Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. AskingTinaaboutthe Patient is seated upright on the examination Based on these findings, along with guidance from the central goals of Healthy People 2020, a plan of care specialized to Ms. Jones was created, considering her age and culture. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. function normal. But my zits have gotten better, and I think its because Im on birth control now. Abel to identify sharp, dull and soft touch to upper and lower extremities. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. healthliteracy,andcurrenttreatmentplans. Decreased sensation to monofilament in bilateral plantar surfaces. Asthma diagnosed at age 2 1/2. Thyroid smooth without At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. . American single woman who presents for a pre- Haveyoubeentakingmedicationforyourdiabetes? LastuseofProventilinhalerwasthreemonthsago. 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 exacerbation. Hes a little big, maybe. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. There is no family history of other cancers, mental illness. Tips and ExampleQuestions. The download is temporarily disabled. Patient denies any current pain. 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 Reports improved acne due to oral contraceptives. andaccesstohealthcare. tingling loss of coordination no seizures. Experts selected these topics as essential components of a strong, thorough interview with this patient. Reports sometimes needing 3 puffs to control symptoms. methamphetamines, and heroin. Nasal cavities pink, no discharge. Shadow Health - Comprehensive Assessment: Tina Jones. Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. She is the primary source of High BP and high cholesterolon both sides and diabetes. sweats. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Howlongagodidyoustarttakingbirthcontrol? haveabearingonTina'sbreathing. Askedaboutcurrentnon-prescriptionmedications. Her skin is pink, warm, with no tenting. Bilateral carotids 2+, no thrill, no bruits. The assessment should also include the comparison of bilateral sides. Never married, no children. 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. patient. Lag, nystagmus, and deviations may indicate neurologic conditions. No history of bone trauma or deformity. Patience hair is well-groomed with even Denies history of recurrent urinary tract infections and kidney stones. All you need to do isplace an orderwith us. Ms. Jones reports no shortness of breath or trouble breathing. Reports no general mouth 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. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. the history. words are clear. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Dentition without evidence of caries or infection. exercise four to five times per week consisting of Ive had asthma a long time. in two weeks at Smith, Stevens, Stewart, