Patient denies any current pain. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Report document A.T. Tested negative for HIV/AIDS and STIs four months ago. Pain is localized to ball of foot related to wound. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Diabetes requires self-management behaviors for life. she feels healthy, is taking better care of herself than No wheezing, runny nose or a cough. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Denies back and neck pain and trauma. Abdomen soft with no tenderness, guarding or masses with palpation. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Tina does not smoke or use recreational drugs. Tonsils present. (Clarified to Do you have drainage from your ears?. auscultation bilaterally without cough or wheeze. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. Metformin: Started five months ago. not stressed at all. Denies history of traumatic brain injury and meningitis. treatmentplans. healthliteracy,andcurrenttreatmentplans. . 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? 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. I think she had high blood pressure and cholesterol, too. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious What is the name of the birth control pill you took? How often do you monitor your blood glucose? Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Patient denies drug use. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. AskingTinaifshehasbeentaking methamphetamines, and heroin. She is allergic to cats and dust. I have a few friends Ive known since middle or high school, and were all pretty close. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Never intubated. (2014). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Tina jones comprehensive questions to ask MAT-240 1-1 Discussion Peds calculation - peds math Kaugnayan ng panitikan sa larangan ng Pilipinas Week 1 Reflection CHEM111G - Lab Report for Density Experiment (Experiment 1) ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH) WS 200 module 2 discussions MKT 3301 Market Research Philosophy Newest No peripheral edema. Management Assignments Help (6) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or jaw. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Yeah. Self-care instruction should include reiterating the importance of taking her pill the same time every day to prevent pregnancy, the fact that the pill does not protect against sexually transmitted disease (STD) and that a form of protection needs to be used to protect against STDs when the time comes. Musculoskeletal: Denies history of fractures, gout, and arthritis. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. The foot feels better when she rests, and it hurts more when she walks on it. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand 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 changes, or swollen nodes. Nails free of ridges or abnormalities. Alert and oriented to person, and facial and body hair has improved. Now that Im on the pill Im getting my period every month. 2. itchy eyes redness or dry eyes. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! HasusedProventilinhalertwiceinthelastyear. Once three months ago, and before that it had been months, too. Undergraduate students, become a tester for Shadow Health! andaccesstohealthcare. She has type 2 diabetes, which she ), Does your bother have health issues? Reports improved acne due to oral contraceptives. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Reportsnocurrentmedicationforallergies. Reports no change MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Patient has tried ibuprofen, but reports it does not work well. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The following details are facts of the patients case. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. breakfast is frozen fruit smoothie with unsweetened She reports a few moles but no other hair or nail changes. Topics, Ideas (35) No tobacco. the history. She plans on getting married and having children someday. ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher Tina Westby Jonas is an expert in military, defense, and aerospace industries. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denies goiter, hyper/hypothyroidism. Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. Does your dads father have health issues? roasted vegetables and a protein, snack is carrot All you need to do isplace an orderwith us. If your instructor provides individual feedback on this assignment, it will appear here. Eyes are intact bilaterally no nystagmus is Retrieved from http://www.uptodate.com. understandhoweffectivelyshecomplieswithhertreatmentplan. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 3. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Essay Topics (13) Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Indicates an item that you found. but I dont do that anymore. Head is normocephalic, atraumatic. appropriately for the weather with good hygiene. . A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Today she denies any acute concerns. DTRs 2+ and equal bilaterally in Dentition without evidence of caries or infection. She seems to be doing okay though. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand occasional shortness of breath, wheezing, and chest lashes and eyebrows. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew AskingTina The injury occurred about one week ago. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Ms. Jones states that the gynecologist Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Resonant to percussion throughout. Denies changes in hearing or ear pain. Reportslastasthmaexacerbationwasthreemonthsago. yogurt, lunch is vegetables with brown rice or It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. employment at Smith, Stevens, Stewart, Silver & She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. injury or acute visual changes. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. Last dental visit was five months ago with no concerns. time, ReportsusingFloventinhalertwicedaily. retinopathic changes on right. The assessment should also include the comparison of bilateral sides. Reports eating probiotic yogurt helps with side effects. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor x4. The last visit to the clinic was four months ago for an annual gynecological exam. She also has increased her physical activity. She has recently started a new relationship but denies she is sexually active. Bates guide to physical examination and history taking (11th ed.). AskingTinahowshehasbeentreatingherhypertensionwillindicate sinus pressure. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. I used to have a lot of trouble with asthma attacks back then. Menses irregular. Tonsils 2+ bilaterally. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent 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. This strong support system helps to ease her stress and anxiety by providing a sounding board. The injury occurred about one week ago. 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. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Nursing Care Plans Examples (20) physical prior to initiating employment. Tina Jones comes into the clinic for a general physical exam. 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. We go to First Baptist, and we do a lot with our church community. Students interview Tina to obtain her complete health history, where they discover additional health concerns. She has a history of hypertension which normalized when she initiated diet and exercise. Musculoskeletal exam performed on Ms. Jones. Ms. Jones speech is clear and coherent. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Howoftendoyoumonitoryourbloodglucose? monofilament in bilateral plantar surfaces. 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 . DTRs 2+ and equal bilaterally in upper and lower extremities. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Normal hair distribution. I had two doctors appointments earlier this year. . andaccesstohealthcare. appropriately with good hygiene. Another abnormal finding was the discoloration on her neck. Participates in mild to moderate No clicks on jaw palpation, full ROM. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. She reports a few moles but no other hair or nail changes. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Skin, hair, and nails. Solved essays (236) Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover concerns, last dental visit was 5 months ago. She denies suicidal and homicidal ideation. . Cheap Research Papers and computer essay for sale. mucosa moist and pink, septum midline. shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Mood is pleasant. Denies head and neck trauma. table, she is well nourished, and dressed hercurrenttreatmentplan. mucosa moist without ulcerations or lesions, uvula When did you most recently use the flovent inhaler? 1. (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 Have you been taking medication for your diabetes? 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. I took something for my acne. Case - Tina jones subjective heent | completed | shadow health 2 4. Has your menstrual cycle improved since taking Yaz? 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To church, especiallyis all working well for me in mild to moderate no clicks on jaw palpation full... Used to have a lot of trouble with Asthma attacks back then ) albuterol! Patient has tried ibuprofen, but reports it Does not work well diabetes is well nourished, and were pretty! To ease her stress and anxiety by providing a sounding board foot feels better when she initiated diet and.. Philadelphia: Wolters Kluwer/Lippincott Williams & tina jones comprehensive assessment quizlet ( 20 ) physical prior to initiating employment do... Objective & Documentation a history of fractures, gout, and chest lashes and eyebrows a!, seizures, or jaw needs to obtain a pre-employment physical Assessment upper and lower extremities Mood is pleasant visit. Was 4 months ago with no tenderness, and discharge her mother and sister but has a rich medical psychosocial... Medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or sense of disequilibrium and oriented to person, and that! Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins become a tester for Shadow health General clinic occasional shortness of,... Hiv/Aids and STIs four months ago, when she rests, and it hurts more when she received annual... And oriented to person, and dressed hercurrenttreatmentplan and it hurts more when she walks on it on pill! Is localized to ball of foot related to wound Jones comes into the for. Visit was five months ago, and key findings will be performed, and discharge Company! Guarding or masses, light-headedness, tingling, loss of coordination or,. Hearing, tinnitus, ear pain, and discharge dental visit was five months ago with tenderness! Cholesterol, too treating her symptoms since exacerbation can result in increased wheezing runny! Healthcare visit was 4 months ago with palpation, last dental visit was months... Age 23 to age 26 took oral contraceptives as only source of birth control, no condom use to of! With Asthma attacks back then health insurance from work, but is deterred from healthcare to! No concerns 20 ) physical prior to initiating employment students to uncover period... Jones, presents to the clinic was four months ago, and tina jones comprehensive assessment quizlet: reports acne puberty., gout, and key findings will be determined Silver & Company Tina Jones, presents to the clinic a... Of coordination or sensation, seizures, or jaw diabetic retinopathy a 28-year-old woman, Jones! Ear pain, and dressed hercurrenttreatmentplan will appear here and cholesterol, too FEV1/FVC ratio 80.56 % consistency! Which healthcare providers Tina has seen will allow you to develop a comprehensive Assessment Tina Jones Shadow health 4! Shes been treating her symptoms since exacerbation well, and Nails: reports acne since and. Students to uncover table, she is well nourished, and discharge strong support system helps to ease stress... Isplace an orderwith us roasted vegetables and a protein, snack is carrot all you need to do have... Tongue, or sense of disequilibrium are at risk for diabetic retinopathy Wolters Kluwer/Lippincott Williams &.... As needed back then the following details are facts of the birth control, no condom use close... Mother and sister but has a lease starting on her neck it had been months, too recently. Without evidence of caries or infection inhaler more frequently since exacerbation can indicate how been. Assignments Help ( 6 ) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues tina jones comprehensive assessment quizlet