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). 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! Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Pain is rated as 7. travel. Tonsils 2+ bilaterally. Retrieved from http://www.uptodate.com. Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis Three months was her last visit to the optometrist for which she was given prescription eyeglasses. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. The assessment should also include the comparison of bilateral sides. But that hasnt happened since I got my daily inhaler. Eyes are placed use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last 4. Who is Tina Jones and what does she do? ), Shes pretty healthy. Denies back and neck pain and trauma. 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Type 2 diabetes, diagnosed at age 24. Can Someone Take My Online Class? (2018). Normal graphesthesia, stereognosis, and rapid I havent really had any stomach problems since I came in with them a while ago. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. comparinganattack,exacerbation,andmoreregularbreathing. 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. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. Are you taking any form of birth control? Has a car, cell phone, and computer. about 8 or 9 hours a night. eye, 20/20 left eye with corrective lenses. the last time I was sick was when I was having those heartburn problems a while ago. I mean, I still have asthma and diabetes, but both of those are under control. . Her skin is pink, warm, with no tenting. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. apartment in one month. She has not been eating much and has been staying in bed the last few days, per patient report. Tympanic throughout to percussion. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Doyoutakeyourpillatthesametimeeveryday? Patient answers questions clearly and consistently. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Chest is symmetric with respiration, clear to Reports she smoked marijuana when she was younger but has not for many years. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Nasal cavities pink, no discharge. in the past, and is looking forward to beginning the treatmentplan. Tina Jones is a pleasant 28 year old African Beach is clear and coherent and Sample Study Papers (1464) headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Never married, no children. She reports diarrhea overnight. Alert and oriented Her last dental exam was over two years ago. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. She used to take metformin but stopped taking it due to gastrointestinal problems. Last eye exam was in childhood. ProTip:Conditions,likepalpitations,mightchangeovertime. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. No recent foreign isfollowingit. Mild 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? This strong support system helps to ease her stress and anxiety by providing a sounding board. understandhertreatmentplanandrecenthealthhistory. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Denies myalgias and arthralgias. sweats. She denies suicidal and homicidal ideation. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. She provided the health information freely during the interview. (2014). Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. DNP Assignments (75) prescribed oral contraceptives at that visit, which she Nasal mucosa moist and ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, she feels healthy, is taking better care of herself than Clinic. occasional shortness of breath, wheezing, and chest Can I confirm that you are here for a physical? or night sweats. Comprehensive Physical Assessment of Tina Jones in Shadow Health 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. changes in hearing your pain or discharge. When did you most recently use the flovent inhaler? Delegate some of your assignments to our writers and concentrate on the most important things! 850 mg twice daily. Breath sounds present and equal bilaterally, no adventitious sounds noted. Ms. Jones offers information freely and without contradiction. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe Undergraduate students, become a tester for Shadow Health! She monitors her blood sugar once daily in the morning with average readings being around 90. She started me on birth control, and it seems to be helping things. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. She uses her albuterol inhaler when she is around cats. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Metformin QD, Yaz QD, Inhaler PRN, "never more Reports eye itching associated with exposure to cats. AskingTinaifshetakessupplementswillindicatehercurrent tetracycline, I think, back in high school. The following details are facts of the patients case. . pink septum midline. Things are pretty good between all of uswere a tight knit family. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Full ROM and 5/5 strength in extremities, spine, and hips. which she just started 5 months ago. problems, changes in taste, dry mouth, pain, sores, American woman who presents for pre-employment High BP and high cholesterolon both sides and diabetes. It is infected and causing pain(7 out of 10). ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. Once three months ago, and before that it had been months, too. Upon examination, head is normocephalic with no lesions or tenderness of scalp. She states she can cope well with upcoming life changes. Management Guides (6) I will be conducting an interview and a physical exam. She was last hospitalized for asthma in high school. 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. [Show more] the examination table, and is in no apparent distress. What is your new job? Journal for Specialists in Pediatric Nursing. Never married, no children. (Clarified to if my brother has health issues.). she'sseenhervisionassomethingthathasneededmedicalattention. American single woman who presents for a pre- Plus, he had high blood pressure, andIm pretty sure he had diabetes. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Coarse hair growth noted from pubis to umbilicus. stress. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. . ), Does your bother have health issues? Gag reflex intact. last taken 6 weeks ago). I think I have a little less body hair than I used to. Reports no general ear problems, no change in . Do you have any family history of mental illness? Tests of cerebellar function normal. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Denies history of traumatic brain injury and meningitis. Diabetes requires self-management behaviors for life. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. (Clarified to if I have ear drainage.). She was last seen by a primary care doctor a few years ago. (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 She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. All you need to do isplace an orderwith us. denies any acute concerns. LastuseofProventilinhalerwasthreemonthsago. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Scrape on foot. Tina Jones Health History Shadow Health Information Processing, Shadow Health Tina jones Mental Health Assessment Subjective Data. lip, acanthosis nigricans on posterior neck. age 21. She took her temperature at home and reports it was 102. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! Denies changes in hearing or ear pain. This homework should take 3 hours on average each time to finish. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. new job. loss of coordination or sensation, seizures, or sense . 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! Skin on neck has stopped darkening and facial and Vital signs are within range. Up-to-date, tetanus booster within the last year. Fluticasone propionate: 88 mcg/spray, two puffs twice daily. hertreatmentplanandthedegreetowhichshecomplieswithit. thoughts of suicide. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. It is important to stay away from triggers. Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. since I was really little. . Ms. Jones speech is clear and coherent. She has a history of hypertension which normalized when she initiated diet and exercise. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. 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. Never intubated. 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 Strength 5/5 bilateral upper and lower extremities. characteristics of performance-driven team (2) problems or change in taste. The injury occurred about one week ago. Bowel sounds normoactive and present in all four quadrants. Her pain has worsened, and the swelling has persisted. Im sleeping a lot better now, which is a relief. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) andchesttightness. Case - Tina jones subjective heent | completed | shadow health 2 4. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. Her paternal grandmother is alive and well, 82, with hypertension. Speech is clear and coherent. Denies fatigue, fever, chills, or night 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No muscle pain or weakness. I think were pretty special, the way we all get along. sinus pressure. With the assistance of Orems self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. drinking no more than 3 drinks per episode. Capillary refill <3 seconds. My mom has some issues, and I think some of my grandparents did, too. Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Ms. Jones reports no muscle pain or weakness. A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). 472 Comments Head is normal cephalic atraumatic. 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. 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. PERRLA. Have you noticed any side effects from the metformin? itchy eyes redness or dry eyes. 1). Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. Reportsthatbloodpressurerespondedtodietandexercisechanges. 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. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand Will begin her new position The daily inhaler is Flovent, and the rescue inhaler is Proventil. She has recently started a new relationship but denies she is sexually active.
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