Complete Shadow Health Health History assessment from STU NUR504 Advanced Health Assessment. Subjective Data Collection 100/100, 155-line interview transcript, full EHR documentation. Diagnoses include foot infection, uncontrolled T2DM, HTN, PCOS and asthma.
Tina Jones presents to the clinic with a chief complaint of a wound on her right lower extremity. She rates pain at 7/10. The wound measures 2cm × 1.5cm and is 2.5mm deep with purulent drainage. Vital signs show BP 142/82 and blood glucose 238 mg/dL.
The Health History assessment covers the complete subjective interview — history of present illness, past medical history, medications, allergies, family history, social history and review of systems. This module scored 100% on Subjective Data Collection.
Primary diagnoses documented: acute foot pain and local infection, uncontrolled Type 2 Diabetes Mellitus, Hypertension, Polycystic Ovarian Syndrome and Asthma.
The Tina Jones Health History module is the foundation for everything that comes after it. Students usually need to get comfortable with chief complaint flow, HPI wording, medications, allergies, social history, and the follow-up questions that make the subjective note feel complete.
If the history is weak, the rest of the Tina modules feel harder than they should. A strong subjective section makes the later cardiovascular, respiratory, GI, and mental-health assessments easier to understand and easier to document well.
Students usually need help with history flow, follow-up questions, and how to document the complete subjective encounter without missing important details. Those needs make a stronger text block especially useful on this page.