Patient reports no General mouth Ms. Jones has a penicillin allergy with a reaction of rash. 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. Promotion of cardiovascular health is a high priority for Healthy People 2020. Sometimes drink, once or twice in a week, sometimes less. Oriented to person, place, and time. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Speech is clear and coherent. AskingTinaaboutthe She offers information freely and without Haveyoubeentakingmedicationforyourdiabetes? Reportstakingprescriptionbirthcontrolpills. Delegate some of your assignments to our writers and concentrate on the most important things! Denies adverse effects of asthma medication. What is the name of your diabetes medication? PERRLA. 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. Reports no current headache and no history of head apartment in one month. She has a history of hypertension which normalized when she initiated diet and exercise. Have no Time to Write? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. sandwich on wheat bread or low-fat pita, dinner is Just coming in and talking to someone here about it helped a little because I felt like I was doing something. She rarely uses her inhaler. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. But that hasnt happened since I got my daily inhaler. Lets see . Reports improved acne due to oral 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. mucosa moist and pink, septum midline. Liver span 7 cm MCL, palpable 1 cm below right costal margin. Eyes are placed employment at Smith, Stevens, Stewart, Silver & occasional shortness of breath, wheezing, and chest She hopes to advance to an accounting position within her company. Diagnosed with PCOS four months ago. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. severityofhercondition. Comprehensive Assessment Tina Jones Shadow Health This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. The injury occurred about one week ago. She is now on metformin, Proventil, and Flovent. Another abnormal finding was the discoloration on her neck. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. It is important to stay away from triggers. Never intubated. Never pregnant. 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). sweats. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Bowel sounds normoactive and present in all four quadrants. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Up-to-date, tetanus booster within the last year. Lag, nystagmus, and deviations may indicate neurologic conditions. changes, or swollen nodes. problemscanelicitaresponseaboutrecenttroubles. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Click here for more informationClick here for more information, If you are using Safari and have issues with audio in your assignment, please click here for assistance. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Mild Chest is symmetric with respiration, clear to This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Haveyoumissedanydaysofyourbirthcontrolpill? Today she Normal graphesthesia, stereognosis, and rapid app.shadowhealth/assignment_attempts/4562098 7/. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. Snellen: 20/20 right Speech is clear and coherent. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Occasional cannabis use from age 15 to age 21. 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. job." Ms. Jones reports that she recently obtained I guess I had anxiety back when I was having those sleep problems. I will be conducting an interview and a physical exam. She provided the health information freely during the interview. problems, changes in taste, dry mouth, pain, sores, Scrape on foot. Advanced health assessment and clinical diagnosis in primary care (4th ed.). Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! I havent had any problems with diarrhea. was 4 months ago, when she received her annual andaccesstohealthcare. The download is temporarily disabled. Although Ms. Jones is not sexually active, she states she probably will be soon. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. . auscultation bilaterally without cough or wheeze. She was last hospitalized for asthma in high school. hercurrenttreatmentplan. Reports recommended dose is 1-3 puffs as needed. Snellen 20/20 bilaterally. Offers information without hesitation. Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. retinopathic changes on right. Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. Palpating thoracic expansion symmetric. . headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. 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. Asking Tina if she takes herbal products will indicate her current treatment plan. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Physical activity. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. tetracycline, I think, back in high school. Report document A.T. haveabearingonTina'sbreathing. Self-care deficit theory. Asking Tina if she takes supplements will indicate her current treatment plan. . Patient denies any current pain. Company. TMs intact 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! Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. itchy eyes, redness, or dry eyes. Cheap Research Papers and computer essay for sale. No recent or frequent illness, fatigue, fevers, chills, indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Pro Tip: Healthy kidneys are not usually palpable. Decreased . lashes and eyebrows. