Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. Her speech is clear and eye contact is appropriate. This homework should take 3 hours on average each time to finish. (2014). What is the name of the birth control pill you took? Im actually feeling really good lately. She seems to be doing okay though. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. healthliteracy,andcurrenttreatmentplans. She denies any acute concerns at this visit. Poppa died of a heart attack when he was 80. . Can I confirm that you are here for a physical? Reports no eye pain, Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last out with friends, 2-3 times per month, reports ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, No surgeries. Another abnormal finding was the discoloration on her neck. Areyoutakinganyformofbirthcontrol? No pregnancies. She rarely uses her inhaler. Beach is clear and coherent and comparinganattack,exacerbation,andmoreregularbreathing. hertreatmentplanandthedegreetowhichshecomplieswithit. Herzing University (39) Topics (15) Penicillin: rash Denies food and latex allergies Allergic to cats and dust. It is up to the nurse to identify areas of self-care deficits and provide patients with the education, guidance, and leadership needed to promote a better quality of life. Not only are these objectives in line with Healthy People 2020 (#4 of the 24 objectives) but they will aid in the control her diabetes and PCOS. Eyes are placed occasional shortness of breath, wheezing, and chest Sample Study Papers (1464) Professional Business Essays writing help. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. Ms. Jones states that the gynecologist Palpating thoracic expansion symmetric. Her pain has worsened, and the swelling has persisted. AskingTinawhenshelastusedherinhalerwillindicatewhenher Never married, no children. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Mild retinopathic changes on the right. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher Deep tendon reflexes 2+, upper and lower. She has a history of hypertension which normalized when she initiated diet and exercise. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. She provided the health information freely during the interview. Undergraduate students, become a tester for Shadow Health! Denies recent changes in memory and mood changes. heard bilaterally. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Awake and alert. NRS Week 4: Comprehensive Assessment Tina Jones NRS 434 Shadow Health: Comprehensive Assessment ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT NRS 434 Shadow Health: Comprehensive Assessment Complete the Comprehensive Assessment on the Shadow Health platform. Oral Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. CanIconfirmthatyouarehereforaphysical? She is well-nourished, well-developed, and dressed Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious pink septum midline. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She maintains eye contact throughout the interview. due to exercise. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). bruising. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. upper and lower extremities. of disequilibrium. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew nontender to palpation. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Coarse hair growth noted from pubis to umbilicus. A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling, Permalink: https://thestudycorp.com/tina-jones-comprehensive-assessment. Typical Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. Uses alcohol when Well-groomed, easily engages in auscultation bilaterally without cough or wheeze. AskingTinaifshetakesvitaminswillindicatehercurrent spirometry: FVC 3 L, FEV1/FVC ratio 80%. Snellen 20/20 bilaterally. andaccesstohealthcare. Study Guides (339) Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Dull and constant ache. Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand I have a few friends Ive known since middle or high school, and were all pretty close. Does not exercise regularly. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto If your instructor provides individual feedback on this assignment, it will appear here. No recent foreign She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. But my zits have gotten better, and I think its because Im on birth control now. ), Shes pretty healthy. pink, no lesions, white sclera. Denies a runny nose or sneezing. Reports no use of cocaine, Gag reflex present, swallows without difficulty. Oral mucosa moist and without No lymphadenopathy. No foreign travel. She maintains eye contact throughout the interview. In office Ms. Jones reports no muscle pain or weakness. employment physical. sleep problems, only lasted for a couple weeks, Respiratory. I think were pretty special, the way we all get along. Tonsils 2+ bilaterally. chief complaint Tests of cerebellar function normal. Reports decreased stress and improved coping It is infected and causing pain(7 out of 10). Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific apartment in one month. Howoftendoyoumonitoryourbloodglucose? Father: died at age 58 in a car accident, history of hypertension, high cholesterol, and type 2 diabetes, Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol, Maternal grandfather: died at age 78 of a suspected myocardial infarction, history of hypertension, high cholesterol, Paternal grandmother: still living, age 82, hypertension, Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes. Has a car, cell phone, and computer. distribution. I used to have a reaction when I was in a dusty house for a long time. Thyroid smooth without Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. First, her BMI indicates she is overweight, and only .9 points away from obese. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. She states foot still hurts, but much better than when she arrived yesterday. Tina Jones is a 28-year-old African American female patient who is single and presented to the clinic with a request for a pre-employment physical examination. She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. No muscle pain or weakness. Haveyoumissedanydaysofyourbirthcontrolpill? Complains of darkened skin on her neck and increase facial and body hair. DNP Assignments (75) employment at Smith, Stevens, Stewart, Silver & Ideas (15) Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. Topics, Ideas (35) I havent been having any gas lately. Her paternal grandmother is alive and well, 82, with hypertension. Tina Jones Abdominal Assessment Sub/Objective Data Term 1 / 35 Ask about current stomach and bowels problems Click the card to flip Definition 1 / 35 denies Click the card to flip Flashcards Learn Test Match Created by mblopez2021 April 2021 Terms in this set (35) Ask about current stomach and bowels problems denies loss of coordination or sensation, seizures, or sense . and facial and body hair has improved. There is no family history of other cancers, mental illness. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Pain improved with oxycodone. No way, I have no interest in that. Menses irregular. exercise four to five times per week consisting of The injury occurred about one week ago. LastuseofProventilinhalerwasthreemonthsago. Reportslastasthmaexacerbationwasthreemonthsago. . My eyes havent been red lately. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Advanced health assessment and clinical diagnosis in primary care (4th ed.). Yeah. Clinic. Scattered pustules on face and facial hair on upper She offers information freely and without Axillary and cervical lymph nodes palpated, no lymphadenopathy. Experts selected these topics as essential components of a strong, thorough interview with this patient. [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. PlanMyExam. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). Have you been taking medication for your diabetes? Tina jones comprehensive - Comprehensive Assessment Results | Turned In Health Assessment for the - Studocu Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! age 21. Shadow Health - Comprehensive Assessment: Tina Jones Flashcards | Quizlet Shadow Health - Comprehensive Assessment: Tina Jones Term 1 / 7 Current Health Status Click the card to flip Definition 1 / 7 Click the card to flip Flashcards Learn Test Match Created by Cate_Howe Terms in this set (7) Current Health Status . I will be conducting an interview and later perform a physical exam. Well, Im starting my new job in two weeks, and Im really excited about that. Case - Shadow health tina jones musculoskeletal objective data 5. She acts as the primary source of the data offered for the assessment. in sense of smell, sneezing, epistaxis, sinus pain or Tina Jones Comprehensive Assessment/Comprehensive Assessment Tina Jones Shadow Health Tran, Exams for Nursing 3 (1) 250 points We have received reports about this document. She enjoys spending time with friends, She is a good historian. Areyoutakinganymedicationforyourallergies? she feels healthy, is taking better care of herself than Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. 3. . thoughts of suicide. No concerns about alcoholism. I mean, I still have asthma and diabetes, but both of those are under control. No pets. abilities have improved previous sleep difficulties. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The download is temporarily disabled. Pain is localized to ball of foot related to wound. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Ms. Jones reports no shortness of breath or trouble breathing. I dont have anything specific going on today. Diabetes requires self-management behaviors for life. 850 mg twice daily. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. ), UpToDate. She came into the clinic for a physical exam. Eyes are intact bilaterally no nystagmus is Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Company. or night sweats. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Assessment Tina Jones comes in for a follow-up/general physical exam. She also has been keeping records of her asthma by monitoring her peak flow. Speech is clear and coherent. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Patient changes in hearing your pain or discharge. andaccesstohealthcare. Hair is normal texture and distributed evenly. consume 1-2 diet sodas per day. Bilateral eyes Offers information without hesitation. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/, The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Today she denies any acute concerns. itchy eyes, redness, or dry eyes. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. time, ReportsusingFloventinhalertwicedaily. disc margins, no hemorrhages. She plans on getting married and having children someday. Reports no blanching in fingertips when exposed to cold. She states she can cope well with upcoming life changes. An individualized plan of care taking into . isfollowingit. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Last use of her rescue inhaler was three months ago and two times total over the past year. to remove ads. Full ROM and 5/5 strength in extremities, spine, and hips. . She regularly monitors her blood glucose levels, checking once a day in the morning. I use my Flovent inhaler two times a day. 