6512N WK4Assign2.docx - Document Provider Notes \u2013 NURS 6512 Name MS Tina Jones Health History Identifying Data Ms Tina is a 28-year-old African

6512N WK4Assign2.docx - Document Provider Notes u2013 NURS...

This preview shows page 1 - 3 out of 6 pages.

Name: Health History Identifying Data General Survey MS. Tina Jones Ms. Tina is a 28-year-old African American single female. Patient is a student, and works as supervisor at the Mild American copy and ship. Tina appears calm, soft spoken, cooperative during assessment. No apparent acute distress. face looks asymmetry, with mild acne, mucous membrane moist and intact. Skin color normal. No rashes. No ovious skin tear noted. Skin around neck dry and dark. patient appears well kept. She is financially stable, have great family support. Document: Provider Notes – NURS 6512 Copyright © 2019 || Shadowhealth.com 1
Image of page 1
Chief Complaint History of Present Illness Right foot pain that radiated to the ankle. Right wound infection that started as a scrapped Patient said she hit het foot on the cement a week ago, and got a srapper under her foot, she had a little bleeding at the time, then cleanse and covered with bandage. Then went to the ER were the doctor presbcibe wound care treatment with peroxide, Neosporin twice daily, tamadol three times and day for pain as needed, which had provide some relief. Patient presently complaint wih
Image of page 2
Image of page 3

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture