A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto Does he have any medical issue? Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. since I was really little. AskingTinawhenshelastusedherinhalerwillindicatewhenher lashes and eyebrows. She states she takes the pill daily, at the same time each day. Haveyoubeentakingmedicationforyourdiabetes? He had hypertension, high cholesterol, and type 2 diabetes. No lymphadenopathy. disc margins, no hemorrhages. Head is normocephalic, atraumatic. That is great. The foot feels better when she rests, and it hurts more when she walks on it. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Skin on neck has stopped darkening Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. What is the name of the birth control pill you took? apartment in one month. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. factsofthepatient'scase. Cheap Research Papers and computer essay for sale. Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. 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. . Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Mood is pleasant. Wears corrective Speech is fluent, Palpating thoracic expansion symmetric. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Alert and oriented As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. 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. All you need to do isplace an orderwith us. Asthma is a lung condition that affects people of all ages. Category Scored Items Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Reports improved acne due to oral contraceptives. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. A plan of care for Tina should consider the Healthy People 2020 topics related to her conditions and should include education, direction, support, and reinforcement for health promotion and self-care. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Patient denies any concerns with mental health. Plus, he had high blood pressure, andIm pretty sure he had diabetes. No, Ive still never had problems with seizures, fortunately. I am glad you are having your period every month. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. I think I have a little less body hair than I used to. she feels healthy, is taking better care of herself than It is infected and causing pain(7 out of 10). Eyes are intact bilaterally no nystagmus is app.shadowhealth/assignment_attempts/4562098 7/. Undergraduate students, become a tester for Shadow Health! auscultation bilaterally without cough or wheeze. Reports recommended dose is 1-3 puffs as needed. AskingTinaifshetakesnonprescriptiondrugswillindicate comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. allergens she states that she has runny nose, itchy Patient denies any 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 ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher My discharge is normal, I think. Dull and constant ache. She is the primary source of This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. . Advanced health assessment and clinical diagnosis in primary care (4th ed.). Topics (15) Frontal and maxillary sinuses The assessment should also include the comparison of bilateral sides. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Areyoutakinganymedicationforyourallergies? Patient denies drug use. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. PlanMyExam. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; My doctor told me when I was pretty little I think I was about two and a half? Coarse hair growth noted from pubis to umbilicus. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Whendidyoulastuseyourrescueinhaler? and pearly gray bilaterally, positive light reflex. not stressed at all. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. andaccesstohealthcare. Professional Business Essays writing help. Students interview Tina to obtain her complete health history, where they discover additional health concerns. present. HEENT. church, and dancing. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. in sense of smell, sneezing, epistaxis, sinus pain or When she is exposed to Headaches are described as a "tight and throbbing feeling behind the eyes." Has new male relationship, sexual contact not initiated. I used to have a lot of trouble with asthma attacks back then. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Nana was 73 when she died of a stroke about five years ago. I just always want to be learning new things and getting better at my job. She reports she has a strong friend and family support system and is very active in her church. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. 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 appropriately with good hygiene. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. . Tested negative for HIV/AIDS and STIs four months ago. Occasional cannabis use from age 15 to age 21. Management Assignments Help (6) Bilateral carotids 2+, no thrill, no bruits. Do you have any problem with your breasts? Management Guides (6) General. Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Gag reflex intact. sleep problems, only lasted for a couple weeks, The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). maxillary sinuses nontender to palpation. lip, acanthosis nigricans on posterior neck. St. Louis, MO: Elsevier Mosby. Although Ms. Jones is not sexually active, she states she probably will be soon. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. Gag reflex present, swallows without difficulty. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. problems, changes in taste, dry mouth, pain, sores, (Clarified to Does your younger sister have health problems?. condition,experience,orsymptoms. coursehero/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/. ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. She denies any pain acute illness, pain or discomfort. Normal graphesthesia, sterognosis, and able to 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. No obvious injuries lacerations rashes dandruff or Case - Tina jones heent shadow health complete 3. diagnosed her with polycystic ovarian syndrome and Well, Im starting my new job in two weeks, and Im really excited about that. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. . Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. American single woman who presents for a pre- Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Pain is localized to ball of foot related to wound. I use my Flovent inhaler two times a day. mucosa moist without ulcerations or lesions, uvula currenttreatmentplan. She monitors her blood sugar once daily in the morning with average readings being around 90. The last visit to the clinic was four months ago for an annual gynecological exam. 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. Participates in mild to moderate Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. I came in because Im required to have a recent physical exam for the health insurance at my new job.. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. Skin on neck has stopped darkening and facial and body hair has improved. Solved essays (236) Comprehensive Assessment Tina Jones Shadow Health Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. My muscles have felt great, especially since I started exercising more. Nasal mucosa moist and Reports recent weight loss. Fingernails pink without clubbing, ridges or abnormalities. No tobacco. Office of Disease Prevention and Health Promotion. sticks or an apple. Im sleeping a lot better now, which is a relief. which she just started 5 months ago. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. No current dental Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. Her gait is smooth with equal stride. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. roasted vegetables and a protein, snack is carrot rises midline on phonation. . 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. Speech is clear and coherent. When did you most recently use the flovent inhaler? Documentation problems or change in taste. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Arizona State University (10) Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. She is a good historian. . Patience hair is well-groomed with even 2021-22, 1-2 Problem Set Module One - Income Statement, Is sammy alive - in class assignment worth points, Leadership class , week 3 executive summary, 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, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. sensation to monofilament in bilateral plantar AskingTinaifshe'shada 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. , or abnormal hair growth assesses for underlying medical problems bilaterally no nystagmus is app.shadowhealth/assignment_attempts/4562098 7/ better... 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