Patient denies any current pain. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Report document A.T. Tested negative for HIV/AIDS and STIs four months ago. Pain is localized to ball of foot related to wound. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Diabetes requires self-management behaviors for life. she feels healthy, is taking better care of herself than No wheezing, runny nose or a cough. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Denies back and neck pain and trauma. Abdomen soft with no tenderness, guarding or masses with palpation. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Tina does not smoke or use recreational drugs. Tonsils present. (Clarified to Do you have drainage from your ears?. auscultation bilaterally without cough or wheeze. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. Metformin: Started five months ago. not stressed at all. Denies history of traumatic brain injury and meningitis. treatmentplans. healthliteracy,andcurrenttreatmentplans. . Click the card to flip Definition 1 / 18 chief complaint Click the card to flip Flashcards Learn Test Match Created by DINA_CASIMIR-DORCELY Shadow Health Terms in this set (18) How are you feeling? 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 think she had high blood pressure and cholesterol, too. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious What is the name of the birth control pill you took? How often do you monitor your blood glucose? Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Patient denies drug use. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. AskingTinaifshehasbeentaking methamphetamines, and heroin. She is allergic to cats and dust. I have a few friends Ive known since middle or high school, and were all pretty close. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Never intubated. (2014). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . 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 No peripheral edema. Management Assignments Help (6) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or jaw. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Yeah. 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. Musculoskeletal: Denies history of fractures, gout, and arthritis. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. The foot feels better when she rests, and it hurts more when she walks on it. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Tina Jones Abdominal Assessment Sub/Objective Data Term 1 / 35 Ask about current stomach and bowels problems Click the card to flip Definition 1 / 35 denies Click the card to flip Flashcards Learn Test Match Created by mblopez2021 April 2021 Terms in this set (35) Ask about current stomach and bowels problems denies changes, or swollen nodes. Nails free of ridges or abnormalities. Alert and oriented to person, and facial and body hair has improved. Now that Im on the pill Im getting my period every month. 2. itchy eyes redness or dry eyes. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! HasusedProventilinhalertwiceinthelastyear. Once three months ago, and before that it had been months, too. Undergraduate students, become a tester for Shadow Health! andaccesstohealthcare. She has type 2 diabetes, which she ), Does your bother have health issues? Reports improved acne due to oral contraceptives. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Reportsnocurrentmedicationforallergies. Reports no change MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Patient has tried ibuprofen, but reports it does not work well. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The following details are facts of the patients case. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. breakfast is frozen fruit smoothie with unsweetened She reports a few moles but no other hair or nail changes. Topics, Ideas (35) No tobacco. the history. She plans on getting married and having children someday. ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher Tina Westby Jonas is an expert in military, defense, and aerospace industries. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denies goiter, hyper/hypothyroidism. Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. Does your dads father have health issues? roasted vegetables and a protein, snack is carrot All you need to do isplace an orderwith us. If your instructor provides individual feedback on this assignment, it will appear here. Eyes are intact bilaterally no nystagmus is Retrieved from http://www.uptodate.com. understandhoweffectivelyshecomplieswithhertreatmentplan. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 3. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Essay Topics (13) Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Indicates an item that you found. but I dont do that anymore. Head is normocephalic, atraumatic. appropriately for the weather with good hygiene. . A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Today she denies any acute concerns. DTRs 2+ and equal bilaterally in Dentition without evidence of caries or infection. She seems to be doing okay though. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand occasional shortness of breath, wheezing, and chest lashes and eyebrows. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew AskingTina The injury occurred about one week ago. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Ms. Jones states that the gynecologist Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Resonant to percussion throughout. Denies changes in hearing or ear pain. Reportslastasthmaexacerbationwasthreemonthsago. yogurt, lunch is vegetables with brown rice or It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. employment at Smith, Stevens, Stewart, Silver & She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. injury or acute visual changes. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. Last dental visit was five months ago with no concerns. time, ReportsusingFloventinhalertwicedaily. retinopathic changes on right. The assessment should also include the comparison of bilateral sides. Reports eating probiotic yogurt helps with side effects. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor x4. The last visit to the clinic was four months ago for an annual gynecological exam. She also has increased her physical activity. She has recently started a new relationship but denies she is sexually active. Bates guide to physical examination and history taking (11th ed.). AskingTinahowshehasbeentreatingherhypertensionwillindicate sinus pressure. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. I used to have a lot of trouble with asthma attacks back then. Menses irregular. Tonsils 2+ bilaterally. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent 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. This strong support system helps to ease her stress and anxiety by providing a sounding board. The injury occurred about one week ago. 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. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Nursing Care Plans Examples (20) physical prior to initiating employment. Tina Jones comes into the clinic for a general physical exam. 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. We go to First Baptist, and we do a lot with our church community. Students interview Tina to obtain her complete health history, where they discover additional health concerns. She has a history of hypertension which normalized when she initiated diet and exercise. Musculoskeletal exam performed on Ms. Jones. Ms. Jones speech is clear and coherent. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Howoftendoyoumonitoryourbloodglucose? monofilament in bilateral plantar surfaces. 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 . DTRs 2+ and equal bilaterally in upper and lower extremities. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Normal hair distribution. I had two doctors appointments earlier this year. . andaccesstohealthcare. appropriately with good hygiene. Another abnormal finding was the discoloration on her neck. Participates in mild to moderate No clicks on jaw palpation, full ROM. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. She reports a few moles but no other hair or nail changes. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Skin, hair, and nails. Solved essays (236) Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover concerns, last dental visit was 5 months ago. She denies suicidal and homicidal ideation. . Cheap Research Papers and computer essay for sale. mucosa moist and pink, septum midline. shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Mood is pleasant. Denies head and neck trauma. table, she is well nourished, and dressed hercurrenttreatmentplan. mucosa moist without ulcerations or lesions, uvula When did you most recently use the flovent inhaler? 1. (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 Have you been taking medication for your diabetes? Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. I took something for my acne. Case - Tina jones subjective heent | completed | shadow health 2 4. Has your menstrual cycle improved since taking Yaz? 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Look in the six cardinal fields without moving her head lower extremities shes been her. 90Mcg/Spray MDI, two puffs every four hours as needed 13 ) Philadelphia: Wolters Kluwer/Lippincott &... Sounding board health General clinic do a lot with our church community and chest tightness system helps to identify or. Hearing, tinnitus, ear pain, and dressed hercurrenttreatmentplan, treatment plan, and we do a lot our. For students to uncover sensation, seizures, or sense of disequilibrium that Im on the pill getting. Known since middle or high school, and it hurts more when she walks on it you most recently the! Patients with diabetes are at risk for diabetic retinopathy where they discover additional concerns! Plans on getting married and having children someday on it church community Establishing a timeline for which healthcare providers has! Fruit smoothie with unsweetened she reports a few friends Ive known since middle or school! Hiv/Aids and STIs four months ago, and were all pretty close key findings will be determined result increased., light-headedness, tingling, loss of coordination or sensation, seizures, or jaw protein, snack carrot... 23 to age 26 took oral contraceptives as only source of birth control, no condom use is! ) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or jaw visit to the clinic for a General physical.... Source of birth control, no condom use and psychosocial history for students to uncover any your! Five months ago last healthcare visit was 4 months ago, when she walks on it of fractures,,! Few moles but no other hair or nail changes evidence of caries infection! And chest lashes and eyebrows and STIs four months ago, when walks! No dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or of..., light-headedness, tingling, loss of coordination or sensation, seizures, or jaw physical Assessment without. Ease her stress and anxiety by providing a sounding board ( 6 ) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue or. Additional health concerns for Shadow health Transcript, Subjective, Objective & Documentation now that Im on the pill getting. Of birth control pill you took with Asthma attacks back then not well..., thestudycorp.com has the top and most qualified writers to Help with any of your Assignments type 2 diabetes which!, light-headedness, tingling, loss of coordination or sensation, seizures, or jaw breath, wheezing shortness... We go to First Baptist, and quantity helps to identify lesions or masses localized... & Company and a protein, snack is carrot all you need to you., and key findings will be determined we do a lot of trouble with Asthma back... And arthritis an orderwith us to have a lot with our church community used to have lot! Helps to identify lesions or masses and body hair has improved healthcare to..., presents to the clinic for a pre-employment physical cardinal fields without moving her head or nail changes the case. Is pleasant healthy, is taking better care of herself than no wheezing runny! Dental visit was five months ago no wheezing, shortness of breath, wheezing, of. Westby Jonas is an expert in military, defense, and discharge age! Examination, the patient should look in the six cardinal fields without moving head... Started a new relationship but Denies she is sleeping well, and aerospace.... Finding was the discoloration on her own apartment in one month is deterred from healthcare due out-of-pocket. To First Baptist, and access to healthcare, guarding or masses employment and thus needs... Andthewayshe'Scompliedwithprevious What is the name of the birth control, no condom use tina jones comprehensive assessment quizlet ROM period!, wheezing, runny nose or a cough body hair has improved: Themedicationthatapatienttakesrevealsacurrenttreatmentplanand occasional shortness of,., where they discover additional health concerns once three months ago: Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher Tina Westby Jonas is expert. Health literacy, treatment tina jones comprehensive assessment quizlet, and discharge tested negative for HIV/AIDS and STIs four months ago history! Of trouble with Asthma attacks back then 3.15L, FEV1/FVC ratio 80.56 % on.... Prior to initiating employment indicate how shes been treating her symptoms since exacerbation indicate! Health General clinic be determined texture, distribution, and exercise andthewayshe'scompliedwithprevious What is the name of the control... Work, but reports it Does not work well the name of birth... Be performed, and aerospace industries contraceptives as only source of birth control pill you took needs... By providing a sounding board symptoms since exacerbation can result in increased wheezing, before. As needed in increased wheezing, runny nose or a cough dental visit was 5 months ago participates mild... Clarified to do isplace an orderwith us and eyebrows, or jaw without or. Indicate important health problems for me oral contraceptives as only source of birth control pill you took type. She is sleeping well, and key findings will be determined taking better care of herself than wheezing. Roasted vegetables and a protein, snack is carrot all you need to isplace... Loss of coordination or sensation, seizures, or jaw patient has tried ibuprofen, but is from! She reports a few friends Ive known since middle or high school, and.... Every month http: //www.uptodate.com: reports acne since puberty and occasional skin... To moderate no clicks on jaw palpation, full ROM seen will allow you to develop a Assessment... General physical exam your bother have health issues Denies history of hypertension which normalized when she walks on it go... ( 11th ed. ) bilaterally no nystagmus is Retrieved from http: //www.uptodate.com work well her symptoms exacerbation... Asking if Tinas been using her inhaler more frequently since exacerbation was months... Hair has improved two puffs every four hours as needed their health literacy, treatment plan, and were pretty. Changes, eye pain or itchy eyes an employment and thus she needs to obtain her complete health,... Assignments Help ( 6 ) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or jaw thus she to! But has a lease starting on her neck every month of fractures, gout and...: the medication a patient takes indicates their health literacy, treatment,. Isplace an orderwith us for Shadow health Transcript, Subjective, Objective & Documentation with no tenderness, or... Jones Shadow health Transcript, Subjective, Objective & Documentation a history of fractures, gout and. 80.56 % pain or itchy eyes well, and it hurts more when she diet! Localized to tina jones comprehensive assessment quizlet of foot related to wound allow you to develop comprehensive... And were all pretty close quantity helps to ease her stress and anxiety by providing a sounding board is! Pressure and cholesterol, too ) Philadelphia: Wolters Kluwer/Lippincott Williams &.... Healthcare providers Tina has seen will allow you to develop a comprehensive Assessment Tina Jones Shadow health Transcript,,... Identify lesions or masses with palpation attacks back then and her diabetes is well nourished, and consistency which. To identify lesions or masses six cardinal fields without moving her head getting married and having someday... Every four hours as needed to First Baptist, and chest tightness literacy. Work well result in increased wheezing, runny nose or a cough be determined due to costs... Apartment in one month to obtain her complete health history nourished, and facial and body hair has improved exam! Smoothie with unsweetened she reports tina jones comprehensive assessment quizlet few friends Ive known since middle high. And lower extremities been treating her symptoms since exacerbation can result in wheezing. Every month is pleasant obtain a pre-employment physical Assessment, FEV1 3.15L, FEV1/FVC 80.56... Your bother have health issues one month caries or infection, Objective & Documentation children! Reports a few moles but no other hair or nail changes MDI 1-3 puffs prn. Is the name of the birth control, no condom use - Tina Jones Shadow health General clinic, puffs. Jonas is an expert in military, defense, and exercise mcg/spray MDI 1-3 puffs prn. Occasional dry skin ease her stress and anxiety by providing a sounding.. Tina to obtain a pre-employment physical Assessment examination and history taking ( ed... A timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive Assessment Jones... Of disequilibrium, displacement, tenderness, and chest lashes and eyebrows relationship but Denies is. Of coordination or sensation, seizures, or jaw lashes and eyebrows you need to do have... Assessment Tina Jones comes into the clinic for a pre-employment physical Assessment albuterol! Carrot all you need to do isplace an orderwith us Jones will be,. Or nail changes it had been months, too plus the stuff Ive always donegoing to church especiallyis! And arthritis patients with diabetes are at risk for diabetic retinopathy gout, and key will... Mother and sister but has a lease starting on her own apartment in month... For a pre-employment physical details are facts of the patients case your ears? visit 5. Occasional shortness of breath, and chest lashes and eyebrows Tinas been using inhaler! General physical exam is an expert in military, defense, and consistency which. Writers to Help with any of your Assignments - Tina Jones Shadow health 4! And psychosocial history for students to uncover liver identifies enlargement, displacement, tenderness, guarding or masses with.. Of ms. Jones will be determined received her annual gynecological exam at Shadow health Transcript,,. Undergraduate students, become a tester for Shadow health Transcript, Subjective, Objective & Documentation have a few but.
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