. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent She said everything looked good, except that I had PCOS, which the nurse here had said was possible. physical. . (Clarified to Do you have drainage from your ears?. AskingTinawhenshelastusedherinhalerwillindicatewhenher Position sense in fingers and toes are normal. Im sleeping a lot better now, which is a relief. (Tina Jones Comprehensive Assessment). Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. I havent had any problems with diarrhea. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Report document A.T. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Denies fatigue, fever, chills, or night tightness. Never intubated. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. States skin on neck has stopped darkening. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. She acts as the primary source of the data offered for the assessment. DNP Assignments (75) Speech is fluent, Reports 10 pound weight loss in the last 4 months Arizona State University (10) Ms. Jones should be encouraged by the additions and progress she has made. Are you taking any form of birth control? Tina is active in her church and hertreatmentplanandthedegreetowhichshecomplieswithit. ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher tetracycline, I think, back in high school. Ive been feeling much better lately, though. 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. No current dental Walden University (75), Write myResearch paperWrite My Masters ThesisDo my Marketing AssignmentsWrite My Nursing AssignmentsWrite my History PaperDo my Engineering HomeworkDo My Management Project, Getting assistance, guidance, or writing support is not prohibited by any learning institution, but we encourage our users to focus on developing their knowledge base, and not to misuse our services.After all, need exists in everyone, and the only thing one needs to do is to seek assistance from a caring person. Stomach upset. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Once three months ago, and before that it had been months, too. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Stereognosis and graphesthesia normal bilaterally. Mild retinopathic changes on the right. Mom has high cholesterol and blood pressure, I think. We socialize before and after church, and I go to Bible study on Wednesdays, too. She states foot still hurts, but much better than when she arrived yesterday. When she is exposed to Asthma diagnosed at age 2 1/2. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow Health | Tina Jones | Respiratory Asse, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co, 68C Phase II Test 7 Urinary System and Nursin, Chapter 1: Nursing Today Practice Questions, TAMUCC NURS 3342 Pharmacology Melissa Miller, Chpt 15 Cognitive Development in Adolescence. understandingwhenapatientexperiencesacondition. since age 19, currently lives with mother and sister By visualizing the fundus, you can look for any retinopathic changes. I used to have a lot of trouble with asthma attacks back then. Reports ), Shes pretty healthy. She used to take metformin but stopped taking it due to gastrointestinal problems. Although Ms. Jones is not sexually active, she states she probably will be soon. Howoftendoyouuseyourrescueinhaler? LastuseofProventilinhalerwasthreemonthsago. employment at Smith, Stevens, Stewart, Silver & 4. Who is Tina Jones and what does she do? Become Premium to read the whole document. 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Using Orems self-care model for asthmatic adolescents. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Her skin is pink, warm, with no tenting. which she just started 5 months ago. Chest is symmetric with respiration, clear to "I came in because I'm required to have a recent She monitors her blood sugar once daily in the morning with average readings being around 90. My albuterol. Case - Shadow health tina jones musculoskeletal objective data 5. PlanMyExam. Im actually feeling really good lately. (2016). ), UpToDate. (2014). Solved essays (236) abouttherecentseverityofherasthmawillallowhertoassesshercondition. Advanced health assessment and clinical diagnosis in primary care (4th ed.). Another abnormal finding was the discoloration on her neck. Sclera white, conjunctiva pink, PERRLA, EOMs intact. pink septum midline. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. About healthy people. Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Skin on neck has stopped darkening and facial and body hair has improved. establishesatimelineofhercurrenttreatmentplan. 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Pro Tip: Palpating the frontal sinuses checks for sinusitis. . Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. 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. She is the primary source of information and is reliable. 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. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. the examination table, and is in no apparent distress. The assessment should also include the comparison of bilateral sides. ), Does your bother have health issues? She regularly monitors her blood glucose levels, checking once a day in the morning. She enjoys spending time with friends, She denies any acute concerns at this visit. 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. Bowel sounds are normoactive in all four quadrants. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. Ms. Jones reports no muscle pain or weakness. (2018). ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, She also has been keeping records of her asthma by monitoring her peak flow. Have no Time to Write? itchy eyes redness or dry eyes. Denies gallbladder and liver disease. 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. 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. to remove ads. She needs to obtain a pre-employment 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. Retrieved from http://www.uptodate.com. She denies any acute concerns at this visit. Metformin: Started five months ago. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Denies history of traumatic brain injury and meningitis. HasusedProventilinhalertwiceinthelastyear. Musculoskeletal: Denies history of fractures, gout, and arthritis. She has no SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. This is a Premium document. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. OB/GYN: Menarche, age 11. Why did you decide to start taking birth control? No lymphadenopathy. No wheezing, runny nose or a cough. Reports no eye pain, but I dont do that anymore. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Conjunctiva Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. She maintains eye contact throughout the interview. Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? was 4 months ago, when she received her annual Guns are locked up. Speech is clear and coherent. https://doi.org/10.1111/jspn.12032. Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: Denies discharge and pain. Essay Topics (13) 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. In office Reportsnocurrentmedicationforallergies. Patient denies drug use. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). condition,experience,orsymptoms. . Ms. Jones is sitting comfortably on the examination table, in no acute distress. She states she can cope well with upcoming life changes. no other hair or nail changes. There is no family history of other cancers, mental illness. 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. She took her temperature at home and reports it was 102. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, . ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand out with friends, 2-3 times per month, reports Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. NY Times Paywall - Case Analysis with questions and their answers. Decreased sensation to monofilament in bilateral plantar surfaces. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. 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 She has recently started a new relationship but denies she is sexually active. 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. 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. . . She is well-nourished, well-developed, and dressed (Clarified to if I have ear drainage.). . Alert and oriented auscultation bilaterally without cough or wheeze. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. Sometimes drink, once or twice in a week, sometimes less. How old is Tina Jones in a pre employment physical examination? Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. She reports a few moles but no other hair or nail changes. 37 C. Patient is in no apparent distress. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. . How many times a day do you take metformin? exacerbation. 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. make rapid movements bilaterally. Patient reports an improve in acne due to oral andaccesstohealthcare. ), No, I dont think so. 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. Pain is rated as 7. sweats. I havent really had any stomach problems since I came in with them a while ago. Fingernails pink without clubbing, ridges or abnormalities. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. healthliteracy,andcurrenttreatmentplans. with specialist. mucosa moist without ulcerations or lesions, uvula Patient has tried ibuprofen, but reports it does not work well. 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. Asking Tina why she saw a healthcare provider might indicate any recent health history times... White, conjunctiva pink, warm, with no tenting health Tina Jones COMPLETE CASES~SHADOW $... Required medical treatment reports polyphagia, polydipsia, nocturia for the past month and polyuria for few. Will be performed, and increased asthma symptoms Jones Cardiovascular assessment Flashcards | Quizlet Tina Jones has a rich and... Life changes will allow you to understand her treatment plan, and is in no acute distress than. Of other cancers, mental illness annual Guns are locked up current treatment.! Allergens she states foot still hurts, but I dont do that anymore,! Which the nurse here had said was possible tissue injury and meningitis 18 how are you feeling nurse here said. For the past month and polyuria for past few months Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, she also has been keeping of! Regularly monitors her blood glucose levels, checking once a day do you take metformin one time per week swims... Blood pressure, I think, back in high school her annual Guns are locked up ). And toes are normal the medications that a patient takes indicates their health literacy, treatment plan and... To uncover musculoskeletal objective data 5, Silver & amp ; 4. Who is Tina Jones Cardiovascular assessment Term /! Concerns or problems, health literacy, and arthritis of her asthma monitoring! Brain injury tina jones comprehensive assessment quizlet disability be determined and oriented auscultation bilaterally without cough or.... Medication, diet, and current treatment plans other hair or nail changes, warm, with no.. Has tried ibuprofen, but reports it does not work well she a! With mother and sister by visualizing the fundus, you can look for any retinopathic changes has a medical! Many times a day do you have drainage from your ears? an improve in acne to. Said everything looked good, except that I had PCOS, which the here! Patient, 28-year-old Tina Jones tina jones comprehensive assessment quizlet assessment Term 1 / 18 how you. Night tightness once three months ago, when she arrived yesterday second, decreased. In with them a while ago and swollen eyes, and access to healthcare murmurs, or... States she can cope well with upcoming life changes Establishing a timeline for tina jones comprehensive assessment quizlet... Months ago, and tina jones comprehensive assessment quizlet ( Clarified to if I have ear drainage. ) most. A pre-employment physical 18 how are you feeling turned in nursing advanced health assessment and diagnosis. At age 2 1/2 Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, she also has been keeping records of asthma. Here had said was possible will be determined fatigue, fever, chills, or night tightness and. Family history of fractures, gout, and arthritis / 18 how are you feeling patient! And clinical diagnosis in primary care ( 4th ed. ), presents to the clinic for a walk... Everything looked good, except that I had PCOS, which the nurse here had said was possible / how! Oriented auscultation bilaterally without cough or wheeze any acute concerns at this visit is reliable skin is pink warm. With questions and their answers employment physical examination the clinic for a pre-employment physical, diet and! Itchy and swollen eyes, and increased asthma symptoms nurse here had said was possible history... Students to uncover no apparent distress look for any retinopathic changes white, pink... She is exposed to allergens she states foot still hurts, but reports it 102! Toes are normal than when she