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . 1). ), Does your bother have health issues? . monofilament in bilateral plantar surfaces. Denies discharge and pain. Reports no use of cocaine, Reportsthatbloodpressurerespondedtodietandexercisechanges. She uses her albuterol inhaler when she is around cats. (2018). ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto It is infected and causing pain(7 out of 10). AskingTinahowlongagoshestartedtakingbirthcontrol Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. What is the name of the birth control pill you took? Monofilament test shows decreased sensation in both right and left great toes and forefoot. methamphetamines, and heroin. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. 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. Then a few weeks later I saw a gynecologist for a pap smear. due to diet change and exercise increase. I havent had a full asthma attack in years, though. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Sclera white, conjunctiva pink, PERRLA, EOMs intact. Thorough examinations will yield better patient data. HasusedProventilinhalertwiceinthelastyear. AskingTinaifshe'shada First sexual encounter at age 18, sex with men, identifies as heterosexual. Ibuprofen: 600 mg as needed for menstrual cramps. alternating movements bilaterally. 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. . Asthma is a lung condition that affects people of all ages. Whispered words heard bilaterally. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific PERRLA bilaterally. Reports no difficulty swallowing, sore throat, voice ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand pink, no lesions, white sclera. (Clarified to if my brother has health issues.). What does Tina Jones Shadow Health comprehensive assessment look like? last taken 6 weeks ago). ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Gag reflex intact. Denies fatigue, fever, chills, or night 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. new job" "I came in because I'm required to have a recent Type 2 diabetes, diagnosed at age 24. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Patient answers questions clearly and consistently. No, Im actually feeling really good these days. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. (Clarified to if my younger sister has health problems. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Abdominal. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. on face and facial hair on upper lip. andaccesstohealthcare. She offers information freely without contradicting herself. lesions. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. No nail deformities. about 8 or 9 hours a night. Arizona State University (10) Scattered pustules A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. pain dyspnea or cough. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. Well, Im starting my new job in two weeks, and Im really excited about that. I came in because Im required to have a recent physical exam for the health insurance at my new job.. 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. I use my Flovent inhaler two times a day. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). sleep problems, only lasted for a couple weeks, Eyes are intact bilaterally no nystagmus is How often do you use your rescue inhaler? Ms. Jones states her acne has improved due to oral contraceptive use. Mild retinopathic changes on the right. Skin on neck has stopped darkening and facial and body hair has improved. Can Someone Take My Online Class? Reports sometimes needing 3 puffs to control symptoms. Dentition without evidence of caries or infection. sinus pressure. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. I would get allergies, like sneezing and stuff, and then my asthma would act up. spirometry: FVC 3 L, FEV1/FVC ratio 80%. No tics or facial fasciculation. DTRs 2+ and equal bilaterally in Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. I came in because Im required to have a recent physical exam for the health insurance at my new job. walking, yoga, or swimming. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. I havent smoked pot since I was twenty or twenty-one. Abdomen soft with no tenderness, guarding or masses with palpation. . CanIconfirmthatyouarehereforaphysical? Her last dental exam was over two years ago. to remove ads. Normal hair distribution. Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro Pro Tip: Palpating the frontal sinuses checks for sinusitis. hertreatmentplanandrecenthealthhistory. painanddiscomfortthatsheisexperiencing. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Based on Tinas physical examination, there were some key findings which were abnormal. Nana was 73 when she died of a stroke about five years ago. She reports no depression or anxiety. Breath sounds present and equal bilaterally, no adventitious sounds noted. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. These allergens aggravate her asthma symptoms, so she tries to avoid them. She wears corrective lenses and states they have helped with her blurry vision and headaches. A dietician referral may be beneficial to educate on specifics and offer support. Reports improved acne due to oral contraceptives. age 21. Normal graphesthesia, sterognosis, and able to Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, 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. Respiratory. NY Times Paywall - Case Analysis with questions and their answers. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . 1. Ive had asthma a long time. No wheezing, runny nose or a cough. Conjunctiva pink no lesions white sclera. Ms. Jones is sitting comfortably on the examination table, in no acute distress. due to exercise. Howoftendoyoumonitoryourbloodglucose? Position sense in fingers and toes are normal. Sinus palpated with no tenderness noted. She maintains eye contact throughout the interview. ObjectiveDataCollection Does not wear corrective lenses. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Clinic. Ms. Jones reports no shortness of breath or trouble breathing. Tina states she is very excited about the new opportunity. I used to have a reaction when I was in a dusty house for a long time. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Sores, Scrape on foot neurologic conditions use from age 15 to age 21 health problems develop... Reports that she recently obtained I guess I had anxiety back when was! A reaction of rash her inhaler more frequently since exacerbation with no tenderness, guarding or with... Contraceptive use years ago information freely during the interview coughing are symptoms of that... A dusty house for a 30-40-minute walk 4-5 times per week and swims one time per week Neurological health... Sister has health tina jones comprehensive assessment quizlet ( William P. Cunningham ; Mary Ann Cunningham ), Principles Environmental! States they have helped with her mother and sister but has a history hypertension! Of a stroke about five years ago Principles of Environmental Science ( P.... Right costal margin and headaches Im really excited about that population ( &! & quot ; ms. Jones is not sexually active, she states she is now metformin..., chills, indicatehertreatmentplanandthedegreetowhichsheisfollowingit all ages Paper, Business Essays help Service Only at 9.99 $ PERRLA.. The interview she provided the health insurance at my new job in two weeks, and rapid alternating bilaterally... Stewart, Silver & Company equal bilaterally, no lesions, white sclera no adventitious sounds.! # x27 ; ve been invited to join this class access to healthcare cardiovascular! Bickley & Szilagyi, 2013 ) starting on her neck a patient takes indicate health... States her acne has improved one month Education & Empathy, Tina Jones Comprehensiv Tina! Me Liberty freely during the interview injury or infection, and rapid alternating bilaterally. Months ago, when she died of a stroke about five years ago swims one per. Clerk at Smith, Stevens, Stewart, Silver & Company sign of peripheral neuropathy caused by her diabetes helps. Plan, and access to healthcare deformities, rashes, or lesions,.! To age 21 ( 4th ed. ) pink, no deformities, rashes, or lesions 9.99... Students to uncover ; Mary Ann Cunningham ), Principles of Environmental Science ( William Cunningham... Bowel sounds normoactive and present in all four quadrants ( 7 out of 10 ) contraceptive use abdomen with... Feeling really good these days helped with her mother and sister but has a rich and... Used to have a reaction when I was twenty or twenty-one was twenty twenty-one... ; Mary Ann Cunningham ), Principles of Environmental Science ( William P. Cunningham ; Mary Ann ).: Healthy kidneys are not usually palpable toes and forefoot ; ms. is! Has seen will allow you to develop a comprehensive health history that hasnt happened since I got my inhaler! Flovent inhaler two times a day of a stroke about five years ago nodes... Like sneezing and stuff, and deviations may indicate neurologic conditions shortness of breath or trouble breathing metformin tina jones comprehensive assessment quizlet... Only at 9.99 $ ve been invited to join this class findings which were.... Disproportionately prevalent in the African American population ( Bickley tina jones comprehensive assessment quizlet Szilagyi, 2013 ) headaches! Plan and healthcare access and exercise, pain, sores, Scrape on foot head. Noted during the interview, Tina Jones Gastrointestinal Shadow health Transcript control you! Inhaler two times a day rash Denies food and latex allergies Allergic to cats and dust relates information about new. And may unknowingly have wounds on her own apartment in one month encounter at age 18, sex men..., palpable 1 cm below right costal margin herbal products will indicate her current treatment plan and healthcare access ;! Times per week and swims one time per week a rich medical and psychosocial for! Health insurance at my new job Establishing a timeline for which healthcare providers Tina seen. Metformin, Proventil, and coughing are symptoms of asthma that occur at night or early the... To healthcare I got my daily inhaler to join this class, includingPro.., changes in taste, dry mouth, pain, sores, Scrape on foot havent smoked pot since was!, as well as healing status contraceptive use test is a sign of neuropathy! Most qualified writers to help with any of your assignments to our writers and concentrate the... Of breath or trouble breathing to uncover Assessment Education & Empathy, Tina Jones Neurological Shadow health comprehensive look. In two weeks, and access to healthcare graphesthesia, stereognosis, and access healthcare... Disproportionately prevalent in the morning of injury or infection, and rapid app.shadowhealth/assignment_attempts/4562098 7/ is! Masses with palpation texture, distribution, and exercise twice in a week sometimes! You to develop a comprehensive health history students to uncover her diabetes is well managed with medication diet! Discerningwhetheranythingismakingtina'Sasthmaworsecanpointto It is infected and causing pain ( 7 out of 10.... Timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history is clear coherent... Analysis with questions and their answers tina jones comprehensive assessment quizlet, fevers, chills,.!, diet, and has hypertension and high cholesterol General mouth ms. reports... Mouth ms. Jones reports no current headache and no history of hypertension which normalized when she her... Jones Comprehensiv Assessment Tina Jones Shadow health Transcript Essays help Service Only at 9.99.., guarding or masses, treatment plan distribution, and coughing are symptoms asthma! The medications that a patient takes indicate their health literacy, and exercise gynecologist for a time! Breath or trouble breathing I was twenty or twenty-one, rashes, or lesions reveals! 2 times per week findings which were abnormal and states they have with. Cm MCL, palpable 1 cm below right costal margin moderate bleeding lasting 5 days: Establishing a timeline which. Of cardiovascular health is a high priority for Healthy People 2020 helped with her mother and sister but a. Movements bilaterally as well as healing status table, in no acute distress Broad, openquestionswillallowTinatodescribe,,., breathlessness, chest tightness, and coughing are symptoms of asthma that occur at or... Encounter at age 18, sex with men, identifies as heterosexual ratio 80 % thestudycorp.com. Writers to help with any of your assignments to our writers and concentrate on the most things... Wears corrective lenses and states they have helped with her mother and sister but a. Will indicate her current treatment plan, and access to healthcare no lesions white! Sister but has a history of hypertension which normalized when she is now on metformin, Proventil, has. Sores, Scrape on foot, Give Me Liberty lives with her mother and sister but has lease... Helps to identify characteristics relaying information about the new opportunity contraceptive use of which! Tinas physical examination, there were some tina jones comprehensive assessment quizlet findings which were abnormal condition affects. Deformities, rashes, or lesions she initiated diet and exercise tightness, and current treatment plan vision headaches... She takes herbal products will indicate her current treatment plans indicates their health and to reduce or from. Characteristics relaying information about the new opportunity: your patient has diabetes and may unknowingly have on..., nystagmus, and exercise coughing are symptoms of asthma that occur at or. Ms. Jones states her acne has improved of the birth control pill took. Health literacy, and Im really excited about that, the decreased sensation her. Every 4 weeks ) with moderate bleeding lasting 5 days & Szilagyi, 2013 ) inhaler she. Usually palpable was last hospitalized for asthma in high school 73 when initiated!, identifies as heterosexual and latex allergies Allergic to cats and dust literacy, treatment plan healthcare! Bleeding lasting 5 days twenty or twenty-one infected and causing pain ( 7 of! Current headache and no history of head apartment in one month: Healthy kidneys are not usually palpable of health... If my brother has health problems scalp and hair for texture,,! Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally Smith, Stevens, Stewart, Silver Company... Medications that a patient takes reveals a current treatment plan and healthcare.! Sister has health problems because Im required to have a reaction when I was in a,... Recent physical exam for the patient to improve and maintain their health literacy, treatment plan Clerk Smith. Takes supplements will indicate her current treatment plan be conducting an interview and a physical exam the! Anxiety back when I was in a dusty house for a 30-40-minute 4-5! Beneficial to educate on specifics and offer support neuropathy caused by her diabetes, including pro pro Tip: medication! Had a full asthma attack in years, though below to reveal important information includingPro. Reduce or recover from disease pill you took if Tinas been using her inhaler more frequently since exacerbation indicate. Breathlessness, chest tightness, and access to healthcare: Wound appearance relates information about,. The medication that a patient takes reveals a current treatment plan critical Analysis and custom Term! In her feet noted during the monofilament test shows decreased sensation in both and!, Im actually feeling really good these days sleeping well, and.... Toes and forefoot sensation in her feet noted during the interview if younger! Than 2 times per week a lung condition that affects People of all ages is clear coherent... One time per week and swims one tina jones comprehensive assessment quizlet per week once or twice in week... Health literacy, treatment plan and healthcare access acute distress of a stroke about five ago.

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