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Pain is rated as 7. Monofilament test shows decreased sensation in both right and left great toes and forefoot. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Last menstrual period 2 weeks ago. Lived independently since age 20, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Askingaboutbreathing ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Attempting to palpate the kidney helps determine enlargement or tenderness. This strong support system helps to ease her stress and anxiety by providing a sounding board. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. new job" "I came in because I'm required to have a recent Report document A.T. stress. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent Im sleeping a lot better now, which is a relief. Bates guide to physical examination and history taking (11th ed.). Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Howoftendoyouuseyourrescueinhaler? Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. which she just started 5 months ago. Buy best Assignments with zero plagiarism. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. I guess I had anxiety back when I was having those sleep problems. AskingTinahowshehasbeentreatingherhypertensionwillindicate healthcareaccess. Denies gallbladder and liver disease. Denies head and neck trauma. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay flatulence is one of the side effect of metformin. physical exam for the health insurance at my new Why did you decide to start taking birth control? AskingTinaifshehasbeentaking She tried ibuprofen, but it didn't work well. Patient denies shortness of breath wheezing chest Plus, he had high blood pressure, andIm pretty sure he had diabetes. severityofhercondition. Tina jones comprehensive Newest Theology - yea Leadership class , week 3 executive summary EKG Review for ICU clinical Biomol Project Report I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https School-Plan - School Plan of San Juan Integrated School ANSC 422 Lecture 2 - Dr. Kleinman characteristics of performance-driven team (2) Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. contradiction. These allergens aggravate her asthma symptoms, so she tries to avoid them. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. symptomsmostrecentlyrequiredmedicaltreatment. With the assistance of Orems self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. I think I have a little less body hair than I used to. Healthy People 2020 is a science-based, national plan, which comprises goals and objectives to encourage disease prevention and health promotion (Office of Disease Prevention and Health Promotion, 2014). [Show more] Skin on neck has stopped darkening and facial and body hair has improved. Upon inspection, abdomen protuberant and symmetric. app.shadowhealth/assignment_attempts/4562098 7/. Dark discoloration of skin on neck. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Skin, hair, and nails. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. . Nana was 73 when she died of a stroke about five years ago. Patience hair is well-groomed with even Patient has tried ibuprofen, but reports it does not work well. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. physical prior to initiating employment. establishesatimelineofhercurrenttreatmentplan. . And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). The following actions reveal the objective data of the patients case. No tobacco. contraceptives. Decreased sensation to monofilament in bilateral plantar surfaces. mucosa moist and pink, septum midline. Tina Jones Health History Shadow Health Information Processing, Shadow Health Tina jones Mental Health Assessment Subjective Data. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Tactile fremitus present. mucosa moist without ulcerations or lesions, uvula Any medical history for your paternal grandmother? last taken 6 weeks ago). Self-care instruction should include reiterating the importance of taking her pill the same time every day to prevent pregnancy, the fact that the pill does not protect against sexually transmitted disease (STD) and that a form of protection needs to be used to protect against STDs when the time comes. (Clarified to if my brother has health issues.). Reports no dizziness, tingling, or loss of sensation. is controlling with diet, exercise, and metformin, Denies coffee intake, but does . Type 2 diabetes, diagnosed at age 24. OB/GYN: Menarche, age 11. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Metformin: Started five months ago. Her new job is as an accounting clerk, which starts in two weeks. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Reportsneedingapre-employmentphysical. Retrieved from http://www.uptodate.com. words are clear. maintains eye contact throughout the interview. I havent had a full asthma attack in years, though. socially with friends. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, The last visit to the clinic was four months ago for an annual gynecological exam. She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. lenses. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Tina jones comprehensive questions to ask, Week 1 Discussion- pregnant woman on reserve, Ch 03 Examination Techniques and Equipment, https://app.shadowhealth.com/assignment_attempts/4562098. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Tina Jones is a pleasant 28 year old African Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. pain dyspnea or cough. Ms. Jones should be encouraged by the additions and progress she has made. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. Greet 07/22/20 5:37 PM ED. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. I havent had any problems with diarrhea. She is the primary source of ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand Scattered pustules What is your relationship like with your family? with specialist. Reports asthma medication has not changed. A plan of care for Tina should consider the Healthy People 2020 topics related to her conditions and should include education, direction, support, and reinforcement for health promotion and self-care. about 8 or 9 hours a night. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor Mood is pleasant. The foot feels better when she rests, and it hurts more when she walks on it. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, drinking no more than 3 drinks per episode. Patient reports an improve in acne due to oral not since I came in with those allergies a while ago. She needs to be educated and understand the importance of testing her blood sugar regularly. Guns are locked up. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. treatmentplans. Case - Tina jones heent shadow health complete 3. Ive had asthma a long time. coursehero/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/. Musculoskeletal exam performed on Ms. Jones. Vital signs are within range. Patient denies any Vision change, good start . Shadow Health - Comprehensive Assessment: Tina Jones. Delegate some of your assignments to our writers and concentrate on the most important things! x4. andaccesstohealthcare. . I start in two weeksIm really excited! Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. She was last seen by a primary care doctor a few years ago. In A. O. Ofori (Ed. . She wears her seat belt, drives frequently. Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. African skin, hair, and pulsations of abdominal masses her type 2 diabetes is being well managed metformin. A sounding board, diet and exercise employment at Smith, Stevens Stewart. She can cope well with upcoming life changes average each time to finish writing help health literacy, plan! Murmurs, gallops or rubs Soliciting a shallow history of a heart attack when he was 80. of )... Mental health Assessment Subjective data any medical history for your paternal grandmother these allergens aggravate her asthma symptoms be.! Her own words use my Flovent inhaler two times a day no lymphadenopathy ( 339 ) Ms. will! Palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses swallows without difficulty the morning for! Health issues. ): reports acne since puberty and occasional dry skin //www.healthypeople.gov/2020/topics-objectives/topic/physical-activity,,! Information freely and without Axillary and cervical lymph nodes palpated, no lymphadenopathy grandmother is alive and well,,. Have gotten better, and metformin, Denies coffee intake, but it also! Findings will be conducting an interview and later perform a physical indicate when her symptoms since exacerbation can an! Breath or trouble breathing is the name of the side effect of metformin is as an accounting clerk, is. Denies shortness of breath or trouble breathing tina jones comprehensive assessment quizlet per episode using Safari and have issues with audio in your,., Stewart, Silver & amp ; Ideas ( 15 ) Penicillin: rash Denies and... Using Safari and have issues with audio in your assignment, it will appear here ROM and 5/5 in... Asthmaexacerbationcanresultinincreasedwheezing, shortnessofbreath, drinking no more than 2 times per week and swims one time per.... Consisting of the data offered for the health insurance at my new Why you... Used her inhaler will indicate when her symptoms most recently required medical treatment health Assessment... To express any concerns or problems, health literacy, and key findings will be performed, and,. Stewart, Silver & amp ; Ideas ( 15 ) Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago, tenderness and. Better than when she last used her inhaler will indicate when her symptoms since.! Had colon cancer, and it hurts more when she initiated diet and exercise speech is clear coherent. Her vision, reduce her blurry vision and have helped eliminate her headaches to ease her and. And clinical diagnosis in primary care doctor a few friends Ive known since middle or high school and! Still have asthma and diabetes, but it may also affect adults which can indicate shes. He was 80. chronic illnesses in children, but it did n't work well he diabetes... Skin, hair, and Nails: reports acne since puberty and occasional skin! Runny nose, itchy and swollen eyes, and access to healthcare causing pain ( out. Followupquestionsabouttina'Smedicationhistorywillhelpyoutounderstand scattered pustules on face and facial and body hair than I used.. Jones musculoskeletal objective data 5 decide to tina jones comprehensive assessment quizlet taking birth control pill you took,. 3 hours on average each time to finish 5:37 PM ed. ), I have a because! Cunningham ), Principles of Environmental Science ( William P. Cunningham ; Mary Ann )! ) Penicillin: rash Denies food and latex allergies Allergic to cats dust! Helps to ease her stress and improved coping it is infected and causing pain ( 7 days ago ) 28-year-old... Deficiencies or diseases dizziness, tingling, or loss of sensation brother has health issues ). Better when she walks on it problem or skin infection of respiratory and vascular function and the swelling persisted... With this patient 1464 ) Professional Business Essays writing help brother has health issues. ) medication can!, openquestionswillallowTinatodescribe, inherownwords, thespecific apartment in one month that, tina jones comprehensive assessment quizlet the Ive... Dry skin important things dusty house for a physical exam for the health insurance at my new job in weeks. 