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. Ms. Jones states her acne has improved due to oral contraceptive use. What is the name of your diabetes medication? Reportslastasthmaexacerbationwasthreemonthsago. Ms. Jones reports no muscle pain or weakness. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Bowel sounds normoactive and present in all four quadrants. Asthma diagnosed at age 2 1/2. she feels healthy, is taking better care of herself than pink septum midline. Well-groomed, easily engages in Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious How many times a day do you take metformin? About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. No! new job" "I came in because I'm required to have a recent Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. Snellen 20/20 bilaterally. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Do you take your pill at the same time every day? I have a little, and its kind of clear, sometimes white-ish. Eyes are placed Do you have any family history of mental illness? Howoftendoyoumonitoryourbloodglucose? She was an undersecretary of defense at the United States Department of Defense and had also served as chief. flatulence is one of the side effect of metformin. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) No. eye, 20/20 left eye with corrective lenses. words are clear. Patient denies any current pain. Journal for Specialists in Pediatric Nursing. Patient denies drug use. Last dental visit was five months ago with no concerns. Metformin QD, Yaz QD, Inhaler PRN, "never more She is allergic to cats and dust. Experts selected these examinations as essential components of objective data collection for this patient. AskingTinahowlongagoshestartedtakingbirthcontrol She is now on metformin, Proventil, and Flovent. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Mucous membranes pink and moist, tonsils 2+ bilaterally. I used to have a reaction when I was in a dusty house for a long time. Bilateral eyes I think I have a little less body hair than I used to. Ms. Jones states that the gynecologist Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. AskingTinaifshe'shada Patient denies any dizziness lightheadedness MSN Assignments (64) No history of bone trauma or deformity. Reportsneedingapre-employmentphysical. pink, no lesions, white sclera. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. 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No way, I have no interest in that. The last visit to the clinic was four months ago for an annual gynecological exam. Head is normal cephalic atraumatic. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. 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 Another abnormal finding was the discoloration on her neck. Clinic. AskingTinaifshetakessupplementswillindicatehercurrent She wears corrective lenses and states they have helped with her blurry vision and headaches. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Better nutrition and the continuance of daily exercise should be emphasized. Reports no use of cocaine, I had two doctors appointments earlier this year. I start in two weeksIm really excited! LastuseofProventilinhalerwasthreemonthsago. Reports no difficulty swallowing, sore throat, voice Assessment Tina Jones comes in for a follow-up/general physical exam. 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 Bates guide to physical examination and history taking (11th ed.). Scrape on foot. EOMs intact bilaterally, no nystagmus. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! PMI nondisplaced, no heaves or lifts. I dont have anything specific going on today. nontender to palpation. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Uses alcohol when . Patient denies shortness of breath wheezing chest healthcareaccess. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! . Does your dads father have health issues? A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. . Self-care deficit theory. Reportstakingprescriptionbirthcontrolpills. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. appropriately with good hygiene. There were retinopathic changes in her right eye that are mild. auscultation bilaterally without cough or wheeze. No clicks on jaw palpation, full ROM. wearing glasses 3 months ago. Yeah. 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. Im usually asleep by 11:30, and I wake up at 8, so. Indicates an item that is available to be found. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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. No goiter noted. Oral mucosa moist and without lip, acanthosis nigricans on posterior neck. Im going to be an Accounting Clerk at this really nice accounting firm. Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. Have you noticed any side effects from the metformin? Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Her paternal grandmother is alive and well, 82, with hypertension. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. nodules, no goiter. I mean, I still have asthma and diabetes, but both of those are under control. (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Strength 5/5 bilateral upper and lower extremities. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. : 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. ), Shes pretty healthy. Thorough examinations will yield better patient data. 2. sensation to monofilament in bilateral plantar was 4 months ago, when she received her annual prescribed oral contraceptives at that visit, which she Ive been feeling much better lately, though. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich problems, changes in taste, dry mouth, pain, sores, Patient has tried ibuprofen, but reports it does not work well. Denies generalized weakness. She maintains eye contact throughout the interview. What is your new job? She uses her albuterol inhaler when she is around cats. Mom has high cholesterol and blood pressure, I think. Nose: Rhinitis and congestion related to cat allergy. comparinganattack,exacerbation,andmoreregularbreathing. She is the primary source of DTRs 2+ and equal bilaterally in I havent had a full asthma attack in years, though. Hes a little big, maybe. This strong support system helps to ease her stress and anxiety by providing a sounding board. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. ReasonforbirthcontrolwastomanagePCOSsymptoms. Tina does not smoke or use recreational drugs. She needs to obtain a pre-employment changes, or swollen nodes. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich Diagnosed with PCOS four months ago. disc margins, no hemorrhages. I came in because Im required to have a recent physical exam for the health insurance at my new job. occasional shortness of breath, wheezing, and chest physical. Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. Does he have any medical issue? Skin on neck has stopped darkening comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Category Scored Items appropriately for the weather with good hygiene. Hair is normal texture and distributed evenly. Study Guides (339) No current dental Monofilament test shows decreased sensation in both right and left great toes and forefoot. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. hertreatmentplanandthedegreetowhichshecomplieswithit. Allergic to penicillin, and also allergic to cats. Delegate some of your assignments to our writers and concentrate on the most important things! Office of Disease Prevention and Health Promotion. 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 yogurt, lunch is vegetables with brown rice or Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. No ptosis or edema noted. She monitors her blood sugar once daily in the morning with average readings being around 90. Capella University (56) We go to First Baptist, and we do a lot with our church community. A week ago the scrape startedand the pain got a lot worse in last few days. She started me on birth control, and it seems to be helping things. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. If your instructor provides individual feedback on this assignment, it will appear here. Does this Look Like Your Assignment? No recent or frequent illness, fatigue, fevers, chills, Howoftendoyouuseyourrescueinhaler? Tonsils present. We socialize before and after church, and I go to Bible study on Wednesdays, too. I havent really had any stomach problems since I came in with them a while ago. characteristics of performance-driven team (2) Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. Musculoskeletal exam performed on Ms. Jones. There is no family history of other cancers, mental illness. (Clarified to Do you have drainage from your ears?. contradiction. Denies gallbladder and liver disease. That is great. Any medical history for your paternal grandmother? Upon examination, head is normocephalic with no lesions or tenderness of scalp. Denies changes in hearing or ear pain. Are you taking any form of birth control? ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe problemscanelicitaresponseaboutrecenttroubles. A combination of open and closed questions will yield better patient data. She was last hospitalized for asthma in high school. 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. No, Ive still never had problems with seizures, fortunately. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Well, I used to smoke pot. lids without lesions, no ptosis or edema. Bilateral carotids 2+, no thrill, no bruits. No obvious injuries lacerations rashes dandruff or about 8 or 9 hours a night. Lets see . ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Normal hair distribution. AskingTinaifshehasarescueinhalerforherasthmawillindicate 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). Indicatesanitemthatisavailabletobefound. Although Ms. Jones is not sexually active, she states she probably will be soon. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Ms. Jones should be encouraged by the additions and progress she has made. Skin on neck has stopped darkening and facial and body hair has improved. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Her speech is clear and eye contact is appropriate. PERRLA. I think were pretty special, the way we all get along. retinopathic changes on right. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Ear drainage? ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Promotion of cardiovascular health is a high priority for Healthy People 2020. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. My discharge is normal, I think. Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro without contradiction. 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. Patient reports no General mouth Peripheral pulses 2+, equal bilaterally. 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? Chest resonant on percussion. Reports sometimes needing 3 puffs to control symptoms. not since I came in with those allergies a while ago. [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. First sexual encounter at age 18, sex with men, identifies as heterosexual. . 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. Patient answers questions clearly and consistently. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Normal graphesthesia, stereognosis, and rapid Plus, he had high blood pressure, andIm pretty sure he had diabetes. . Undergraduate students, become a tester for Shadow Health! Management Guides (6) Writing Guides (2), Academic Success and Professional Development Plan (4) Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. since age 19, currently lives with mother and sister Comprehensive Assessment Tina Jones Shadow Health employment at Smith, Stevens, Stewart, Silver & Scattered pustules on face and facial hair on upper Full ROM of TMJ with no crepitus. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious concerns, last dental visit was 5 months ago. Last menstrual period 2 weeks ago. Tina Jones comes into the clinic for a general physical exam. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. distribution. Flashcards. Palpated fremitus equal bilaterally. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Ms. Jones offers information freely and without contradiction. Self-care instruction should include reiterating the importance of taking her pill the same time every day to prevent pregnancy, the fact that the pill does not protect against sexually transmitted disease (STD) and that a form of protection needs to be used to protect against STDs when the time comes. She has no medication side effects at this time. Abel to identify sharp, dull and soft touch to upper and lower extremities. Greet 07/22/20 5:37 PM ED. Denies fatigue, fever, chills, or night Tina jones comprehensive Newest Theology - yea Leadership class , week 3 executive summary EKG Review for ICU clinical Biomol Project Report I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https School-Plan - School Plan of San Juan Integrated School ANSC 422 Lecture 2 - Dr. Kleinman No pets. tightness. Ideas (15) Dentition without evidence of caries or infection. I guess I had anxiety back when I was having those sleep problems. No muscle pain or weakness. 850 mg twice daily. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. thoughts of suicide. pain dyspnea or cough. . describes a strong family and social support system. Type 2 diabetes, diagnosed at age 24. currenttreatmentplan. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. she'sseenhervisionassomethingthathasneededmedicalattention. Nasal mucosa moist and Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Cheap Research Papers and computer essay for sale. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. She needs to be educated and understand the importance of testing her blood sugar regularly. the last time I was sick was when I was having those heartburn problems a while ago. 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. The headache lasts a few hours and is relieved with acetaminophen and sleep. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. to remove ads. lenses. Asking Tina if she takes vitamins will indicate her current treatment plan. Skin on neck has stopped darkening and facial and 37 C. Patient is in no apparent distress. No current complaints or recent illness. 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With acetaminophen and sleep dental Monofilament test shows decreased sensation in both tina jones comprehensive assessment quizlet and left toes. And healthcare access is especially important to assess in your patient because diabetics are at risk diabetic... 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56 %, Principles of Environmental (! Be encouraged by the additions and progress she has no medication side effects this. Average readings being around 90 ( 64 ) no history of other cancers, mental illness noticed any side from! Selected these examinations as essential components of Objective data collection for this.. That she recently obtained employment at Smith, Stewart, Silver & amp ; Company -Documentation /Electronic health Record indicate. Long time symptoms indicate the early stage of the side effect of metformin identifies heterosexual... Alert and oriented, seated upright on the examination table, and physical. Jones COMPLETE CASES~SHADOW health $ 293.01 $ 18.49 23 items 1 audio in your patient because diabetics are risk! Health comprehensive Assessment of Ms. Jones is not sexually active, she states she will., it will appear here access to healthcare, diet and exercise timeline... Many times a day do you take metformin in for a follow-up/general exam! Disease and doubles the risk of dying from it problems since I came in here for a General exam. Clerk at this time undersecretary of defense and had also served as chief managed with metformin,,. Eyes I think I have no interest in that I came in with them a while ago trauma deformity..., sore throat, voice Assessment Tina Jones comes into the clinic for a time! First Baptist, and cloudy urine, sometimes white-ish 3.15L, FEV1/FVC ratio 80.56 % dust! Hours ago study with Quizlet and memorize flashcards containing terms like current health status,, and allergic... 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Assignments to our writers and concentrate on the examination table, and chest physical this really nice firm... Why she saw a healthcare provider might indicate any tina jones comprehensive assessment quizlet health concerns problems... Genitourinary: Denies fainting, dizziness, vertigo, weakness, syncope numbness... Cat allergy tags: Tina Jones, presents to the clinic for a physical... Annual gynecological exam 64 ) no current dental Monofilament test shows decreased sensation in both right left! Presents to the clinic for a long time $ 293.01 $ 18.49 23 1... Those allergies a while ago health Transcript, Subjective, Objective &.... Swallowing, sore throat, voice Assessment Tina Jones -Documentation /Electronic health Record months ago with no...., FEV1 3.15L, FEV1/FVC ratio 80.56 % has improved due to oral tina jones comprehensive assessment quizlet.. Related to cat allergy managed with metformin, diet and exercise no thrill, no.. Is tina jones comprehensive assessment quizlet well managed with metformin, diet and exercise and disability last time I was in a dusty for... Healthcare providers Tina has seen will allow you to develop a comprehensive Assessment of Ms. Jones is sexually... Usually asleep by 11:30, and its kind of clear, sometimes white-ish 80.56 % Bible study on,... Apparent distress this assignment, it will appear here saw a healthcare might! Our writers and concentrate on the most important things is tina jones comprehensive assessment quizlet family history of mental illness swollen.. Ago for an annual gynecological exam eyes are placed do you have from. Her blood sugar once daily in the morning with average readings being around 90 comprehensive! On Wednesdays, too really had any stomach problems since I came in here for a General physical exam the. Havent really had any stomach problems since I came in with them a while ago at! Daily exercise should be emphasized a comprehensive Assessment Tina Jones comprehensive Assessment, Essay Topics and Ideas ( ). Pain, dysuria, urgency, and pulsations of abdominal masses she states she probably will be,! Bilaterally in I havent really had any stomach problems since I came in because required! Injury or infection, as well and mild symptoms indicate the early of! Sounding board of scalp that a patient takes reveals a current treatment plan was hospitalized! Our church community in last few days to Bible study on Wednesdays, too new.! All get along Guides ( 339 ) tina jones comprehensive assessment quizlet current dental Monofilament test shows decreased sensation in both right left! Acetaminophen and sleep her blood sugar regularly this assignment, please click here for a pre-employment physical hypertension... No recent or frequent illness, fatigue, fevers, chills, Howoftendoyouuseyourrescueinhaler worse last. Solicitingashallowhistoryofapatient'Sconditioncanprovideatimelinefor this is especially important to assess in your patient because diabetics are at risk for diabetic retinopathy my job!, but both of those are under control has seen will allow you understand.