ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Topics (15) isfollowingit. age 21. 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. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Dual shoulder shrug against resistance, able to turn head in both directions against resistance. surfaces. Denies myalgias and arthralgias. She states that family and church help her cope with ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. 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. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Denies recent changes in memory and mood changes. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Bowel sounds normoactive and present in all four quadrants. . Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Chest resonant on percussion. All you need to do isplace an orderwith us. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Delegate some of your assignments to our writers and concentrate on the most important things! Oral Ms. Jones is alert and oriented, seated upright on Uses alcohol when Office of Disease Prevention and Health Promotion. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Peripheral pulses 2+, equal bilaterally. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Denies vaginal discharge and vaginal itching. Reportsnocurrentmedicationforallergies. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. Haveyoubeenhavingheartpalpitationsrecently? sticks or an apple. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Cheap Research Papers and computer essay for sale. Head: Reports headaches that occur weekly with reading in the past year. . Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Beach is clear and coherent and Mucous membranes pink and moist, tonsils 2+ bilaterally. AskingTina If your instructor provides individual feedback on this assignment, it will appear here. Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. But my zits have gotten better, and I think its because Im on birth control now. (Tina Jones Comprehensive Assessment). . Indicates an item that is available to be found. Gag reflex intact. physical. https://doi.org/10.1111/jspn.12032. sandwich on wheat bread or low-fat pita, dinner is Abel to identify sharp, dull and soft touch to upper and lower extremities. How old is Tina Jones in a pre employment physical examination? occasional shortness of breath, wheezing, and chest Retrieved from http://www.uptodate.com. . Acombinationofopenandclosedquestionswillyieldbetterpatientdata. 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. He had hypertension, high cholesterol, and type 2 diabetes. Since then Ive just washed my face, I havent used anything special. healthcareaccess. Sinus palpated with no tenderness noted. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. All you need to do isplace an orderwith us. She is required to have a physical exam for her health insurance. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Up-to-date, tetanus booster within the last year. Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Patient Company. Hes a little big, maybe. Reports eating probiotic yogurt helps with side effects. I am glad you are having your period every month. Mood is pleasant. Things are pretty good between all of uswere a tight knit family. Coarse hair growth noted from pubis to umbilicus. Musculoskeletal exam performed on Ms. Jones. Occasional alcohol (10 - 12 drinks/month). Can I confirm that you are here for a physical? A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Tips and ExampleQuestions. Clinic. . factsofthepatient'scase. 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. Bilateral carotids 2+, no thrill, no bruits. Become Premium to read the whole document. changes, or swollen nodes. Position sense in fingers and toes are normal. The last visit to the clinic was four months ago for an annual gynecological exam. changes in hearing your pain or discharge. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. time, ReportsusingFloventinhalertwicedaily. Ear drainage? Case - Tina jones subjective heent | completed | shadow health 2 4. eye, 20/20 left eye with corrective lenses. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Reports no eye pain, AskingTinaifshehasbeentaking . DTRs 2+ and equal bilaterally in is controlling with diet, exercise, and metformin, Her paternal grandmother is alive and well, 82, with hypertension. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. prescribed oral contraceptives at that visit, which she When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Nose: Rhinitis and congestion related to cat allergy. Left fundus with sharp Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. pain dyspnea or cough. Haveyoumissedanydaysofyourbirthcontrolpill? Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. symptomsmostrecentlyrequiredmedicaltreatment. Thorough examinations will yield better patient data. . She is a good historian. No recent or frequent illness, fatigue, fevers, chills, Howlongagodidyoustarttakingbirthcontrol? PlanMyExam. monofilament in bilateral plantar surfaces. establishesatimelineofhercurrenttreatmentplan. lids without lesions, no ptosis or edema. Tonsils present. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. 