assessment.
Comprehensive Assessment Results | Turned In
Advanced Health Assessment - January 2020, nur634
Return to Assignment (/assignments/299546/)
Your Results
Reopen (/assignment_attempts/6724321/reopen)
Lab Pass (/assignment_attempts/6724321/lab_pass.pdf)
Overview
Transcript
Transcript
Subjective Data Started: Apr 24, 2020 | Total Time: 470 min
Collection
All Lines (647) Interview Questions (221) Statements (13) Exam Actions (413)
Objective Data Collection
Documentation Question
Hi. My name is Rachell, your student NP today.
04/24/20 12:53 PM MDT
Plan My Exam
Hello.
Question
How are you today?
04/24/20 12:53 PM MDT
I'm doing really well, thanks!
Question
What brought you to the clinic?
04/24/20 12:54 PM MDT
I came in because I'm required to have a recent physical exam for the health insurance at
my new job.
Empathize
Okay. I am here to
help. 04/24/20 12:54 PM MDT
Thanks.
Question
Can you tell me your full name, age , date of birth
please. 04/24/20 12:56 PM MDT
My name's Tina Jones, and my birthday's February 17th.
Question
04/24/20 12:56 PM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 1 of 27
,Comprehensive Assessment | Completed | Shadow Health.
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
Can you tell me the date today?
Um, today's date is . . . [Ms. Jones reports the correct date and year.]
Thank you Empathize
04/24/20 12:56 PM MDT
Thanks.
Exam Action
04/24/20 12:56 PM MDT
Performed pulse
Exam Action
oximetry Performed 04/24/20 12:56 PM MDT
spirometry
Can you please tell me your height and weight? (No matching questions found.) Question
04/24/20 12:58 PM MDT
What's your height? Question
04/24/20 12:59 PM MDT
I'm around 5' 7".
What's your weight? Question
04/24/20 12:59 PM MDT
I've lost a little weight. . . I'm at around 185.
Exam Action
04/24/20 1:00 PM MDT
Performed pulse
oximetry Performed
Exam Action
spirometry 04/24/20 1:00 PM MDT
When is the last time you went to see a health care provider? Question
04/24/20 1:12 PM MDT
Let's see . . . I had two doctor's appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practi
Question
04/24/20 1:12 PM MDT
Do you know the result for your pap smear?
I think they were all fine.
Empathize
04/24/20 1:12 PM MDT
That's good to hear.
Thanks.
Do you have any chronic illness Greet
04/25/20 12:07 AM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 2 of 27
, Comprehensive Assessment | Completed | Shadow Health.
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
Hey.
Do you have any chronic illness? Question
04/25/20 12:07 AM MDT
I've had asthma since I was little, and I have sugar diabetes, too.
Do you take any medication for asthma? Question
04/25/20 12:07 AM MDT
I just use my inhaler.
What inhaler are you taking? Question
04/25/20 12:08 AM MDT
The daily inhaler is Flovent, and the rescue inhaler is Proventil.
Do you take any medication for diabetes? Question
04/25/20 12:08 AM MDT
I'm taking metformin for it now.
What is the dose of you metfromin? Question
04/25/20 12:09 AM MDT
I can't remember the dose off the top of my head. I take one pill a day. [AUDIO COMING SOON]
Have you been diagnosed with any psychiatric illness? Question
04/25/20 12:11 AM MDT
No, luckily that's never happened to me.
Have you been hospitalized because of any infectious disease? Question
04/25/20 12:13 AM MDT
No, I've never gone to the ER for diabetes.
Do you have any allergies Question
04/25/20 12:13 AM MDT
I'm still allergic to cats, though I've really been trying to avoid them since I came in with those asthma problems.
Have you had any surgeries in the past? Question
04/25/20 12:17 AM MDT
I've still never had surgery.
HAve you been injured in the past? Question
04/25/20 12:17 AM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 3 of 27
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
https://www.stuvia.com/doc/1727580/nurs-325-final-paper-comprehensive-assessment.
