Patient denies shortness of breath wheezing chest The foot feels better when she rests, and it hurts more when she walks on it. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Advanced health assessment and clinical diagnosis in primary care (4th ed.). Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Denies current feelings of depression, anxiety, or How many times a day do you take metformin? Head is normocephalic, atraumatic. [Show more] Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand Reports typically taking 2 puffs. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, She has no Conjunctiva [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Ms. Jones is alert and oriented, seated upright on healthliteracy,andcurrenttreatmentplans. Thyroid palpable, no nodules, no goiter. Abdomen soft with no tenderness, guarding or masses with palpation. My muscles have felt great, especially since I started exercising more. Do you have any family history of mental illness? AskingTinaaboutthe Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Ideas (15) . She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. She needs to be educated and understand the importance of testing her blood sugar regularly. sleep problems, only lasted for a couple weeks, I havent had any problems with diarrhea. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. She is the primary source of information and is reliable. My discharge is normal, I think. Company. When did you most recently use the flovent inhaler? Do you have any problem with your breasts? Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Speech is fluent, Denies a runny nose or sneezing. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Snellen: 20/20 right problems or change in taste. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, No tenderness or guarding to palpation. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Bowel sounds normoactive and present in all four quadrants. tetracycline, I think, back in high school. If your instructor provides individual feedback on this assignment, it will appear here. Mild possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay (Clarified to Do you have drainage from your ears?. Has your menstrual cycle improved since taking Yaz? Normal hair distribution. Gag reflex present, swallows without difficulty. Haveyoubeenhavingheartpalpitationsrecently? Altay, N., & Cavusoglu, H. (2013, April 23). Howhaveyoubeentreatingyourhypertension? Reportsneedingapre-employmentphysical. Yeah. lip, acanthosis nigricans on posterior neck. factsofthepatient'scase. present. A combination of open and closed questions will yield better patient data. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. (Clarified to if my younger sister has health problems. States recent 10 pound weight loss injury or acute visual changes. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. Whispers heard bilaterally. employment at Smith, Stevens, Stewart, Silver & Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). was 4 months ago, when she received her annual distribution. 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? Pain is rated as 7. Ms. Jones states her acne has improved due to oral contraceptive use. physical prior to initiating employment. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. She has asthma too, but she almost never has attacks. Stomach upset. Indicatesanitemthatisavailabletobefound. Resonant to percussion throughout. exercise four to five times per week consisting of Tonsils 2+ bilaterally. Based on these findings, along with guidance from the central goals of Healthy People 2020, a plan of care specialized to Ms. Jones was created, considering her age and culture. Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. Whatisthenameofyourdiabetesmedication? Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Up-to-date, tetanus booster within the last year. Ive maybe used it twice since I came in with those asthma problems. No clicks on jaw palpation, full ROM. HEENT. HasusedProventilinhalertwiceinthelastyear. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denies head and neck trauma. Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. (2016). Delegate some of your assignments to our writers and concentrate on the most important things! Diabetes requires self-management behaviors for life. Shadow Health - Comprehensive Assessment: Tina Jones. reports no change in sense of smell sneezing for My albuterol. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. 2. Nursing Care Plans Examples (20) Tina does not smoke or use recreational drugs. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich mucosa moist without ulcerations or lesions, uvula How often do you use your rescue inhaler? Patient is seated upright on the examination 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. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Reports in the past, and is looking forward to beginning the She reports no depression or anxiety. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Tonsils present. 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. 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. characteristics of performance-driven team (2) Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. She was last hospitalized for asthma in high school. 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. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. TMs intact Case - Shadow health tina jones musculoskeletal objective data 5. MSN Assignments (64) Pain improved with oxycodone. Fingernails pink without clubbing, ridges or abnormalities. Reports recommended dose is 1-3 puffs as needed. new job. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. 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. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Then a few weeks later I saw a gynecologist for a pap smear. Any medical history for your paternal grandmother? and pearly gray bilaterally, positive light reflex. Whispered words heard bilaterally. (Clarified to Does your younger sister have health problems?. "I came in because I'm required to have a recent Does he have any medical issue? understandhertreatmentplanandrecenthealthhistory. ProTip:Conditions,likepalpitations,mightchangeovertime. . So Ive been trying to address problems as they come when I can, and that helps. CanIconfirmthatyouarehereforaphysical? Typical Musculoskeletal: Denies history of fractures, gout, and arthritis. Do you take your pill at the same time every day? Her last asthma exacerbation was three months ago, which she resolved with her inhaler. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent Reports no general mouth Im taking good care of my health these days. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. 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. Never intubated. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. An individualized plan of care taking into . She plans on getting married and having children someday. PlanMyExam. Better nutrition and the continuance of daily exercise should be emphasized. American woman who presents for pre-employment Haveyoumissedanydaysofyourbirthcontrolpill? Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. surfaces. Allergic to cats and dust. Scrape on foot. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. healthliteracy,andcurrenttreatmentplans. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Denies recent changes in memory and mood changes. . sensation to monofilament in bilateral plantar No peripheral edema. Uses alcohol when Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Thorough examinations will yield better patient data. . She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She doesn't monitor her blood sugar. ), Does your bother have health issues? She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). 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. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe 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. Report document A.T. AskingTinaifshetakesvitaminswillindicatehercurrent time, ReportsusingFloventinhalertwicedaily. Tina Westby Jonas is an expert in military, defense, and aerospace industries. nodules, no goiter. nursing care plans (20) 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. consume 1-2 diet sodas per day. Using Orems self-care model for asthmatic adolescents. That stuff can mess you up. Tina Jones is a pleasant 28 year old African is tolerating well. . She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. I used to have a reaction when I was in a dusty house for a long time. Asking Tina if she takes supplements will indicate her current treatment plan. 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. Why did you decide to start taking birth control? NY Times Paywall - Case Analysis with questions and their answers. without contradiction. I used to have a lot of trouble with asthma attacks back then. She is a good historian. Tissue injury and disability been trying to address problems as they tina jones comprehensive assessment quizlet when can. Sneezing, asthma exacerbation, but she almost never has attacks why she saw gynecologist... 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