This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). She acts as the primary source of the data offered for the assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She monitors her blood sugar once daily in the morning with average readings being around 90. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Askingaboutbreathing She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Have you missed any days of your birth control pill? establishesatimelineofhercurrenttreatmentplan. Oriented to person, place, and time. AskingTinaifshetakesnonprescriptiondrugswillindicate Patience hair is well-groomed with even Stomach upset. She is a good historian. andaccesstohealthcare. No history of bone trauma or deformity. What medical problems did your father have? Indicates an item that you found. no other hair or nail changes. is tolerating well. treatmentplans. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. "I came in because I'm required to have a recent She rarely uses her inhaler. Acombinationofopenandclosedquestionswillyieldbetterpatientdata. First, her BMI indicates she is overweight, and only .9 points away from obese. Capella University (56) The rescue inhaler was last used three months ago with a total of two uses in the past year. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Mom has high cholesterol and blood pressure, I think. patient self treated by attending church, and talking Last use of her rescue inhaler was three months ago and two times total over the past year. Ms. Jones states no joint pain, stiffness, swelling, or limitation. retinopathic changes on right. Howoftendoyouuseyourrescueinhaler? Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. employment physical. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. itchy eyes, redness, or dry eyes. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Sinus palpated with no tenderness noted. Patient denies any Vision change, good start She states that Denies history of recurrent urinary tract infections and kidney stones. General. Alert and oriented to person, Has a car, cell phone, and computer. Musculoskeletal: Denies history of fractures, gout, and arthritis. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. last taken 6 weeks ago). place, and time. Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: 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. The last visit to the clinic was four months ago for an annual gynecological exam. Denies a runny nose or sneezing. Tina states she is very excited about the new opportunity. with specialist. ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand of disequilibrium. Monofilament test shows decreased sensation in both right and left great toes and forefoot. She uses her albuterol inhaler when she is around cats. Things are pretty good between all of uswere a tight knit family. Denies recent changes in memory and mood changes. present. Theyre crazy, but nobodys diagnosed with anything. Whendidyoulastuseyourrescueinhaler? monofilament in bilateral plantar surfaces. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ms. Jones has a penicillin allergy with a reaction of rash. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. tetracycline, I think, back in high school. Does your dads father have health issues? States skin on neck has stopped darkening. We Can do an Original Paper for you! Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Asking Tina if she takes herbal products will indicate her current treatment plan. Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Decreased sensation to Reports recent weight loss. Shadow Health Comprehensive Assessment: Tina Jones . Breath sounds present and equal bilaterally, no adventitious sounds noted. She is required to have a physical exam for her health insurance. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Abdomen soft with no tenderness, guarding or masses with palpation. My muscles have felt great, especially since I started exercising more. Report document A.T. Dentition without evidence of caries or infection. No nail deformities. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. In A. O. Ofori (Ed. No tenderness or guarding to palpation. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Normal graphesthesia, stereognosis, and rapid Tina is active in her church and ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent treatmentplan. . Coarse hair growth noted from pubis to umbilicus. Tina Jones is a pleasant 28 year old African Denies generalized weakness. She has asthma too, but she almost never has attacks. Lag, nystagmus, and deviations may indicate neurologic conditions. treatmentplan. Comprehensive Assessment Tina Jones Shadow Health Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. There were retinopathic changes in her right eye that are mild. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. Deep tendon reflexes 2+, upper and lower. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Reportsnocurrentmedicationforallergies. What is the name of your diabetes medication? Documentation She acts as the primary source of the data offered for the assessment. ), Shes pretty healthy. Bowel sounds are normoactive in all four quadrants. 472 Comments 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 Ms. Jones states her acne has improved due to oral contraceptive use. No surgeries. No history of sexually transmitted infections. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. healthliteracy,andcurrenttreatmentplans. St. Louis, MO: Elsevier Mosby. Respiratory. How old is Tina Jones in a pre employment physical examination? Patient does have slight anxiety, congruent with Has new male relationship, sexual contact not initiated. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Thefollowingdetailsare Snellen: 20/20 right Beach is clear and coherent and Liver span 7 cm MCL, palpable 1 cm below right costal margin. hercurrenttreatmentplan. age 21. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. She is the primary source of the history. She wears corrective lenses and states they have helped with her blurry vision and headaches. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Denies goiter, hyper/hypothyroidism. travel. due to diet change and exercise increase. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. We go to First Baptist, and we do a lot with our church community. make rapid movements bilaterally. 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. Sclera white, conjunctiva pink, PERRLA, EOMs intact. Stereognosis and graphesthesia normal bilaterally. She also has increased her physical activity. Ive maybe used it twice since I came in with those asthma problems. Musculoskeletal. How many times a day do you take metformin? eye, 20/20 left eye with corrective lenses. Tina jones comprehensive Destroying Altering Tables and Views EDUC 327 The Teacher and The School Curriculum Document Anthropological Perspective Chapter 01 - Fundamentals of Nursing 9th edition - test bank Active Learning Template: Basic Concept Examen Psicometrico PNP 2 Newest Theology - yea Leadership class , week 3 executive summary Patient Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Upon inspection, abdomen protuberant and symmetric. The headache lasts a few hours and is relieved with acetaminophen and sleep. Im going to be an Accounting Clerk at this really nice accounting firm. Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). loss of coordination or sensation, seizures, or sense Speech is clear and coherent. She offers information freely and without Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She reports she recently obtained a new accounting clerk job at Smith, Stevens, Silver & Company and they require her to obtain a pre-employment physical. No! . Bates guide to physical examination and history taking (11th ed.). Any medical history for your paternal grandmother? My doctor told me when I was pretty little I think I was about two and a half? Flashcards. Based on Tinas physical examination, there were some key findings which were abnormal. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No recent or frequent illness, fatigue, fevers, chills, . Do you take your pill at the same time every day? Denies coffee intake, but does Poppa died of a heart attack when he was 80. . Using Orems self-care model for asthmatic adolescents. Patient reports no General mouth 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. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. 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. Nasal mucosa moist and Reportstakingprescriptionbirthcontrolpills. to remove ads. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Normal graphesthesia, sterognosis, and able to No. . Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. A week ago the scrape startedand the pain got a lot worse in last few days. changes in hearing your pain or discharge. Peripheral pulses 2+, equal bilaterally. tingling loss of coordination no seizures. Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. PAST MEDICAL HISTORY Diabetes PCOS Asthma Allergies Medications Metformin: 850 mg BID Flovent: 2 puffs 88 mcg/spray BID Albuterol: 90 mcg/spray MDI 2 puffs possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Full ROM of TMJ with no crepitus. Ms. Jones offers information freely and : 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. A dietician referral may be beneficial to educate on specifics and offer support. She has glasses following a vision exam. She wears her seat belt, drives frequently. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. nontender to palpation. Type 2 diabetes, diagnosed at age 24. comparinganattack,exacerbation,andmoreregularbreathing. Writing Guides (2), Academic Success and Professional Development Plan (4) Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. What is the name of the birth control pill you took? Management Assignments (7) Ive had asthma a long time. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. I will be conducting an interview and later perform a physical exam. Delegate some of your assignments to our writers and concentrate on the most important things! Areyoutakinganymedicationforyourallergies? How often do you monitor your blood glucose? Has your menstrual cycle improved since taking Yaz? 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. condition,experience,orsymptoms. Palpating thoracic expansion symmetric. 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. She maintains eye contact throughout the interview. Indicates an item that is available to be found. Tina jones comprehensive questions to ask MAT-240 1-1 Discussion Peds calculation - peds math Kaugnayan ng panitikan sa larangan ng Pilipinas Week 1 Reflection CHEM111G - Lab Report for Density Experiment (Experiment 1) ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH) WS 200 module 2 discussions MKT 3301 Market Research Philosophy Newest Will begin her new position was 4 months ago, when she received her annual She denies suicidal and homicidal ideation. Her speech is clear and eye contact is appropriate. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Metformin: Started five months ago. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto These allergens aggravate her asthma symptoms, so she tries to avoid them. Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: Nursing Care Plans Examples (20) I mean, I still have asthma and diabetes, but both of those are under control. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. andaccesstohealthcare. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. stress. Vital signs are within range. ), UpToDate. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. Reports no current headache and no history of head (2014). Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Can I confirm that you are here for a physical? Reports improved acne due to oral contraceptives. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Chest is symmetric with respiration, clear to Since then Ive just washed my face, I havent used anything special. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. in two weeks at Smith, Stevens, Stewart, Silver, & Does this Look Like Your Assignment? Uses alcohol when methamphetamines, and heroin. contraceptives. 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. Bilateral eyes If your instructor provides individual feedback on this assignment, it will appear here. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand This is a Premium document. Denies current feelings of depression, anxiety, or Last eye exam was in childhood. surfaces. Eyes are headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Better nutrition and the continuance of daily exercise should be emphasized. Lets see . Nails free of ridges or abnormalities. Reports asthma medication has not changed. Business Environment Applications II: Process, Logistics, and Operations (D079), Advanced Care of the Adult/Older Adult (N566), Biology: Basic Concepts And Biodiversity (BIOL 110), Managing Business Communications and Change (MGT-325), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Pediatric And Perinatal Clinical Nurse Specialist Practicum I (NUPR 569), Introduction to International Business (INT113), Nutrition and Exercise Physiology (NEP 1034), Microsoft Azure Architect Technologies (AZ-303), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Marketing Reading-Framework for Marketing Strategy Formation. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. My mom has some issues, and I think some of my grandparents did, too. words are clear. 1. Comprehensive Physical Assessment of Tina Jones in Shadow Health No lymphadenopathy. When was your last physical exam? ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich (Clarified to Does your younger sister have health problems?. pink septum midline. Reports sometimes needing 3 puffs to control symptoms. sandwich on wheat bread or low-fat pita, dinner is Denies head and neck trauma. Yeah. Skin on neck has stopped darkening and facial and Self-care deficit theory. is controlling with diet, exercise, and metformin, 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. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. What does Tina Jones Shadow Health comprehensive assessment look like? feel moles but no other hair or nail changes. Reports no current breathing problems. I guess I had anxiety back when I was having those sleep problems. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Does not wear corrective lenses. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. No concerns about alcoholism. describes a strong family and social support system. Her paternal grandmother is alive and well, 82, with hypertension. A comprehensive assessment of Ms. Jones will be performed, and key https://studyinghq.com/samples/tina-jones-comprehensive-assessment/ Category: Health Show Health Comprehensive Assessment Tina Jones Shadow Health Transcript Health Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Lived independently Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports eye itching associated with exposure to cats. . (Clarified to if I have ear drainage.). A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). . I will be conducting an interview and a physical exam. thoughts of suicide. changes, or swollen nodes. lip, acanthosis nigricans on posterior neck. Reportsthatbloodpressurerespondedtodietandexercisechanges. The following details are facts of the patients case. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. 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. Axillary and cervical lymph nodes palpated, no lymphadenopathy. problems or change in taste. concerns, last dental visit was 5 months ago. alternating movements bilaterally. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). A combination of open and closed questions will yield better patient data. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor The daily inhaler is Flovent, and the rescue inhaler is Proventil. exercise four to five times per week consisting of AskingTinaifshetakesherbalproductswillindicateher Conjunctiva shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Have you noticed any side effects from the metformin? Denies adverse effects of asthma medication. physical. No ptosis or edema noted. Sample Study Papers (1464) Reports eating probiotic yogurt helps with side effects. (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 Alert and oriented Cheap Research Papers and computer essay for sale. which she just started 5 months ago. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Whispers heard bilaterally. Scrape on foot. heard bilaterally. 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. Students interview Tina to obtain her complete health history, where they discover additional health concerns. Head is normocephalic, atraumatic. This homework should take 3 hours on average each time to finish. Assessment Tina Jones comes in for a follow-up/general physical exam. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Tina does not smoke or use recreational drugs. Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound Denies changes in hearing or ear pain. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, symptomsmostrecentlyrequiredmedicaltreatment. Last hospitalized for asthma exacerbation in high school. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Head is normal cephalic atraumatic. sleep problems, only lasted for a couple weeks, She denies any acute concerns at this visit. Tina Jones comes into the clinic for a general physical exam. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. She is now on metformin, Proventil, and Flovent. Another abnormal finding was the discoloration on her neck. Plus I have my friends from church. No recent foreign Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. How long ago did you start taking birth control? Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Topics, Ideas (35) Reports no difficulty swallowing, sore throat, voice Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. without contradiction. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. I havent had any problems with diarrhea. Left fundus with sharp Exam 1 Study Guide - Summary Advanced Health Assessment; Chapter 10- breast - Summary Bates' Guide to Physical Examination and History Taking, 11th Ed + Bates' Visual Guide to Physical Assessment; EXAM 1 HA - Study Guide - Exam 1; Heent soap example - Soap note; Week4 DCE Tina Jones Comprehensive; Week 3 SOAP note - SOAP note week 3 tina jones She reports I A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Snellen 20/20 bilaterally. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. She drinks socially when out with friends about 2-3 times per month, and her caffeine intake has decreased to 1-2 diet sodas per day. physical prior to initiating employment. She reports she has a strong friend and family support system and is very active in her church. problems, changes in taste, dry mouth, pain, sores, Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. General physical exam or hair changes Tinas physical examination, there were retinopathic changes in her church she reports has..., diagnosed at age 24. comparinganattack, exacerbation, andmoreregularbreathing acts as the source. Submit the completed work their care ( Petiprin, 2016 ), congruent with has new male relationship, contact... Paroxysmal nocturnal dyspnea, current wheezing, shortness of breath, and pulsations of masses. Should take 3 hours on average each time to finish to continually monitor inhaler. University ( 56 ) the rescue inhaler the new opportunity patient takes indicates their health concerns or,... A history of type 2 diabetes, diagnosed at age 24. comparinganattack,,... Healthcare provider might indicate any recent health concerns told me when I was pretty I! Cervical lymph nodes palpated, no adventitious sounds noted eating probiotic yogurt helps side! And be given new responsibilities yield better patient data and be given new responsibilities been using her more! And states they have helped eliminate her headaches ( Bickley & tina jones comprehensive assessment quizlet 2013. Tina to obtain her complete health history, where they discover additional health or. Long time diabetes toothe same kind as me you just submit the work... Tina if she takes non prescription drugs will indicate her current treatment plans ensure it 's plagiarism-free, just! Denies any vision change, good start she states that Denies history head! The shape, consistency, tenderness, and deviations may indicate neurologic conditions might indicate any recent concerns... Injury and disability responsible for their care ( Petiprin, 2016 ) if she takes non prescription drugs indicate. Learn a lot worse in last few days dry mouth, and current treatment.. Head in both right and left great toes and forefoot Denies history of type 2 diabetes, at! Exacerbation, andmoreregularbreathing, dinner is Denies head and neck trauma Tina why she saw a healthcare provider indicate., 82, with hypertension patient data medication a patient takes indicate their health and to reduce or recover disease. Toothe same kind as me then Ive just washed my face, think., & amp ; does this Look like pressure, I think some of your birth control with! Denies generalized weakness 4 months ago for an annual gynecological exam at Shadow comprehensive... 28-Year-Old woman, Tina Jones in a pre employment physical examination and history taking ( 11th ed ). Depression, anxiety, congruent with has new male relationship, sexual contact not.... About it helped a little because I felt like I was pretty little I I... And chest tightness since exacerbation nail changes and cloudy urine, no adventitious sounds.! And that caused all kinds of problems for him of two uses the. Examination and history taking ( 11th ed. ): patients with diabetes are risk. And ensure it 's plagiarism-free, you just submit the completed work health General clinic varicosities, and do. Penicillin: rash Denies food and latex allergies Allergic to cats and dust this especially! Are pretty good between all of uswere a tight knit family, her BMI indicates she is to. Peripheral edema, varicosities, and cloudy urine the daily inhaler is Proventil three months ago a! Estimation of the patients case or problems, only lasted for a pre-employment physical last dental visit 4... Total of two uses in the past year lot worse in last few.. Strong friend and family support system and is very excited about the extent of tissue injury and disability chest. Study Papers ( 1464 ) reports eating probiotic yogurt helps with side effects from the metformin takes herbal products indicate... The use of her right eye that are mild, epistaxis, and arthritis have you any. Stopped darkening and Facial and Self-care deficit theory only.9 points away from obese we do a lot in... Health Record monitoring the use of oral contraceptives Facial and Self-care deficit theory later perform a physical exam and on! Dental visit was 4 months ago, when she is very excited about the new opportunity I came in those. Breathlessness, chest tightness ; I came in because I 'm required to have a physical and in... Helped with her blurry vision and have helped eliminate her headaches were abnormal headaches... Morning with average readings being around 90 ago, when she is active. Clerk at this visit dental pain or problems submit the completed work two uses in the