Objective data Shadow health – Samantha Monroe Collection

Objective data Shadow health – Samantha Monroe Collection

Here’s a detailed assessment of Samantha Monroe’s health information. It’s like a report card showing how well she’s doing in different areas. Let’s break it down:

Growth Chart: Height & Weight
– Weight Percentile: Indicates if Samantha’s weight is low, normal, or high compared to other children her age.
– Weight Growth Curve: Shows if her weight is staying steady or decreasing.
– Height Percentile: Tells us if Samantha’s height is below, within, or above the expected range for her age.
– Height Growth Curve: Indicates if her height is staying on track or decreasing.

Inspected Skin
– Lesions: Checks for any marks or abnormalities on her skin.
– Color: Examines the color of her skin to see if it’s normal or if there are signs of issues like jaundice.
– Texture: Assesses if her skin feels smooth or rough.
– Temperature: Determines if her skin feels warm or cool.

Inspected General Appearance
– Posture: Looks at how Samantha is standing or sitting.
– Clothing: Observes if her clothes are clean and suitable for the occasion.
– Skin Hydration: Checks if her skin quickly returns to its normal position after being gently pinched.

Assessed Cervical Spine Range of Motion
– Flexion, Extension, Lateral Bending, Rotation: Checks how well Samantha can move her neck in different directions.

Assessed Spine Range of Motion
– Rotation: Examines how far Samantha can twist her upper body.

Assessed Wrist Range of Motion
– Tests how well Samantha can move her wrists.

Assessed Elbow Range of Motion
– Looks at Samantha’s ability to bend and straighten her elbows.

Assessed Shoulder Range of Motion
– Checks how freely Samantha can move her shoulders.

Assessed Trapezius Strength
– Tests the strength of Samantha’s upper back muscles.

Assessed Deltoid Strength And Shoulder Rotation
– Evaluates the strength and rotation ability of Samantha’s shoulder muscles.

Assessed Hand/Finger Range of Motion And Strength
– Assesses how well Samantha can move her hands and fingers, and how strong they are.

Assessed Symmetry of Extremities
– Checks if Samantha’s arms and legs are the same length and strength on both sides.

Assessed Leg Symmetry, Knee or Ankle Effusion
– Looks for any differences between Samantha’s legs, and checks for swelling in her knees or ankles.

Assessed Calf Symmetry, Leg Strength
– Checks if Samantha’s calf muscles are the same size and strength on both legs.

Tested Hip, Knee and Ankle Range of Motion
– Evaluates how well Samantha can move her hips, knees, and ankles.

Tested 6 Cardinal Fields of Vision
– Checks Samantha’s vision and eye movements in different directions.

Tested Peripheral Vision
– Looks for any issues with Samantha’s side vision.

Tested Visual Acuity
– Determines how well Samantha can see both close-up and far away.

Romberg Test
– Assesses Samantha’s balance and ability to stand steady with eyes closed.

Auscultated Breath and Heart Sounds
– Listens to Samantha’s breathing and heartbeat for any irregularities.

Auscultated Abdominal Aorta
– Listens for abnormal sounds in Samantha’s abdomen.

Auscultated Heart Sounds
– Checks for any unusual sounds in Samantha’s heart.

Screened Adam’s Forward Bend
– Observes Samantha’s spine for any abnormalities or curvature.

Infant Well Visit Shadow health documentation

Objective data Shadow health – Samantha Monroe Collection

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Growth Chart: Height & Weight
1 of 1 point
Weight Percentile (1/4 point)
  •  Below 5th percentile
  •  Between 5th and 95th percentile
  •  Above 95th percentile
Weight Growth Curve (1/4 point)
  •  Growth curve maintained
  •  Growth curve decline
Height Percentile (1/4 point)
  •  Below 5th percentile
  •  Between 5th and 95th percentile
  •  Above 95th percentile
Height Growth Curve (1/4 point)
  •  Growth curve maintained
  •  Growth curve declined
 Inspected Skin
1 of 1 point
Lesions (1/5 point)
  •  No visible lesions
  •  Lacerations/wounds
  •  Erythema
  •  Ecchymosis
  •  Birthmark
  •  Discolorations
Color (1/5 point)
  •  Consistent with ethnic background
  •  Jaundice
  •  Cyanosis
  •  Pallor
Texture (1/5 point)
  •  Smooth
  •  Rough
Temperature (1/5 point)
  •  Warm
  •  Cool

ORDER SHADOW HEALTH, EXAM OR WRITEN PAPER HERE

Skin Hydration (1/5 point)
  •  Elastic
  •  Elastic Tenting
  •  Sluggish Turgor
 Inspected General Appearance
1 of 1 point
Posture (1/2 point)
  •  Upright posture without tension or rigidity
  •  Bent or hunched posture, tension or rigidity
Clothing (1/2 point)
  •  Clean clothing, appropriate for age, fit, season and occasion
  •  Dirty, disheveled, or inappropriate to age, fit, season or occasion
 Assessed Cervical Spine RoM
1 of 1 point
Flexion (1/4 point)
  •  Expected range of motion (approx. 45)
  •  Reduced range of motion
Extension (1/4 point)
  •  Expected range of motion (approx. 45)
  •  Reduced range of motion
Lateral Bending (1/4 point)
  •  Expected range of motion (approx. 40) on both sides
  •  Reduced range of motion on right
  •  Reduced range of motion on left
Rotation (1/4 point)
  •  Expected range of motion (approx. 70) on both sides
  •  Reduced range of motion on right
  •  Reduced range of motion on left
 Assessed Spine Range of Motion
1 of 1 point
Rotation (1/1 point)
  •  Expected range of motion (approx. 75-90 degrees)
  •  Reduced flexion
 Assessed Wrist RoM
1 of 1 point
Left Extension (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
Right Extension (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced extension
Left Flexion (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
Right Flexion (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
 Assessed Elbow RoM
1 of 1 point
Left: Flexion And Extension (1/4 point)
  •  Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
  •  Reduced Extension
  •  Reduced Flexion
Right: Flexion And Extension (1/4 point)
  •  Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
  •  Reduced Extension
  •  Reduced Flexion
Left: Supination And Pronation (1/4 point)
  •  Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
  •  Reduced Pronation
  •  Reduced Supination
Right: Supination And Pronation (1/4 point)
  •  Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
  •  Reduced Pronation
  •  Reduced Supination
 Assessed Shoulder RoM
1 of 1 point
Adduction (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
Abduction (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
Strength (1/3 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Trapezius Strength
1 of 1 point
Strength (1/1 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Deltoid Strength And Shoulder Rotation
1 of 1 point
Strength & Rotation (1/3 point)
  •  Symmetric
  •  Asymmetric
Forward Flexion (1/3 point)
  •  Expected range of motion (approx. 180 degrees)
  •  Reduced range of motion
Extension (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
 Assessed Hand/Finger RoM And Strength
1 of 1 point
Left (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
Right (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Symmetry of Extremities
1 of 1 point
Extremities (1/1 point)
  •  Symmetrical
  •  Asymmetrical
 Assessed Leg Symmetry, Knee or Ankle Effusion
1 of 1 point
Effusion (1/3 point)
  •  Present
  •  Not present
Leg Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
Knee Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
 Assessed Calf Symmetry, Leg Strength
1 of 1 point
Calf Muscles (1/2 point)
  •  Symmetric
  •  Asymmetric
Leg Strength (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Tested Hip, Knee and Ankle Range of Motion
1 of 1 point
Hip Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
Knee Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
Ankle Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
 Tested 6 Cardinal Fields of Vision
1 of 1 point
Cardinal Fields (1/2 point)
  •  No abnormal findings
  •  Nystagmus
  •  Fixed Pupil
Convergence (1/2 point)
  •  No abnormal findings
  •  Unequal bilaterally
  •  Fixed Pupil
 Tested Peripheral Vision
1 of 1 point
Observations (1/1 point)
  •  No abnormal findings
  •  Reduced right visual field
  •  Reduced left visual field
 Tested Visual Acuity
1 of 1 point
Right (1/2 point)
  •  20/100
  •  20/70
  •  20/50
  •  20/40
  •  20/30
  •  20/25
  •  20/20
  •  20/15
  •  20/13
  •  20/10
Left (1/2 point)
  •  20/100
  •  20/70
  •  20/50
  •  20/40
  •  20/30
  •  20/25
  •  20/20
  •  20/15
  •  20/13
  •  20/10
 Romberg Test
1 of 1 point
Romberg (1/1 point)
  •  Maintains upright posture
  •  Difficulty remaining upright
 Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/2 point)
  •  Clear in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (1/2 point)
  •  No adventitious sounds
  •  Wheezing
  •  Fine crackles
  •  Stridor
  •  Rhonchi
  •  Rales
 Auscultated Abdominal Aorta
1 of 1 point
Sounds (1/1 point)
  •  No bruit
  •  Bruit
 Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/3 point)
  •  S1 and S2 audible
  •  S1, S2, and S3 audible
  •  S1, S2 and S4 audible
  •  S1, S2, S3 and S4 audible
Extra Heart Sounds (1/3 point)
  •  No extra sounds
  •  Gallops
  •  Murmur
  •  Friction rub
  •  Valve clicks
Rate And Rhythm (1/3 point)
  •  Regular rate and rhythm
  •  Irregular rate and rhythm
  •  Arrhythmia
 Screened Adam’s Forward Bend
1 of 1 point
Iliac Crests (1/6 point)
  •  Equal height
  •  Unequal height
Scapula Prominence And Shape (1/6 point)
  •  Equal height
  •  Unequal height
Spine Contour (1/6 point)
  •  Expected curvature
  •  Decreased lordosis
  •  Increased lordosis
  •  Decreased kyphosis
  •  Increased kyphosis
Spine Symmetry (1/6 point)
  •  Symmetrical
  •  Asymmetrical
Waistline (1/6 point)
  •  Equal height
  •  Unequal height
Flexion (1/6 point)
  •  Expected range of motion (approx. 75-90 degrees)
  •  Reduced flexion

Related posts:

Is this your assignment or some part of it?
We can do it for you!
ORDER NWR