Nasal Last use of her rescue inhaler was three months ago and two times total over the past year. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. What is the name of the birth control pill you took? It is infected and causing pain(7 out of 10). Participates in mild to moderate Upper and lower extremities symmetric without lesions or swelling. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Will begin her new position I used to have a lot of trouble with asthma attacks back then. We go to First Baptist, and we do a lot with our church community. . Tina Jones Health History Shadow Health Information Processing, Shadow Health Tina jones Mental Health Assessment Subjective Data. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Patient has tried ibuprofen, but reports it does not work well. Solved essays (236) (Clarified to Does your brother have medical problems?. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. Pro Tip: Palpating the frontal sinuses checks for sinusitis. understandhoweffectivelyshecomplieswithhertreatmentplan. But my zits have gotten better, and I think its because Im on birth control now. Office of Disease Prevention and Health Promotion. and swollen eyes, and increased asthma symptoms. Have you noticed any side effects from the metformin? HEENT. Has your menstrual cycle improved since taking Yaz? Patient denies any Vision change, good start abouttherecentseverityofherasthmawillallowhertoassesshercondition. Deep tendon reflexes 2+, upper and lower. Occasional cannabis use from age 15 to age 21. 4. Who is Tina Jones and what does she do? Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. First, her BMI indicates she is overweight, and only .9 points away from obese. I use my Flovent inhaler two times a day. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? contradiction. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Patient denies any Then a few weeks later I saw a gynecologist for a pap smear. Things are pretty good between all of uswere a tight knit family. Normal graphesthesia, sterognosis, and able to Business Environment Applications II: Process, Logistics, and Operations (D079), Advanced Care of the Adult/Older Adult (N566), Biology: Basic Concepts And Biodiversity (BIOL 110), Managing Business Communications and Change (MGT-325), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Pediatric And Perinatal Clinical Nurse Specialist Practicum I (NUPR 569), Introduction to International Business (INT113), Nutrition and Exercise Physiology (NEP 1034), Microsoft Azure Architect Technologies (AZ-303), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Marketing Reading-Framework for Marketing Strategy Formation. There were retinopathic changes in her right eye that are mild. Denies changes in hearing or ear pain. She has no medication side effects at this time. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. the last time I was sick was when I was having those heartburn problems a while ago. Hair is normal texture and distributed evenly. How often do you take your birth control pill? Bates guide to physical examination and history taking (11th ed.). Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No. Reports no difficulty swallowing, sore throat, voice Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. She reports a few moles but no other hair or nail changes. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. Stomach upset. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason Have you missed any days of your birth control pill? EOMs intact bilaterally, no nystagmus. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No recent or frequent illness, fatigue, fevers, chills, Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. She was last hospitalized for asthma in high school. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; ), Does your bother have health issues? She is allergic to cats and dust. yogurt, lunch is vegetables with brown rice or AskingTinaifshetakessupplementswillindicatehercurrent eye, 20/20 left eye with corrective lenses. to remove ads. hertreatmentplanandrecenthealthhistory. Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. Haveyoubeenhavingheartpalpitationsrecently? 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. No lymphadenopathy. He had hypertension, high cholesterol, and type 2 diabetes. That doesnt sound like it would be good. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto body hair has improved. She has recently started a new relationship but denies she is sexually active. 37 C. Patient is in no apparent distress. No tobacco. No wheezing, runny nose or a cough. Since then Ive just washed my face, I havent used anything special. She enjoys spending time with friends, She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. 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. NY Times Paywall - Case Analysis with questions and their answers. Doyoutakeyourpillatthesametimeeveryday? conversation and is cooperative. (Clarified to Do you have drainage from your ears?. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). What medical problems does your mum have? 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. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Never pregnant. of disequilibrium. Altay, N., & Cavusoglu, H. (2013, April 23). Scrape on foot. Cardiovascular. sensation to monofilament in bilateral plantar I havent had a full asthma attack in years, though. Does your dads father have health issues? How old is Tina Jones in a pre employment physical examination? hercurrenttreatmentplan. healthliteracy,andcurrenttreatmentplans. the history. isfollowingit. All you need to do isplace an orderwith us. he had some blood pressure and cholesterol issues when he was alive, too. Advanced health assessment and clinical diagnosis in primary care (4th ed.). CanIconfirmthatyouarehereforaphysical? consume 1-2 diet sodas per day. methamphetamines, and heroin. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. appropriately with good hygiene. Reports sometimes needing 3 puffs to control symptoms. Sometimes drink, once or twice in a week, sometimes less. Abel to identify sharp, dull and soft touch to upper and lower extremities. Case - Tina jones subjective heent | completed | shadow health 2 4. Full ROM and 5/5 strength in extremities, spine, and hips. breakfast is frozen fruit smoothie with unsweetened Ideas (15) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Subjective Data Collection: 50 of 50 (100.0%) Hover To Reveal itchy eyes redness or dry eyes. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Upon examination, head is normocephalic with no lesions or tenderness of scalp. I have a few friends Ive known since middle or high school, and were all pretty close. sleep problems, only lasted for a couple weeks, As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Tested negative for HIV/AIDS and STIs four months ago. She acts as the primary source of the data offered for the assessment. healthliteracy,andcurrenttreatmentplans. Typical Risk factors for diabetes which Ms. Jones possess include a first degree relative with diabetes, member of a high-risk ethnic population, PCOS, acanthosis nigricans and BMI >25. the examination table, and is in no apparent distress. which she just started 5 months ago. American woman who presents for pre-employment No! She tried ibuprofen, but it didn't work well. Ms. Jones states her acne has improved due to oral contraceptive use. She reports a few moles but no other hair or nail changes. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Tests of cerebellar Howoftendoyouuseyourrescueinhaler? Snellen 20/20 bilaterally. Herzing University (39) Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. How often do you use your rescue inhaler? Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. age 21. sinus pressure. ), Shes pretty healthy. An individualized plan of care taking into . [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. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. The following actions reveal the objective data of the patients case. The injury occurred about one week ago. Decreased sensation to monofilament in bilateral plantar surfaces. Eyes are intact bilaterally no nystagmus is Nasal mucosa moist and Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Reports typically taking 2 puffs. She states she can cope well with upcoming life changes. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. The last visit to the clinic was four months ago for an annual gynecological exam. chief complaint She plans to use condoms with sexual activity. healthcareaccess. Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. Denies head and neck trauma. 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. I took something for my acne. DTRs 2+ and equal bilaterally in 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. is tolerating well. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. My mom has some issues, and I think some of my grandparents did, too. out with friends, 2-3 times per month, reports Head is normal cephalic atraumatic. physical examination for the health insurance at my Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Mild Self-care instruction should include reiterating the importance of taking her pill the same time every day to prevent pregnancy, the fact that the pill does not protect against sexually transmitted disease (STD) and that a form of protection needs to be used to protect against STDs when the time comes. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. AskingTinawhenshelastusedherinhalerwillindicatewhenher Coarse hair growth noted from pubis to umbilicus. no other hair or nail changes. Neurological. Survey of Special Education: mild to moderate disabilities (SPD-200), Perspectives in the Natural Sciences (SCI100), Educational Psychology and Development of Children Adolescents (D094), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Human Anatomy and Physiology I (BIO 203), Introduction to Computer Technology (BIT-200), Foundations of Addiction and Substance Use Disorders (PCN-100), Pre service firefighter education and training (FSC-1106), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like an economist part 2, C228 Task 2 Cindy - Bentonville - Passed with no revisions, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, C100 Study Guide - Notes for Intro to hummanities, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, BI THO LUN LUT LAO NG LN TH NHT 1, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. understandhertreatmentplanandrecenthealthhistory. Peripheral pulses 2+, equal bilaterally. I have a little, and its kind of clear, sometimes white-ish. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. First sexual encounter at age 18, sex with men, identifies as heterosexual. No surgeries. Pro Tip: Healthy kidneys are not usually palpable. sticks or an apple. Theyre crazy, but nobodys diagnosed with anything. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. She acts as the primary source of the data offered for the assessment. 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. Capillary refill <3 seconds. Hes a little big, maybe. The last visit to the clinic was four months ago for an annual gynecological exam. in a single family home, but will move into own Journal for Specialists in Pediatric Nursing. She states foot still hurts, but much better than when she arrived yesterday. Using Orems self-care model for asthmatic adolescents. Ms. Jones offers information freely and without contradiction. due to diet change and exercise increase. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro AskingTinaifshetakesherbalproductswillindicateher Experts selected these examinations as essential components of objective data collection for this patient. PAST MEDICAL HISTORY Diabetes PCOS Asthma Allergies Medications Metformin: 850 mg BID Flovent: 2 puffs 88 mcg/spray BID Albuterol: 90 mcg/spray MDI 2 puffs employment at Smith, Stevens, Stewart, Silver & Pro Tip: Palpating the maxillary sinuses checks for sinusitis. (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Exam 1 Study Guide - Summary Advanced Health Assessment; Chapter 10- breast - Summary Bates' Guide to Physical Examination and History Taking, 11th Ed + Bates' Visual Guide to Physical Assessment; EXAM 1 HA - Study Guide - Exam 1; Heent soap example - Soap note; Week4 DCE Tina Jones Comprehensive; Week 3 SOAP note - SOAP note week 3 tina jones Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Mild retinopathic changes on the right. I just always want to be learning new things and getting better at my job. diagnosed her with polycystic ovarian syndrome and The rescue inhaler was last used three months ago with a total of two uses in the past year. 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. That is great. No tenderness or guarding to palpation. She is well-nourished, well-developed, and dressed She seems to be doing okay though. Denies history of traumatic brain injury and meningitis. Left disc round with sharp margins. My doctor told me when I was pretty little I think I was about two and a half? A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). 1. andaccesstohealthcare. Fluticasone propionate: 88 mcg/spray, two puffs twice daily. Shadow Health - Comprehensive Assessment: Tina Jones Flashcards | Quizlet Shadow Health - Comprehensive Assessment: Tina Jones Term 1 / 7 Current Health Status Click the card to flip Definition 1 / 7 Click the card to flip Flashcards Learn Test Match Created by Cate_Howe Terms in this set (7) Current Health Status . Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Head: Reports headaches that occur weekly with reading in the past year. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Does this Look Like Your Assignment? disc margins, no hemorrhages. Denies vaginal discharge and vaginal itching. Self-care deficit theory. I am glad you are having your period every month. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). ObjectiveDataCollection She was last seen by a primary care doctor a few years ago. . She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job.
Prayer To Mother Mary For A Miracle,
God Said I Will Send Them Without Wings Bible Verse,
What Happened At Jacksonville Airport Today,
Articles T