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Posted: January 27th, 2023

John Larsen Anxiety shadow health Objective Data

John Larsen Anxiety shadow health Objective Data

Objective Data Collection: 26.05 of 27 (96.48%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Assessed Vitals
0.8 of 1 point
Temperature (1/5 point)
  •  Normothermic
  •  Hyperthermic
  •  Hypothermic
Blood Pressure (No point)
  •  Normotensive
  •  Hypertensive
  •  Hypotensive
Heart Rate (1/5 point)
  •  Normal
  •  Tachycardic
  •  Bradycardic
  • John Larsen Anxiety shadow health Objective Data
Respiratory Rate (1/5 point)

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  •  Normal
  •  Tachypnea
  •  Bradypnea
O2 Saturation (1/5 point)
  •  Normal
  •  Hypoxemia
 Inspected Legs
1 of 1 point
Right: Edema (1/2 point)
  •  No edema
  •  Pitting
  •  Non-pitting
Left: Edema (1/2 point)
  •  No edema
  •  Pitting
  •  Non-pitting
 Auscultated Carotid Arteries
1 of 1 point
Right (1/2 point)
  •  No bruit
  •  Bruit
Left (1/2 point)
  •  No bruit
  •  Bruit
 Auscultated Breath Sounds
0.5 of 1 point
Breath Sounds (No 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 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
  •  Arrhythmia
 Palpated Carotid Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Radial Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No Thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Brachial Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Femoral Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Popliteal Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Tibial Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated Dorsalis Pedis Arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No Thrill
  •  Thrills
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
  • John Larsen Anxiety shadow health Objective Data
 Performed EKG
1 of 1 point
Sinus Rhythm (1/2 point)
  •  Regular
  •  Irregular
St Changes (1/2 point)
  •  No ST changes present
  •  ST changes present
 Assessed Labs
1 of 1 point
Drug Screen Results (1/2 point)
  •  Positive for substances
  •  Negative for substances
Thyroid Function Tests (1/2 point)
  •  Both levels within normal ranges
  •  Thyroxine-binding globulin elevated
  •  Thyroxine-binding globulin low
  •  Thyroid-stimulating hormone (TSH) elevated
  •  Thyroid-stimulating hormone (TSH) low
 Assessed General Appearance
0.75 of 1 point
Eye Contact (1/4 point)
  •  Direct eye contact
  •  Indirect or no eye contact
Posture (No point)
  •  Upright posture without tension or rigidity
  •  Bent or hunched posture, tension, or rigidity
Clothing (1/4 point)
  •  Clean clothing, appropriate to age, fit, season, and occasion
  •  Dirty, disheveled, or inappropriate to age, fit, season, or occasion
  • John Larsen Anxiety shadow health Objective Data
Grooming (1/4 point)
  •  Demonstrates an appropriate level of grooming
  •  Signs indicating lack of grooming or self-care
 Assessed Attitude Toward Medical Staff
1 of 1 point
Attitude Toward Medical Staff (1/1 point)
  •  Generally open and cooperative
  •  Generally suspicious, guarded, or evasive
 Assessed Speech
1 of 1 point
Rate (1/3 point)
  •  Demonstrates appropriate or expected rate of speech
  •  Excessively slow or rapid rate of speech
Volume (1/3 point)
  •  Demonstrates appropriate or expected speech volume
  •  Excessively loud or soft speech volume
Articulation (1/3 point)
  •  No appreciable issues with articulation
  •  Issues with articulation, slurring, or stutters
 Assessed Mood and Affect
1 of 1 point
Mood (1/2 point)
  •  Stable mood with little or no fluctuation throughout the interview
  •  Frequent and appreciable mood changes throughout the interview
Affect (1/2 point)
  •  Full or balanced (normal)
  •  Expansive affect (excessively cheerful affect characterized by contagious laughter or smiling)
  •  Blunted or flat affect (little to no variation of expression regardless of conversation topic)
 Assessed Thought Process
1 of 1 point
Thought Process (1/1 point)
  •  No presence of thought process disturbances
  •  Presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, or clanging associations
  • John Larsen Anxiety shadow health Objective Data
 Assessed Thought Content
1 of 1 point
Thought Content (1/2 point)
  •  No presence of thought content disturbances
  •  Presence of delusions, obsessive or intrusive thoughts, or suicidal or homicidal ideation
Perceptual Disturbances (1/2 point)
  •  No presence of perceptual disturbances
  •  Presence of auditory or visual hallucinations
 Confirmed Orientation
1 of 1 point
To Person (1/4 point)
  •  Oriented to person
  •  Not oriented to person
To Place (1/4 point)
  •  Oriented to place
  •  Not oriented to place
To Time (1/4 point)
  •  Oriented to time
  •  Not oriented to time
To Situation (1/4 point)
  •  Oriented to situation
  •  Not oriented to situation
 Assessed Serial Sevens
1 of 1 point
Serial Sevens (1/1 point)
  •  Able to complete the series
  •  Unable to complete the series
 Assessed Abstract Thinking
1 of 1 point
Abstract Thinking (1/1 point)
  •  Demonstrates abstract thinking with similarities test
  •  Demonstrates concrete thinking with similarities test
 Assessed Memory
1 of 1 point
Memory (1/1 point)
  •  Remote and immediate memory intact
  •  Remote or immediate memory not intact
 Assessed Visuospatial Ability
1 of 1 point
Visuospatial Ability (1/1 point)
  •  Visuospatial ability intact for interlocking shapes test
  •  Visuospatial ability impaired with interlocking shapes test
 Assessed Insight
1 of 1 point
Insight (1/1 point)
  •  Demonstrates full awareness of illness and willingness to seek treatment
  •  Demonstrates limited or no awareness of illness and/or is unwilling to seek treatment
 Assessed Judgment
1 of 1 point
Judgment (1/1 point)
  •  Demonstrates good judgment
  •  Judgment poor or impaired judgment
  • John Larsen Anxiety shadow health Objective Data

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