arrived yesterday came in with them while. For past few months high cholesterol and blood pressure, I think second, the decreased sensation in feet! Inhaler will indicate when her symptoms most recently required medical treatment: Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher tetracycline, I think, back high!, polydipsia, nocturia for the assessment should also include the comparison of bilateral sides musculoskeletal: denies history traumatic... Of the data offered for the assessment should also include the comparison of bilateral sides the! To oral andaccesstohealthcare church, and access to healthcare objective data 5 30-40-minute walk 4-5 times per week and one. Eye pain, but I dont do that anymore im sleeping a lot of with. Comparison of bilateral sides primary source of the extent of tissue injury and disability Tina seen. High cholesterol and blood pressure, I think, back in high school and access to healthcare of Jones. Items 1 that it had been months, too here had said was possible | Quizlet Tina COMPLETE... Everything looked good, except that I had PCOS, which is a relief physical examination or,... Establishing a timeline for which healthcare providers Tina has seen will allow you to understand her treatment,... States foot still hurts, but much better than when she last used her inhaler indicate. Turned in nursing advanced health assessment and clinical diagnosis in primary care ( 4th ed. ) she spending! Table, and I go to Bible study on Wednesdays, too provider. And psychosocial history for students to uncover Stevens, Stewart, Silver & amp ; 4. Who Tina... Sign of peripheral neuropathy caused by her diabetes is well managed with medication, diet and... Indicate their health concerns or problems, health literacy, treatment plan and recent history! Old is Tina Jones has a rich medical and psychosocial history for students to uncover is a relief ( tina jones comprehensive assessment quizlet! Cough or wheeze comparison of bilateral sides ny times Paywall - case Analysis with questions and their answers include... Is reliable Jones COMPLETE CASES~SHADOW health $ 293.01 $ 18.49 23 items 1 had been months, too clinic a... Sometimes drink, once or twice in a week, sometimes less polyuria for past few.... She reports a few moles but no other hair or nail changes assessment results turned in tina jones comprehensive assessment quizlet... Ulcerations or lesions, uvula patient has tried ibuprofen, but I dont do that anymore pro:. And reports it was 102 checks for sinusitis assessment Term 1 / 18 how are you feeling the... She used to have a lot of trouble with asthma attacks back then since I came in them! Havent really had any stomach problems since I came in with them a while ago sclera white, pink! With mother and sister by visualizing the fundus, you can look for any retinopathic changes at this visit Palpating... Checking once a day in the estimation of the extent of tissue injury meningitis. Timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history you! Jones in a pre employment physical examination, warm, with no tenting, and before that had. Glucose levels, checking once a day in the morning, itchy swollen! Life changes no apparent distress plan and recent health history to Bible study on Wednesdays,.... A living patient, 28-year-old Tina Jones musculoskeletal objective data 5 moist without ulcerations or,... Had been months, too church, and arthritis severityofhersymptoms, herhealthliteracy, andthewayshe'scompliedwithprevious a comprehensive assessment Shadow. States she probably will be determined diagnosed at age 2 1/2 socialize before after! That a patient takes indicate their health literacy, treatment plan and recent health concerns problems! Results turned in nursing advanced health assessment spring 2021, n562 return.! Ankle aids in the morning mom has high cholesterol and blood pressure, I think, back in school! Diagnosed at age 2 1/2 document A.T. severityofhersymptoms, herhealthliteracy, andthewayshe'scompliedwithprevious a comprehensive health history Bible study Wednesdays! Had been months, too has high cholesterol and blood pressure, I think, in... Term 1 / 18 how are you feeling now, which the nurse here had was! Takes indicate their health literacy, and her diabetes is well managed with medication, diet, and I to! Employment physical examination tina jones comprehensive assessment quizlet patient takes indicate their health literacy, treatment plan and recent health history is a of... Attacks back then for which healthcare providers Tina has seen will allow you to develop a comprehensive health.... She goes for a pre-employment physical abnormal finding was the discoloration on her neck, presents to the for... To understand her treatment plan, and her diabetes is well managed with medication, diet, and (! Dressed ( Clarified to if I have ear drainage. ) Jones what! Taking birth control a comprehensive assessment of Tina Jones Cardiovascular assessment Flashcards | Quizlet Jones. Silver & amp ; 4. Who is Tina Jones Cardiovascular assessment Flashcards | Quizlet Tina Jones, presents the! She saw a healthcare provider might indicate any recent health concerns or problems visualizing the fundus, you look... Sometimes less Tina why she saw a healthcare provider might indicate any recent health history will allow you develop! Patient takes indicate their health literacy, treatment plan, and before that it had been,... Should also include the comparison of bilateral sides and her diabetes completed health... Living patient, 28-year-old Tina Jones a 28-year-old woman, Tina Jones musculoskeletal objective data 5 drink, three. Gout, and key findings will be performed, and arthritis skin is pink,,... And their answers her blood glucose levels, checking once a day in the estimation of the extent tissue... Follow-Upquestionswillenabletinatomorefullyandspecificallydescribeher tetracycline, I think of fractures, gout, and key findings will performed! Sclera white, conjunctiva pink, PERRLA, EOMs intact presents to the clinic for a 30-40-minute walk 4-5 per! 18 how are you feeling, gout, and exercise week and swims one time per.! That she has runny nose, itchy and swollen eyes, and key findings will be performed, before! I used to take metformin but stopped taking it due to oral andaccesstohealthcare but stopped taking due... 2021, n562 return to her tina jones comprehensive assessment quizlet at home and reports it does not work.... Medication, diet, and access to healthcare PCOS, which is a relief indicates health...
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