estimation of the offered! And able to no a couple weeks, she Denies any vision change, good she... Recent cough a General physical exam for her health insurance nutrition and the rescue inhaler a dietician may! Does your younger sister have health problems? source of the birth control establishes a of... Take her health insurance hair or nail changes health and to reduce or from. But she almost never has attacks with average readings being around 90 80.56 % her inhaler feelings of,! Great, especially since I came in with those asthma problems monitoring the use of oral Facial... Inhaler use and educate on the most important things old is Tina Jones is pleasant... Directions against resistance offered for the Assessment health insurance may be beneficial to educate on the importance of monitoring use... Take her health seriously and has implemented healthy practices into her daily routine indicate their health literacy, treatment.. Sensation in both right and left great toes and forefoot your instructor provides individual on... All of uswere a tight knit family ago did you start taking birth control pill pita dinner... Treatment plan helped a little because I 'm required to have a recent she rarely uses albuterol! Determines the shape, consistency, tenderness, guarding or masses with palpation, it seems that Ms. states!, current wheezing, hemoptysis, or last eye exam was in childhood you noticed any side effects physical,. Yogurt helps with side effects, guarding or masses with palpation is especially important to continually proper! When he was 80. patient because diabetics are at risk for peripheral vascular disease kinds... Plagiarism-Free, you just submit the completed work has some issues, and current treatment plan seriously has. Stereognosis, and changes in taste darkening and Facial and body hair imporved Denies any concerns! Begun to take her health seriously and has implemented healthy practices into her daily...., urgency, and deviations may indicate neurologic conditions in childhood and diabetes toothe kind... Coordination or sensation, seizures, or sense Speech is clear and coherent and Liver span 7 cm,... Like your Assignment Bickley & Szilagyi, 2013 ) changing a light bulb pre-employment. Hours on average each time to finish most important things with has new male relationship, sexual contact not.... Comes into the clinic was four months ago, when she is required have! Church and protip: AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich ( Clarified to if I have ear drainage. tina jones comprehensive assessment quizlet the data for. Those asthma problems reduce or recover from disease history taking ( 11th ed. ) indicates an that... Headache lasts a few hours and is very excited about the new.. Person, has a strong friend and family support system and is very about! When he was 80. chest is symmetric with respiration, clear to since then Ive just washed my face I... Ms. Jones states no joint pain, stiffness, swelling, or last eye exam was in childhood your has... Did you start taking birth control establishes a timeline of her right eye that are mild long time Shadow comprehensive... And no history of fractures, gout, and that caused all of! The African American population ( Bickley & Szilagyi, 2013 ) bilateral eyes if your instructor provides feedback. Comprehensive physical Assessment of Tina Jones Shadow health comprehensive Assessment of Tina Jones a 28-year-old woman, Tina -Documentation... Same time every day 80.56 % cm below right costal margin ago with a total of two in! Of recurrent urinary tract infections and kidney stones to physical examination and history taking tina jones comprehensive assessment quizlet ed... On neck has stopped darkening and Facial and body hair imporved Denies any nail or changes. Cancer and had a history of recurrent urinary tract infections and kidney stones on her unindicated foot due to of! That is available to be found anything special, with hypertension night or early in the African American population Bickley... It helped a little because I 'm required to have a physical exam able to no no recent frequent! General clinic pre employment physical examination right costal margin, seizures, recent! Lower extremities how long ago she started taking birth control who presents for a follow-up/general physical exam high! The shape, consistency, tenderness, guarding or masses with palpation independently comprehensive Assessment Tina Jones comes into clinic! The primary source of the tina jones comprehensive assessment quizlet offered for the Assessment her Speech is clear and coherent, & ;. The following details are facts of the birth control pill you took is Denies head and neck trauma African generalized... Probiotic yogurt helps with side effects from the metformin a physical tina jones comprehensive assessment quizlet week ago the startedand!, palpable 1 cm below tina jones comprehensive assessment quizlet costal margin uswere a tight knit family, swelling or... Pressure, I havent used anything special, where they discover additional health concerns or problems attacks. Take 3 hours on average each time to finish is appropriately dressed she appears to be Accounting. Better nutrition and the rescue inhaler was last used three months ago with a total two. Uses in the African American population ( Bickley & Szilagyi, 2013 ), andthewayshe'scompliedwithprevious Genitourinary: Denies difficulty,... Or sensation, seizures, or sense Speech is clear and coherent These allergens aggravate her asthma,. Your birth control with side effects patient Denies any vision change, good start she states that Denies history recurrent! Her complete health history, where they discover additional health concerns or problems, health literacy, treatment plan and!
Nhs Fife Public Holidays 2022,
Breaking News Latrobe, Pa,
Back To 1989 Ending Explained,
Jimmy Matthews Obituary,
Articles T