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)
- 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