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TinaJones_SubjectiveData_Comprehensive Assessment _ Shadow Health
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8/28/2019 Comprehensive Assessment | Completed | Shadow HealthComprehensive Assessment Results | Turned In
Advanced Health Assessment - Summer 2019, NURS 5305
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Your Results Lab Pass
Overview
Subjective Data Collection: 50 of 50 (100.0%)
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Transcript
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Subjective Data Collection Hover To Reveal... Indicates an item that you found.
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Hover over the Patient Data items Indicates an item that is available to be
Objective Data Collection
below to reveal important information, found.
o.
Documentation
rs e including Pro Tips and Example
Questions.
ou urc
Plan My Exam
Category Scored Items Patient Data
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Not Scored
aC s
vi y re
Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.
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Current Health Status
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Confirmed reason for visit Reports needing a pre-employment
physical
is
Reports no current acute health problems
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Asked about last visit to a healthcare Last visit to a healthcare provider was 4
provider months ago
Reason for last visit was annual
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gynecological exam
Last general physical examination was 5
months ago when she was prescribed
metformin and daily inhaler
Asked about current prescription Reports taking diabetes medication
medications Reports using a daily inhaler
Reports taking prescription birth control
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, 8/28/2019 Comprehensive Assessment | Completed | Shadow Health
Followed up about diabetes medication Medication is metformin
Started taking metformin 5 months ago
Reports that eating probiotic yogurt helps
with side effects and they have abated over
time
Followed up on metformin frequency and Reports taking metformin twice daily
dose Metformin dose is 850 mg
Asked about asthma medication Reports using Flovent inhaler twice daily
Has a Proventil rescue inhaler
Last use of Proventil inhaler was three
months ago
Has used Proventil inhaler twice in the last
year
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Followed up about birth control Started taking birth control 4 months ago
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prescription Reason for birth control was to manage
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PCOS symptoms
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Birth control type is Yaz (drospirenone and
rs e ethinyl estradiol)
Takes birth control pill daily
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Takes birth control pill at the same time
every day
Reports no skipped days
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aC s
vi y re
Asked about current non-prescription Reports rare Advil use for cramps
medications Reports no OTC herbal products
Reports no OTC vitamins
Reports no OTC supplements
ed d
ar stu
Asked about allergies Confirms allergies
Reports no new allergies
is
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Followed up on seasonal allergies Reports no recent seasonal allergy
symptoms
Reports no current medication for allergies
sh
Asked about diabetes Reports managing diabetes with diet and
exercise in addition to medication
Asked about blood glucose monitoring Reports checking blood sugar once a day
Checks sugar in the morning
Blood sugar number is usually around 90
Reports having adequate supplies
This study source was downloaded by 100000828326221 from CourseHero.com on 07-27-2021 16:44:10 GMT -05:00
https://app.shadowhealth.com/assignment_attempts/5178539 2/7
https://www.coursehero.com/file/45268463/TinaJones-SubjectiveData-Comprehensive-Assessment-Shadow-Healthpdf/
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