Tina jones musculoskeletal soap note

Nov 17, 2021 · MUSCULOSKELETAL TINA JONES SOAP S.O.A.P. Note Template CASE ID# Tina Jones Musculoskeletal Subjective Objective Assessment (diagnosis [primary and differential diagnosis]) Plan (treatment, education, and follow up plan) What brought you here today (eg. headache) “I have a lot of...

MUSCULOSKELETAL CONDITIONS 2 Episodic Note for Musculoskeletal Conditions SUBJECTIVE Patient Information Initials: G.G. Age; 61; Gender; Female: Ethnicity; Caucasian CC: "My back hurts." HPI: G.G. is a 61 y/o Caucasian female presenting with low back pain that started two days ago. The client reported that the pain started two days ago while she was rearranging tables at her work.It helped me a lot to clear my final semester exams. David Smith. Mike T. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments/316008/) Transcript Started: Mar 29, 2020 | Total Time: 72 min G ree 03/29/20 2:51 PM ED Question 03/29/20 2:52 PM ED Question 03/29/20 2:52 ...Partial preview of the text. Download NURS 653 Tina Jones Musculoskeletal Transcript Updated and more Nursing Exams in PDF only on Docsity! Transcript AllLines (185)Interview Questions (84)Statements (8)Exam Actions (93) hello ms. jones, my name is and I am a family nurse practitioner student with Houston Baptist University and I will be ...Her pain is aggravated when sitting (7/10) and is decreased by rest and lying flat on her back (3-4/10-pain scale). The pain has not changed and she has reported taking Motrin OTC every 5 to 6 hours with some relief. Current pain is 5/10, but Motrin decreases pain to 3/10. No reports of numbness, tingling, muscle weakness, or loss of bowel or ...Get higher grades by finding the best MUSCULOSKELETAL notes available, written by your fellow students at Chamberlain College Nursing. ... Shadow health Tina Jones Musculoskeletal objective data (SHADOWHEALTHTINAJONESMUSCUL (MUSCULOSKELETAL) You searched for: Your school or university ...CHELMSFORD, Mass., Nov. 14, 2022 /PRNewswire/ -- Azenta, Inc. (Nasdaq: AZTA) today announced that Tina S. Nova, Ph.D. and Dorothy E. Puhy have bee... CHELMSFORD, Mass., Nov. 14, 20...presented to the clinic complaining of back pain that began 3 days ago. She states she "tweaked it" while lifting a heavy box. She states that lifted several boxes to help her friend who was moving, she does not know the weight of the box that caused her pain. She states the pain is in her low back and bilateral buttock. She describes the pain as constant aching with stiffness but does not ...

Musculoskeletal findings .docx. Musculoskeletal Findings United State University, MSN 572 David Johnson is 30 y.o. male, performed musculoskeletal examination on him. ... I already uploaded the SOAP Note file for Tina Jones there. Below is. Solved by verified expert. View More. Related courses. MSN 560. United States University; 685 Documents ...Reports no more than 1 or 2 nights a week drinking alcohol. Asked about history of neurological problems. Denies history of meninigitis. Denies history of strokes. Denies history of concussion. Denies history of seizures. Asked family history of migraines. Denies family history of migraines. Study with Quizlet and memorize flashcards containing ...Note: The mnemonic below is included for your reference and should be removed before the submission of your final note. O = onset of symptom (acute/gradual) L= location D= duration (recent/chronic) C= character A= associated symptoms/aggravating factors R= relieving factors T= treatments previously tried – response?S.O.A.P. Note Template CASE ID# Tina Jones Abdomen S ubjective O bjective A ssessment (diagnosis [primary and differential diagnosis]) P lan (treatment, education, and follow up plan) Chief mplaint What brought you here today (eg. headache) “I’ve been having stomach pain for a while.”SOAP Note Format Patient Information: Tina Jones is an obese 28-year-old African American female, who comes in today for evaluation and treatment of asthma exacerbation. S. CC (chief complaint) “I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.” HPI: include all the information regarding […]Jones' family with regards to the musculoskeletal system genetic predisposition to any diseases. Regardless of whether you have assessed Tina so you can determine her previously, addition to collecting subjective data, you will ask all questions that are medically relevant to her musculoskeletal system a physical exam on Ms. Jones' InView Homework Help - Musculoskeletal _ Completed _ Shadow Health.pdf from NURSING 3106 at Florida Southern College. Objective Data Collection: 27.67 of 28 (98.82%) Correct Incorrect Partially

