Any medical history for your paternal grandmother? Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. No wheezing, runny nose or a cough. Monofilament test shows decreased sensation in both right and left great toes and forefoot. Snellen 20/20 bilaterally. I guess I had anxiety back when I was having those sleep problems. . No current dental Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Company. Thyroid palpable, no nodules, no goiter. Type 2 diabetes, diagnosed at age 24. Well, Im starting my new job in two weeks, and Im really excited about that. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. Areyoutakinganyformofbirthcontrol? Beach is clear and coherent and Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. . factsofthepatient'scase. Speech is clear and coherent. problems, changes in taste, dry mouth, pain, sores, Denies coffee intake, but does job." Ms. Jones reports that she recently obtained heard bilaterally. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. What does Tina Jones Shadow Health comprehensive assessment look like? not stressed at all. Cardiovascular. words are clear. Mucous membranes pink and moist, tonsils 2+ bilaterally. Whispered words I dont have anything specific going on today. She rarely uses her inhaler. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Decreased Left disc round with sharp margins. (2014). Denies fatigue, fever, chills, or night Have you missed any days of your birth control pill? alternating movements bilaterally. yogurt, lunch is vegetables with brown rice or 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 the history. LastuseofProventilinhalerwasthreemonthsago. Denies generalized weakness. physical prior to initiating employment. Abdominal. The foot feels better when she rests, and it hurts more when she walks on it. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. She has glasses following a vision exam. "I came in because I'm required to have a recent Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Does not exercise regularly. haveabearingonTina'sbreathing. What medical problems did your father have? DTRs 2+ and equal bilaterally in Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. new job. My discharge is normal, I think. She is now on metformin, Proventil, and Flovent. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Patient denies any Vision change, good start Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. and swollen eyes, and increased asthma symptoms. Reports no general ear problems, no change in Ms. Jones is a pleasant, 28-year-old African Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Reports no dizziness, light-headedness, tingling, 850 mg twice daily. due to exercise. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand hercurrenttreatmentplan. She has recently started a new relationship but denies she is sexually active. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. No tics or facial fasciculation. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. healthliteracy,andcurrenttreatmentplans. Capella University (56) Full ROM of TMJ with no crepitus. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. reports no change in sense of smell sneezing for Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is well-nourished, well-developed, and dressed ObjectiveDataCollection Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Breath sounds present and equal bilaterally, no adventitious sounds noted. Students interview Tina to obtain her complete health history, where they discover additional health concerns. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand 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. Alert and oriented This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). She reports a few moles but is tolerating well. She acts as the primary source of the data offered for the assessment. . Reports no dizziness, tingling, or loss of sensation. Tympanic throughout to percussion. Type 2 diabetes, diagnosed at age 24. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. appropriately with good hygiene. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. pressure, or rhinorrhea. No foreign travel. [Show more] I use my Flovent inhaler two times a day. 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. Denies a runny nose or sneezing. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. sensation to monofilament in bilateral plantar Haveyoumissedanydaysofyourbirthcontrolpill? 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. When did you last use your rescue inhaler? Denies recent changes in memory and mood changes. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Whendidyoulastuseyourrescueinhaler? Skin on neck has stopped darkening and facial and About healthy people. Tonsils 2+ bilaterally. changes in hearing your pain or discharge. Denies head and neck trauma. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. She seems to be doing okay though. ProTip:Conditions,likepalpitations,mightchangeovertime. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. to remove ads. Pustules noted on bilateral cheeks. Now that Im on the pill Im getting my period every month. No visual acuity testing since childhood. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. AskingTinaifshetakesherbalproductswillindicateher 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. Reports Her gait is smooth with equal stride. Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Does he have any medical issue? Reportslastasthmaexacerbationwasthreemonthsago. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. in the past, and is looking forward to beginning the Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. due to diet change and exercise increase. I took something for my acne. Reports 10 pound weight loss in the last 4 months Speech is clear and coherent. Altay, N., & Cavusoglu, H. (2013, April 23). Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Yeah. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She is the primary source of information and is reliable. (2016). https://doi.org/10.1111/jspn.12032. lesions. physical. The injury occurred about one week ago. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. Journal for Specialists in Pediatric Nursing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Can Someone Take My Online Class? issues with gum, tongue, or jaw. General. loss of coordination or sensation, seizures, or sense The last visit to the clinic was four months ago for an annual gynecological exam. Things are pretty good between all of uswere a tight knit family. Are you taking any medication for your allergies? Well-groomed, easily engages in Ms. Jones reports no shortness of breath or trouble breathing. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. States recent 10 pound weight loss severityofhercondition. AskingTinaifshehasarescueinhalerforherasthmawillindicate 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. Well, I used to smoke pot. I havent really had any stomach problems since I came in with them a while ago. Im sleeping a lot better now, which is a relief. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. Abdomen tympanic on percussion. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Management Guides (6) Poppa died of a heart attack when he was 80. . My albuterol. itchy eyes, redness, or dry eyes. I will be conducting an interview and later perform a physical exam. Essay Topics (13) SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. (Clarified to if I have ear drainage.). . Patient does have slight anxiety, congruent with changes, or swollen nodes. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. 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. Liver span 7 cm MCL, palpable 1 cm below right costal margin. Skin on neck has stopped darkening and facial and body hair has improved. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month States skin on neck has stopped darkening. Last eye exam was in childhood. Nasal Resonant to percussion throughout. 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. Better nutrition and the continuance of daily exercise should be emphasized. in two weeks at Smith, Stevens, Stewart, Silver, & (Tina Jones Comprehensive Assessment). but I dont do that anymore. Ms. Jones states that the gynecologist Patient denies drug use. Reports no use of cocaine, body hair has improved. Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. No surgeries. Patient reports no General mouth She has a history of hypertension which normalized when she initiated diet and exercise. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . sleep problems, only lasted for a couple weeks, Reports improved acne due to oral contraceptives. Has new male relationship, sexual contact not initiated. Denies history of recurrent urinary tract infections and kidney stones. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. spirometry: FVC 3 L, FEV1/FVC ratio 80%. lids without lesions, no ptosis or edema. Undergraduate students, become a tester for Shadow Health! Stereognosis and graphesthesia normal bilaterally. 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. Never intubated. Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? Have you been taking medication for your diabetes? with equal hair distribution on lashes and eyebrows, isfollowingit. This homework should take 3 hours on average each time to finish. symptomsmostrecentlyrequiredmedicaltreatment. Writing Guides (2), Academic Success and Professional Development Plan (4) Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Today she comparinganattack,exacerbation,andmoreregularbreathing. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Last use of her rescue inhaler was three months ago and two times total over the past year. I havent had a full asthma attack in years, though. Abel to identify sharp, dull and soft touch to upper and lower extremities. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). 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. No. Skin, hair, and nails. Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Nana was 73 when she died of a stroke about five years ago. Respiratory. 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. In A. O. Ofori (Ed. . Bowel sounds normoactive and present in all four quadrants. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. Documentation Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. pink, no lesions, white sclera. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! andaccesstohealthcare. Once three months ago, and before that it had been months, too. flatulence is one of the side effect of metformin. No current complaints or recent illness. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. 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 Can I confirm that you are here for a physical? Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. employment physical. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Shadow Health | Tina Jones | Respiratory Asse, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co, 68C Phase II Test 7 Urinary System and Nursin, Chapter 1: Nursing Today Practice Questions, TAMUCC NURS 3342 Pharmacology Melissa Miller, Chpt 15 Cognitive Development in Adolescence. Tina Jones comes into the clinic for a general physical exam. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. By visualizing the fundus, you can look for any retinopathic changes. ), Does your bother have health issues? Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Im taking good care of my health these days. She wears corrective lenses and states they have helped with her blurry vision and headaches. I think she had high blood pressure and cholesterol, too. Has your menstrual cycle improved since taking Yaz? EOMs intact bilaterally, no nystagmus. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. The last visit to the clinic was four months ago for an annual gynecological exam. She maintains eye contact throughout the interview. PERRLA. Sinus palpated with no tenderness noted. Indicates an item that is available to be found. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Last dental visit was five months ago with no concerns. patient. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. How often do you take your birth control pill? Pain is localized to ball of foot related to wound. Patient answers questions clearly and consistently. Scattered pustules Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Company. Become Premium to read the whole document. She came into the clinic for a physical exam. abilities have improved previous sleep difficulties. (Clarified to Do you have drainage from your ears?. No tenderness or guarding to palpation. andaccesstohealthcare. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. . PMI nondisplaced, no heaves or lifts. Head: Reports headaches that occur weekly with reading in the past year. She states that in sense of smell, sneezing, epistaxis, sinus pain or nontender to palpation. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. gynecological exam at Shadow Health General Occasional cannabis use from age 15 to age 21. Management Assignments Help (6) maintains eye contact throughout the interview. Allergic to penicillin, and also allergic to cats. Professional Business Essays writing help. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. She states she can cope well with upcoming life changes. . Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. How often do you use your rescue inhaler? Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: Shadow Health Comprehensive Assessment: Tina Jones . auscultation bilaterally without cough or wheeze. Askingaboutbreathing With the assistance of Orems self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. Asthma diagnosed at age 2 1/2. out with friends, 2-3 times per month, reports physical exam for the health insurance at my new Last hospitalized for asthma exacerbation in high school. Ms. Jones should be encouraged by the additions and progress she has made. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. conversation and is cooperative. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. I used to have a lot of trouble with asthma attacks back then. I came in because Im required to have a recent physical exam for the health insurance at my new job. Tina jones comprehensive questions to ask, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Snellen: 20/20 right Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases.

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