auscultation bilaterally without cough or wheeze. due to diet change and exercise increase. understandhertreatmentplanandrecenthealthhistory. Asthma diagnosed at age 2 1/2. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Mucous membranes pink and moist, tonsils 2+ bilaterally. Occasional alcohol (10 - 12 drinks/month). She offers information freely without contradicting herself. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Ms. Jones is alert and oriented, seated upright on All you need to do isplace an orderwith us. Howoftendoyouuseyourrescueinhaler? Ms. Jones has a penicillin allergy with a reaction of rash. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) That stuff can mess you up. Patient denies any Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I used my Flovent inhaler this morningI have to take it twice a day. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. St. Louis, MO: Elsevier Mosby. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. 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. In A. O. Ofori (Ed. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. I mean, I still have asthma and diabetes, but both of those are under control. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: She uses her albuterol inhaler when she is around cats. (2014). Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Asking Tina if she takes supplements will indicate her current treatment plan. She doesn't monitor her blood sugar. roasted vegetables and a protein, snack is carrot to remove ads. ), Does your bother have health issues? appropriately with good hygiene. She provided the health information freely during the interview. alternating movements bilaterally. Plus, he had high blood pressure, andIm pretty sure he had diabetes. I havent been having any gas lately. Patient does have slight anxiety, congruent with Cardiovascular. Patient denies drug use. medication side effects at this time. understandhoweffectivelyshecomplieswithhertreatmentplan. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. First sexual encounter at age 18, sex with men, identifies as heterosexual. Bickley, L. S., & Szilagyi, P. G. (2013). She hopes to advance to an accounting position within her company. Bowel sounds normoactive and present in all four quadrants. The foot feels better when she rests, and it hurts more when she walks on it. About healthy people. Tonsils 2+ bilaterally. Headaches are described as a "tight and throbbing feeling behind the eyes." ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor https://doi.org/10.1111/jspn.12032. is tolerating well. How often do you monitor your blood glucose? Normal hair distribution. PERRLA. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Type 2 diabetes, diagnosed at age 24. Alert and oriented I used to have a reaction when I was in a dusty house for a long time. Reports recent weight loss. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Plus I have my friends from church. Then, they examine Tina head-to-toe, one body system at a time, to ga. [Show more] Does your dads father have health issues? Denies a runny nose or sneezing. (2018). 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. problemscanelicitaresponseaboutrecenttroubles. No current complaints or recent illness. States skin on neck has stopped darkening. age 21. Last use of her rescue inhaler was three months ago and two times total over the past year. 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. She seems to be doing okay though. andaccesstohealthcare. Upon examination, head is normocephalic with no lesions or tenderness of scalp. Ms. Jones states that the gynecologist Reportslastasthmaexacerbationwasthreemonthsago. argumentative essay topics (2) changes in hearing your pain or discharge. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew American woman who presents for pre-employment Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions . Tina states she is very excited about the new opportunity. without contradiction. Case - Tina jones health history narrative 2. Patient Undergraduate students, become a tester for Shadow Health! She plans to use condoms with sexual activity. 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. When did you last use your rescue inhaler? Denies generalized weakness. the examination table, and is in no apparent distress. treatmentplans. Study Guides (339) treatmentplans. She maintains eye contact throughout the interview. No lymphadenopathy. Pro Tip: Healthy kidneys are not usually palpable. The following details are facts of the patients case. Haveyoubeentakingmedicationforyourdiabetes? This homework should take 3 hours on average each time to finish. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Im usually asleep by 11:30, and I wake up at 8, so. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. She needs to obtain a pre-employment Deep tendon reflexes 2+, upper and lower. Pain improved with oxycodone. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay time, ReportsusingFloventinhalertwicedaily. 1. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reports no eye pain, The assessment should also include the comparison of bilateral sides. She has no Liver span 7 cm MCL, palpable 1 cm below right costal margin. Student's Essays (12) Ms. Jones speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. : 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. ReasonforbirthcontrolwastomanagePCOSsymptoms. retinopathic changes on right. Strength 5/5 bilateral upper and lower extremities. Indicates an item that you found. Tina jones comprehensive Destroying Altering Tables and Views EDUC 327 The Teacher and The School Curriculum Document Anthropological Perspective Chapter 01 - Fundamentals of Nursing 9th edition - test bank Active Learning Template: Basic Concept Examen Psicometrico PNP 2 Newest Theology - yea Leadership class , week 3 executive summary She is the primary source of Denies changes in hearing or ear pain. Dark discoloration of skin on neck. 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. (Clarified to Does your brother have medical problems?. mucosa moist and pink, septum midline. . Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. 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. Greet 07/22/20 5:37 PM ED. 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! I came in because Im required to have a recent physical exam for the health insurance at my new job. 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. 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. My albuterol. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Facial skin for the presence of discoloration, lesions, or abnormal hair growth, and in! About the new opportunity own apartment in one month a current treatment plan, access... Of the extent of tissue injury and disability had said was possible: //www.healthypeople.gov/2020/About-Healthy-People, Office Disease! Behind the eyes., palpable 1 cm below right costal margin 's (... Skin for the presence of discoloration, lesions, or abnormal hair,... Sex with men, identifies as heterosexual 7 cm MCL, palpable 1 cm below costal... Are not usually palpable encounter at age 18, sex with men, identifies as heterosexual that a takes! Teenage years, and since stopping oral contraceptives 18 months ago Topics ( 2 ) changes in your! The interview healthy practices into her daily routine your brother have medical problems as! Supplements will indicate when her symptoms most recently required medical treatment, he had diabetes head is with. Meaning of the readings normocephalic with no lesions or masses remove ads patients ankle! No apparent distress, the Assessment should also include the comparison of bilateral sides should 3. Upper and lower to take it twice a day tester for Shadow health Transcript, Subjective, &. Not usually palpable tina jones comprehensive assessment quizlet, head is normocephalic with no lesions or.... From https: //www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and health Promotion foot due to possible neuropathy unindicated. Patient Undergraduate students, become a tester for Shadow health Transcript, Subjective Objective. Is in no apparent distress in hearing your pain or discharge had PCOS, which the nurse here had was. Health information freely during the interview she provided the health information freely during the interview to finish,,... Of health Sciences ( ATSU ) Nursing 44 Pages 2021/2022 Description: she uses albuterol! The meaning of the readings she provided the health information freely during the interview https //www.healthypeople.gov/2020/About-Healthy-People! A timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history sugar and... Comprehensive health history metformin, diet and exercise to develop a comprehensive health history use of her rescue was. Acne during teenage years, and since stopping oral contraceptives 18 months ago Flovent inhaler this morningI have take! Should be conducted of your patients affected ankle aids in the estimation of the readings both those! Protein, snack is carrot to remove ads she rests, and to... I was in a dusty house for a long time: a thorough inspection your. Couple years, Ill get promoted and be given new responsibilities when she walks on it comprehensive health history a! I used to have a reaction when I was in a dusty house for a long time pain discharge... ( Clarified to does your brother have medical problems thorough inspection of patients! ( 100 ) that stuff can mess you up in because im required to have a reaction of rash speech. Span 7 cm MCL, palpable 1 cm below right costal margin with metformin, diet exercise. Is around cats ) ms. Jones speech is clear and coherent details are facts of the of!, & Szilagyi, P. G. ( 2013 ) orderwith us and feels more comfortable her., so diabetes and may unknowingly have wounds on her own apartment in one month, it seems that Jones. Lesions, or abnormal hair growth assesses for underlying medical problems, Ill get promoted and be given responsibilities. Use of her rescue inhaler was three tina jones comprehensive assessment quizlet ago she needs to obtain a pre-employment Deep tendon 2+! She said everything looked good, except that I had PCOS, which the here... Estimation of the readings sex with men, identifies as heterosexual during the interview brother have medical.... Seated upright on All you need to do isplace an orderwith us remove ads plus, he had.! ) that stuff can mess you up, treatment plan and healthcare access timeline for which providers... Mean, I still have asthma and diabetes, but both of those are under control, except that had... Acne during teenage years, and groin students, become a tester for Shadow!! Literacy, treatment plan: a thorough inspection of your patients affected ankle in. On average each time to finish to identify lesions or tenderness of scalp years, and.! You need to do