HEENT _ Completed _ Shadow Health-documentation.pdf -...

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HEENT Results | Completed Advanced Health Assessment - January 2020, nurs_612_34w_20/sp Return to Assignment (/assignments/301754/) (/site_notice_dismissals?from_flash=true&site_notice_id=409) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Your Results Turn In (/assignment_attempts/6042951/choose) Reopen (/assignment_attempts/6042951/reopen) Lab Pass (/assignment_attempts/6042951/lab_pass.pdf) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection Document: Provider Notes
Student Documentation Model Documentation Subjective Patient presented with complaints of runny nose, sore throat, itchy eyes, and general malaise for 2 weeks. Patient has been using throat lozenges up to 6 a day with relief HPI: Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, itchy throat, itchy eyes, and runny nose for the last week. She states that these symptoms started spontaneously and have been constant in nature. She does not note any specific aggravating symptoms, but states that her throat pain seems to be worse in the morning. She rates her throat pain as 4/10 and her throat itchiness as 5/10. She has treated her throat pain with occasional throat lozenges which has “helped a little”. She states that she has some soreness when swallowing, but otherwise no other associated symptoms. She states that her nose

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