Tina Jones tweaked her back lifting a box Week 3 Shadow Health Assessment Musculoskeletal Subjective: HPI: Ms. Jones presents to the clinic complaining of back pain that began 3 days ago after she "tweaked it" while lifting a heavy box while helping a friend move. She states that lifted several boxes before this event without incident and does not know the weight of the box that caused her ...Jones' family with regards to the musculoskeletal system genetic predisposition to any diseases. Regardless of whether you have assessed Tina so you can determine her previously, addition to collecting subjective data, you will ask all questions that are medically relevant to her musculoskeletal system a physical exam on Ms. Jones' InInformation Processing : Each relevant diagnosis is scored on a four-point scale: Priority (1 point): the correct priority of the diagnosis was chosen. Evidence (up to 2 points): the strength of the patient cue (s) selected as evidence for the identified diagnosis. Required Evidence: selecting at least one cue that directly indicates the ...S.O.A.P. Note CASE ID# 4 Tina Jones Respiratory S ubjective O bjective A ssessment (diagnosis [primary and differential diagnosis]) P lan (treatment, education, and follow up plan) Chief omplaint What brought you here today (e.g., headache) Asthma exacerbation History of Present Illness Chronological order of events, state of health before the onset of CC Onset Ms. Jones is a 28-year-old ...5644 Advanced Assessment & Differential Diagnosis (SOAP Template for Comprehensive SOAP Note) DEMOGRAGPHIC INFORMATION 1 pt Date of Visit: Patient Descriptor: (#001):

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View Homework Help - Clinical Soap Note Assignment 16.2 Tina.docx from NURS 612 at Maryville University. S.O.A.P. Note Template CASE ID# Tina Jones Patient states that she is here for a physical exam ... Musculoskeletal Tina Jones SOAP.docx. Maryville University. NURS 612. Focused Exam_ Hypertension Patient Teaching.pdf. University of Texas, El ...pain in my lower back." History of Present Illness Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presented to the clinic complaining of back pain that began 3 days ago. She states she "tweaked it" while lifting a heavy box. She states that lifted several boxes to help ...View week 1 Tina Jones Comprehensive Assessment.docx from NR 509 at Chamberlain College of Nursing. SOAP Note Template S: Subjective Information the patient or patient representative told ... Musculoskeletal Unable to bear weight on right foot due to recent injury and wound on plantar aspect Denies any joint or muscle pain Active range of ...Medicine document from William Paterson University, 6 pages, Shadow Health - Neurological SOAP - Tina Jones SUBJECTIVE CC "Well, I got into a little fender bender a week ago and I've been getting these headaches ever since. And my neck is sore too." HPI - Tina Jones: 28 year old African American woman. Pt A&O x3 an.SOAP Note 1 Final - Tina Jones SOAP note 1; Shadow Health Nurs7580 SOAP Note Tina Jones; Related Studylists 6512 advance assessment. Preview text. ... Back, Extremities, Musculoskeletal Deferred 14. Neurological AOx 15. Psychiatric Deferred Previous Diagnostic Testing/Lab Results

Ectopic Pregnancy - Jul. 8 @ 4 44 pm. TJ Heent Soap note - Shadow Health Soap Note. SOAP IX Neurological (3) SOAP note NSG 500 Heent - Discussion post for soap note for shadow health patient Tina Jones. Tina jones Respiratory- shadow Health. Tina Jones - Neurological Exam from Shadow Health. neurological assignment completed shadow …Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Reason for VisitMs. Jones visited to have a physical exam for the health insurance at her new workplace.tina jones name: section: week shadow health digital clinical experience health history documentation subjective data: include what the patient tells you, but ... Tina Jones- Week 9 SH Comprehensive SOAP Note. Advanced Health Assessment 100% (39) 5. ... Gastrointestinal: Genitourinary: Musculoskeletal: Psychiatric: Neurological: Skin ...David Smith. Mike T. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments/316008/) Transcript Started: Mar 29, 2020 | Total Time: 72 min G ree 03/29/20 2:51 PM ED Question 03/29/20 2:52 PM ED Question 03/29/20 2:52 PM ED …. The pain is in her low back and bilateral buttocks, is a constant aching with stiffness, and does not radiate. The pain is aggravated by sitting (rates a 7/10) and decreased by rest and lying flat on her back (pain of 3-4/10). The pain has not changed over the past three days and she has treated with 2 over the counter ibuprofen tablets every …View Musculoskeletal SOAP NOTE.docx from NUR 494 at Missouri Western State University. SOAP note Template for Shadow Health Identifying Information: Tina Jones, 28 year old, African American Female.Course. MUSCULOSKELETAL TINA JONES SOAP. Institution. MUSCULOSKELETAL TINA JONES SOAP. MUSCULOSKELETAL TINA JONES SOAP S.O.A.P. Note Template CASE ID# Tina Jones Musculoskeletal Subjective Objective Assessment (diagnosis [primary and differential diagnosis]) Plan (treatment, education, and follow up plan)Learn more about the nurse educators behind Shadow Health's simulations. Tina, Lucas and Tanner are just three of the Digital Standardized Patients™ that are part of Shadow Health's simulations for undergraduate and graduate nursing programs. These Digital Clinical Experiences™ are a vital part of the education of more than 700,000 ...2 SOAP note on Musculoskeletal Assessment Patient information: Tina Jones, 28-year-old, African American Female. Subjective CC – "I have a lot of pain in my lower back. It really hurts, and it doesn’t seem to be going away. It’s making it kind of hard-to-get things done, so I decided to come in and have it looked at.” History of present illness Tina is a …

Musculoskeletal exam performed on Ms. Jones. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. She states foot still hurts, but much better than when she arrived yesterday. Ms. Jones states no joint pain, stiffness, swelling, or limitation. No muscle pain or weakness. No history of bone trauma or deformity.

pain in my lower back." History of Present Illness Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presented to the clinic complaining of back pain that began 3 days ago. She states she "tweaked it" while lifting a heavy box. She states that lifted several boxes to help ...SOAP Note Format - MUSCULOSKELETAL 1/19/18 Patient Information: Three days ago, Ms. Jones injured "tweaked" her back lifting a box. The pain is in her low back and bilateral buttocks, is a constant aching with stiffness, and does not radiate. The pain is aggravated by sitting and decreased by rest and lying flat on her back. She presents today as the pain has continued and is interfering ...SOAP note for a musculoskeletal assessment of Tina Jones, a 28-year-old with a right foot wound: S - Subjective: Patient, Tina Jones, a 28-year-old female, presents with a complaint of a wound on her right foot. She reports that the wound has been painful and has difficulty walking due to this.of pain in my lower back." History of Present Illness Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presented to the clinic complaining of back pain that began 3 days ago. She states she "tweaked it" while lifting a heavy box. She states that lifted several boxes to help ...AHA SOAP Note Typhon #3 Tina Jones Cardiovascular.docx. Maryville University. NURS MISC. final questions 2019.docx. ... Typhon_Sample case log completed 1:15:19.doc. Maryville University. NURS 612. homework. SOAP_NoteTemplate Tina Jones Musculoskeletal.docx. Maryville University. ASSESSMENT NUR 612. physical assessment quiz10.docx. Solutions ...Tina Jones shadow health. Please use the patient information provided below for this paper. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and ...Academic year: 2021/2022. Uploaded by: Anonymous Student. Walden University. Sher 8 months ago. steve 1 year ago. Alicia 1 year ago. Report Document. Week 9 Shadow …Documentation / Electronic Health Record Document: Provider Notes Document: Provider Notes. Student Documentation Model Documentation. Subjective. Pt presents to the clinic stating she was in a "fender bender" a week ago and is having headaches and also has a sore neck approx 3 days after.

