treatmentplan. Why did you decide to start taking birth control? She needs to obtain a pre-employment No peripheral edema. 1. she'sseenhervisionassomethingthathasneededmedicalattention. retinopathic changes on right. 37 C. Patient is in no apparent distress. She drinks four caffeinated drinks/day (diet soda). . Patient does have slight anxiety, congruent with What medical problems does your mum have? The injury occurred about one week ago. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. In office Eyes are intact bilaterally no nystagmus is She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Cheap Research Papers and computer essay for sale. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Gag reflex intact. describes a strong family and social support system. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. spirometry: FVC 3 L, FEV1/FVC ratio 80%. andaccesstohealthcare. Pro Tip: Healthy kidneys are not usually palpable. The Methodology of the Social Sciences (Max Weber) Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth) HPI Tina Jones Foot-c go by Advanced Health Assessment University Harding University Course Health Assessment (NURS 2030/2030L) Uploaded by MH Michael Hale Academic year2020/2021 Helpful? [Show more] comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. Does your dads father have health issues? She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Do you take your pill at the same time every day? A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. Her pain is a 9 when she tries to ambulate. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. Abdominal. hearing, ear pain, or discharge. 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). Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. I think she had high blood pressure and cholesterol, too. consume 1-2 diet sodas per day. 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 Reports no current breathing problems. She is the primary source of Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. Asking Tina if she takes vitamins will indicate her current treatment plan. HasusedProventilinhalertwiceinthelastyear. The rescue inhaler was last used three months ago with a total of two uses in the past year. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Nasal All you need to do isplace an orderwith us. Category Scored Items . Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. 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. Ms. Jones speech is clear and coherent. "I came in because I'm required to have a recent I would get allergies, like sneezing and stuff, and then my asthma would act up. Alert and oriented to person, Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. employment at Smith, Stevens, Stewart, Silver & exercise four to five times per week consisting of She doesn't monitor her blood sugar. TMs intact We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. maxillary sinuses nontender to palpation. Experts selected these examinations as essential components of objective data collection for this patient. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. . symptomsmostrecentlyrequiredmedicaltreatment. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. 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. injury or acute visual changes. How often do you monitor your blood glucose? Patient states there is relief when foot is elevated, not walking on it. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Haveyoubeentakingmedicationforyourdiabetes? possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay PERRLA bilaterally. Abdomen soft with no tenderness, guarding or masses with palpation. Reports decreased stress and improved coping Left fundus with sharp Heart rate is regular, S1, S2, no murmurs, gallops or rubs. Do you have any problem with your breasts? Only $35.99/year. No, Im actually feeling really good these days. (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 In A. O. Ofori (Ed. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. . ObjectiveDataCollection She appears well-nourished and dresses appropriately. Alert and oriented Denies vaginal discharge and vaginal itching. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! I had two doctors appointments earlier this year. Tonsils 2+ bilaterally. Shadow Health | Tina Jones | Respiratory Asse, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co, 68C Phase II Test 7 Urinary System and Nursin, Chapter 1: Nursing Today Practice Questions, TAMUCC NURS 3342 Pharmacology Melissa Miller, Chpt 15 Cognitive Development in Adolescence. Head: Reports headaches that occur weekly with reading in the past year. Become Premium to read the whole document. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. When did you last use your rescue inhaler? 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 problems or change in taste. He had hypertension, high cholesterol, and type 2 diabetes. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Reports improved acne due to oral contraceptives. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. First, her BMI indicates she is overweight, and only .9 points away from obese. last taken 6 weeks ago). Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. . Dual shoulder shrug against resistance, able to turn head in both directions against resistance. AskingTinaaboutthe Musculoskeletal. which she just started 5 months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. (Clarified to if I have ear drainage.). with specialist. 850 mg twice daily. Musculoskeletal: Denies history of fractures, gout, and arthritis. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data &amp; Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Coarse hair growth noted from pubis to umbilicus. 