Shadow Health Comprehensive Assessment

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Questions and Answers

What current health problems has the individual reported?

  • Denies current acute health problems (correct)
  • Diabetes (correct)
  • Asthma (correct)
  • None of the above

When was the individual's last visit to a healthcare provider?

4 months ago

What prescription medications is the individual currently taking?

  • Diabetes medication (correct)
  • Inhaler (correct)
  • Birth control pills (correct)
  • None of the above

What is the name of the diabetes medication the individual is taking?

<p>Metformin</p> Signup and view all the answers

How often does the individual use their inhaler for asthma?

<p>No more than 2 times per week (D)</p> Signup and view all the answers

What form of birth control is the individual taking?

<p>Drospirenone and ethyl estradiol (Yaz)</p> Signup and view all the answers

What is the individual's caffeine intake?

<p>Drinks diet Coke (C)</p> Signup and view all the answers

How many nights per month does the individual report drinking alcohol?

<p>2-3 nights</p> Signup and view all the answers

Does the individual use tobacco?

<p>False (B)</p> Signup and view all the answers

What exercise activities does the individual participate in?

<p>Walking and swimming</p> Signup and view all the answers

Does the individual have any issues related to mental health?

<p>False (B)</p> Signup and view all the answers

What is the individual's typical breakfast?

<p>Smoothie with probiotic yogurt or egg on wheat toast with probiotic yogurt</p> Signup and view all the answers

How frequently does the individual check their blood sugar?

<p>Once a day</p> Signup and view all the answers

Has the individual experienced change in asthma symptoms?

<p>False (B)</p> Signup and view all the answers

What allergies does the individual report?

<p>Dust allergy (B), Penicillin (C), Cat allergy (D)</p> Signup and view all the answers

What weight change has the individual recently reported?

<p>Weight loss of about 10 pounds (C)</p> Signup and view all the answers

Does the individual have any gastrointestinal issues?

<p>False (B)</p> Signup and view all the answers

Does the individual experience any sleep issues?

<p>False (B)</p> Signup and view all the answers

Has the individual experienced any cardiovascular issues?

<p>False (B)</p> Signup and view all the answers

Does the individual have a history of breast cancer?

<p>False (B)</p> Signup and view all the answers

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Study Notes

Current Health Problems

  • Denies current acute health problems, but reports having diabetes and asthma.

Last Healthcare Provider Visit

  • Last visit occurred 4 months ago for an annual gynecological exam.
  • Last general physical examination was 5 months ago.

Current Prescription Medications

  • Taking diabetes medication (metformin).
  • Uses an inhaler for asthma (albuterol/Proventil).
  • On prescription birth control pills (drospirenone and ethinyl estradiol/Yaz).

Diabetes Medication Details

  • Metformin started 5 months ago; taking 850 mg twice daily.
  • Side effects have reduced over time, with no adverse effects reported.

Asthma Medication Information

  • Inhaler remains albuterol/Proventil, used no more than twice a week.
  • Typical usage includes 1-3 puffs as needed, usually taking 2 puffs.
  • Denies adverse effects from asthma medication.

Birth Control Prescription Insights

  • Birth control initiated 4 months ago to manage PCOS symptoms.
  • Taken daily at the same time with no reported adverse side effects.

Non-Prescription Medications

  • Occasionally uses ibuprofen (regular strength) for cramps.
  • Denies using any over-the-counter herbals or supplements.

Allergy Overview

  • Allergies include penicillin, cats, and dust; no changes reported.

Diabetes Management Through Lifestyle

  • Recently started dieting and exercising to manage diabetes.

Blood Glucose Monitoring

  • Checks blood sugar once daily in the morning, typical level around 90.
  • Uses a glucometer and has sufficient supplies.

Asthma Symptoms Assessment

  • Denies any changes to asthma symptoms; believes asthma is well-controlled.
  • Last used Proventil inhaler yesterday.

Vision Health

  • Last optometrist visit was 3 months ago; eyeglasses recently prescribed.
  • Glasses improve overall vision.

Reproductive Health

  • Last menstrual period was 2 weeks ago with a normal cycle and rare cramping.

Breast Health

  • Occasionally performs breast exams; has not had a mammogram.
  • Denies any changes to breasts or history of breast cancer.

Weight Changes

  • Reports a recent weight loss of approximately 10 pounds.

Dietary Habits

  • Typical breakfast includes a smoothie with probiotic yogurt or egg on wheat toast.
  • Lunch consists of dinner leftovers or sandwiches on wheat bread.
  • Dinner includes vegetables with a protein and brown rice or quinoa; snacks are carrot sticks or apples.

Caffeine and Alcohol Intake

  • Denies coffee consumption; consumes 2 diet Cokes daily.
  • Drinks alcohol 2-3 nights per month, typically 2-3 drinks when out.

Tobacco and Drug Use

  • Denies tobacco use and vaping.
  • History of smoking recreational marijuana.

Exercise Routine

  • Walks for exercise four to five times a week (30-40 minutes each walk).
  • Swims weekly for additional exercise.

Sexual Activity and Mental Health

  • Denies sexual activity and mental health issues.

General Health Concerns

  • Denies fatigue, fever, chills, sleep issues, night sweats, or swelling.
  • No general HEENT, respiratory, cardiovascular, gastrointestinal, genitourinary, musculoskeletal, neurological, or integumentary issues reported.

Respiratory System Review

  • Denies current breathing problems, with occasional shortness of breath, wheezing, or chest tightness, but denies pain and coughing while breathing.

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