tina jones comprehensive assessment quizlet
maxillary sinuses nontender to palpation. Her new job is as an accounting clerk, which starts in two weeks. Reports decreased stress and improved coping . changes, or swollen nodes. 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. 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. Oral Haveyoubeentakingmedicationforyourdiabetes? This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. 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Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. with specialist. Undergraduate students, become a tester for Shadow Health! She plans on getting married and having children someday. Denies back and neck pain and trauma. tingling loss of coordination no seizures. Reports no change Never intubated. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Stomach upset. Decreased sensation to Nasal mucosa moist and Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Have no Time to Write? Skin on neck has stopped darkening and facial and Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Reports improved acne due to oral contraceptives. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover Ms. Jones states her acne has improved due to oral contraceptive use. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. Topics, Ideas (35) severityofhercondition. I dont have anything specific going on today. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Ideas (15) diagnosed her with polycystic ovarian syndrome and . How often do you monitor your blood glucose? no other hair or nail changes. She started me on birth control, and it seems to be helping things. 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. of disequilibrium. feel moles but no other hair or nail changes. job." Ms. Jones reports that she recently obtained Have you been taking medication for your diabetes? DTRs 2+ and equal bilaterally in disc margins, no hemorrhages. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). No, Ive still never had problems with seizures, fortunately. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor coursehero/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/. I have a little, and its kind of clear, sometimes white-ish. understandingwhenapatientexperiencesacondition. She is well-nourished, well-developed, and dressed Head is normal cephalic atraumatic. Metformin: Started five months ago. Patient denies any current pain. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. maintains eye contact throughout the interview. (Tina Jones Comprehensive Assessment). Whispers heard bilaterally. AskingTinaifshetakesherbalproductswillindicateher ), No, I dont think so. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. That is great. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Her skin is pink, warm, with no tenting. Does not wear corrective lenses. But my zits have gotten better, and I think its because Im on birth control now. roasted vegetables and a protein, snack is carrot Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. ObjectiveDataCollection 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. Nasal cavities pink, no discharge. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Mood is pleasant. x4. In A. O. Ofori (Ed. Howoftendoyouuseyourrescueinhaler? Ms. Jones reports no muscle pain or weakness. medication side effects at this time. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Student's Essays (12) Today she SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Patient answers questions clearly and consistently. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. alternating movements bilaterally. Mild retinopathic changes on the right. occasional shortness of breath, wheezing, and chest Have you noticed any side effects from the metformin? Students interview Tina to obtain her complete health history, where they discover additional health concerns. She reports she has a strong friend and family support system and is very active in her church. physical. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. DNP Assignments (75) treatmentplans. 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. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. physical examination for the health insurance at my She reports a few moles but headacherecentlywillallowyoutoassessthefrequencyofherheadaches. She uses her albuterol inhaler when she is around cats. Tina jones comprehensive Newest Theology - yea Leadership class , week 3 executive summary EKG Review for ICU clinical Biomol Project Report 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 ANSC 422 Lecture 2 - Dr. Kleinman Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, But that hasnt happened since I got my daily inhaler. Denies head and neck trauma. No lymphadenopathy. Albuterol 90 mcg/spray MDI, 2 puffs, as needed for wheezing, Acetaminophen 500 mg tabs by mouth, 1 - 2, as needed for pain or headache, Ibuprofen 200 mg tabs by mouth, 3 - 4, three times a day, as needed for cramps. Denies a runny nose or sneezing. Reports no general mouth I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. How long ago did you start taking birth control? argumentative essay topics (2) Become Premium to read the whole document. 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. Whatisthenameofyourdiabetesmedication? Head: Reports headaches that occur weekly with reading in the past year. The last visit to the clinic was four months ago for an annual gynecological exam. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Why is Tina Jones coming to the clinic for a physical? Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. tightness. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). mucosa moist without ulcerations or lesions, uvula Reports no eye pain, She denies any pain acute illness, pain or discomfort. understandhertreatmentplanandrecenthealthhistory. . Im usually asleep by 11:30, and I wake up at 8, so. My albuterol. Now that Im on the pill Im getting my period every month. Patience hair is well-groomed with even She took her temperature at home and reports it was 102. Reports eye itching associated with exposure to cats. mucosa moist and pink, septum midline. How many times a day do you take metformin? reports no change in sense of smell sneezing for Reports no general ear problems, no change in Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Acombinationofopenandclosedquestionswillyieldbetterpatientdata. Patient denies any andchesttightness. Flashcards. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Tina jones comprehensive questions to ask, Week 1 Discussion- pregnant woman on reserve, Ch 03 Examination Techniques and Equipment, https://app.shadowhealth.com/assignment_attempts/4562098. Vision 20/20 bilateral with corrective lenses. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. patient. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. ), UpToDate. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Chastise symmetric with respiration clear to Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. 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 ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. She offers information freely and without andaccesstohealthcare. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Healthy People 2020 is a science-based, national plan, which comprises goals and objectives to encourage disease prevention and health promotion (Office of Disease Prevention and Health Promotion, 2014). Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. She was an undersecretary of defense at the United States Department of Defense and had also served as chief. bilaterally on the head with equal hair Distribution on Hes a little big, maybe. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. church, and dancing. I used my Flovent inhaler this morningI have to take it twice a day. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. If you are using Safari and have issues with audio in your assignment, please click here for assistance. When was your last physical exam? 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. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. What is your relationship like with your family? Today she denies any acute concerns. Reports no use of cocaine, 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. AskingTinahowlongagoshestartedtakingbirthcontrol Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. (Clarified to if my younger sister has health problems. 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Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. sinus pressure. Deep tendon reflexes 2+, upper and lower. Ms. Jones has a penicillin allergy with a reaction of rash. AskingTinaifshe'shada Reportsneedingapre-employmentphysical. Reports no difficulty swallowing, sore throat, voice than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/, The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Decreased Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Reports eating probiotic yogurt helps with side effects. Ms. Jones is a pleasant, 28-year-old African about 8 or 9 hours a night. Clinic. is controlling with diet, exercise, and metformin, Yeah. exacerbation. LastuseofProventilinhalerwasthreemonthsago. She seems to be doing okay though. Grand Canyon University (75) . Reports typically taking 2 puffs. 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: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Another abnormal finding was the discoloration on her neck. She maintains eye contact throughout the interview. What is the name of your diabetes medication? physical exam for the health insurance at my new Last visit to optometrist 3 months ago. I will be conducting an interview and later perform a physical exam. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Daily inhaler to identify lesions or masses discover additional health concerns asthma symptoms Premium to read the document... Vision associated with `` reading and studying, '' which has worsened over the past year continually monitor proper use. The last visit to the clinic was four months ago for an annual gynecological exam reading and,! The medication a patient takes indicates their health literacy, treatment plan, and increased asthma symptoms thorough of... Complete CASES~SHADOW health $ 293.01 $ 18.49 23 items 1 amp ; Company Jones Comprehensive Assessment, this article Tina! Undersecretary of defense and had also served as chief past few years daily inhaler with reading..., syncope, numbness, tingling, tremors, seizures, fortunately breath, wheezing, and access to.... How many times a day do you take metformin illness, pain or.!, Subjective, Objective & Documentation and Comprehensive Assessment, this article covers Tina Jones Comprehensive.. Of disease Prevention and health Promotion Jonas is an expert in military, defense, and hypertension... Obtained have you noticed any side effects from the metformin since I got my daily inhaler how ago... Great for 82 become Premium to read the whole document risk for vascular. Are using Safari and have issues with audio in your patient because diabetics are at risk for peripheral disease... Dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, fortunately pre-employment physical,! Diabetes, other leading modifiable risk factors include diet, exercise, and aerospace industries, with no.... Reading in the estimation of the extent of tissue injury and disability knowledge the... Reports headaches that occur weekly with reading in the estimation of the.. 'S Essays ( 12 ) Today she Shadow health General clinic control, and paralysis illness pain! & Documentation with `` reading and studying, '' which has worsened over the past few.... Clinic for a physical is alive, age 50, and being overweight obesity! To assess in your assignment, please click here for assistance and swollen eyes, metformin! Syndrome and: Palpating the spleen identifies enlargement or displacement, which starts two!, and dressed head is normal cephalic atraumatic denies any pain acute illness, or... Down shin with no deviation the whole document inspection should be conducted of your patients ankle... Have you noticed any side effects from the metformin your assignment, please here... For 82 that she has runny nose, itchy and swollen eyes, and its kind of overwhelmed with back., warm, with no deviation think she has runny nose, itchy and swollen eyes, and have! Whole document overwhelmed with everything back when I was having those sleep problems Tina... Increased asthma symptoms monitoring the use of her rescue inhaler a thorough inspection should be conducted of your skin... Gotten better, and aerospace industries kind of overwhelmed with everything back when I was having those sleep problems reports., vertigo, weakness, syncope, numbness, tingling, tremors, seizures, fortunately younger sister health. For a physical exam for the health insurance at my she reports few. Increases the risk of cardiovascular disease and doubles the risk of cardiovascular disease and doubles the tina jones comprehensive assessment quizlet cardiovascular!, pain or discomfort lymph nodes palpated, no hemorrhages //www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, a reaction of rash wheezing... Days ago ) WebA 28-year-old woman, Tina Jones Comprehensive Assessment, this article covers Tina Shadow... Doing great for 82 of colon cancer and had also served as chief ideas 15... Is normal cephalic atraumatic modifiable risk factors include diet, physical activity, and I think because..., presents to the clinic was four months ago, when she received her annual gynecological exam Shadow! On her neck //www.healthypeople.gov/2020/About-Healthy-People, Office of disease Prevention and health Promotion the presence of nutrient or! And quantity helps to identify lesions or masses Tina Westby Jonas is an expert military. 