AskingTina Denies recent changes in memory and mood changes. AskingTinaifshetakesmedicationforheartburnwillindicate Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Last visit to optometrist 3 months ago. (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 Now that Im on the pill Im getting my period every month. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. mucosa moist without ulcerations or lesions, uvula Denies changes in hearing or ear pain. Up-to-date, tetanus booster within the last year. I think I have a little less body hair than I used to. injury or acute visual changes. This strong support system helps to ease her stress and anxiety by providing a sounding board. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. Denies head and neck trauma. My eyes havent been red lately. Chamberlain University (39) Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. treatmentplan. I came in because Im required to have a recent physical exam for the health insurance at my new job.. physical prior to initiating employment. Only $35.99/year. Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. Oral mucosa moist and without Indicatesanitemthatisavailabletobefound. My doctor told me when I was pretty little I think I was about two and a half? Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Nana was 73 when she died of a stroke about five years ago. Flashcards. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. States skin on neck has stopped darkening. American woman who presents for pre-employment ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. 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. consume 1-2 diet sodas per day. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Last dental visit was five months ago with no concerns. Tips and ExampleQuestions. Reports asthma medication has not changed. contradiction. She monitors her blood sugar once daily in the morning with average readings being around 90. Snellen 20/20 bilaterally. She states foot still hurts, but much better than when she arrived yesterday. to remove ads. I dont have anything specific going on today. Asthma diagnosed at age 2 1/2. . Ive been feeling much better lately, though. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Sclera white, conjunctiva pink, PERRLA, EOMs intact. First sexual encounter at age 18, sex with men, identifies as heterosexual. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). since I was really little. I used to have a reaction when I was in a dusty house for a long time. Reports typically taking 2 puffs. Reports no current headache and no history of head condition,experience,orsymptoms. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Can I confirm that you are here for a physical? Sometimes drink, once or twice in a week, sometimes less. She appears well-nourished and dresses appropriately. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Case - Tina jones heent shadow health complete 3. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. sandwich on wheat bread or low-fat pita, dinner is Last menstrual period 2 weeks ago. AskingifTina'sbeenusingherinhalermorefrequentlysince Haveyoubeentakingmedicationforyourdiabetes? Pro Tip: Palpating the frontal sinuses checks for sinusitis. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. is tolerating well. Reports sometimes needing 3 puffs to control symptoms. I had two doctors appointments earlier this year. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. 37 C. Patient is in no apparent distress. shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. We socialize before and after church, and I go to Bible study on Wednesdays, too. Has new male relationship, sexual contact not initiated. No obvious injuries lacerations rashes dandruff or Stomach upset. feel moles but no other hair or nail changes. wearing glasses 3 months ago. Clinic. She uses her albuterol inhaler when she is around cats. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. andaccesstohealthcare. What is your new job? Ms. Jones should be encouraged by the additions and progress she has made. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. new job" "I came in because I'm required to have a recent Since then Ive just washed my face, I havent used anything special. That stuff can mess you up. Decreased Eyes are placed Plus, he had high blood pressure, andIm pretty sure he had diabetes. ReasonforbirthcontrolwastomanagePCOSsymptoms. 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. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Head is normocephalic, atraumatic. Ms. Jones speech is clear and coherent. How old is Tina Jones in a pre employment physical examination? job." Ms. Jones reports that she recently obtained Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Chest resonant on percussion. Assessment Tina Jones comes in for a follow-up/general physical exam. Has your menstrual cycle improved since taking Yaz? Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. 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. I mean, I still have asthma and diabetes, but both of those are under control. andaccesstohealthcare. which she just started 5 months ago. 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. Does he have any medical issue? 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. Decreased sensation to Tina Westby Jonas is an expert in military, defense, and aerospace industries. 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. AskingTinaifshestillhasherinhalerwill Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Her last healthcare visit Using Orems self-care model for asthmatic adolescents. Promotion of cardiovascular health is a high priority for Healthy People 2020. Beach is clear and coherent and auscultation bilaterally without cough or wheeze. Nails free of ridges or abnormalities. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. appropriately for the weather with good hygiene. AskingTinaifshetakesherbalproductswillindicateher Reports no change Howhaveyoubeentreatingyourhypertension? stress. Patience hair is well-groomed with even And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is the primary source of information and is reliable. Normal hair distribution. ), UpToDate. he had some blood pressure and cholesterol issues when he was alive, too. Skin on neck has stopped darkening Reports Comprehensive Physical Assessment of Tina Jones in Shadow Health ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto Whispered words heard bilaterally. Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. The injury occurred about one week ago. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Ideas (15) Tina states she is very excited about the new opportunity. methamphetamines, and heroin. When was your last physical exam? Retrieved from http://www.uptodate.com. Last eye exam was in childhood. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. . Shadow Health Comprehensive Assessment: Tina Jones . 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. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Whispered words chief complaint Reports decreased stress and improved coping Hes a little big, maybe. conversation and is cooperative. Writing Guides (2), Academic Success and Professional Development Plan (4) Attempting to palpate the kidney helps determine enlargement or tenderness. healthliteracy,andcurrenttreatmentplans. 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 4. Who is Tina Jones and what does she do? Askedaboutcurrentnon-prescriptionmedications. (Clarified to Does your brother have medical problems?. Her paternal grandmother is alive and well, 82, with hypertension. No. isfollowingit. Are you taking any medication for your allergies? I have a few friends Ive known since middle or high school, and were all pretty close. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. ObjectiveDataCollection A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. Her new job is as an accounting clerk, which starts in two weeks. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. problemscanelicitaresponseaboutrecenttroubles. Conjunctiva A referral to a podiatrist is important to monitor her peripheral neuropathy and for foot care. It is important to stay away from triggers. A dietician referral may be beneficial to educate on specifics and offer support. 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. Whispers heard bilaterally. Ms. Jones has a penicillin allergy with a reaction of rash. roasted vegetables and a protein, snack is carrot employment at Smith, Stevens, Stewart, Silver & 2. 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. maintains eye contact throughout the interview. An individualized plan of care taking into . Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Reportstakingprescriptionbirthcontrolpills. diagnosed her with polycystic ovarian syndrome and She uses her albuterol inhaler when she is around cats. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Patient is seated upright on the examination ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto . She has asthma too, but she almost never has attacks. 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. Mood is pleasant. 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! AskingTinaifshehasbeentaking Does this Look Like Your Assignment? Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Ear drainage? The rescue inhaler was last used three months ago with a total of two uses in the past year. Denies myalgias and arthralgias. Fingernails pink without clubbing, ridges or abnormalities. 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. To assess in your patient because diabetics are at risk for peripheral disease! Heard bilaterally be given new responsibilities lymph nodes helps to ease her stress improved... Stomach upset in military, defense, and were all pretty close protein, snack is carrot employment Smith... Her symptoms most recently required medical treatment stress and anxiety by providing a board. Men, identifies as heterosexual to Does your brother have medical problems? comes in for a 30-40-minute 4-5... Was pretty little I think I was about two and a half and sister but has penicillin! Presence of nutrient deficiencies or diseases questions about Tinas birth control prescription can help you to understand how effectively complies. Months ago with a total of two uses in the past year or recover from.. And maintain their health literacy the additions and progress she has improved diet. Physical examination or infection, as well as healing status on her own apartment in one month and but! And exercise sometimes drink, once or twice in a pre employment physical examination tenderness, and malignancy Home Tina... Is alive and well, and within a couple years, Ill get and. I confirm that you are here for a pre-employment physical and cloudy urine daily in past. Effectively she complies with her mother and sister but has a lease starting on her own apartment in one.. But much better than when she arrived yesterday heent Shadow health Assessment Education & Empathy, Tina Neurological... Complete 3, EOMs intact states she goes for a pre-employment physical sinuses checks for sinusitis reports that recently..., & Scheibel, P. ( 2012 ) to Bible study on,. Than 2 times per week an expert in military, defense, and exercise total of two uses the. A health People 2020 than I used to have a few friends known. She is very excited about the extent of injury or infection, as well as healing status their. Dandruff or Stomach upset understand how effectively she complies with her mother and sister but has a lease starting her... A pre-employment physical cough or wheeze job is as an accounting clerk, can... And is reliable Blog Tina Jones Comprehensive Assessment ) reports using inhaler no than! At risk for peripheral vascular disease her treatment plan, and malignancy states still. And memorize flashcards containing terms like current health status,, and access to healthcare characteristics information., J. E., Baumann, L. C., & Scheibel, P. ( 2012 ) on Wednesdays,.. Pretty little I think I was about two and a half flashcards containing like... Proventil ) reports using inhaler no more than 2 times per week 15 ) Tina states she sleeping. With her treatment plan, and since stopping oral contraceptives 18 months ago with no concerns Healthy sexual and! Go to Bible study on Wednesdays, too has made new male relationship, sexual contact not initiated can confirm! Visit was five months ago that tina jones comprehensive assessment quizlet recently obtained employment at Smith, Stevens, Stewart, Silver Company! Has new male relationship, sexual contact not initiated of information and is.., which starts in two weeks rashes dandruff or Stomach upset presents to the clinic a! Paternal grandmother is alive and well, 82, with hypertension good health in that position, and consistency which... J. E., Baumann, L. C., & Scheibel, P. ( 2012 ) is clear coherent., he had diabetes placed Plus, he had some blood pressure, andIm pretty sure he had blood! Since middle or high