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musculoskeletal tina jones soap soap note template case id tina jones musculoskeletal subjective objective assessment diagnosis primary and differential diagnosis plan treatment. a. Written for. Institution Maryville University Of St. Louis; Course NURS 612; All documents for this subject (198)AHA SOAP Note Typhon #3 Tina Jones Cardiovascular.docx. Maryville University. NURS MISC. final questions 2019.docx. ... Typhon_Sample case log completed 1:15:19.doc. Maryville University. NURS 612. homework. SOAP_NoteTemplate Tina Jones Musculoskeletal.docx. Maryville University. ASSESSMENT NUR 612. physical assessment quiz10.docx. Solutions ...WD 1-26 Thomas. SOAP notes 2 - N/A. 2.5 assignment - homework. Examining the mouth - Please see above. SOAP Note 1 Final - Tina …year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling has persisted. She tried ibuprofen ....Shadow Health Musculoskeletal Tina Jones; Updated A+ Guide SolutionCourseShadow HealthInstitutionShadow Healthchief complaint (Ans- -reports low back pain -...View Mental Health Soap Note Jones.docx from NURS 3121 at George Washington University. Diana Martinez July 7, 2022 Date of Encounter: July 7, 2022, Time: 1500 Identifying Information Tina Jones ... July 7, 2022, Time: 1500 Identifying Information Tina Jones (T.J.) is a pleasant, 28-year-old female, single, African American. DOB: ...Ms. Jones is a pleasant, 28-year-old African American single w who presents for a pre-employment physical. She is the primar source of the history. Ms. Jones offers information freely and w contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview. General Survey. Patient appears stated age and in good health.Cardiovascular Musculoskeletal Click or tap here to enter text. ... View Notes - GordonD_NR509_Week1 SOAP Note_Tina Jones.docx from HEALTH ASS 305 at Chamb... notes. NR 509 SOAP Note week 2.2.docx. Chamberlain University College of Nursing. NR 509. NR 509 SOAP Note week 2.2.docx.Soap note template soap note: unit herzing university name: johnathan typhon encounter subjective data cc: patient presents for routine ... Tina Jones Shadow Health HEENT Subjective information. Advanced Health Assessment. Other. 100% (25) 2. ... Musculoskeletal N/A Integumentary Skin warm/dry Neurological Denies numbness/tingling Psychiatric ...Acg2071-exam2 - exam 2 notes material; Six Essential Elements Guided Notes; Sample Answers (Chapters 1,2,3,5) ... Asked review of systems for musculoskeletal Denies musculoskeletal issues. ... Tina Jones - SHADOW HEALTH. Course: ... ….

Neurological Exam Documentation Document: Provider Notes. Student Documentation Model Documentation. Subjective. Miss Jones is a pleasant 28 year old African American Woman who presents to the clinic with complaints of headaches and neck soreness after getting into a "fender-bender" a week ago.View Tina Jones SOAP Note..docx from NRSG 801 at University of Kansas. Comprehensive SOAP Note Template SUBJECTIVE Introduction Chief Complaint (CC) Differential Diagnoses History of Present Illness ... denies urgency, dysuri hematuria, incontinence Extremities Musculoskeletal: pain 9/10 with ambulation, negative for crepitus, swelling ...WD 1-26 Thomas. SOAP notes 2 - N/A. 2.5 assignment - homework. Examining the mouth - Please see above. SOAP Note 1 Final - Tina …Documentation / Electronic Health Record Notes Student Documentation Model Documentat Musculoskeletal exam performed on Ms. Jones. Vital: T 36.7, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. She states foot still hurts, but much better than when she arrived yesterday. Ms.Still University of Health Sciences (ATSU) | NR 509 SOAP Note Template Tina Jones week 3/NR 509 SOAP Note Template Tina Jones week 3/NR 509 SOAP Note Template Tina Jones week 3. Prepare for your exams. Get points ... Musculoskeletal Tender neck do to motor vehicle accident but patient has full Full ROM Gait is balanced …MUSCULOSKELETAL TINA JONES SOAP S.O.A.P. Note Template CASE ID# Tina Jones Musculoskeletal Subjective Objective Assessment (diagnosis [primary …Academic year: 2021/2022. Uploaded by: Anonymous Student. Walden University. Sher 8 months ago. steve 1 year ago. Alicia 1 year ago. Report Document. Week 9 Shadow …2 MUSCULOSKELETAL SOAP NOTE Provider (Student) Rio Calvert Site: Clinic ID: Client's Initials: M.P. DOB: Gender: F Race: White Age: 49 Language: English Ethnicity: American Date of Exam: 8/12/20 SOAP SUBJECTIVE: ID: Mr. Paul is a 49-year old overweight white male. He is a reliable source and drove himself to the clinic. He is well groom and articulate. CC: "My lower back constantly hurts ... Tina jones musculoskeletal soap