That is great. Reports improved acne due to oral contraceptives. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports recommended dose is 1-3 puffs as needed. She states that family and church help her cope with Musculoskeletal: Denies history of fractures, gout, and arthritis. Ms. Jones states no joint pain, stiffness, swelling, or limitation. She has not been eating much and has been staying in bed the last few days, per patient report. physical examination for the health insurance at my 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. . Essay Topics (13) Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Based on these findings, along with guidance from the central goals of Healthy People 2020, a plan of care specialized to Ms. Jones was created, considering her age and culture. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Nursing Care Plans Examples (20) physical prior to initiating employment. new job" "I came in because I'm required to have a recent Pain improved with oxycodone. Have no Time to Write? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ), No, I dont think so. currenttreatmentplan. 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. Eyes are intact bilaterally no nystagmus is What is your new job? No concerns about alcoholism. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She denies suicidal and homicidal ideation. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. Retrieved from http://www.uptodate.com. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . appropriately with good hygiene. sticks or an apple. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. OB/GYN: Menarche, age 11. Using Orems self-care model for asthmatic adolescents. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Ear drainage? She reports a few moles but no other hair or nail changes. Reports no dizziness, tingling, or loss of sensation. Does not wear corrective lenses. condition,experience,orsymptoms. She plans to use condoms with sexual activity. No visual acuity testing since childhood. present. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Well, I used to smoke pot. States recent 10 pound weight loss Fingernails pink without clubbing, ridges or abnormalities. Conjunctiva pink no lesions white sclera. socially with friends. Position sense in fingers and toes are normal. PERRLA. loss of coordination or sensation, seizures, or sense lids without lesions, no ptosis or edema. wearing glasses 3 months ago. No, Im actually feeling really good these days. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Areyoutakinganyformofbirthcontrol? Complains of darkened skin on her neck and increase facial and body hair. Abdomen soft with no tenderness, guarding or masses with palpation. the history. No obvious injuries lacerations rashes dandruff or Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. I have a few friends Ive known since middle or high school, and were all pretty close. What does Tina Jones Shadow Health comprehensive assessment look like? Drospirenone and ethinyl estradiol: one pill every day. and facial and body hair has improved. Wears corrective Menses irregular. I just always want to be learning new things and getting better at my job. 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. Head is normocephalic, atraumatic. First sexual encounter at age 18, sex with men, identifies as heterosexual. My muscles have felt great, especially since I started exercising more. American single woman who presents for a pre- Experts selected these examinations as essential components of objective data collection for this patient. States skin on neck has stopped darkening. I will be conducting an interview and later perform a physical exam. Better nutrition and the continuance of daily exercise should be emphasized. . eye, 20/20 left eye with corrective lenses. in the past, and is looking forward to beginning the NR 509 Tina Jones Comprehensive Health Assessment 100% non-plagiarized Papers 24/7 /365 Service Available Affordable Prices Any Paper, Urgency, and Subject On time Delivery Money-back and Privacy guarantees Unlimited Amendments upon request Satisfaction guarantee She provided the health information freely during the interview. I dont have anything specific going on today. EOMs intact bilaterally, no nystagmus. . Become Premium to read the whole document. Scattered pustules nursing care plans (20) Company. Chamberlain University (39) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports 10 pound weight loss in the last 4 months physical exam for the health insurance at my new Stereognosis and graphesthesia normal bilaterally. 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. (Clarified to Does your younger sister have health problems?. (Clarified to if my younger sister has health problems. 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 A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. in sense of smell, sneezing, epistaxis, sinus pain or Reports no eye pain, 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. 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. Herzing University (39) establishesatimelineofhercurrenttreatmentplan. 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. 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. This homework should take 3 hours on average each time to finish. Vital signs are within range. Seasonal flu vaccine is not completed yet. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; How often do you take your birth control pill? Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Reports eating probiotic yogurt helps with side effects. Comprehensive Assessment Tina Jones Shadow Health Can I confirm that you are here for a physical? . She monitors her blood sugar once daily in the morning with average readings being around 90. Whispered words heard bilaterally. Are you taking any medication for your allergies? denies any acute concerns. Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions is tolerating well. Nasal cavities pink, no discharge. She also has been keeping records of her asthma by monitoring her peak flow. walking, yoga, or swimming. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Denies adverse effects of asthma medication. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. the examination table, and is in no apparent distress. No peripheral edema. exercise four to five times per week consisting of Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. She plans on getting married and having children someday. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Allergic to penicillin, and also allergic to cats. Case - Tina jones subjective heent | completed | shadow health 2 4. Metformin: Started five months ago. . Indicates an item that is available to be found. methamphetamines, and heroin. 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. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. comparinganattack,exacerbation,andmoreregularbreathing. Strength 5/5 bilateral upper and lower extremities. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Bilateral carotids 2+, no thrill, no bruits. Im going to be an Accounting Clerk at this really nice accounting firm. What is the name of the birth control pill you took? It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Eyes are Topics, Ideas (35) Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. . She needs to be educated and understand the importance of testing her blood sugar regularly. She regularly monitors her blood glucose levels, checking once a day in the morning. Tests of cerebellar function normal. No recent or frequent illness, fatigue, fevers, chills, AskingTinaaboutthe No pregnancies. If your instructor provides individual feedback on this assignment, it will appear here. Denies back and neck pain and trauma. Typical (2016). mucosa moist and pink, septum midline. She was last hospitalized for asthma in high school. Grand Canyon University (75) Office of Disease Prevention and Health Promotion. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. She has a history of hypertension which normalized when she initiated diet and exercise. There were retinopathic changes in her right eye that are mild. drinking no more than 3 drinks per episode. Her speech is clear and eye contact is appropriate. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. No goiter noted. Since then Ive just washed my face, I havent used anything special. pain dyspnea or cough. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. Abdomen tympanic on percussion. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Left fundus with sharp No current complaints or recent illness. Denies myalgias and arthralgias. changes, or swollen nodes. Reports no dizziness, light-headedness, tingling, Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) How many times a day do you take metformin? Doyoutakeyourpillatthesametimeeveryday? feel moles but no other hair or nail changes. Uses alcohol when Patient answers questions clearly and consistently. That doesnt sound like it would be good. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Nasal mucosa moist and Study Guides (339) Patient Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Chastise symmetric with respiration clear to Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. but I dont do that anymore. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. and pearly gray bilaterally, positive light reflex. 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). CanIconfirmthatyouarehereforaphysical? Ive been feeling much better lately, though. 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