She started me on birth control, and it seems to be helping things. Sample Study Papers (1464) Monofilament test shows decreased sensation in both right and left great toes and forefoot. Documentation church, and dancing. Skin on neck has stopped darkening and facial and She also has increased her physical activity. ReasonforbirthcontrolwastomanagePCOSsymptoms. abilities have improved previous sleep difficulties. Neurological. AskingTinahowshehasbeentreatingherhypertensionwillindicate Tina Westby Jonas is an expert in military, defense, and aerospace industries. She is now on metformin, Proventil, and Flovent. Dentition without evidence of caries or infection. reading, attending Bible study, volunteering in her No clicks on jaw palpation, full ROM. since age 19, currently lives with mother and sister HEENT. Haveyoumissedanydaysofyourbirthcontrolpill? Abdomen soft with no tenderness, guarding or masses with palpation. Reports improved acne due to oral contraceptives. Reportstakingprescriptionbirthcontrolpills. 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 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. tingling loss of coordination no seizures. She has glasses following a vision exam. My mom has some issues, and I think some of my grandparents did, too. Snellen: 20/20 right Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. No! employment physical. Oral mucosa moist and without Reports no change ), No, I dont think so. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. Stomach upset. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. She maintains eye contact throughout the interview. Ms. Jones should be encouraged by the additions and progress she has made. mucosa moist and pink, septum midline. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Ch 03 Examination Techniques and Equipment. argumentative essay topics (2) 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 I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Pro Tip: Healthy kidneys are not usually palpable. . problems or change in taste. PlanMyExam. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Last eye exam was in childhood. My eyes havent been red lately. haveabearingonTina'sbreathing. Im usually asleep by 11:30, and I wake up at 8, so. Patient does have slight anxiety, congruent with Thorough examinations will yield better patient data. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, describes a strong family and social support system. Are you taking any form of birth control? Gag reflex present, swallows without difficulty. Only $35.99/year. ), Does your bother have health issues? Greet 07/22/20 5:37 PM ED. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Mom has high cholesterol and blood pressure, I think. in sense of smell, sneezing, epistaxis, sinus pain or . Stereognosis and graphesthesia normal bilaterally. 472 Comments forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She hopes to advance to an accounting position within her company. Ms. Jones reports no shortness of breath or trouble breathing. contraceptives. TMs intact Chest resonant on percussion. distribution. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). NY Times Paywall - Case Analysis with questions and their answers. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. No surgeries. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. How often do you take your birth control pill? It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. This is a Premium document. sinus pressure. Allergic to cats and dust. Mucous membranes pink and moist, tonsils 2+ bilaterally. 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. Ive maybe used it twice since I came in with those asthma problems. In office Undergraduate students, become a tester for Shadow Health! Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Denies head and neck trauma. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. States recent 10 pound weight loss She is allergic to cats and dust. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific . Comprehensive Physical Assessment of Tina Jones in Shadow Health Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Denies history of traumatic brain injury and meningitis. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. She is the primary source of the history. What is the name of your diabetes medication? Reports decreased stress and improved coping DNP Assignments (75) FVC 3 L; FEV1: 3. Sinus palpated with no tenderness noted. Allergic to penicillin, and also allergic to cats. 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. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, In A. O. Ofori (Ed. or night sweats. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Resonant to percussion throughout. Can I confirm that you are here for a physical? First, her BMI indicates she is overweight, and only .9 points away from obese. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Patient reports an improve in acne due to oral Reportsnocurrentmedicationforallergies. . Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. last taken 6 weeks ago). Well, Im starting my new job in two weeks, and Im really excited about that. We socialize before and after church, and I go to Bible study on Wednesdays, too. Reports no use of cocaine, Students interview Tina to obtain her complete health history, where they discover additional health concerns. Capella University (56) Denies back and neck pain and trauma. treatmentplans. Dull and constant ache. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. apartment in one month. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. 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. States skin on neck has stopped darkening. Ibuprofen: 600 mg as needed for menstrual cramps. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. First sexual encounter at age 18, sex with men, identifies as heterosexual. she'sseenhervisionassomethingthathasneededmedicalattention. Patient denies drug use. Denies a runny nose or sneezing. x4. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. prescribed oral contraceptives at that visit, which she Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Although Ms. Jones is not sexually active, she states she probably will be soon. No current complaints or recent illness. I took something for my acne. PMI nondisplaced, no heaves or lifts. Reports eating probiotic yogurt helps with side effects. We go to First Baptist, and we do a lot with our church community. Offers information without hesitation. Tina states she is very excited about the new opportunity. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Complains of darkened skin on her neck and increase facial and body hair. AskingTinaifshetakesvitaminswillindicatehercurrent Seasonal flu vaccine is not completed yet. Lets see . My albuterol. She drinks socially when out with friends about 2-3 times per month, and her caffeine intake has decreased to 1-2 diet sodas per day. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Scattered pustules on face and facial hair on upper Last menstrual period 2 weeks ago. The foot feels better when she rests, and it hurts more when she walks on it. surfaces. 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. wearing glasses 3 months ago. Palpated fremitus equal bilaterally. A comprehensive assessment of Ms. Jones will be performed, and key https://studyinghq.com/samples/tina-jones-comprehensive-assessment/ Category: Health Show Health Comprehensive Assessment Tina Jones Shadow Health Transcript Health 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. conversation and is cooperative. Never married, no children. Wears corrective Reports recent weight loss. flatulence is one of the side effect of metformin. pressure, or rhinorrhea. Bilateral eyes Arizona State University (10) 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. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. She monitors her blood sugar once daily in the morning with average readings being around 90. Denies goiter, hyper/hypothyroidism. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Pro Tip: Palpating the frontal sinuses checks for sinusitis. is controlling with diet, exercise, and metformin, Bowel sounds are normoactive 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. AskingTinaaboutthe 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. methamphetamines, and heroin. Bilateral carotids 2+, no thrill, no bruits. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: The following actions reveal the objective data of the patients case. andaccesstohealthcare. 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. Up-to-date, tetanus booster within the last year. Pain is rated as 7. She wears her seat belt, drives frequently. She acts as the primary source of the data offered for the assessment. That stuff can mess you up. OB/GYN: Menarche, age 11. It is infected and causing pain(7 out of 10). with specialist. Respiratory. treatmentplans. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent sticks or an apple. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. healthcareaccess. Howoftendoyoumonitoryourbloodglucose? Type 2 diabetes, diagnosed at age 24. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. She seems to be doing okay though. Experts selected these topics as essential components of a strong, thorough interview with this patient. No current dental Using Orems self-care model for asthmatic adolescents. Asking Tina if she takes supplements will indicate her current treatment plan. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Management Guides (6) Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. She used to take metformin but stopped taking it due to gastrointestinal problems. Last hospitalized for asthma exacerbation in high school. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; feel moles but no other hair or nail changes. Case - Tina jones health history narrative 2. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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