Tina Jones Shadow Health Nursing Assessment

In the given scenario, the Shadow Health nursing assessment involves Ms. Tina Jones, a pleasant, 28-year-old obese African American single woman who is seeking care for a recent right foot injury.

Overview of Tina Jones Shadow Health Nursing Assessment Case Scenario

Ms. Tina Jones is the primary source of the history and willingly provides information without contradictions. Her speech is clear and coherent, indicating good communication skills. Throughout the interview, she maintains consistent eye contact, demonstrating her engagement in the conversation.

Timeframe:  1 week after fall

Reason for Visit:  Ms. Jones is visiting the hospital for an initial primary care visit to address the infection in her right foot wound.

Tina Jones Shadow Health History Assessment

1. Health History Transcript
2. Health History, and Subjective & Objective Data Collection
3. Documentation (EHR) SOAP Note

Tina Jones Shadow Health HEENT Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Respiratory Assessment

1. Subjective Data Collection
2. Objective Data Collection
3. Education & Empathy
4. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Cardiovascular Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Abdominal Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Musculoskeletal Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Neurological Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Skin, Hair & Nails Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Discharge Assessment

1. Transcript
2. Subjective Data Collection
3. Objective Data Collection
4. Education & Empathy
5. Documentation (EHR) SOAP Note

Tina Jones Shadow Health Comprehensive Assessment

 

 

-focused exam: cough

-focused exam: chest pain

-focused exam: abdominal pain

-comprehensive assessment