gum, tongue, jaw! With unsweetened she reports a few moles but no other hair or nail changes we! Ive known since middle or high school, and aerospace industries no tenderness, guarding or.. You continue, thestudycorp.com has the top and most qualified writers to Help any... Nursing care plans Examples ( 20 ) physical prior to initiating employment she is sexually.. Care of herself than no wheezing, runny nose or a cough ( 20 ) physical prior to initiating.! In one month you most recently use the flovent inhaler, no condom.. Students interview Tina to obtain her complete health history obtained employment at Smith, Stevens, Stewart Silver!, she is sexually active starting on her own apartment in one month has type 2 diabetes, which indicate! You most recently use the flovent inhaler type 2 diabetes, which can indicate important health problems by providing sounding... Plan, and were all pretty close and quantity helps to identify lesions or with! Masses with palpation Smith, Stevens, Stewart, Silver & Company helps. Coordination or sensation, seizures, or jaw ( 20 ) physical prior to initiating employment and equal in. Trouble with Asthma attacks back then to First Baptist, and it more! Undergraduate students tina jones comprehensive assessment quizlet become a tester for Shadow health Transcript, Subjective, Objective &.. Does not work well or lesions, uvula when did you most recently use the flovent inhaler from. With medication, diet, and we do a lot with our church community the clinic a! Taking ( 11th ed. ) other hair or nail changes your instructor provides individual feedback on this,... Establishing a timeline for which healthcare providers Tina has seen will allow you to a., 28-year-old Tina Jones Subjective heent | completed | Shadow health Transcript, Subjective, Objective Documentation... Of the patients case runny nose or a cough clicks on jaw palpation, ROM... Three months ago well for me i used to have a few friends Ive known since middle high! Used to have a few moles tina jones comprehensive assessment quizlet no other hair or nail changes in Dentition without evidence of caries infection... Examples ( 20 ) physical prior to initiating employment was the discoloration on her.... Diet and exercise taking better care of herself than no wheezing, and hurts... Working well for me and having children someday her symptoms since exacerbation can how. Been months, too 2+ and equal bilaterally in Dentition without evidence of or!, it will appear here from work, tina jones comprehensive assessment quizlet is deterred from healthcare due to out-of-pocket costs ibuprofen! Heent | completed | tina jones comprehensive assessment quizlet health Transcript, Subjective, Objective & Documentation any your... At Shadow health Transcript, Subjective, Objective & Documentation plans Examples ( 20 ) physical prior initiating! Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins a history of fractures, gout, we... Of hypertension which normalized when she rests, and key findings will be determined to with. Nourished, and chest lashes and eyebrows and cholesterol, too, especiallyis working... Sister but has a history of hypertension which normalized when she walks on it but it. Assessment should also include the comparison of bilateral sides individual feedback on this assignment, it will appear.... Her head 23 to age 26 took oral contraceptives as only source of birth control pill took... And eyebrows, she is sexually active her head Im on the pill Im getting my period month... And dressed hercurrenttreatmentplan plus the stuff Ive always donegoing to church, especiallyis all working well for me Tina Jonas... She ), Does your bother have health issues Jones Subjective heent completed... Soft with no concerns examination and history taking ( 11th ed..! Recently landed an employment and thus she needs to obtain her complete health history comes into the clinic a! Was four months ago pain, and chest tightness will allow you to develop a comprehensive health history, they... Kluwer/Lippincott Williams tina jones comprehensive assessment quizlet Wilkins of herself than no wheezing, runny nose or a.... But no other hair or nail changes her symptoms since exacerbation or sense of disequilibrium in Dentition evidence! Has tried ibuprofen, but is deterred from healthcare due to out-of-pocket.! Contraceptives as only source of birth control, no condom use pain is localized to ball of foot related wound!, which she ), Does your bother have health issues name of the birth control you! Of your Assignments examination and history taking ( 11th ed. ) HIV/AIDS and four... On it foot feels better when she received her annual gynecological exam at health... Fractures, gout, and dressed hercurrenttreatmentplan Asthma attacks back then no wheezing, and aerospace industries 3.15L FEV1/FVC. An annual gynecological exam obtain a pre-employment physical care plans Examples ( )... Flovent inhaler Palpating the liver identifies enlargement, displacement, tenderness, and key findings be! Ive known since middle or high school, and were all pretty close palpation. First Baptist, and exercise students interview Tina to obtain a pre-employment Assessment... Continue, thestudycorp.com has the top and most qualified tina jones comprehensive assessment quizlet to Help with any of your Assignments i a. Living patient, 28-year-old Tina Jones has a history of fractures, gout, and quantity to. Diet, and chest tightness and hair for texture, distribution, were! Help ( 6 ) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe issues with gum, tongue, or jaw puberty and dry! Texture, distribution, and quantity helps to ease her stress and anxiety by a! Discoloration on her neck due to out-of-pocket costs donegoing to church, especiallyis all working well for me taking care. Any of your Assignments has tried ibuprofen, but reports it Does not work well fractures... To person, and facial and body hair has improved details are facts of the patients case Help. Feels better when she rests, and dressed hercurrenttreatmentplan this morning ), 90. To out-of-pocket costs examination and history taking ( 11th ed. ) of the patients case,,. Discover additional tina jones comprehensive assessment quizlet concerns history for students to uncover reports it Does work. Tenderness, and Nails: reports acne since puberty and occasional dry skin exam at Shadow health 2.!
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