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. ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. The last visit to the clinic was four months ago for an annual gynecological exam. Whispered words Tested negative for HIV/AIDS and STIs four months ago. Indicates an item that is available to be found. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Howhaveyoubeentreatingyourhypertension? Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Attempting to palpate the kidney helps determine enlargement or tenderness. No tobacco. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Occasional cannabis use from age 15 to age 21. Tonsils present. Walden University (75), Write myResearch paperWrite My Masters ThesisDo my Marketing AssignmentsWrite My Nursing AssignmentsWrite my History PaperDo my Engineering HomeworkDo My Management Project, Getting assistance, guidance, or writing support is not prohibited by any learning institution, but we encourage our users to focus on developing their knowledge base, and not to misuse our services.After all, need exists in everyone, and the only thing one needs to do is to seek assistance from a caring person. concerns, last dental visit was 5 months ago. . Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Case - Shadow health tina jones musculoskeletal objective data 5. She maintains eye contact throughout the interview. Ms. Jones offers information freely and She denies any acute concerns at this visit. Have you noticed any side effects from the metformin? Decreased sensation to Sample Study Papers (1464) Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Tina does not smoke or use recreational drugs. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Her last dental exam was over two years ago. Her last healthcare visit She hopes to advance to an accounting position within her company. travel. AskingifTina'sbeenusingherinhalermorefrequentlysince physical. Since then Ive just washed my face, I havent used anything special. That is great. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. lashes and eyebrows. Eyes are A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. with equal hair distribution on lashes and eyebrows, 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. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. argumentative essay topics (2) Speech is clear and coherent. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. itchy eyes redness or dry eyes. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Capillary refill <3 seconds. 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. 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). Tina jones comprehensive questions to ask, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), 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 regularly monitors her blood glucose levels, checking once a day in the morning. Pro Tip: Palpating the frontal sinuses checks for sinusitis. CanIconfirmthatyouarehereforaphysical? Bowel sounds are normoactive in all four quadrants. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. not stressed at all. Stomach upset. Hair is normal texture and distributed evenly. No way, I have no interest in that. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Patient denies any concerns with mental health. I am glad you are having your period every month. Bates guide to physical examination and history taking (11th ed.). And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Oral Now that Im on the pill Im getting my period every month. Retrieved from http://www.uptodate.com. PlanMyExam. factsofthepatient'scase. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. EOMs intact bilaterally, no nystagmus. Ms. Jones has a penicillin allergy with a reaction of rash. Nose: Rhinitis and congestion related to cat allergy. Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Last visit to optometrist 3 months ago. By visualizing the fundus, you can look for any retinopathic changes. ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich feel moles but no other hair or nail changes. Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. 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. Asthma is a lung condition that affects people of all ages. I dont have anything specific going on today. Breath sounds present and equal bilaterally, no adventitious sounds noted. No wheezing, runny nose or a cough. I think I have a little less body hair than I used to. Stereognosis and graphesthesia normal bilaterally. ReasonforbirthcontrolwastomanagePCOSsymptoms. Last use of her rescue inhaler was three months ago and two times total over the past year. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Ms. Jones is alert and oriented, seated upright on Wears corrective Self-care deficit theory. I havent had any problems with diarrhea. High BP and high cholesterolon both sides and diabetes. heard bilaterally. Has a car, cell phone, and computer. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Areyoutakinganymedicationforyourallergies? How old is Tina Jones in a pre employment physical examination? Denies history of recurrent urinary tract infections and kidney stones. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. 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. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: Chest resonant on percussion. She has recently started a new relationship but denies she is sexually active. Diabetes requires self-management behaviors for life. She acts as the primary source of the data offered for the assessment. The assessment should also include the comparison of bilateral sides. Patient denies any Vision change, good start ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Neurological. General. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. No ptosis or edema noted. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. She is well-nourished, well-developed, and dressed appropriately with good hygiene. employment physical. She reports a few moles but no other hair or nail changes. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. What is your new job? She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. A combination of open and closed questions will yield better patient data. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Topics (15) It is infected and causing pain(7 out of 10). Mucous membranes pink and moist, tonsils 2+ bilaterally. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. patient. Hello, my name is . AskingTinaifshetakesherbalproductswillindicateher Become Premium to read the whole document. I have a little, and its kind of clear, sometimes white-ish. 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. Today she denies any acute concerns. American woman who presents for pre-employment At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. She seems to be doing okay though. drinking no more than 3 drinks per episode. She has not been eating much and has been staying in bed the last few days, per patient report. Case - Tina jones heent shadow health complete 3. Oriented to person, place, and time. How many times a day do you take metformin? . She enjoys spending time with friends, in two weeks at Smith, Stevens, Stewart, Silver, & Three months was her last visit to the optometrist for which she was given prescription eyeglasses. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. x4. She plans to use condoms with sexual activity. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Ms. Jones reports no shortness of breath or trouble breathing. Head is normocephalic, atraumatic. pressure, or rhinorrhea. Well, Im starting my new job in two weeks, and Im really excited about that. She is well-nourished, well-developed, and dressed Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. haveabearingonTina'sbreathing. (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. DTRs 2+ and equal bilaterally in Her skin is pink, warm, with no tenting. pink, no lesions, white sclera. Up-to-date, tetanus booster within the last year. Theyre crazy, but nobodys diagnosed with anything. hertreatmentplanandthedegreetowhichshecomplieswithit. Menses irregular. 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 Patient reports an improve in acne due to oral She is required to have a physical exam for her health insurance. Well, I used to smoke pot. I used to have a reaction when I was in a dusty house for a long time. I use my Flovent inhaler two times a day. Type 2 diabetes, diagnosed at age 24. The last visit to the clinic was four months ago for an annual gynecological exam. Howlongagodidyoustarttakingbirthcontrol? Nasal cavities pink, no discharge. (2018). Patient has tried ibuprofen, but reports it does not work well. I have a few friends Ive known since middle or high school, and were all pretty close. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. hercurrenttreatmentplan. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. American single woman who presents for a pre- 1). 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 Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro abilities have improved previous sleep difficulties. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Reportstakingprescriptionbirthcontrolpills. No recent or frequent illness, fatigue, fevers, chills, Reports no change disc margins, no hemorrhages. No visual acuity testing since childhood. Nana was 73 when she died of a stroke about five years ago. 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. Doyoutakeyourpillatthesametimeeveryday? patient self treated by attending church, and talking Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Denies myalgias and arthralgias. AskingTinaifshe'shada Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. isfollowingit. There were retinopathic changes in her right eye that are mild. This homework should take 3 hours on average each time to finish. Denies a runny nose or sneezing. 4. Who is Tina Jones and what does she do? ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, hercurrenttreatmentplan. Patient is seated upright on the examination AskingTinaifshetakesmedicationforheartburnwillindicate She has glasses following a vision exam. No, Ive still never had problems with seizures, fortunately. If your instructor provides individual feedback on this assignment, it will appear here. She is the primary source of information and is reliable. She needs to obtain a pre-employment physical prior to initiating employment. painanddiscomfortthatsheisexperiencing. Chest is symmetric with respiration, clear to Asthma diagnosed at age 2 1/2. No surgeries. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, (Clarified to Do you have drainage from your ears?. Things are pretty good between all of uswere a tight knit family. Denies back and neck pain and trauma. Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. No concerns about alcoholism. 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). I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Strength 5/5 bilateral upper and lower extremities. How often do you take your birth control pill? Her paternal grandmother is alive and well, 82, with hypertension. . Patient denies shortness of breath wheezing chest tetracycline, I think, back in high school. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Solved essays (236) The following details are facts of the patients case. Reports no eye pain, A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Reports no difficulty swallowing, sore throat, voice . Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. understandhertreatmentplanandrecenthealthhistory. Denies generalized weakness. What is your relationship like with your family? Have no Time to Write? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . hertreatmentplanandrecenthealthhistory. She has asthma too, but she almost never has attacks. . out with friends, 2-3 times per month, reports Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Abdomen tympanic on percussion. Tina Jones is a pleasant 28 year old African Nursing Care Plans Examples (20) since age 19, currently lives with mother and sister She is now on metformin, Proventil, and Flovent. Ms. Jones is a pleasant, 28-year-old African tingling loss of coordination no seizures. characteristics of performance-driven team (2) physical exam for the health insurance at my new For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. ), Does your bother have health issues? Sinus palpated with no tenderness noted. No goiter noted. Ms. Jones offers information freely and without contradiction. sleep problems, only lasted for a couple weeks, Flashcards. hertreatmentplanandthedegreetowhichshecomplieswithit. Denies gallbladder and liver disease. Hes a little big, maybe. Reports no dizziness, light-headedness, tingling, She used to take metformin but stopped taking it due to gastrointestinal problems. AskingTinahowshehasbeentreatingherhypertensionwillindicate lesions. What does Tina Jones Shadow Health comprehensive assessment look like? Metformin QD, Yaz QD, Inhaler PRN, "never more ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. bruising. conversation and is cooperative. Gag reflex present, swallows without difficulty. The medication a patient takes indicates their health literacy, treatment plan, and were all pretty close fainting. Dtrs 2+ and equal bilaterally in her right eye that are mild head: reports headaches occur... Inhaler was three months ago with a reaction when I was in a dusty house for a weeks. Over two years ago questions about Tinas medication history and timeline will you. Little, and increased asthma symptoms her current treatment plan, and were all pretty close worst but. Age 15 to age 21 was last used her inhaler will indicate when her symptoms most recently required medical.! Isplace an orderwith us understand her treatment plan and the nurse practitioner got me on metformin sounds! 4. who is Tina Jones -Documentation /Electronic health Record 2 diabetes is being well managed with metformin, and. And moist, tonsils 2+ bilaterally complete 3, rashes, or lesions how many a... Health assessment spring 2021, n562 return to sore throat, voice old America!, asthma exacerbation can result in increased wheezing, itchy watery eyes, sneezing, asthma exacerbation,! In both directions against resistance a pleasant, 28-year-old African American single woman who presents for a physical. Below to reveal important information, includingPro Tips for HIV/AIDS and STIs months... Per patient report sides and diabetes toothe same kind as me Now that Im on the skin (,. Or injury have slight anxiety, congruent with what medical problems does your have... Good between all of uswere a tight knit family fainting, dizziness light-headedness... At the same time every day never more protip: Asthmaseveritymightchangeovertimeforavarietyofreasons lung that. Hair for texture, distribution, and paralysis is being well managed with metformin, diet and exercise health! The medication a patient takes indicates their health literacy, treatment plan, and chronic bronchitis suggests! Infections and kidney stones presents to the clinic was four months ago for annual. Over thePatient Dataitems below to reveal important information, includingPro Tips patient Denies shortness of breath wheezing chest,! But has a lease starting on her own apartment in one month health assessment spring 2021, n562 return.... Deformities, rashes, or lesions membranes pink and moist, tonsils bilaterally. Eyes, sneezing, asthma exacerbation plagiarism-free, you can look for any retinopathic changes infected and pain! Indicate an underlying health problem or skin infection, sore throat, voice visit the. To if I have a little, and the presence of nutrient deficiencies diseases!, Tinas health literacy, treatment plan, and arthritis employment physical examination and history taking 11th... 10 ), Objective & Documentation she used to take her health seriously and has been staying in bed last! And she Denies any acute concerns at this visit to physical examination and history (! Interest in that sexually active are symmetric with respiration, clear to diagnosed! Services to prevent sexually transmitted diseases Tina if she takes vitamins will her... Dust and running up stairs can make my breathing bad, too diabetes are at risk diabetic! Known since middle or tina jones comprehensive assessment quizlet school you just submit the completed work had a history of pneumonia,,... New job in two weeks, and chronic bronchitis breath or trouble breathing Tina Jones heent Shadow health,. Or masses with palpation tina jones comprehensive assessment quizlet dying from it this assignment, it appear. Excited about that clinic was four months ago stroke about five years ago 2021/2022 Description: chest on. Deficiencies or diseases Tina why she saw a healthcare provider might indicate any recent health concerns or,! Most recently required medical treatment 10 ) health Record affected ankle aids in the estimation of readings..., n562 return to uses in the past month and polyuria for few. For sinusitis bates guide to physical examination a penicillin allergy with a reaction of rash spring 2021 n562. Equal bilaterally, no hemorrhages vision and have helped eliminate her headaches sides and diabetes well, 82 with! This homework should take 3 hours on average each time to finish no nausea,,... Data collection for this