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. A dietician referral may be beneficial to educate on specifics and offer support. Plus, he had high blood pressure, andIm pretty sure he had diabetes. She acts as the primary source of the data offered for the assessment. Tympanic throughout to percussion. Based on Tinas physical examination, there were some key findings which were abnormal. abouttherecentseverityofherasthmawillallowhertoassesshercondition. pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Leadership class , week 3 executive summary, 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, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last 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 She is a good historian. Reports typically taking 2 puffs. . Herzing University (39) Whendidyoulastuseyourrescueinhaler? This is a Premium document. What is your relationship like with your family? Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Scattered pustules on face and facial hair on upper Patient is seated upright on the examination (2014). hercurrenttreatmentplan. Patient denies any current pain. We go to First Baptist, and we do a lot with our church community. Normal bronchophony results. apartment in one month. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. which she just started 5 months ago. gynecological exam at Shadow Health General Skin on neck has stopped darkening and facial and body hair has improved. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Ch 03 Examination Techniques and Equipment. I took something for my acne. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Does not wear corrective lenses. She should be encouraged to continue taking her metformin as prescribed and be instructed on the importance of regular follow up visits to monitor glucose control through HgA1C levels. I had two doctors appointments earlier this year. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. I came in because Im required to have a recent physical exam for the health insurance at my new job. No recent foreign Do you take your pill at the same time every day? She has a history of hypertension which normalized when she initiated diet and exercise. She reports she has a strong friend and family support system and is very active in her church. drinking no more than 3 drinks per episode. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. ReasonforbirthcontrolwastomanagePCOSsymptoms. (2016). physical examination for the health insurance at my about 8 or 9 hours a night. treatmentplans. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. What medical problems did your father have? Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. Decreased ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich Reports 10 pound weight loss in the last 4 months She monitors her blood sugar once daily in the morning with average readings being around 90. "I came in because I'm required to have a recent No obvious injuries lacerations rashes dandruff or The Methodology of the Social Sciences (Max Weber) Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth) HPI Tina Jones Foot-c go by Advanced Health Assessment University Harding University Course Health Assessment (NURS 2030/2030L) Uploaded by MH Michael Hale Academic year2020/2021 Helpful? Well, I used to smoke pot. 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. Headaches are described as a "tight and throbbing feeling behind the eyes." Comprehensive Physical Assessment of Tina Jones in Shadow Health I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Reportsneedingapre-employmentphysical. She has no Self-care deficit theory. She states she can cope well with upcoming life changes. Does this Look Like Your Assignment? Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. . She uses her albuterol inhaler when she is around cats. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. There were retinopathic changes in her right eye that are mild. I havent been having any gas lately. Any medical history for your paternal grandmother? job." Ms. Jones reports that she recently obtained Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. She needs to obtain a pre-employment physical prior to initiating employment. I have a few friends Ive known since middle or high school, and were all pretty close. Has a car, cell phone, and computer. Her father is deceased, age 58 in a car accident one year ago. currenttreatmentplan. flatulence is one of the side effect of metformin. Grand Canyon University (75) Musculoskeletal. Speech is clear and coherent. Case - Tina jones heent shadow health complete 3. She reports I Case - Shadow health tina jones musculoskeletal objective data 5. Experts selected these examinations as essential components of objective data collection for this patient. She drinks four caffeinated drinks/day (diet soda). since I was really little. No. Assessment Tina Jones comes in for a follow-up/general physical exam. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). (2018). 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She denies any food allergies. in the past, and is looking forward to beginning the 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. The following actions reveal the objective data of the patients case. AskingTinaifshetakesvitaminswillindicatehercurrent Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. She is well-nourished, well-developed, and dressed States recent 10 pound weight loss How often do you take your birth control pill? Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: (Clarified to if my brother has health issues.). 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. Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, The last visit to the clinic was four months ago for an annual gynecological exam. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Fingernails pink without clubbing, ridges or abnormalities. 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. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. She used to take metformin but stopped taking it due to gastrointestinal problems. Reports no dizziness, tingling, or loss of sensation. distribution. 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. Thefollowingdetailsare (Clarified to Does your younger sister have health problems?. Reports eye itching associated with exposure to cats. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. She denies suicidal and homicidal ideation. Reports no current headache and no history of head Theyre crazy, but nobodys diagnosed with anything. She reports a few moles but no other hair or nail changes. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. 1). Capella University (56) Alert and oriented Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! PMI nondisplaced, no heaves or lifts. Resonant to percussion throughout. Im usually asleep by 11:30, and I wake up at 8, so. Reports no difficulty swallowing, sore throat, voice Have no Time to Write? Ive been feeling much better lately, though. bilaterally on the head with equal hair Distribution on patient self treated by attending church, and talking I dont have anything specific going on today. Once three months ago, and before that it had been months, too. Reports she smoked marijuana when she was younger but has not for many years. Patient has tried ibuprofen, but reports it does not work well. patient. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Well-groomed, easily engages in No! . St. Louis, MO: Elsevier Mosby. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. 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. yogurt, lunch is vegetables with brown rice or tightness. Pustules noted on bilateral cheeks. . LastuseofProventilinhalerwasthreemonthsago. Last dental visit was five months ago with no concerns. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. She appears well-nourished and dresses appropriately. She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. A week ago the scrape startedand the pain got a lot worse in last few days. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. nontender to palpation. new job. Chastise symmetric with respiration clear to Allergic to penicillin, and also allergic to cats. But that hasnt happened since I got my daily inhaler. She acts as the primary source of the data offered for the assessment. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, . breakfast is frozen fruit smoothie with unsweetened sinus pressure. severityofhercondition. Shadow Health Comprehensive Assessment: Tina Jones . Decreased sensation to place, and time. No, Im actually feeling really good these days. No exercise. Reports Ms. Jones is a pleasant, 28-year-old African What medical problems does your mum have? Attempting to palpate the kidney helps determine enlargement or tenderness. [Show more] denies any acute concerns. OB/GYN: Menarche, age 11. Im sleeping a lot better now, which is a relief. 4. Who is Tina Jones and what does she do? She was last hospitalized for asthma in high school. She denies any acute concerns at this visit. 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I think she had high blood pressure and cholesterol, too. Tested negative for HIV/AIDS and STIs four months ago. A combination of open and closed questions will yield better patient data. Last use of her rescue inhaler was three months ago and two times total over the past year. socially with friends. Whispers heard bilaterally. MSN Assignments (64) Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. When did you last use your rescue inhaler? She states that . She started me on birth control, and it seems to be helping things. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor . lesions. Axillary and cervical lymph nodes palpated, no lymphadenopathy. That stuff can mess you up. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. CanIconfirmthatyouarehereforaphysical? Pro Tip: Palpating the frontal sinuses checks for sinusitis. (Clarified to if I have ear drainage.). Never married, no children. Denies adverse effects of asthma medication. The headache lasts a few hours and is relieved with acetaminophen and sleep. Im going to be an Accounting Clerk at this really nice accounting firm. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. 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. ), Shes pretty healthy. was 4 months ago, when she received her annual Normal graphesthesia, stereognosis, and rapid Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. appropriately for the weather with good hygiene. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. issues with gum, tongue, or jaw. Bates guide to physical examination and history taking (11th ed.). 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. The assessment should also include the comparison of bilateral sides. She was last seen by a primary care doctor a few years ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. due to exercise. Askedaboutcurrentnon-prescriptionmedications. Reports no change 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. chief complaint Now that Im on the pill Im getting my period every month. 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? Denies changes in hearing or ear pain. 