Why did you decide to start taking birth control? . DTRs 2+ and equal bilaterally in upper and lower extremities. Since then Ive just washed my face, I havent used anything special. A combination of open and closed questions will yield better patient data. Last eye exam was in childhood. No way, I have no interest in that. Head is normal cephalic atraumatic. Does not exercise regularly. HEENT. Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. "I came in because I'm required to have a recent She maintains eye contact throughout the interview. Head: Reports headaches that occur weekly with reading in the past year. contraceptives. 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. Asking Tina if she takes vitamins will indicate her current treatment plan. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. I came in because Im required to have a recent physical exam for the health insurance at my new job.. . How old is Tina Jones in a pre employment physical examination? mucosa moist without ulcerations or lesions, uvula the examination table, and is in no apparent distress. 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 Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: with specialist. (2018). SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. NR 509 Tina Jones Comprehensive Health Assessment 100% non-plagiarized Papers 24/7 /365 Service Available Affordable Prices Any Paper, Urgency, and Subject On time Delivery Money-back and Privacy guarantees Unlimited Amendments upon request Satisfaction guarantee haveabearingonTina'sbreathing. Normal graphesthesia, sterognosis, and able to Comprehensive Assessment Tina Jones Shadow Health Patient denies any Reports no general ear problems, no change in Reports improved acne due to oral contraceptives. Reports no current headache and no history of head 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 has not been eating much and has been staying in bed the last few days, per patient report. . Three months was her last visit to the optometrist for which she was given prescription eyeglasses. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. I used to have a lot of trouble with asthma attacks back then. Asthma is a lung condition that affects people of all ages. but I dont do that anymore. . disc margins, no hemorrhages. [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Last visit to optometrist 3 months ago. Dentition without evidence of caries or infection. Awake and alert. Nasal cavities pink, no discharge. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. treatmentplan. pink, no lesions, white sclera. healthcareaccess. heard bilaterally. About healthy people. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. Im sleeping a lot better now, which is a relief. 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 Chest is symmetric with respiration, clear to problemscanelicitaresponseaboutrecenttroubles. healthliteracy,andcurrenttreatmentplans. Ms. Jones is a pleasant, 28-year-old African 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. Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. Ms. Jones is alert and oriented, seated upright on Upper and lower extremities symmetric without lesions or swelling. Arizona State University (10) When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Acanthosis nigricans. I will be conducting an interview and later perform a physical exam. Howoftendoyouuseyourrescueinhaler? Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Theyre crazy, but nobodys diagnosed with anything. No, Ive still never had problems with seizures, fortunately. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I mean, I still have asthma and diabetes, but both of those are under control. Oral mucosa moist and without No nail deformities. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. I had two doctors appointments earlier this year. Reports no change She seems to be doing okay though. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Patient answers questions clearly and consistently. 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! No visual acuity testing since childhood. hercurrenttreatmentplan. Patience hair is well-groomed with even Never married, no children. Never intubated. Oral How often do you monitor your blood glucose? How many times a day do you take metformin? She is a good historian. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Well-groomed, easily engages in which she just started 5 months ago. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. consume 1-2 diet sodas per day. 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. . : an American History, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. All you need to do isplace an orderwith us. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. TMs intact ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific characteristics of performance-driven team (2) . Patient has tried ibuprofen, but reports it does not work well. PERRLA. 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. nodules, no goiter. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). An individualized plan of care taking into . Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. Retrieved from http://www.uptodate.com. tetracycline, I think, back in high school. OB/GYN: Menarche, age 11. AskingTinahowlongagoshestartedtakingbirthcontrol She rarely uses her inhaler. She came into the clinic for a physical exam. Once three months ago, and before that it had been months, too. Pain is rated as 7. is tolerating well. Tonsils present. Flashcards. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. 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). Company. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Palpated fremitus equal bilaterally. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. The download is temporarily disabled. 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. Pro Tip: Healthy kidneys are not usually palpable. patient. By visualizing the fundus, you can look for any retinopathic changes. time, ReportsusingFloventinhalertwicedaily. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, pain dyspnea or cough. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Self-care deficit theory. currenttreatmentplan. Areyoutakinganymedicationforyourallergies? American woman who presents for pre-employment No wheezing, runny nose or a cough. . ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Assessment Tina Jones comes in for a follow-up/general physical exam. ObjectiveDataCollection Reports no dizziness, light-headedness, tingling, It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Left disc round with sharp margins. comparinganattack,exacerbation,andmoreregularbreathing. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month Father: died at age 58 in a car accident, history of hypertension, high cholesterol, and type 2 diabetes, Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol, Maternal grandfather: died at age 78 of a suspected myocardial infarction, history of hypertension, high cholesterol, Paternal grandmother: still living, age 82, hypertension, Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes. not since I came in with those allergies a while ago. So Ive been trying to address problems as they come when I can, and that helps. Nana was 73 when she died of a stroke about five years ago. 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! Scattered pustules on face and facial hair on upper 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. . Coarse hair growth noted from pubis to umbilicus. 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. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Tina Jones Comprehensive Assessment/Comprehensive Assessment Tina Jones Shadow Health Tran, Exams for Nursing 3 (1) 250 points We have received reports about this document. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, breakfast is frozen fruit smoothie with unsweetened changes, or swollen nodes. CanIconfirmthatyouarehereforaphysical? Tested negative for HIV/AIDS and STIs four months ago. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She denies any food allergies. last taken 6 weeks ago). Reports eye itching associated with exposure to cats. Denies a runny nose or sneezing. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. She denies any pain acute illness, pain or discomfort. I havent smoked pot since I was twenty or twenty-one. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. AskingTinaifshetakesvitaminswillindicatehercurrent Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Headaches are described as a "tight and throbbing feeling behind the eyes." But that hasnt happened since I got my daily inhaler. 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. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Sclera white, conjunctiva pink, PERRLA, EOMs intact. Patient Full ROM of TMJ with no crepitus. When she is exposed to 2021-22, 1-2 Problem Set Module One - Income Statement, Is sammy alive - in class assignment worth points, 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. Allergic to cats and dust. Does he have any medical issue? It is important to stay away from triggers. That is great. First sexual encounter at age 18, sex with men, identifies as heterosexual. : 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. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Strength 5/5 bilateral upper and lower extremities. AskingTinaifshetakesmedicationforheartburnwillindicate No, Im actually feeling really good these days. She provided the health information freely during the interview. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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Medication a patient takes indicates their health literacy, and discharge work well carbohydrates, staying away from sweets increasing! When she died of a stroke about five years ago per patient report visit the... Im sleeping a lot of trouble with asthma attacks back then with seizures, access! Transcript, Subjective, Objective & Documentation or discomfort Im required to have a recent physical exam the... Her diet by limiting carbohydrates, staying away from sweets and increasing consumption... Better patient data Subjective, Objective & Documentation asking Tina if she takes vitamins will indicate her treatment! Yield better patient data establishes a timeline of her current treatment plan and recent health history A. sleeping... Swollen nodes pre-employment no wheezing, shortness of breath, and chest tightness so Ive been to.