TINA JONES COMPREHENSIVE ASSESSMENT SHADOW HEALTH TRANSCRIPT, SUBJECTIVE, OBJECTIVE & DOCUMENTATION

ComprehensiveAssessmentTina Jones Shadow

HealthTranscript,Subjective,Objective &

Documentation

Transcript

All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394)

Greet

Hello, my name is Tammy. I will be conducting an interview and a

physical exam.

Hey.

What is your name?

Tina Jones.

What is your date of birth?

February 17th.

How old are you?

I’m 28.

07/22/20

5:37 PM

EDT

Question

07/22/20

5:37 PM

EDT

Question

07/22/20

5:37 PM

EDT

Question

07/22/20

5:43 PM

EDT

What brings you into the clinic today?

I came in because I’m required to have a recent physical exam for

the health insurance at my new job.

Do you have any current health problem?

I don’t have anything specific going on today. I mean, I still have

asthma and diabetes, but both of those are under control. I’m taking

good care of my health these days.

What is your new job?

I’m going to be an Accounting Clerk at Smith, Stevens, Stewart,

Silver & Company. I’ll be helping a more experienced accountant

with her clients, and then eventually I’ll get more responsibility,

and build my own client list. I start in two weeks–I’m really

excited!

That is great.

Thanks.

When was your last physical exam?

Question

07/22/20

5:43 PM

EDT

Question

07/22/20

5:44 PM

EDT

Question

07/22/20

5:44 PM

EDT

Empathize

07/22/20

5:45 PM

EDT

Question

07/22/20

5:45 PM

EDT

Let’s see . . . I had two doctor’s appointments earlier this year.

About five months ago, I came in here for a check-up, and the

nurse practitioner got me on metformin. Then a few weeks later I

saw a gynecologist for a pap smear.

What did your gynecologist say?

She said everything looked good, except that I had PCOS, which

the nurse here had said was possible. She started me on birth

control, and it seems to be helping things.

How often do you take birth control?

I take it every morning, with breakfast.

What is the name of the birth control pill you took?

They’re called Yaz.

Has your menstrual cycle improved since taking Yaz?

Now that I’m on the pill I’m getting my period every month.

Question

07/22/20

5:45 PM

EDT

Question

07/22/20

5:48 PM

EDT

Question

07/22/20

5:49 PM

EDT

Question

07/22/20

5:50 PM

EDT

That is great. I am glad you are having your period every month.

Thanks.

How long have you had asthma?

I’ve had asthma a long time. . . since I was really little.

What age were you diagnosed with asthma?

My doctor told me when I was pretty little… I think I was about

two and a half? I used to have a lot of trouble with asthma attacks

back then.

I am sorry about the experience.

Thanks.

How do you manage your asthma?

Empathize

07/22/20

5:50 PM

EDT

Question

07/22/20

5:51 PM

EDT

Question

07/22/20

5:51 PM

EDT

Empathize

07/22/20

5:52 PM

EDT

Question

07/22/20

5:52 PM

EDT

No comments found.
Login to post a comment
This item has not received any review yet.
Login to review this item
No Questions / Answers added yet.
Version 2021
Authors qwivy.com
Pages 43
Language English
Comments 0
Sales 0
Recently viewed items

We use cookies to understand how you use our website and to improve your experience. This includes personalizing content and advertising. To learn more, please click Here. By continuing to use our website, you accept our use of cookies, Privacy policy and terms & conditions.

Processing