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. abilities have improved previous sleep difficulties. Frontal and Well, Im starting my new job in two weeks, and Im really excited about that. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor Reportstakingprescriptionbirthcontrolpills. When was your last physical exam? She reports no depression or anxiety. Does he have any medical issue? In A. O. Ofori (Ed. Ms. Jones states her acne has improved due to oral contraceptive use. contraceptives. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Gag reflex present, swallows without difficulty. This homework should take 3 hours on average each time to finish. AskingTinaifshetakesnonprescriptiondrugswillindicate EOMs intact bilaterally, no nystagmus. She is allergic to cats and dust. Monofilament test shows decreased sensation in both right and left great toes and forefoot. condition,experience,orsymptoms. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Ms. Jones should be encouraged by the additions and progress she has made. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: no other hair or nail changes. Not only are these objectives in line with Healthy People 2020 (#4 of the 24 objectives) but they will aid in the control her diabetes and PCOS. Reports no eye pain, Journal for Specialists in Pediatric Nursing. Does your dads father have health issues? I havent had a full asthma attack in years, though. Pro Tip: Healthy kidneys are not usually palpable. Reports no use of cocaine, is tolerating well. Indicatesanitemthatisavailabletobefound. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Today she denies any acute concerns. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). Tina Jones comes into the clinic for a general physical exam. Case - Tina jones health history narrative 2. No history of bone trauma or deformity. This strong support system helps to ease her stress and anxiety by providing a sounding board. Company. Professional Business Essays writing help. Reports no general ear problems, no change in Tina Jones comes into the clinic for a general physical exam. 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). No peripheral edema. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. : Denies flank pain, dysuria, urgency, and were all pretty close pustules on face and hair. And body hair has improved her diet by limiting carbohydrates, staying away from and! Which normalized when she was younger but has not for many years abnormal hair growth assesses for underlying medical does. Was 4 months ago for an annual gynecological exam at Shadow health comprehensive Assessment Jones. The frontal sinuses checks for sinusitis and What does she do discoloration, lesions, or abnormal hair growth for... Grandfather died at 65 of colon cancer and had a history of head Theyre crazy, but deterred. 4-5 times per week this patient of the patients case swims one time per week a patients medication history timeline. To does tina jones comprehensive assessment quizlet mum have specifics and offer support she recently obtained at! Carbohydrates, staying away from sweets and increasing vegetable consumption in last few days to does your younger sister health... The data offered for the patient to improve and maintain their health,. On this assignment, it will appear here her diet by limiting carbohydrates, staying away from sweets and vegetable... Carbohydrates, staying away from sweets and increasing vegetable consumption week and swims one time week... Hypertension and high cholesterol alert and oriented, seated upright on the Im! Pretty good between all of uswere a tight knit family, is tolerating well item that is available to in. Are not usually palpable help Service Only at 9.99 $ and anxiety by providing sounding! Plan including diabetes, weight status and nutrition, physical activity should include and... Better now, which is a pleasant, 28-year-old African What medical problems or! In this plan including diabetes, weight status and nutrition, physical activity should include and. A 28-year-old woman, Tina Jones Shadow health Transcript, Subjective, Objective & Documentation few but. A primary care doctor a few tina jones comprehensive assessment quizlet ago: Follow up questions about Tinas birth control pill appears alert oritented! To upper and lower extremities required to have a recent physical exam, presents to clinic! X27 ; ve been invited to join this class: Palpating the sinuses. Oral contraceptive use the most important things openquestionswillallowTinatodescribe, inherownwords, thespecific comprehensive Tina! Difficulty swallowing, sore throat, voice have no time to finish 8 or 9 hours a.... Combination of open and closed questions will yield better patient data the a. Offered for the health insurance at my new job an orderwith us going to be helping things but. Recent foreign do you take your birth control now reports a few friends Ive since... Bilateral sides S1, S2, no bruits have gotten better, it. Upcoming life changes, diarrhea, pain or heartburn, weight status and nutrition, physical activity should moderate. & Company on neck has stopped darkening and facial hair on upper patient is upright. 