Nursing

Document: Vitals Document: Provider Notes   Student Documentation Model Documentation Objective Alert and oriented x3: Some discomfort due to abdominal pain HEENT: moist mucus mambrane, normal skin turgor, no tenting Heart: S1 and S2 with no abnormal heart sounds Lungs; CTA Liver: 1cm below Rt costal margin: nontender Abdomen: BS present at all quads, normoactive, […]

Focused Exam: Abdominal Pain Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313482/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Subjective Miss Park is a pleasant Korean 78 year old woman who presents to the clinic with complaints of abdominal pain for the past

Student Documentation Model Documentation Objective Brian is a 58 year old Caucasian male appears to be well-groomed, is pleasant and answers questions clearly and appropriately. He maintains eye contact throughout the exam. He appears in no distress VSS: Bp 146/90 Skin warm to touch, dry, pink and intact. no tenting Heart: S1, s2, s3 and

Document: Vitals Document: Provider Notes 1 Symptoms Followed Up 2 Medications Followed Up 3 Diet Followed Up 4 Activity Level Not Followed Up 5 Medical History Followed Up 6 Sexual Activity Followed Up 7 Family and Support Followed Up

Focused Exam: Chest Pain Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313481/) (/site_notice_dismissals?from_flash=true&site_noticBecome a paid student tester for Shadow Health! Click here for more information (https://www.surveymonkey.com/r/TN9CMB5) (/site_notice_dismissals?from_flash=true&site_noticShadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled.

Do you have a family history of back pain? No, I don’t think so. Do you have any family medical history My mom has some issues, and I think some of my grandparents did, too. What is your mother’s medical history Mom has high cholesterol and blood pressure, I think. She seems to be doing

Did you have this problem before No, nothing like this has ever happened to me. . . my back is usually totally fine. Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:52 PM MD Question 04/15/20 4:52 PM MD Question 04/15/20

Are you able to walk okay I can walk, but it does hurt a little. Do you need to use a walker I can walk, but it does hurt a little. From 1 to 10 what is your pain scale (Clarified to Can you rate your current back pain level on a scale of 0

I have a Flovent daily inhaler and a Proventil rescue inhaler. How often are you using your proventil I haven’t used my rescue inhaler in months — not since I started the daily Flovent one. That makes sense. Can I ask where is the pain located It hurts in my lower back and even, like,

Musculoskeletal Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313477/) Transcript Started: Apr 15, 2020 | Total Time: 79 min Question 04/15/20 4:42 PM MD Question 04/15/20 4:42 PM MD Question 04/15/20 4:42 PM MD Question 04/15/20 4:43 PM MD Question 04/15/20 4:44 PM MD Question 04/15/20 4:44 PM