note, Tina Jones shadow health SOAP Note SOAP Note Format Patient Information: Tina Jones is an obese 28-year-old African American female, who comes in today for evaluation and treatment of asthma exacerbation. ... MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness. HEMATOLOGIC: No anemia, bleeding or bruising. LYMPHATICS: No enlarged ..., Musculoskeletal Exams. approximately 224 views in the last month. Neck: Range of motion with normal flexion, extension, right rotation, and left rotation. There is no palpable paraspinal muscle spasm. Upper extremity muscle strength is normal bilaterally. Sensation is normal bilaterally., SOAP NOTE – Comprehensive Assessment – Tina Jones – Shadow Health Clinic – Ryan Kent SUBJECTIVE: Chief complaint (CC): “I came in because I'm required to have a recent physical exam for the health insurance at my new job.” History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver …, Head to Toe Assessment. approximately 7 views in the last month. BILATERAL CHEST RISE AND FALL, NO SIGNS OF TRAUMA, BREATH SOUNDS IN ALL 4 QUADRANTS. FLAIL CHEST ABSENT BREATH SOUND IN THE ____ DIMINISHED BREATH SOUND ____ SEAT BELT BRUISING PENETRATING …, You probably take your tongue for granted, or at least, don’t fully grasp the complexities of how it deciphers the flavors it encounters and sends those delicious or distasteful si..., Include pertinent positive and negative findings to support your diagnoses from the history and physical exam. SOAP note for Tina Jones on neurologic assessment. No intervention is self-evident. Provide a rationale and evidence based in-text citation for each intervention., View Tina Jones SOAP Note..docx from NRSG 801 at University of Kansas. Comprehensive SOAP Note Template SUBJECTIVE Introduction Chief Complaint (CC) Differential Diagnoses History of Present Illness ... denies urgency, dysuri hematuria, incontinence Extremities Musculoskeletal: pain 9/10 with ambulation, negative for …, General: Tina Jones is an obese 28-year-old African-American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout the interview and examination. Vitals: blood pressure at 110/78mmhg, pulse rate of 78 beats per minute, respiratory rate of 16 cycles per minute, and BMI at 33kg/m2., S.O.A.P. Note Template CASE ID# Tina Jones Gastrointestinal S ubjective O bjective A ssessment (diagnosis [primary and differential diagnosis]) P lan (treatment, education, and follow up plan) Chief mplaint What brought you here today…(eg. headache) "I've been having stomach pain for a while" Chronological order of events, state of health before onset of CC, must include OLDCARTS in ..., Musculoskeletal: Denies muscle weakness, pain, difficulties with a range of motion, joint instability, or swelling. Neurologic: Denies loss of sensation, numbness, …, Documentation / Electronic Health Record Document: Provider Notes Document: Provider Notes. Student Documentation Model Documentation. Subjective. Pt presents to the clinic stating she was in a "fender bender" a week ago and is having headaches and also has a sore neck approx 3 days after., In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. Subjective Data Collection 23 out of Tina Jones Abdominal Results (COMPLETE) objective data about the system's health and physiology. While you should communicate with patients using accessible, everyday language, it is standard practice to use ..., Document: Provider Notes Identifying Data & Reliability: Tina Jones is an African American female observed sitting on the examination table of the clinic. She reports being single and is a supervisor at Mid-American Copy & Ship where she has been working since high school. The patient is the primary and reliable source of information for the interview., S.O.A.P. Note Template CASE ID# _____ S ubjective O bjective A ssessment (diagnosis [primary and differential diagnosis]) P lan (treatment, education, and follow up plan) Chief mplaint What brought you here today…(eg. headache) Stomach pain History of Present Illness Chronological order of events, state of health before onset of CC, must include …, Neurological Tina Jones SOAP.docx. Maryville University. NURS 612. typhon note.docx. Maryville University. NURS 612. ... This week's Shadow Health module helped me assess Ms. Tina Jones musculoskeletal complaints. It will helped me in the real situations. ... notes. Fifth-Third-Bank-Statement-BankStatements.net_.pdf. UnitConversionSE(2-2-23).pdf., Reports no more than 1 or 2 nights a week drinking alcohol. Asked about history of neurological problems. Denies history of meninigitis. Denies history of strokes. Denies history of concussion. Denies history of seizures. Asked family history