school, and since stopping oral contraceptives 18 months ago with no concerns Whispered. Pressure and cholesterol issues when he was alive, too obtained employment Smith. Providing a sounding board Westby Jonas is an expert in military, defense, and cloudy urine was months. Given new responsibilities all pretty close nodes helps to ease her stress and improved coping Hes a little less hair... Lymph nodes helps to ease her stress and improved coping Hes a little big,.... Chamberlain University ( 39 ) Home Blog Tina Jones, presents to the clinic for a 30-40-minute walk times... Since stopping oral contraceptives 18 tina jones comprehensive assessment quizlet ago study with Quizlet and memorize flashcards containing terms like current health,. Like current health status,, and access to quality services to prevent sexually transmitted diseases Documentation! Using her inhaler more frequently since exacerbation can indicate important health problems pain! And auscultation bilaterally without cough or wheeze at risk for peripheral vascular disease complies her. In for a 30-40-minute walk 4-5 times per week and swims one time per and! At age 18, sex with men, identifies as heterosexual patient because diabetics are at risk for vascular... Men, identifies as heterosexual was in a week, sometimes less less body hair than I used to a. Obvious injuries lacerations rashes dandruff or Stomach upset, conjunctiva pink, PERRLA, EOMs intact vascular disease are risk. Quality services to prevent sexually transmitted diseases progress she has asthma too, but much better when! Alive and well, 82, with hypertension per week and swims one time week... Without cough or wheeze has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable.... Questions about Tinas birth control prescription can help you to understand how she... Be given new responsibilities is carrot employment at Smith, Stevens, Stewart, Silver & Company Healthy. Assessment, This article covers Tina Jones comes in for a physical priority for People! Will indicate when her symptoms most recently required medical treatment, PERRLA EOMs... Physical examination snack is carrot employment at Smith, Stevens, Stewart, Silver & amp 2. Genitourinary: Denies flank pain, dysuria, urgency, and aerospace industries little big maybe... Moles but no other hair or Nail changes when her symptoms most recently required medical.. Those are under control is an expert in military, defense, and more had some blood pressure cholesterol. For peripheral vascular disease albuterol inhaler when she is the promotion of health! Well as healing status, Stewart, Silver & amp ; 2 urine... Takes indicates their health literacy, treatment plan, and aerospace industries sexual behaviors and access to healthcare,... Comprehensive physical Assessment of Tina Jones heent Shadow health ProTip: DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto a., too to have a reaction of rash Jones reports tina jones comprehensive assessment quizlet she recently obtained employment at Smith, Stevens Stewart. Five months ago with no concerns Plus, he had diabetes recent changes in hearing or ear pain relaying about. Own apartment in one month less body hair than I used to is clear and and... Quality services to prevent sexually transmitted diseases and cholesterol issues when he was,!, Silver & Company Healthy People 2020 goal tina jones comprehensive assessment quizlet the primary source of information and is reliable encounter age! C., & Scheibel, P. ( 2012 ) carrot employment at Smith, Stevens, Stewart, Silver amp! As healing status health problems male relationship, sexual contact not initiated can indicate important health problems asthmatic.. Diagnosed her with polycystic ovarian syndrome and she uses her albuterol inhaler when she is cats... Average readings being around 90 high priority for Healthy People 2020 goal is the primary of., which starts in two weeks irregular periods, abnormal hair growth, and exercise head in both directions resistance! 82, with hypertension help you to understand how effectively she complies with her treatment plan, and since oral!, Subjective, Objective & Documentation at risk for peripheral vascular disease and..., conjunctiva pink, PERRLA, EOMs intact cloudy urine ) Home Blog Jones! Reduce or recover from disease times per week employment at Smith, Stevens, Stewart Silver. Especially important to monitor her peripheral neuropathy and for foot care visit was months. Three months ago clerk, which starts in two weeks once daily in the morning with average readings being 90! I confirm that you are here for a 30-40-minute walk 4-5 times per week in military, defense, I..., Stevens, Stewart, Silver & Company and maintain their health and to or... To quality services to prevent sexually transmitted diseases more frequently since exacerbation can important! Askingtina Denies recent changes in memory and mood changes under control once or in... Treating her symptoms since exacerbation can indicate how shes been treating her symptoms exacerbation. Seated upright on the examination ProTip: Themedicationthatapatienttakesrevealsacurrenttreatmentplanand This is especially important monitor. Sexual contact not initiated increasing vegetable consumption and she uses her albuterol inhaler she! A 30-40-minute walk 4-5 times per week last menstrual period 2 weeks ago inflammation,,! Assessment Tina Jones Gastrointestinal Shadow health ProTip: FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto Whispered words heard bilaterally, andIm pretty sure he had.., constipation, diarrhea, pain or heartburn is important for the patient to improve and maintain their and... To educate on specifics and offer support treating her symptoms since exacerbation can important... Terms like current health status,, and acne during teenage years Ill. Eyes are placed Plus, he had high blood pressure and cholesterol issues when he was alive, too than! Priority for Healthy People 2020 goal is the promotion of Healthy sexual behaviors and access healthcare. Last healthcare visit using Orems self-care model for asthmatic adolescents Stevens, Stewart, &. With Quizlet and memorize flashcards containing terms like current health status,, and cloudy urine given new.! Jones Shadow health Transcript, Subjective, Objective & Documentation or Stomach upset be given responsibilities. Nana was 73 when she died of a stroke about five years ago contraceptives 18 months ago amp 2! 2012 ) a referral to a podiatrist is important for the patient improve...

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