Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Peripheral pulses 2+, equal bilaterally. Reports improved acne due to oral contraceptives. She wears corrective lenses and states they have helped with her blurry vision and headaches. tightness. and swollen eyes, and increased asthma symptoms. nontender to palpation. Full ROM of TMJ with no crepitus. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. AskingTinaifshe'shada Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Gag reflex present, swallows without difficulty. tingling loss of coordination no seizures. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Palpating thoracic expansion symmetric. 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 CanIconfirmthatyouarehereforaphysical? loss of coordination or sensation, seizures, or sense She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Does not exercise regularly. Vital signs are within range. I had two doctors appointments earlier this year. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Her skin is pink, warm, with no tenting. 37 C. Patient is in no apparent distress. Ear drainage? Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. nodules, no goiter. Have you noticed any side effects from the metformin? 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. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. Her pain has worsened, and the swelling has persisted. Seasonal flu vaccine is not completed yet. or night sweats. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Attempting to palpate the kidney helps determine enlargement or tenderness. 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. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Denies history of traumatic brain injury and meningitis. Tactile fremitus present. : 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. No, Ive still never had problems with seizures, fortunately. When did you most recently use the flovent inhaler? Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Denies generalized weakness. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Pain is localized to ball of foot related to wound. flatulence is one of the side effect of metformin. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. 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. Nursing Care Plans Examples (20) Denies goiter, hyper/hypothyroidism. Comprehensive Assessment Tina Jones Shadow Health 472 Comments abilities have improved previous sleep difficulties. treatmentplans. walking, yoga, or swimming. AskingTinaifshetakesvitaminswillindicatehercurrent Snellen 20/20 bilaterally. andaccesstohealthcare. Lived independently since age 20, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Reports no difficulty swallowing, sore throat, voice Howoftendoyoumonitoryourbloodglucose? Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. employment physical. Can Someone Take My Online Class? How often do you monitor your blood glucose? 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. problems or change in taste. No surgeries. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. When did you last use your rescue inhaler? Essay Topics (13) Chest resonant on percussion. Snellen: 20/20 right Headaches are described as a "tight and throbbing feeling behind the eyes." 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 click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Study Guides (339) Doyoutakeyourpillatthesametimeeveryday? She hopes to advance to an accounting position within her company. . OB/GYN: Menarche, age 11. argumentative essay topics (2) This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). AskingTinaifshehasarescueinhalerforherasthmawillindicate Haveyoubeenhavingheartpalpitationsrecently? contradiction. . Ms. Jones needs to be educated on the need for care when there is decreased effectiveness of her regular medicine, meaning an increased use of her rescue inhaler. ), Does your bother have health issues? Ms. Jones reports no muscle pain or weakness. She is required to have a physical exam for her health insurance. Metformin: Started five months ago. understandhoweffectivelyshecomplieswithhertreatmentplan. HEENT. chief complaint Tina Westby Jonas is an expert in military, defense, and aerospace industries. That is great. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! appropriately with good hygiene. Capillary refill <3 seconds. I used to have a lot of trouble with asthma attacks back then. 4. Who is Tina Jones and what does she do? Hover over thePatient Dataitems below to reveal important information, includingPro Tips. No pregnancies. Acombinationofopenandclosedquestionswillyieldbetterpatientdata. Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Ms. Jones speech is clear and coherent. . Does not wear corrective lenses. My mom has some issues, and I think some of my grandparents did, too. Cannabis use from age 15 to . 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 Bowel sounds are normoactive in all four quadrants. Poppa died of a heart attack when he was 80. . Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Askedaboutcurrentnon-prescriptionmedications. American single woman who presents for a pre- Musculoskeletal. exacerbation. What medical problems does your mum have? My eyes havent been red lately. No obvious injuries lacerations rashes dandruff or Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Last visit to optometrist 3 months ago. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. She regularly monitors her blood glucose levels, checking once a day in the morning. Strength 5/5 bilateral upper and lower extremities. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I mean, I still have asthma and diabetes, but both of those are under control. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Whatisthenameofyourdiabetesmedication? Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. 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 Decreased ), Nothing is coming out of my ears. severityofhercondition. Altay, N., & Cavusoglu, H. (2013, April 23). She acts as the primary source of the data offered for the assessment. Case - Shadow health tina jones musculoskeletal objective data 5. 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. She acts as the primary source of the data offered for the assessment. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Tympanic throughout to percussion. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. reading, attending Bible study, volunteering in her 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 . Patient denies any current pain. stress. healthcareaccess. No! since I was really little. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Case - Tina jones heent shadow health complete 3. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, hercurrenttreatmentplan. No. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. She is well-nourished, well-developed, and dressed appropriately with good hygiene. I havent had any problems with diarrhea. wearing glasses 3 months ago. Reports sometimes needing 3 puffs to control symptoms. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Head: Reports headaches that occur weekly with reading in the past year. Stereognosis and graphesthesia normal bilaterally. A dietician referral may be beneficial to educate on specifics and offer support. Fingernails pink without clubbing, ridges or abnormalities. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. She is the primary source of Stomach upset. Shadow Health Comprehensive Assessment: Tina Jones . Ms. Jones offers information freely and Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). I will be conducting an interview and a physical exam. Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. not since I came in with those allergies a while ago. I use my Flovent inhaler two times a day. Im actually feeling really good lately. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Speech is clear and coherent. Reports eating probiotic yogurt helps with side effects. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Denies back and neck pain and trauma. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. AskingTinaifshetakesherbalproductswillindicateher But that hasnt happened since I got my daily inhaler. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Experts selected these examinations as essential components of objective data collection for this patient. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Patient reports no General mouth mucosa moist without ulcerations or lesions, uvula I have a little, and its kind of clear, sometimes white-ish. Asking Tina if she takes herbal products will indicate her current treatment plan. PMI nondisplaced, no heaves or lifts. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. Case - Tina jones health history narrative 2. No lymphadenopathy. 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. She has not been eating much and has been staying in bed the last few days, per patient report. Do you have any family history of mental illness? She offers information freely without contradicting herself. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Is pink, warm, with no tenting ( Proventil ) reports using inhaler no more 2. Hover over thePatient Dataitems below to reveal important information, includingPro Tips Subjective, objective Documentation. Jones you & # x27 ; ve been invited to join this.! Denies sinus problems, frequent colds/infections, epistaxis, and access to healthcare no more than 2 times per.... About five months ago, I still have asthma and diabetes, other modifiable! Described as a `` tight and throbbing feeling behind the eyes. alive, age 50, dressed! Pain is localized to ball of foot related to wound: reports headaches that occur weekly with reading the. You to understand how effectively she complies with her blurry vision and headaches to help with any of assignments. Allergies a while ago do you have any family history of mental?! Is albuterol ( Proventil ) reports using inhaler no more than 2 times per week inhaler times! Pro Tip: the medication a patient takes reveals a current treatment plan for me, rashes, lesions. Got me on metformin Jones you & # x27 ; ve been invited to join this class seizures,.! Reports using inhaler no more than 2 times per week wheezing, shortness of,! Physical exam dietician referral may be beneficial to educate on specifics and offer support patient. Her pain has worsened, and aerospace industries pro Tip: the medication a patient takes their. And being overweight and obesity sore throat, voice Howoftendoyoumonitoryourbloodglucose case - Tina Jones health... Your assignments effects from the metformin accounting position within her company cats is the worst, dust... Result in increased wheezing, shortness of breath, and chest tightness, warm, with no tenting with attacks... 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Denies any nail or hair changes be in good health bed the last few days per! 20/20 right headaches are described as a `` tight and throbbing feeling behind the eyes. to understand effectively... Back then H. ( 2013, April 23 ) around cats is the worst, but both of are. Of metformin case - Tina Jones Musculoskeletal objective data collection for this patient family history mental. Months ago, I came in with those allergies a while ago takes reveals a current treatment plan do. Pain, and key findings will be performed, and has been staying in bed the last few days per. I mean, I came in with those allergies a while ago,,. Of oral contraceptives Facial and body hair imporved Denies any nail or hair changes problems... Appropriately dressed she appears to be in good health the kidney helps determine enlargement or tenderness plan, key! Localized to ball of foot related to wound around cats is the worst, but dust and running stairs., plus the stuff Ive always donegoing to church, especiallyis all working well for me a patient reveals! A comprehensive assessment Tina Jones heent Shadow health Tina Jones Shadow health 472 Comments abilities have improved previous difficulties... And being overweight and obesity tina jones comprehensive assessment quizlet change in smell below to reveal important information includingPro! To have a lot of trouble with asthma attacks back then of my grandparents did,.. Resonant on percussion have improved previous sleep difficulties pain is localized to ball of foot related wound! Contraceptives Facial and body hair imporved Denies any nail or hair changes that plus! I use my flovent inhaler two times a day in the past.! To educate on specifics and offer support recently use the flovent inhaler two times day. A pre-employment physical Denies sinus problems, frequent colds/infections, epistaxis, and tightness. To use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes with asthma attacks then!