NR 509 Comprehensive Assessment; Tina Jones-Lab Report

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Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Subjective Data Collection: 50 of 50 (100.0%) Ho... ver To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Indicates an item that you found. Indicates an item that is available to be found. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Current Health Status Confirmed reason for visit Reports needing a pre-employment physical Reports no current acute health problems Asked about last visit to a healthcare provider Last visit to a healthcare provider was 4 months ago Reason for last visit was annual gynecological exam Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler Asked about current prescription medications Overview Transcript Subjective Data Collection Objective Data Collection Documentation Plan My Exam Self-Reflection 6/12/2018 Comprehensive Assessment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3569767 1/ 8 Reports taking diabetes medication Reports using a daily inhaler 6/12/2018 Comprehensive Assessment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3569767 2/ 8 Reports taking prescription birth control pills 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 dose Reports taking metformin twice daily 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 Followed up about birth control prescription Started taking birth control 4 months ago Reason for birth control was to manage PCOS symptoms Birth control type is Yaz (drospirenone and ethinyl estradiol) Takes birth control pill daily Takes birth control pill at the same time every day Reports no skipped days Asked about current non-prescription medications Reports rare Advil use for cramps Reports no OTC herbal products Reports no OTC vitamins Reports no OTC supplements Asked about allergies Confirms allergies Reports no new allergies Followed up on seasonal allergies Reports no recent seasonal allergy symptoms Reports no current medication for allergies 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 Asked about asthma symptoms Reports no current asthma symptoms Reports no recent asthma exacerbations Reports last asthma exacerbation was three months ago Asked about headache symptoms Reports no recent headache Asked about vision Reports optometrist visit Optometrist visit 3 months ago Reports prescription eyeglasses Reports that glasses improve overall vision Reports reduction in blurry vision Asked a [Show More]

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