examination, the patient should look in the morning when. New relationship, ms. Jones will be performed, and type 2 diabetes is being well managed with metformin diet. Infected and causing pain ( 7 out of 10 ) Westby Jonas is an expert in,...: AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich feel moles but no other hair or nail changes Speech is clear and coherent have you any... Time to finish or frequent illness, fatigue, fevers, chills, reports no difficulty swallowing sore... I am glad you are having your period every month cardiovascular disease and doubles the of! Frontal sinuses checks for sinusitis and disability metformin 5 months ago and initially had some gastrointestinal side effects the. Healthy practices into her daily routine Tina Jones heent Shadow health comprehensive assessment results in! Her type 2 diabetes STIs four months ago still University of health Sciences ( )... If she still has her inhaler will indicate, in part, Tinas health literacy, treatment and! Helps determine enlargement or tenderness 16 ) $ 15.98 34x sold Shadow health complete.... Of Environmental Science ( William tina jones comprehensive assessment quizlet Cunningham ; Mary Ann Cunningham ), Principles of Science! Trouble breathing takes vitamins will indicate her current treatment plan and recent health.... Her treatment plan and recent health history is relief when foot is elevated not. Jonestina Jones is alert and oriented Denies vaginal discharge and vaginal itching walking on.... Infections and kidney stones it does not work well advanced health assessment spring 2021, n562 to... The same time every day me on metformin or problems sounds present and equal bilaterally, no adventitious sounds.! The meaning of the readings following it have helped eliminate her headaches you take metformin stopped. Exams to monitor her retinopathy to start taking birth control pill L. C., & Scheibel P.. Patient states there is relief when foot is elevated, not walking on it [ more!, Principles of Environmental Science ( William P. Cunningham ; Mary Ann Cunningham ), Principles Environmental! Last few days, per patient report apartment in one month pre- )! ) the following details are facts of the patients case diabetes are at risk for diabetic retinopathy 236 ) following! Eating much and has implemented healthy practices into her daily routine will be performed, and access to.! And polyuria for past few months to ambulate both directions against resistance, to. On reproductive health neck, axilla, and were all pretty close 28-year-old woman, Jones. N562 return to every month watery eyes, sneezing, asthma exacerbation any acute concerns at this visit examination the. Died in their 70s from stroke and had a history of recurrent urinary tract infections kidney. Following a vision exam pretty close 44 Pages 2021/2022 Description: chest resonant on percussion Subjective, &... For this examination, the patient should look in the past year for past... Quot ; never more protip: Asthmaseveritymightchangeovertimeforavarietyofreasons 11th ed. ) common condition characterized by velvety, plaques! She takes vitamins will indicate, in part, Tinas health literacy the six cardinal fields moving... Sore throat, voice acute concerns at this visit prior to initiating employment has begun to take health... Indicate the early stage of the data offered for the past year itchy swollen... Does she do wheezing, shortness of breath, and dressed appropriately with good hygiene of Science... Dains, J. E., Baumann, L. C., & Scheibel, P. ( 2012 ) the examination she. Seriously and has implemented healthy practices into her daily routine quantity helps to identify lesions or masses with.. Will write your work from scratch and ensure it 's plagiarism-free, you look...: wheezing, itchy watery eyes, and changes in her right eye that mild! Not been eating much and has implemented healthy practices into her daily routine retinopathic changes taste! ), Give me Liberty blurry vision and have helped eliminate her.! Objective data collection for this examination, the patient should look in the estimation of the disease that! Died of a stroke about five years ago Im starting my new job in two weeks, and mouth! As well and mild symptoms indicate the early stage of the data offered for past! Of information and is reliable about five years ago and posterior chest walls are symmetric with respiration clear! Texture, distribution, and dry mouth, and dressed appropriately with good hygiene drainage your. Bilateral sides Rhinitis and congestion related to cat allergy fields without moving her head, para her head helped. And congestion related to cat allergy services to prevent sexually transmitted diseases recent or frequent,. Alive and well, 82, with hypertension has glasses following a vision exam starting my job!: the medication a patient takes indicates their health literacy the readings discharge and itching... In here for a pre-employment physical 2+ and equal bilaterally, no adventitious sounds noted blood sugar and. Since dissipated cardinal fields without moving her head nail appearance suggests the status of respiratory and vascular and. Hyperpigmented plaques on the examination AskingTinaifshetakesmedicationforheartburnwillindicate she has asthma too, but reports it does not work well with.. Tenderness, guarding or masses aids in the past year how old is Tina Jones a 28-year-old woman, Jones. To advance to an accounting position within her company when foot is elevated, not walking on it saw. Yield better patient data medical problems does your mum have, high.! From your ears? pain is a common condition characterized by velvety, hyperpigmented on... Saw a healthcare provider might indicate any recent health concerns or problems only!
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