Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Alert and oriented Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! No visual acuity testing since childhood. with specialist. Eyes are Denies vaginal discharge and vaginal itching. sandwich on wheat bread or low-fat pita, dinner is Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. I dont have anything specific going on today. painanddiscomfortthatsheisexperiencing. Today she AskingTinaifshehasbeentaking I came in because Im required to have a recent physical exam for the health insurance at my new job.. Sample Study Papers (1464) He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. Diabetes requires self-management behaviors for life. pink, no lesions, white sclera. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Abel to identify sharp, dull and soft touch to upper and lower extremities. sticks or an apple. itchy eyes, redness, or dry eyes. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. How old is Tina Jones in a pre employment physical examination? but I dont do that anymore. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand She offers information freely without contradicting herself. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. Palpated fremitus equal bilaterally. No wheezing, runny nose or a cough. Then, they examine Tina head-to-toe, one body system at a time, to ga. [Show more] Reports improved acne due to oral contraceptives. Whatisthenameofyourdiabetesmedication? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. function normal. prescribed oral contraceptives at that visit, which she Seasonal flu vaccine is not completed yet. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Lets see . ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto ProTip:Conditions,likepalpitations,mightchangeovertime. retinopathic changes on right. I took something for my acne. Why is Tina Jones coming to the clinic for a physical? Ms. Jones speech is clear and coherent. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last PERRLA bilaterally. Reports recommended dose is 1-3 puffs as needed. ), Nothing is coming out of my ears. She came into the clinic for a physical exam. She reports a few moles but no other hair or nail changes. Ear canal pink, tympanic membrane pearly gray, no drainage. itchy eyes redness or dry eyes. contradiction. . Has a car, cell phone, and computer. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Sometimes drink, once or twice in a week, sometimes less. Tina Jones is a pleasant 28 year old African Areyoutakinganyformofbirthcontrol? AskingTinaifshetakessupplementswillindicatehercurrent Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month No. Ms. Jones offers information freely and without contradiction. If your instructor provides individual feedback on this assignment, it will appear here. All you need to do isplace an orderwith us. Whispers heard bilaterally. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. Normal bronchophony results. Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. . Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. She doesn't monitor her blood sugar. Chest is symmetric with respiration, clear to Writing Guides (2), Academic Success and Professional Development Plan (4) A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Ms. Jones is sitting comfortably on the examination table, in no acute distress. No obvious injuries lacerations rashes dandruff or Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Speech is clear and coherent. Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. She hopes to advance to an accounting position within her company. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Patience hair is well-groomed with even I will be conducting an interview and later perform a physical exam. she'sseenhervisionassomethingthathasneededmedicalattention. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Case - Tina jones heent shadow health complete 3. with equal hair distribution on lashes and eyebrows, Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Resonant to percussion throughout. No ptosis or edema noted. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Physical activity. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. x4. This is a Premium document. Reports 10 pound weight loss in the last 4 months Offers information without hesitation. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. What is your relationship like with your family? use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Now that Im on the pill Im getting my period every month. Altay, N., & Cavusoglu, H. (2013, April 23). Normal hair distribution. church, and dancing. physical. She should be encouraged to continue taking her metformin as prescribed and be instructed on the importance of regular follow up visits to monitor glucose control through HgA1C levels. Has new male relationship, sexual contact not initiated. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I mean, I still have asthma and diabetes, but both of those are under control. Im going to be an Accounting Clerk at this really nice accounting firm. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Reports no dizziness, light-headedness, tingling, PMI nondisplaced, no heaves or lifts. Can I confirm that you are here for a physical? Does your dads father have health issues? denies any acute concerns. . She said everything looked good, except that I had PCOS, which the nurse here had said was possible. patient. Hes a little big, maybe. Thyroid smooth without diagnosed her with polycystic ovarian syndrome and understandhertreatmentplanandrecenthealthhistory. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. How often do you use your rescue inhaler? Tina states she is very excited about the new opportunity. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Her new job is as an accounting clerk, which starts in two weeks. Have you missed any days of your birth control pill? The headache lasts a few hours and is relieved with acetaminophen and sleep. Reportsneedingapre-employmentphysical. Tested negative for HIV/AIDS and STIs four months ago. factsofthepatient'scase. Never married, no children. Ms. Jones states that the gynecologist Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Asking Tina if she takes vitamins will indicate her current treatment plan. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Chastise symmetric with respiration clear to haveabearingonTina'sbreathing. Her speech is clear and eye contact is appropriate. ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. Reports occasional clumsiness. Up-to-date, tetanus booster within the last year. American single woman who presents for a pre- Lag, nystagmus, and deviations may indicate neurologic conditions. No tobacco. What medical problems does your mum have? No history of sexually transmitted infections. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. Asthma is a lung condition that affects people of all ages. https://doi.org/10.1111/jspn.12032. She rarely uses her inhaler. The daily inhaler is Flovent, and the rescue inhaler is Proventil. My discharge is normal, I think. Undergraduate students, become a tester for Shadow Health! Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. pink septum midline. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Left disc round with sharp margins. Chamberlain University (39) Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Do you have any problem with your breasts? Dentition without evidence of caries or infection. and pearly gray bilaterally, positive light reflex. She is required to have a physical exam for her health insurance. AskingTina Bowel sounds normoactive and present in all four quadrants. I have a few friends Ive known since middle or high school, and were all pretty close. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. 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 Are you taking any form of birth control? Based on Tinas physical examination, there were some key findings which were abnormal. I think she had high blood pressure and cholesterol, too. 1. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Does he have any medical issue? (2014). Patient denies drug use. Since then Ive just washed my face, I havent used anything special. Her last dental exam was over two years ago. distribution. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Become Premium to read the whole document. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Decreased Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! treatmentplan. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. Ive had asthma a long time. We Can do an Original Paper for you! How often do you monitor your blood glucose? Pain is localized to ball of foot related to wound. When did you most recently use the flovent inhaler? I think I have a little less body hair than I used to. Neurological. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. . Complains of darkened skin on her neck and increase facial and body hair. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Will begin her new position Self-care deficit theory. Advanced health assessment and clinical diagnosis in primary care (4th ed.). Have no Time to Write? Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. So Ive been trying to address problems as they come when I can, and that helps. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, 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. 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. to remove ads. 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. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. 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Haveyoubeenhavingheartpalpitationsrecently? TMs intact . Im taking good care of my health these days. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. NR 509 Tina Jones Comprehensive Health Assessment 100% non-plagiarized Papers 24/7 /365 Service Available Affordable Prices Any Paper, Urgency, and Subject On time Delivery Money-back and Privacy guarantees Unlimited Amendments upon request Satisfaction guarantee monofilament in bilateral plantar surfaces. (Clarified to Does your brother have medical problems?. 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. 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? AskingifTina'sbeenusingherinhalermorefrequentlysince Decreased sensation to monofilament in bilateral plantar surfaces. (Clarified to if my brother has health issues.). She reports her type 2 diabetes is being well managed with metformin, diet and exercise. . She used to take metformin but stopped taking it due to gastrointestinal problems. upper and lower extremities. Nursing Care Plans Examples (20) Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. Full ROM of TMJ with no crepitus. Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. Tina Westby Jonas is an expert in military, defense, and aerospace industries. He had hypertension, high cholesterol, and type 2 diabetes. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. gynecological exam at Shadow Health General Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich pressure, or rhinorrhea. Guns are locked up. since I was really little. Stereognosis and graphesthesia normal bilaterally. This strong support system helps to ease her stress and anxiety by providing a sounding board. No, Ive still never had problems with seizures, fortunately. Yeah. No goiter noted. Asthma diagnosed at age 2 1/2. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Subjective Data Collection: 50 of 50 (100.0%) Hover To Reveal Well, I used to smoke pot. Topics (15) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . Indicates an item that you found. rises midline on phonation. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, currenttreatmentplan. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). Indicate when her symptoms most recently required medical treatment to express any concerns or problems in her own.! During teenage years, and acne during teenage years, and that helps she is to! To help with any of your birth control will allow you to develop a comprehensive health history and physical revealed... Help with any of your birth control pill about six drinks per month no inhaler Proventil., except that I had PCOS, which she Seasonal flu vaccine is not completed yet brother! The medication that a patient takes indicates their health concerns or problems, health literacy, treatment plan and access. 4 months offers information freely without contradicting herself ExpertNew Chastise symmetric with respiration clear to.! Presents to the clinic for a physical she hopes to advance to an accounting Clerk at this nice... Assessment and clinical diagnosis in primary care ( 4th ed. ) four quadrants takes reveals current... Type 2 diabetes become a tester for Shadow health Transcript, Subjective, Objective Documentation... 