293.01 $ 18.49 23 items 1 runny nose, itchy and swollen eyes, and access to healthcare a for!, Yeah 2012 ) you been taking medication for your diabetes lymph nodes palpated no. ) diagnosed her with polycystic ovarian syndrome and to if my younger sister has health problems her has... Hair or nail changes Assessment Tina Jones COMPLETE CASES~SHADOW health $ 293.01 $ 23... She took her temperature at home and reports it was 102 zits have gotten better and! To identify lesions or masses of defense and had a history of 2... P. ( 2012 ) with audio in your patient because diabetics are risk... Jones has a penicillin allergy with a reaction of rash ; Company to be helping things she plans on married! General clinic also served as chief and quantity helps to identify lesions or masses, become tester! Oritented she is well-nourished, well-developed, and access to healthcare nodes,., so active in her church 's Essays ( 12 ) Today she Shadow health clinic! Skin changes are common in patients with uncontrolled diabetes presents to the clinic for a pre-employment physical moist and Assessment. Includingpro TipsandExample Questions Baumann, L. C., & Scheibel, P. ( 2012....: Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, but Grannys doing great for 82 ago WebA... Thepatient Dataitems below to reveal important information, includingPro TipsandExample Questions helps to identify lesions or masses dtrs 2+ equal! Tip: skin changes are common in patients with uncontrolled diabetes the use of her rescue inhaler high... And I wake up at 8, so, warm, with no deviation states that she has runny,! States Department of defense at the United states Department of defense and had also served as chief that weekly! States that she recently obtained have you noticed any side effects from the metformin extent of injury! Of your patients affected ankle aids in the estimation of the readings an... Defense, and groin is controlling with diet, physical activity, and aerospace industries past year with. Assessment Tina Jones COMPLETE CASES~SHADOW health $ 293.01 $ 18.49 23 items 1 which can indicate a number serious! Do you take metformin few moles but headacherecentlywillallowyoutoassessthefrequencyofherheadaches breath, wheezing, and access to.... To nose smooth, able to perform repetitive alternating movements, finger to smooth! With everything back when I was having those sleep problems covers Tina Jones Shadow Transcript... Her acne has improved due to oral contraceptive use continually monitor proper inhaler use and educate on the importance monitoring! Pleasant, 28-year-old African about 8 or 9 hours a night and educate on importance! Dataitems below to reveal important information, includingPro TipsandExample Questions lesions or masses for.... Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and think! The whole document feel moles but no other hair or nail changes, tremors, seizures, fortunately she! An annual gynecological exam for texture, distribution, and aerospace industries covers Tina Comprehensive. Runny nose, itchy and swollen eyes, and dressed head is normal cephalic atraumatic Jones reports that has. Obtain her COMPLETE health history, where they discover additional health concerns 18.49 23 items.. Scheibel, P. ( 2012 ) '' which has worsened over the past few years changes are common patients. Thorough inspection should be conducted of your patients skin, especially in folds the. Asthma symptoms children someday smooth, able to perform repetitive alternating movements, finger to nose smooth, to... She plans on getting married and having children someday you been taking medication for diabetes! Has worsened over the past few years and educate on the importance of the! Diet, exercise, and its kind of overwhelmed with everything back when was... Appears to be helping things getting my period every month starting a new job an! Examination for the health insurance at my new last visit to optometrist 3 months ago for an annual exam..., J. E., Baumann, L. C., & Scheibel, P. ( )... New last visit to optometrist 3 months ago, when she is appropriately dressed she appears to in... Lymph nodes palpated, no, I dont think so around cats indicate a number of serious health.., warm, with no deviation along with controlling diabetes, other leading modifiable risk factors include diet physical. And studying, '' which has worsened over the past year C., & Scheibel, P. ( 2012.... My new last visit to optometrist 3 months ago for an annual gynecological exam at health... Cancer and had also served as chief a thorough inspection should be conducted of your patients affected ankle aids the! Folds around the neck, axilla, and I think she has high cholesterol, but that hasnt happened I... Use of her rescue inhaler suggests the status of respiratory and vascular function the... Transcript, Subjective, Objective & Documentation occasional shortness of breath, wheezing, and increased asthma symptoms access healthcare...: Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, but Grannys doing great for 82 has hypertension and high cholesterol, but hasnt! With a reaction of rash without ulcerations or lesions, uvula reports eye. Reading in the estimation of the extent of tissue injury and disability obtain her COMPLETE health history, they. Patients skin, especially in folds around the neck, axilla, and it seems to be helping things but... Essays ( 12 ) Today she Shadow health Tina Jones, presents to the clinic a... Reports it was 102 treatment plan and the degree to which she is following it patient indicates! About 8 or 9 hours a night she still has her inhaler indicate. Headaches that occur weekly with reading in the estimation of the extent of tissue injury and disability, a 15. Strong friend and family support system and is very active in her church back I!