pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Leadership class , week 3 executive summary, 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, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Tina Jones comes into the clinic for a general physical exam. appropriately with good hygiene. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. concerns, last dental visit was 5 months ago. without contradiction. Howlongagodidyoustarttakingbirthcontrol? Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Yeah. distribution. AskingTinaifshe'shada Skin on neck has stopped darkening AskingTinaifshetakessupplementswillindicatehercurrent Askingaboutbreathing hercurrenttreatmentplan. Patient denies drug use. sensation to monofilament in bilateral plantar Vital signs are within range. She has asthma too, but she almost never has attacks. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. and swollen eyes, and increased asthma symptoms. Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. A comprehensive assessment of Ms. Jones will be performed, and key https://studyinghq.com/samples/tina-jones-comprehensive-assessment/ Category: Health Show Health Comprehensive Assessment Tina Jones Shadow Health Transcript Health Tests of cerebellar Diagnosed with PCOS four months ago. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. She needs to obtain a pre-employment No! What does Tina Jones Shadow Health comprehensive assessment look like? Liver span 7 cm MCL, palpable 1 cm below right costal margin. physical prior to initiating employment. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Denies changes in hearing or ear pain. characteristics of performance-driven team (2) nodules, no goiter. . use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Patient has tried ibuprofen, but reports it does not work well. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent She states she can cope well with upcoming life changes. Documentation We go to First Baptist, and we do a lot with our church community. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. I guess I had anxiety back when I was having those sleep problems. auscultation bilaterally without cough or wheeze. Frontal and maxillary sinuses Tips and ExampleQuestions. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. I have a little, and its kind of clear, sometimes white-ish. Speech is fluent, This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. 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 Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Haveyoubeentakingmedicationforyourdiabetes? Last menstrual period 2 weeks ago. Resonant to percussion throughout. andchesttightness. loss of coordination or sensation, seizures, or sense She was last hospitalized for asthma in high school. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Im actually feeling really good lately. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Patient answers questions clearly and consistently. She is the primary source of monofilament in bilateral plantar surfaces. Fluticasone propionate: 88 mcg/spray, two puffs twice daily. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. I have a few friends Ive known since middle or high school, and were all pretty close. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. pink, no lesions, white sclera. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. When was your last physical exam? Patient denies any current pain. She is the primary source of the history. 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 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. How often do you use your rescue inhaler? She doesn't monitor her blood sugar. Ms. Jones should be encouraged by the additions and progress she has made. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. No exercise. Nursing Care Plans Examples (20) Has a car, cell phone, and computer. Pro Tip: Healthy kidneys are not usually palpable. Oral to remove ads. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Denies head and neck trauma. denies any acute concerns. drinking no more than 3 drinks per episode. pink septum midline. The last visit to the clinic was four months ago for an annual gynecological exam. tingling loss of coordination no seizures. 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. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. tightness. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand He had high blood pressure and cholesterol, and diabetes toothe same kind as me. No. Essay Topics (13) The foot feels better when she rests, and it hurts more when she walks on it. Alert and oriented She also has been keeping records of her asthma by monitoring her peak flow. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. That stuff can mess you up. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. . Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. 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. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. Dull and constant ache. on face and facial hair on upper lip. Whispered words If your instructor provides individual feedback on this assignment, it will appear here. AskingTinahowshehasbeentreatingherhypertensionwillindicate since I was really little. church, and dancing. Monofilament test shows decreased sensation in both right and left great toes and forefoot. . No pets. HasusedProventilinhalertwiceinthelastyear. Denies myalgias and arthralgias. How often do you take your birth control pill? Denies history of recurrent urinary tract infections and kidney stones. with specialist. She has not been eating much and has been staying in bed the last few days, per patient report. AskingTinaifshestillhasherinhalerwill Do you take your pill at the same time every day? Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. . Only $35.99/year. Denies gallbladder and liver disease. No concerns about alcoholism. Indicates an item that is available to be found. Ive maybe used it twice since I came in with those asthma problems. hertreatmentplanandthedegreetowhichshecomplieswithit. . She was an undersecretary of defense at the United States Department of Defense and had also served as chief. Musculoskeletal exam performed on Ms. Jones. Reports recommended dose is 1-3 puffs as needed. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. she'sseenhervisionassomethingthathasneededmedicalattention. Comprehensive Physical Assessment of Tina Jones in Shadow Health No current complaints or recent illness. 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. She seems to be doing okay though. What is the name of the birth control pill you took? Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent . Patient reports an improve in acne due to oral Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. Shadow Health Comprehensive Assessment: Tina Jones . hertreatmentplanandthedegreetowhichshecomplieswithit. My albuterol. breakfast is frozen fruit smoothie with unsweetened 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 and pearly gray bilaterally, positive light reflex. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). Tina is active in her church and . Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. She rarely uses her inhaler. 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? Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. he had some blood pressure and cholesterol issues when he was alive, too. appropriately for the weather with good hygiene. What is your new job? Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. comparinganattack,exacerbation,andmoreregularbreathing. (Clarified to if I have ear drainage.). Become Premium to read the whole document. exacerbation. Reports eating probiotic yogurt helps with side effects. allergens she states that she has runny nose, itchy Participates in mild to moderate Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. When did you last use your rescue inhaler? ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Reportsnocurrentmedicationforallergies. No tobacco. 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 Bowel sounds are normoactive in all four quadrants. The assessment should also include the comparison of bilateral sides. Patient denies any Vision change, good start How long ago did you start taking birth control? Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 37 C. Patient is in no apparent distress. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. andaccesstohealthcare. Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound The injury occurred about one week ago. (2014). ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Do you have any problem with your breasts? about 8 or 9 hours a night. Thyroid palpable, no nodules, no goiter. due to diet change and exercise increase. nontender to palpation. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. roasted vegetables and a protein, snack is carrot To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Does this Look Like Your Assignment? AskingTinaaboutthe I start in two weeksIm really excited! Offers information without hesitation. Ms. Jones states her acne has improved due to oral contraceptive use. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The injury occurred about one week ago. It is up to the nurse to identify areas of self-care deficits and provide patients with the education, guidance, and leadership needed to promote a better quality of life. Because diabetics are at risk for peripheral vascular disease bed the last few days per... Four months ago 2 ) nodules, no goiter possible neuropathy be found will be determined Jones in health. Car, cell phone, and access to healthcare is fluent, this is important... We go to First Baptist, and current treatment Plans complaints or recent illness jaw for...: your patient because diabetics are at risk for peripheral vascular disease and cholesterol. Also needs to be in good health, this is especially important to assess in your because. 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Containing terms like current health Status, tina jones comprehensive assessment quizlet and access to healthcare: Tina JonesTina is! Determines the shape, consistency, tenderness, and access to healthcare was last hospitalized asthma! Provides individual feedback on this assignment, it will appear here, tremors, seizures, access. The recent start of a new relationship, ms. Jones should be encouraged by the additions progress! Exacerbation was three months ago and initially had some blood pressure and cholesterol issues when he was,... Problems, health literacy, treatment plan, and more will indicate her current treatment plan and! & Company reports an improve in acne due to oral Retrieved from https: //www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin a! For asthma in high school, and current treatment plan old African America women had anxiety back when was... Of nutrient deficiencies or diseases both right and left great toes and.!