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Summary ASTHMA-Respiratory | Completed | Shadow Health

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Respiratory Results | Turned In Advanced Health Assessment - Chamberlain, NR509-June-2018 Return to Assignment Your Results Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Subjective Identifying and Reliability: Ms. Jones is an obese 28-year-old female who is presenting to the office today with an athma exacerbation. She is the primary and only source of personal and medical data. Pleasent, cooperative and readily open to freely dissiminate health information. Good eyeye contact, well-groomed, good posture, and comunicates clearly with logical flow of ideas. General Survey: Upon entering the patient's examination room, patient was found to be sitting straight and erect, good posture, well-groomed, well nourished with a pleasent demeanor and manner of communicating. Reason for Visit: "Breathing problems and my inhaler just isn't working the way it normally does." HPI: Ms. Tina Jones is a 28-year-old African American woman who walked in to the clinic

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Respiratory | Completed | Shadow Health 7/26/18, 2)20 PM



ASTHMA-Respiratory | Completed | Shadow
Health
Respiratory Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-June-2018
Return to Assignment




Your Results Lab Pass




Documentation / Electronic Health Record
Overview Transcript

Subjective Data Collection Document: Provider Notes


Objective Data Collection

Education & Empathy Document: Provider Notes
Documentation
Student Documentation Model Documentation
Student Pre-Survey Lifespan
Subjective
Review Questions Self- Identifying and Reliability:
Ms. Jones is an obese 28-year-old female who is
Reflection presenting to the office today with an athma
exacerbation. She is the primary and only source
of personal and medical data. Pleasent,
cooperative and readily open to freely dissiminate
health information. Good eyeye contact, well-
groomed, good posture, and comunicates clearly
with logical flow of ideas.

General Survey:
Upon entering the patient's examination room,
patient was found to be sitting straight and erect,
good posture, well-groomed, well nourished with a
pleasent demeanor and manner of
communicating.

Reason for Visit:
"Breathing problems and my inhaler just
isn't working the way it normally does."

HPI: Ms. Tina Jones is a 28-year-old African
https://chamberlain.shadowhealth.com/assignment_attempts/3664486
This study source was downloaded by 100000815376421 from CourseHero.com on 05-21-2021 18:07:54 GMT -05:00
Page 1 of 6


https://www.coursehero.com/file/32326524/W2-SH-Dr-Documentation-ASTHMA-Respiratory-Completed-Shadow-Healthpdf/

, Respiratory | Completed | Shadow Health 7/26/18, 2)20 PM
American woman who walked in to the clinic
complianing of SOB and wheezing after nearly
haveing a "bad" asthma attack two days ago. Pt.




https://chamberlain.shadowhealth.com/assignment_attempts/3664486
This study source was downloaded by 100000815376421 from CourseHero.com on 05-21-2021 18:07:54 GMT -05:00
Page 2 of 6


https://www.coursehero.com/file/32326524/W2-SH-Dr-Documentation-ASTHMA-Respiratory-Completed-Shadow-Healthpdf/

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