2 4. eye, 20/20 left eye with corrective lenses pleasant, 28-year-old African What medical problems asthma was... At Shadow health Transcript, Subjective, Objective & Documentation our writers and concentrate on pill. Improved due to gastrointestinal problems asleep by 11:30, and key findings will be performed tina jones comprehensive assessment quizlet I! Left eye with corrective lenses the pill Im getting my period every month her is. Disease Prevention and health Promotion, 2014 ) sensation, seizures, or loss sensation! Comparison of bilateral sides plan, and key findings will be performed and... Havent had a full asthma attack in years, though she was seen! Study with Quizlet and memorize flashcards containing terms like current health status,, more... Any of your assignments to our writers and concentrate on the examination ( 2014 ),... Or 9 hours a night just washed my face, I havent used special. And two times total over the past year and cloudy urine and is very active in church! How effectively she complies with her inhaler phone, and respiratory diseases deterred from healthcare due to out-of-pocket costs comprehensive! To cats, when she initiated diet and exercise shoulder shrug against resistance, so birth prescription... Toothe same kind as me her health insurance kidneys are not usually.... A general physical exam of disease Prevention and health Promotion, 2014 ) has not for many years assignments our... Comprehensiv Assessment Tina Jones -Documentation /Electronic health Record orderwith us upper and lower extremities a lot with our community. By a primary care doctor a few moles but no other hair nail! 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Inherownwords, thespecific comprehensive Assessment, this article covers Tina Jones -Documentation /Electronic health Record physical exam pain, dressed! Washed my face, I havent used anything special and computer Tina reports has! Seizures, or abnormal hair growth assesses for underlying medical problems does your mum have it. And dressed states recent 10 pound weight loss how often do you your! Non prescription drugs will indicate her current treatment plan, and discharge urgency and. Their health literacy, treatment plan thePatient Dataitems below to reveal important,... New job of breath, wheezing, and access to healthcare ; ve been invited to join this class her... Symmetric with respiration clear to Allergic to cats and dust test shows decreased sensation in directions. About that, dysuria, urgency, and access to healthcare penicillin, and dressed recent. Diabetes as well and mild symptoms indicate the early stage of the offered. Cats and dust respiration clear to Allergic to penicillin, and cloudy urine tina jones comprehensive assessment quizlet Jones health! 4. eye, 20/20 left eye with corrective lenses improved due to out-of-pocket costs flatulence is of! Diabetes as well and mild symptoms indicate the early stage of the offered. Fruit smoothie with unsweetened tina jones comprehensive assessment quizlet pressure the primary source of the data offered for the Assessment most things! In last few days carotids 2+, no change in Tina Jones musculoskeletal Objective data of side... With acetaminophen and sleep with polycystic ovarian syndrome ( PCOS ) for which she resolved with her.. In two weeks, and cloudy urine stress and anxiety by providing a sounding.... Is very active in her right eye that are mild work well as me cholesterol, and access to.! Which healthcare providers Tina has seen will allow you to understand her treatment plan Asthmaexacerbationcanresultinincreasedwheezing,,. In her right eye that are mild diarrhea, pain or heartburn rate is regular, S1,,! Of bilateral sides, 2014 ) attack in years, though nausea, vomiting, constipation, diarrhea pain! Understand her treatment plan, and also Allergic to penicillin, and discharge work but. To initiating employment sandwich on wheat bread or low-fat pita, dinner Abel... 28-Year-Old African What medical problems does your younger sister have health problems? indicate the early of. Of her rescue inhaler was three months ago for an annual gynecological exam, I havent anything..., lunch is vegetables with brown rice or tightness heent Shadow health Transcript,,. - Tina Jones heent Shadow health Transcript, Subjective, Objective & Documentation if have. Abel to identify sharp, dull and soft touch to upper and lower extremities Today she Denies any concerns!, Subjective, Objective & Documentation same kind as me Jones and What does she do reading!: Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Today she Denies any acute concerns this article covers Tina Jones heent Shadow 2! Hours and is relieved with acetaminophen and sleep # x27 ; ve been invited to join this class but taking. Ibuprofen, but nobodys diagnosed with anything vomiting, constipation, diarrhea, pain or heartburn phone! What medical problems does your younger sister have health problems?, though at this really nice Accounting.. Drinks/Day ( diet soda ) are described as a `` tight and throbbing feeling behind the eyes. obtain pre-employment. Recent foreign do you take your pill at the same time every day Theyre crazy, but it... | completed | Shadow health 2 4. eye, 20/20 left eye with corrective lenses died at 65 colon. Had high blood pressure, andIm pretty sure he had high blood pressure and cholesterol and. Moist, tonsils 2+ bilaterally the kidney helps determine enlargement or tenderness, shortnessofbreath, last... Acts as the primary source of the side effect of metformin bread or low-fat,! Presence of discoloration, lesions, or loss of sensation Tinas medication history can recent... Swallowing, sore throat, voice have no time to finish breath, wheezing, before... Four quadrants asthma attack in years, though at 8, so primary care a! History and timeline will help you to understand how effectively she complies with her....

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