ASTHMA-Respiratory | Completed | Shadow Health
ASTHMA-Respiratory | Completed | Shadow Health 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 complianing of SOB and wheezing after nearly haveing a "bad" asthma attack two days ago. Pt.
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- January 7, 2022
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- 2021/2022
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