Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. gynecological exam at Shadow Health General Her new job is as an accounting clerk, which starts in two weeks. Conjunctiva pink no lesions white sclera. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. . Musculoskeletal: Denies history of fractures, gout, and arthritis. Stomach upset. Hair is normal texture and distributed evenly. Undergraduate students, become a tester for Shadow Health! Whispered words heard bilaterally. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe 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. Eyes are But that hasnt happened since I got my daily inhaler. Ms. Jones has a penicillin allergy with a reaction of rash. 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. Nasal Menses irregular. Last hospitalized for asthma exacerbation in high school. Oriented to person, place, and time. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. in two weeks at Smith, Stevens, Stewart, Silver, & ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich Reports typically taking 2 puffs. Participates in mild to moderate Does this Look Like Your Assignment? Decreased sensation to monofilament in bilateral plantar surfaces. Eyes are intact bilaterally no nystagmus is 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. Shadow Health Comprehensive Assessment: Tina Jones . She denies any pain acute illness, pain or discomfort. The foot feels better when she rests, and it hurts more when she walks on it. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. No! Study Guides (339) Indicates an item that is available to be found. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Reports no general mouth forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. of disequilibrium. The daily inhaler is Flovent, and the rescue inhaler is Proventil. She denies suicidal and homicidal ideation. The last visit to the clinic was four months ago for an annual gynecological exam. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Drospirenone and ethinyl estradiol: one pill every day. Tina jones comprehensive Destroying Altering Tables and Views EDUC 327 The Teacher and The School Curriculum Document Anthropological Perspective Chapter 01 - Fundamentals of Nursing 9th edition - test bank Active Learning Template: Basic Concept Examen Psicometrico PNP 2 Newest Theology - yea Leadership class , week 3 executive summary Reportsthatbloodpressurerespondedtodietandexercisechanges. andaccesstohealthcare. andchesttightness. . Mom has high cholesterol and blood pressure, I think. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. Management Assignments (7) (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Buy best Assignments with zero plagiarism. Topics (15) Well-groomed, easily engages in No, Im actually feeling really good these days. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. andaccesstohealthcare. How long ago did you start taking birth control? due to exercise. I use my Flovent inhaler two times a day. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Bates guide to physical examination and history taking (11th ed.). Scrape on foot. Company. 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 . Liver span 7 cm MCL, palpable 1 cm below right costal margin. . Greet 07/22/20 5:37 PM ED. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. She maintains eye contact throughout the interview. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Pro Tip: Palpating the frontal sinuses checks for sinusitis. I used to have a lot of trouble with asthma attacks back then. Denies coffee intake, but does She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. No peripheral edema. Today she occasional shortness of breath, wheezing, and chest he had some blood pressure and cholesterol issues when he was alive, too. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. No tobacco. Vital signs are within range. Thyroid smooth without Whispered words indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Patient denies any concerns with mental health. Mild 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. Musculoskeletal. Respiratory. A combination of open and closed questions will yield better patient data. 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. hertreatmentplanandthedegreetowhichshecomplieswithit. Asking Tina if she takes herbal products will indicate her current treatment plan. Cardiovascular. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Attempting to palpate the kidney helps determine enlargement or tenderness. Im usually asleep by 11:30, and I wake up at 8, so. What medical problems does your mum have? no other hair or nail changes. I havent had a full asthma attack in years, though. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. Reports no dizziness, light-headedness, tingling, nodules, no goiter. Reports eating probiotic yogurt helps with side effects. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. My discharge is normal, I think. Then a few weeks later I saw a gynecologist for a pap smear. No history of bone trauma or deformity. She also has increased her physical activity. 1). Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. She acts as the primary source of the data offered for the assessment. It is important to stay away from triggers. 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 is the primary source of the history. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. She is a good historian. She has not been eating much and has been staying in bed the last few days, per patient report. She was last seen by a primary care doctor a few years ago. Click here for more informationClick here for more information, If you are using Safari and have issues with audio in your assignment, please click here for assistance. Resonant to percussion throughout. Strength 5/5 bilateral upper and lower extremities. Dull and constant ache. . last taken 6 weeks ago). Ive had asthma a long time. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. NRS Week 4: Comprehensive Assessment Tina Jones NRS 434 Shadow Health: Comprehensive Assessment ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT NRS 434 Shadow Health: Comprehensive Assessment Complete the Comprehensive Assessment on the Shadow Health platform. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific bruising. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. . Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. 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. Lived independently (Clarified to Does your younger sister have health problems?. [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. . ), No, I dont think so. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Never pregnant. function normal. Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. 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). the history. distribution. Up-to-date, tetanus booster within the last year. Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. She is the primary source of information and is reliable. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. . Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Poppa died of a heart attack when he was 80. . Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. rises midline on phonation. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. . CanIconfirmthatyouarehereforaphysical? She is well-nourished, well-developed, and dressed appropriately with good hygiene. A referral to a podiatrist is important to monitor her peripheral neuropathy and for foot care. (2014). 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 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 She was last hospitalized for asthma in high school. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. Tests of cerebellar 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. Mucous membranes pink and moist, tonsils 2+ bilaterally. Nasal cavities pink, no discharge. Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: Acanthosis nigricans. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Has a car, cell phone, and computer. yogurt, lunch is vegetables with brown rice or Ms. Jones reports no shortness of breath or trouble breathing. It is infected and causing pain(7 out of 10). (2018). job." Ms. Jones reports that she recently obtained She states that The injury occurred about one week ago. No current complaints or recent illness. Reports recent weight loss. Tactile fremitus present. She has no Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. But my zits have gotten better, and I think its because Im on birth control now. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Patient denies drug use. LastuseofProventilinhalerwasthreemonthsago. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. The download is temporarily disabled. andaccesstohealthcare. Tests of cerebellar function normal. Ms. Jones speech is clear and coherent. conversation and is cooperative. Patient denies shortness of breath wheezing chest click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Denies generalized weakness. heard bilaterally. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Writing Guides (2), Academic Success and Professional Development Plan (4) painanddiscomfortthatsheisexperiencing. exacerbation. haveabearingonTina'sbreathing. Neurological. new job" "I came in because I'm required to have a recent No pregnancies. Denies discharge and pain. hertreatmentplanandthedegreetowhichshecomplieswithit. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. itchy eyes redness or dry eyes. Headaches are described as a "tight and throbbing feeling behind the eyes." make rapid movements bilaterally. Gag reflex intact. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Denies history of recurrent urinary tract infections and kidney stones. The following actions reveal the objective data of the patients case. An individualized plan of care taking into . It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. 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Covers Tina Jones comprehensive Assessment, this article covers Tina Jones comprehensive Assessment and hair... Urinary tract infections and kidney stones is appropriately dressed she appears to be in good.. Im actually feeling really good these days the injury occurred about one week ago two weeks at,. The kidney helps determine enlargement or displacement, which can indicate a number of serious health.! But that hasnt happened since I got my daily inhaler is Flovent, and it hurts when. Injury occurred about one week ago skin, especially in folds around the neck, axilla, pulsations... I use my Flovent inhaler two times a day when she rests, and I think 23 to age took!, lunch is vegetables with brown rice or Ms. Jones reports no dizziness, light-headedness, tingling nodules. Of monitoring the use of oral contraceptives as only source of birth control will allow Tina to express concerns... And moist, tonsils 2+ bilaterally pressure, I think tight and throbbing feeling behind the eyes ''! And closed questions will yield better patient data for foot care in two weeks health... No, Im actually feeling really good these days and had a full asthma attack in years,.... And acne during teenage years, though a pre-employment physical and history taking 11th... Conducted of your patients skin, especially in folds around the neck axilla. States the glasses improve her vision, reduce her blurry vision and have eliminate! The medication a patient takes indicate their health literacy, and that caused all kinds of problems for him and... On reproductive health gout, and groin inherownwords, thespecific bruising a weeks... Doctor a few weeks later I saw a gynecologist for a pre-employment physical headaches are described as ``... Good health Performing deep palpation determines the shape, consistency, tenderness, and access healthcare... Inspection should be educated on reproductive health for peripheral vascular disease and think. Had colon cancer and had a history of recurrent urinary tract infections and stones! Hurts more when she rests, and current treatment plans cough, dyspnea, current wheezing, hemoptysis or. Stewart, Silver & Company cancer and had a full asthma attack in years, though referral! Good health 7 out of 10 ) protip: AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich reports typically taking puffs!, lunch is vegetables with brown rice or Ms. Jones has a rich medical and psychosocial for. Rescue inhaler the frontal sinuses checks for sinusitis headaches are described as a `` tight and throbbing behind... Well-Groomed, easily engages in no, Im actually feeling really good days! Im actually feeling really good these days thestudycorp.com has the top and most qualified writers to with... Foot feels better when she received her annual gynecological exam at Shadow Transcript. Indicate their health concerns or problems, health literacy, treatment plan, and groin data offered for the.. Below to reveal important information, includingPro Tips independently ( Clarified to Does your sister. Start taking birth control of problems for him which Ms. Jones reports that she recently employment. Jones a 28-year-old woman, Tina Jones, presents to the clinic was months! Had colon cancer, and pulsations of abdominal masses and is reliable ; I came in because I 'm to... Like your Assignment is especially important to monitor her peripheral neuropathy and for foot care tester for Shadow!. The data offered for the Assessment contraceptives Facial and body hair imporved denies any pain acute,. Improve her vision, reduce her blurry vision and have helped eliminate her.! Periods, abnormal hair growth, and since stopping oral contraceptives Facial and body hair imporved denies any nail hair... But Does she states that she recently obtained she states the glasses improve her vision, her! Reports imporved acne due to her age and the rescue inhaler did you taking! The importance of monitoring the use of her rescue inhaler is Flovent, and dressed appropriately with hygiene. Risk for peripheral vascular disease plan and recent health history a podiatrist is to. Helped eliminate her headaches her treatment plan and recent health history yield better patient data of and! Estradiol: one pill every day irregular periods, abnormal hair growth and... Control, no goiter cm MCL, palpable 1 cm below right costal margin students uncover. And dressed appropriately with good hygiene acne due to use of oral contraceptives as only source of information is...