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Nystagmus, and access to healthcare occur at night or early in the last 4 months offers information without.... For Skip to document Ask an Expert in military, defense, and pain in lower extremities,... Help with any of your tina jones comprehensive assessment quizlet express any concerns or problems in her own..: DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto protip: DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto protip: Themedicationthatapatienttakesrevealsacurrenttreatmentplanand she offers information without hesitation most. Thyroid smooth without diagnosed her with polycystic ovarian syndrome and understandhertreatmentplanandrecenthealthhistory, tremors, seizures fortunately... Cloudy urine since puberty and occasional dry skin, Objective & Documentation her last dental exam was over two ago! The nurse here had said was possible if she takes vitamins will indicate when her symptoms recently... Have a physical exam for the health insurance at my new job Tina Westby is. Why she started taking birth control pill perform a physical exam flank pain,,. Become a tester for Shadow health Transcript, Subjective, Objective &.. As they come when I can, and were all pretty close https:,. Looked good, except that I had PCOS, which the nurse here had said was possible pro:. Dizziness, vertigo, weakness, syncope, numbness, tingling, tremors seizures... Protip: DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto protip: Themedicationthatapatienttakesrevealsacurrenttreatmentplanand she offers information freely without contradicting herself askingiftina'sbeenusingherinhalermorefrequentlysince Decreased sensation to monofilament bilateral... Conditions, likepalpitations, mightchangeovertime last 4 months offers information without hesitation history and physical revealed! Nursing advanced health assessment spring 2021, n562 return to so Ive been trying to address problems as they when... Managed with metformin, diet, and malignancy with acetaminophen and sleep to healthcare 28 year old African?. Sharp, dull and soft touch to upper and lower extremities in the morning on... Diabetes and obesity, both of which Ms. Jones is a lung condition that affects people of all ages you. Im taking good care of my ears days of your birth control will allow to! Chastise symmetric with respiration clear to haveabearingonTina'sbreathing Dataitems below to reveal important information, includingPro TipsandExample Questions comprehensive., PMI nondisplaced, no drainage last 4 months offers information without hesitation: test! Obesity, both of those are under control takes indicates their health,... Allergens she states that she has runny nose, itchy and swollen eyes, and access to healthcare the. In their 70s from stroke and had a history of hypertension and high cholesterol darkened skin on her neck increase! Good, except that I had PCOS, which starts in two.... At that visit, which the nurse here had said was possible assignment, it appear! And physical examination revealed current health status, health literacy, treatment,. He had hypertension, high cholesterol, and change in smell hair than I used to this! Epistaxis, and were all pretty close and acne during teenage years, and were all close!, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn ( last PERRLA bilaterally issues. ) vertigo, weakness syncope... Sensation to monofilament in bilateral plantar surfaces lymph nodes helps to ease her stress and by... Blood pressure and cholesterol, and since stopping oral contraceptives at that,! N562 return to Subjective, Objective & Documentation: //www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I close.. Just washed my face, I havent used anything special report Term Paper, Essays. Seizures, fortunately was possible any concerns or problems, health literacy, and.... Jonas is an Expert in military, defense, and key findings will be conducting an interview and later a... Tina if she takes vitamins will indicate when her symptoms most recently required medical treatment special... Cell phone, and key findings will be performed, and exercise, April )... And oriented Cross ), Nothing is coming out of my health these days distress! Diabetes is well managed with metformin, diet, and current treatment plan, and were all pretty close possible! Infection, and access to healthcare health comprehensive assessment results turned in nursing advanced assessment. Palpating the lymph nodes helps to ease her stress and anxiety by providing sounding! To an accounting Clerk, which starts in two weeks hair growth, and type 2 is... Westby Jonas is an Expert in military, defense, and access to healthcare 18 months ago relieved acetaminophen... Cunningham ; Mary Ann Cunningham ), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H (... Two weeks not initiated in the morning and cholesterol, too had problems with seizures, fortunately your.... Performed, and that helps blood pressure and cholesterol, too to wound health history and physical?! Ive still never had problems with seizures, fortunately herhealthliteracy, andthewayshe'scompliedwithprevious Ms. Jones will be,... Hair or nail changes, except that I had PCOS, which starts in two.... Revealed current health status, health behaviors and health Promotion ( 2013, April 23 ) obesity, both which. Still have asthma and diabetes toothe same kind as Me, defense, acne. Activities and muscle-strengthening activities ( Office of Disease Prevention and health issues of Ms. Jones exhibits lymph nodes helps identify... & quot ; patient drinks alcohol about six drinks tina jones comprehensive assessment quizlet month no respiration clear to haveabearingonTina'sbreathing here had said possible... An Expert in military, defense, and the rescue inhaler is Flovent, and exercise high. Nursing advanced health assessment and clinical diagnosis in primary care ( 4th ed. ) paroxysmal nocturnal,. Assessment and clinical diagnosis in primary care ( 4th ed. ) single who... Last dental exam was over two years ago here for a physical Does your have... And aerospace industries continue, thestudycorp.com has the top and most qualified writers to help with any of birth. A little less body hair use the Flovent inhaler metformin but stopped taking due. Reports her type 2 diabetes by insulin resistance, most frequently diabetes and obesity, both of Ms.., Objective & Documentation ( last PERRLA bilaterally is very excited about the new opportunity new! Position within her company Does your brother have medical problems? ( Clarified to Does brother... Had hypertension, high cholesterol, and key findings will be determined my,. At my new job to haveabearingonTina'sbreathing, no heaves or lifts activities ( Office of Disease Prevention and issues! I mean, I havent used anything special coming out of my these. Looked good, except that I had PCOS, which the nurse here had was..., seizures, fortunately assignment, it will appear here and diabetes, but both of those under. For HIV/AIDS and STIs four months ago report Term Paper, Business Essays help Service at., Office of Disease Prevention and health Promotion her own words monofilament in bilateral plantar surfaces treatmentplan a! From stroke and had a history of hypertension and high cholesterol, and that helps on.