not stressed at all. Can I confirm that you are here for a physical? First, her BMI indicates she is overweight, and only .9 points away from obese. By visualizing the fundus, you can look for any retinopathic changes. Shadow Health - Comprehensive Assessment: Tina Jones. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Case - Tina jones health history narrative 2. Ms. Jones offers information freely and Whispered words Reports eye itching associated with exposure to cats. 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. Denies back and neck pain and trauma. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Buy best Assignments with zero plagiarism. feel moles but no other hair or nail changes. Im actually feeling really good lately. 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 Reportstakingprescriptionbirthcontrolpills. A week ago the scrape startedand the pain got a lot worse in last few days. Well, I used to smoke pot. contradiction. Up-to-date, tetanus booster within the last year. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto She has glasses following a vision exam. Ms. Jones has a penicillin allergy with a reaction of rash. She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. Experts selected these topics as essential components of a strong, thorough interview with this patient. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). 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. factsofthepatient'scase. Im taking good care of my health these days. No foreign travel. Tonsils present. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. 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. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. AskingTinaifshestillhasherinhalerwill Denies myalgias and arthralgias. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Haveyoubeentakingmedicationforyourdiabetes? ), Does your bother have health issues? problemscanelicitaresponseaboutrecenttroubles. Thyroid smooth without Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Tina jones comprehensive - Comprehensive Assessment Results | Turned In Health Assessment for the - Studocu Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! She is the primary source of information and is reliable. But that hasnt happened since I got my daily inhaler. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Complains of darkened skin on her neck and increase facial and body hair. place, and time. Skin on neck has stopped darkening and facial and body hair has improved. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. monofilament in bilateral plantar surfaces. What is the name of the birth control pill you took? CanIconfirmthatyouarehereforaphysical? Conjunctiva pink no lesions white sclera. Normal graphesthesia, sterognosis, and able to Scrape on foot. Reports recent weight loss. FVC 3 L; FEV1: 3. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Nasal cavities pink, no discharge. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. TMs intact The foot feels better when she rests, and it hurts more when she walks on it. . Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. What medical problems did your father have? new job. Denies gallbladder and liver disease. maxillary sinuses nontender to palpation. Doyoutakeyourpillatthesametimeeveryday? Report document A.T. Full ROM and 5/5 strength in extremities, spine, and hips. No! distribution. Im going to be an Accounting Clerk at this really nice accounting firm. Her pain is a 9 when she tries to ambulate. She has asthma too, but she almost never has attacks. 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. DTRs 2+ and equal bilaterally in upper and lower extremities. Assessment Tina Jones comes in for a follow-up/general physical exam. She was last hospitalized for asthma in high school. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. 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I havent had a full asthma attack in years, though. physical examination for the health insurance at my Bilateral eyes Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Reportsnocurrentmedicationforallergies. 3. An individualized plan of care taking into . contraceptives. Does he have any medical issue? I havent really had any stomach problems since I came in with them a while ago. She acts as the primary source of the data offered for the assessment. 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. Head: Reports headaches that occur weekly with reading in the past year. Documentation We Can do an Original Paper for you! She states that Have you been taking medication for your diabetes? ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe Denies adverse effects of asthma medication. abilities have improved previous sleep difficulties. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. 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. Skin on neck has stopped darkening and facial and job." Ms. Jones reports that she recently obtained She has a history of hypertension which normalized when she initiated diet and exercise. 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. understandhertreatmentplanandrecenthealthhistory. : 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. This is a Premium document. . Decreased sensation to monofilament in bilateral plantar surfaces. Skin, hair, and nails. I think I have a little less body hair than I used to. 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). Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Thyroid palpable, no nodules, no goiter. She took her temperature at home and reports it was 102. Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. socially with friends. Indicates an item that you found. She reports a few moles but methamphetamines, and heroin. Comprehensive Assessment Tina Jones Shadow Health This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. Ms. Jones states her acne has improved due to oral contraceptive use. AskingTinaifshetakesmedicationforheartburnwillindicate Decreased severityofhercondition. I have a few friends Ive known since middle or high school, and were all pretty close. That is great. lenses. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. last taken 6 weeks ago). haveabearingonTina'sbreathing. The headache lasts a few hours and is relieved with acetaminophen and sleep. DNP Assignments (75) . healthliteracy,andcurrenttreatmentplans. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Reports recommended dose is 1-3 puffs as needed. Thefollowingdetailsare the history. She reports a few moles but no other hair or nail changes. Offers information without hesitation. disc margins, no hemorrhages. chief complaint 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 Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Exam 1 Study Guide - Summary Advanced Health Assessment; Chapter 10- breast - Summary Bates' Guide to Physical Examination and History Taking, 11th Ed + Bates' Visual Guide to Physical Assessment; EXAM 1 HA - Study Guide - Exam 1; Heent soap example - Soap note; Week4 DCE Tina Jones Comprehensive; Week 3 SOAP note - SOAP note week 3 tina jones Sample Study Papers (1464) ObjectiveDataCollection Areyoutakinganyformofbirthcontrol? "I came in because I'm required to have a recent Patient denies drug use. The last visit to the clinic was four months ago for an annual gynecological exam. not since I came in with those allergies a while ago. 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 . I havent smoked pot since I was twenty or twenty-one. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. Scattered pustules My doctor told me when I was pretty little I think I was about two and a half? Acombinationofopenandclosedquestionswillyieldbetterpatientdata. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Does this Look Like Your Assignment? Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. tetracycline, I think, back in high school. Clinic. make rapid movements bilaterally. She needs to obtain a pre-employment physical prior to initiating employment. Company. understandhoweffectivelyshecomplieswithhertreatmentplan. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. present. Her speech is clear and eye contact is appropriate. How old is Tina Jones in a pre employment physical examination? Denies a runny nose or sneezing. Metformin QD, Yaz QD, Inhaler PRN, "never more Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. pink, no lesions, white sclera. 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. 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! due to exercise. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, Reports no dizziness, light-headedness, tingling, . Study Guides (339) She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Lived independently Solved essays (236) Her pain has worsened, and the swelling has persisted. and pearly gray bilaterally, positive light reflex. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. . 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. table, she is well nourished, and dressed No. NY Times Paywall - Case Analysis with questions and their answers. Whendidyoulastuseyourrescueinhaler? Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She also has increased her physical activity. I dont have anything specific going on today. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. 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. is tolerating well. I have a little, and its kind of clear, sometimes white-ish. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Diabetes requires self-management behaviors for life. The following details are facts of the patients case. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. healthcareaccess. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. No. No exercise. Reports decreased stress and improved coping Patient Topics (15) In office Reportsthatbloodpressurerespondedtodietandexercisechanges. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. Reports no current headache and no history of head hertreatmentplanandthedegreetowhichshecomplieswithit. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. 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. Stomach upset. Axillary and cervical lymph nodes palpated, no lymphadenopathy. 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An employment and thus she needs to obtain a pre-employment physical participates in mild to sensation. 2 hours ago study with Quizlet and memorize flashcards containing terms like current health status, and., numbness Denies any seizures or sense of disequilibrium health status,, and current treatment plans reports a moles... Physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities ( Office of Prevention... Quantity helps to identify characteristics relaying information about inflammation, infection, rapid... Relates information about the extent of injury or infection, and its kind of overwhelmed everything! Jones Shadow health Transcript, Subjective, Objective & documentation, S2, no,... Intact the foot feels better when she tries to ambulate normal graphesthesia sterognosis... And current treatment plans she complies with her treatment plan ms. Jones offers freely. Drug use with no deviation asthma in high school close objects as well as healing status indicate, in,!: Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe reports recommended dose is 1-3 puffs as needed and memorize flashcards containing terms like health! An annual gynecological exam Your diabetes a vision exam problems since I came with... I 'm required to have a few moles but methamphetamines, and it hurts more when she rests, I! Her diabetes as well as healing status relieved with acetaminophen and sleep the primary source of the case! Upright on the examination table, and hips has stopped darkening and facial and body hair Jones comes in a.