Comprehensive Assessment Results | Turned In
Advanced Health Assessment - January 2020, nur634
Return to Assignment (/assignments/299546/)
Your Results
Reopen (/assignment_attempts/6724321/reopen)
Lab Pass (/assignment_attempts/6724321/lab_pass.pdf)
Overview
Transcript
Transcript
Subjective Data Started: Apr 24, 2020 | Total Time: 470 min
Collection
All Lines (647) Interview Questions (221) Statements (13) Exam Actions (413)
Objective Data Collection
Documentation Question
Hi. My name is Rachell, your student NP today.
04/24/20 12:53 PM MDT
Plan My Exam
Hello.
Question
How are you today?
04/24/20 12:53 PM MDT
I'm doing really well, thanks!
Question
What brought you to the clinic?
04/24/20 12:54 PM MDT
I came in because I'm required to have a recent physical exam for the health insurance at
my new job.
Empathize
Okay. I am here to
help. 04/24/20 12:54 PM MDT
Thanks.
Question
Can you tell me your full name, age , date of birth
please. 04/24/20 12:56 PM MDT
My name's Tina Jones, and my birthday's February 17th.
Question
04/24/20 12:56 PM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 1 of 27
,Comprehensive Assessment | Completed | Shadow Health.
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
Can you tell me the date today?
Um, today's date is . . . [Ms. Jones reports the correct date and year.]
Thank you Empathize
04/24/20 12:56 PM MDT
Thanks.
Exam Action
04/24/20 12:56 PM MDT
Performed pulse
Exam Action
oximetry Performed 04/24/20 12:56 PM MDT
spirometry
Can you please tell me your height and weight? (No matching questions found.) Question
04/24/20 12:58 PM MDT
What's your height? Question
04/24/20 12:59 PM MDT
I'm around 5' 7".
What's your weight? Question
04/24/20 12:59 PM MDT
I've lost a little weight. . . I'm at around 185.
Exam Action
04/24/20 1:00 PM MDT
Performed pulse
oximetry Performed
Exam Action
spirometry 04/24/20 1:00 PM MDT
When is the last time you went to see a health care provider? Question
04/24/20 1:12 PM MDT
Let's see . . . I had two doctor's appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practi
Question
04/24/20 1:12 PM MDT
Do you know the result for your pap smear?
I think they were all fine.
Empathize
04/24/20 1:12 PM MDT
That's good to hear.
Thanks.
Do you have any chronic illness Greet
04/25/20 12:07 AM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 2 of 27
, Comprehensive Assessment | Completed | Shadow Health.
Comprehensive Assessment | Completed | Shadow 4/26/20, 8:10 PM
Comprehensive Assessment |
Hey.
Do you have any chronic illness? Question
04/25/20 12:07 AM MDT
I've had asthma since I was little, and I have sugar diabetes, too.
Do you take any medication for asthma? Question
04/25/20 12:07 AM MDT
I just use my inhaler.
What inhaler are you taking? Question
04/25/20 12:08 AM MDT
The daily inhaler is Flovent, and the rescue inhaler is Proventil.
Do you take any medication for diabetes? Question
04/25/20 12:08 AM MDT
I'm taking metformin for it now.
What is the dose of you metfromin? Question
04/25/20 12:09 AM MDT
I can't remember the dose off the top of my head. I take one pill a day. [AUDIO COMING SOON]
Have you been diagnosed with any psychiatric illness? Question
04/25/20 12:11 AM MDT
No, luckily that's never happened to me.
Have you been hospitalized because of any infectious disease? Question
04/25/20 12:13 AM MDT
No, I've never gone to the ER for diabetes.
Do you have any allergies Question
04/25/20 12:13 AM MDT
I'm still allergic to cats, though I've really been trying to avoid them since I came in with those asthma problems.
Have you had any surgeries in the past? Question
04/25/20 12:17 AM MDT
I've still never had surgery.
HAve you been injured in the past? Question
04/25/20 12:17 AM MDT
https://app.shadowhealth.com/assignment_attempts/6724321 Page 3 of 27