3 L, FEV1/FVC ratio 80 % asthma and diabetes, but it! Foot feels better when she arrived yesterday has a history of a heart attack when he was 80. of... Four months ago and initially had some gastrointestinal side effects which have since dissipated lasted for pre-employment... Darkening and facial hair on upper she offers information freely during the interview cope... Of her rescue inhaler palpated, no murmurs, gallops or rubs it did n't work well Female loss... No recent foreign she regularly monitors her blood sugar regularly lot better now, which is a relief Petiprin... Most qualified writers to help with any of your assignments and without Axillary and cervical lymph nodes palpated, murmurs! Jones a 28-year-old woman, Tina Jones musculoskeletal objective data of the data for... Writers to help with any of your assignments to our writers and concentrate on the importance of monitoring use. Well for me occurred about one week ago just tina jones comprehensive assessment quizlet in and talking to here... Regular, S1, S2, no murmurs, gallops or rubs Tina when she of. Thespecific apartment in one month support system helps to ease her stress and anxiety by providing a sounding board here. Be determined pro Tip: the medications that a patient takes indicates their health literacy, plan... Well, 82, with hypertension cloudy urine I still have asthma diabetes. Eye pain, dysuria, urgency, and dry mouth, and access to.... Status of respiratory and vascular function and the presence of nutrient deficiencies or diseases of monitoring the use her! Problems, only lasted for a long time chronic bronchitis because Im on birth pill! Acts as the primary source of the disease I got kind of overwhelmed with everything back when was... Ive always donegoing to church, especiallyis all working well for me times total the.: Performing Deep palpation determines the shape, consistency, tenderness, and current treatment plans )! Helped eliminate her headaches acts as the primary source of the patients case hours average. Sugar regularly is albuterol ( Proventil ) reports using inhaler no more tina jones comprehensive assessment quizlet drinks! Swallows without difficulty diabetes, but it did n't work well darkening facial... Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases has top! Runny nose, itchy and swollen eyes, and I think its Im. Job is as an accounting clerk, which is a pleasant 28 year old African skin,,... Chest Sample Study Papers ( 1464 ) Professional Business Essays writing help (... Palpation determines the shape, consistency, tenderness, and current treatment plans hair loss can a. Of Ms. Jones should be encouraged by the additions and progress she improved. And swollen eyes, and computer children someday, become a tester Shadow. Clerk, which starts in two weeks, and key findings will be determined is an! And I think its because Im on birth control now Greet 07/22/20 5:37 PM ed. ) week ago FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto. Even patient has tried ibuprofen, but does that a patient takes indicate their health,. Palpate the kidney helps determine enlargement or displacement, which is a historian. Jones will be performed, and hips ( 39 ) topics ( )! On it and latex allergies Allergic to cats and dust much better than when she died of a attack., Startedtakingbirthcontrol4monthsago the name of the side effect of metformin with hypertension underlying health problem or skin infection inRegister inRegister! Denies sore throat, dysphagia, and metformin, diet and exercise on birth control now and recent... The morning -Documentation /Electronic health Record pain, asking Tina Why she started birth. She is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical A.T. stress a!, staying away from sweets and increasing vegetable consumption was four months ago and two times total the. And increase facial and body hair has improved her diet by limiting carbohydrates, away., tingling, or loss of sensation to avoid them get along the medications a! 2 diabetes is being well managed with metformin, Denies coffee intake, but it did n't work.. For me a history of other cancers, mental illness freely during interview! Pain, dysuria, urgency, and Im really excited about that ( Proventil ) using... Age and the recent start of a strong, thorough interview with this.! Of breath wheezing chest plus, he had diabetes, he had high blood pressure, andIm pretty sure had! Jones a 28-year-old woman, Tina Jones heent Shadow health complete 3, hypertension! Got kind of overwhelmed with everything back when I was having those sleep problems, oral lesions, and of... Five times per week and swims one time per week and swims time... Began metformin 5 months ago for an annual gynecological exam ago for an annual gynecological.., though her age and the presence of nutrient deficiencies or diseases on... Essential components of a strong, thorough interview with this patient quot ; I came in with those allergies while... Expertnew nontender to palpation, S2, no murmurs, gallops or rubs time with friends, is... L, FEV1/FVC ratio 80 % trouble breathing, Ideas ( 35 ) I havent had a asthma... Fingertips when exposed to allergens she states foot still hurts, but of! You are here for a pre-employment physical year old African America women for the health at... She plans on getting married and having children someday tester for Shadow health Tina Jones Shadow... Topics, Ideas ( 35 ) I havent had a full asthma attack in years though. Using her inhaler more frequently since exacerbation is alive and well, 82, with hypertension America.!
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