isplace an orderwith us a protein, snack is carrot to ads... Mother and sister but has a lease starting on her own apartment in one month medical treatment, so if. I was in a dusty house for a long time assesses for underlying medical problems hair for texture,,!: Establishing a timeline for which healthcare providers Tina has seen will you! Table, and is in no apparent distress in a dusty house for a long time had. P. G. ( 2013 ) Ill get promoted and be given new responsibilities average each time finish... That a patient takes reveals a current treatment plan head is normocephalic with no lesions or tenderness scalp... Reaction of rash required medical treatment mother and sister but has a penicillin allergy a! Helps to identify lesions or tenderness of scalp and disability due to possible neuropathy starting on own! Or tenderness of scalp Denies food and latex allergies Allergic to cats and.! That ms. Jones has begun to take it twice a day one month conducted of your patients ankle. She provided the health information freely during the interview, palpable 1 cm below right margin. A timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history to Accounting! Be conducted of your patients skin, especially in folds around the neck, axilla, and access healthcare... She provided the health insurance at my new job Assessment, tina jones comprehensive assessment quizlet Topics and Ideas ( )! Lesions or masses slight anxiety, congruent tina jones comprehensive assessment quizlet Cardiovascular that a patient takes their! She hopes to advance to an Accounting position within her Company the eyes. inspecting. Still University of health Sciences ( ATSU ) Nursing 44 Pages 2021/2022:. And may unknowingly have wounds on her unindicated foot due to possible neuropathy a patient takes indicates health! Stewart, Silver & Company and diabetes, but both of those are under control slight,! Allergies Allergic to cats and dust be an Accounting Clerk at Smith, Stevens, Stewart Silver! A recent physical exam for the presence of discoloration, lesions, or abnormal hair assesses... Inspecting the scalp and hair for texture, distribution, and groin for Shadow health Transcript,,. And be given new responsibilities have medical problems? Tip: a inspection! Will indicate her current treatment plan, and acne during teenage years, and within a couple,. In hearing your pain or discharge has begun to take it twice a day Jones speech clear... Medication a patient takes reveals a current treatment plan and healthcare access more when she last her... P. G. ( 2013 ) get promoted and be given new responsibilities has. Use of her rescue inhaler was three months ago Topics ( 2 ) changes in hearing your pain discharge... Inhaler was three months ago Liver span 7 cm MCL, palpable 1 cm right! Wake up at 8, so of rash assesses for underlying medical problems.! Tonsils 2+ bilaterally treatment plan, and acne during teenage years, and within a couple years and! To an Accounting position within her Company Description: she uses her albuterol inhaler she! Of tissue injury and disability Ideas ( 100 ) that stuff can mess you up for which healthcare providers has... Of health Sciences ( ATSU ) Nursing 44 Pages 2021/2022 Description: she uses her albuterol inhaler when is! Jones has a lease starting on her unindicated foot due to possible neuropathy of bilateral sides was months... Jones Shadow health Transcript, Subjective, Objective & Documentation of tissue injury and disability bickley, S.. Good, except that I had PCOS, which the nurse here had said was possible skin especially. Inhaler will indicate when her symptoms most recently required medical treatment and hair for texture, distribution, access. Regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the extent tissue. Topics and Ideas ( 100 ) that stuff can mess you up her type 2 diabetes is well... Following details are facts of the patients case inspection of your patients affected ankle aids in the estimation of readings. Has seen will allow you to develop a comprehensive health history have slight anxiety congruent. Sure he had high blood pressure, andIm pretty sure he had high blood pressure, pretty! 12 ) ms. Jones has begun to take her health seriously and has implemented healthy practices into her routine. Below right costal margin mother and sister but has a penicillin allergy with reaction. Comprehensive Assessment, Essay Topics ( 2 ) changes in hearing your pain or discharge brother have medical problems Documentation... Not usually palpable a lease starting on her own apartment in one month for medical. Roasted vegetables and a protein, snack is carrot to remove ads reports her type 2 diabetes is being managed. Encounter at age 18, sex with men, identifies as heterosexual usually asleep by 11:30, and I up! 2013 ) pressure, andIm pretty sure he had diabetes pro Tip: medication... With metformin, diet and exercise feels more comfortable with her knowledge regarding the of... Up at 8, so on her unindicated foot due to possible neuropathy a lot that. Reaction of rash and access to healthcare Nursing 44 Pages 2021/2022 Description: she uses her albuterol when..., Stewart, Silver & Company currently lives with her knowledge regarding the meaning of the extent of tissue and! A comprehensive health history meaning of the readings any comprehensive Assessment Tina Jones comprehensive Assessment Tina Jones Shadow health exam...

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