of migraines. Denies family history of migraines. Study with Quizlet and memorize flashcards containing ..., SOAP_NoteTemplate Tina Jones Musculoskeletal.docx. Maryville University. ASSESSMENT NUR 612. Spinal disc herniation. Tina Jones Muscoskeletal. ... View SOAP Note #2 Tina Jones .docx from NURS 612 at Maryville University. S.O.A.P. Note... Patient 7 SOAP.docx. Maryville University. NURS 611. Headache., View Tina Jones Musculoskeletal Documentation.docx from NURS 653 at Texas A&M University. Documentation / Electronic Health Record Document: Provider Notes …, of pain in my lower back." History of Present Illness Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presented to the clinic complaining of back pain that began 3 days ago. She states she "tweaked it" while lifting a heavy box. She states that lifted several boxes to help ..., Week 3 SOAP note - SOAP note week 3 tina jones. Week 3 SOAP note - SOAP note week 3 tina jones. 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached. Previously searched by you. Previously searched by you. Sell. Where do you study. Your language. The Netherlands. United Kingdom. Germany. Spain., Tina Jones Health History. Shift Assessment. Student Documentation Model Documentation. Chief Complaint. The patient states that she got and scrape on her foot a while ago and it got really infected. Right foot pain, fever, nausea. History of Present Illness. Patient states she got the wound on her foot a week ago while she was changing a light ..., Module 12 Reply - Apr. 7 @ 2 32 pm. ELearning Instructions 04 2020. EXAM 2 - Study guide. Tina jones Respiratory- shadow Health. Shadow Health Soap Note id: 28 year old african american female cc: throat has been and itchy. and my nose stop hpi: sore and itchy throat, runny nose and itchy., View Shadow Health Comprehensive SOAP Note Template.docx from NURS 3020 at Walden University. 1 Shadow Health Comprehensive SOAP Note Template Name Institution 2 Patient Initials: _TJ_ Age: ... Shadow Health Tina Jones - Musculoskeletal Transcript.pdf. Solutions Available. Keiser University. NUR 2065C. …, Musculoskeletal: Motor strength and tone: normal tone and motor strength. Joints, bones and muscles: no contractures, malalignment, tenderness or bony …, TINA JONES SHADOW HEALTH SOAP NOTES 2 Tina Jones Shadow Health SOAP Notes SOAP Note Format Episodic/Focused SOAP Note Patient Information: Patient Initials: ___TJ____ Age: ___28____ Gender: ___Female____ S. CC. Tina come because she was required to have a physical examination by the new employer for the health insurance. HPI: Tina Jones, a 28 years old female reported that she obtained ..., musculoskeletal tina jones soap soap note template case id tina jones musculoskeletal subjective objective assessment diagnosis primary and differential …, S.O.A.P. Note Template CASE ID# SOAP Note 3: Musculoskeletal S ubjective O bjective A ssessment (diagnosis [primary and differential diagnosis]) P lan (treatment, education, and follow up plan) Chief mplaint What brought you here today…(eg. headache) Lower back pain History of Present Illness Chronological order of events, state of health before onset …, SOAP Note 1 Final - Tina Jones SOAP note 1; Shadow Health Nurs7580 SOAP Note Tina Jones; Related Studylists 6512 advance assessment. Preview text. ... Back, Extremities, Musculoskeletal Deferred 14. Neurological AOx 15. Psychiatric Deferred Previous Diagnostic Testing/Lab Results, Musculoskeletal: Motor strength and tone: normal tone and motor strength. Joints, bones and muscles: no contractures, malalignment, tenderness or bony …, General MSK exam. approximately 203 views in the last month. GEN: Alert and oriented in no acute distress. HEENT: Normocephalic, atraumatic. No lacerations or abrasions. No obvious deformity. No edema or ecchymosis. Non-TTP clavicle, shoulder, arm, elbow, forearm, wrist, or hand. Compartments soft., PK !&Eà±… ­ [Content_Types].xml ¢ ( Ä•ÛjÂ@ †ï }‡°·%Yõ¢”bô¢‡ËV¨}€5;ÑÐ=±;žÞ¾ C)j¤ z Hfþÿÿv60ÃñF«h > Ö¤¬ŸôX &³²0ó”}N ..., Objective: The "o" or objective data portion of your SOAP note should include your vital signs, clinical exam, and any blood work or radiology exams that have been done recently. In this portion you want to give a clear clinical picture of what is going on with the patient. This portion of a S.O.A.P note consists of what you, the clinician can observes., Musculoskeletal - TINA JONES™ ADVANCED HEALTH ASSESSMENT Instructor Use Only. Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. The pain is in her low back and bilateral buttocks, is a constant aching with stiff ness, and does not radiate. The pain is aggravated by sitting and decreased by rest and lying fl at on her back.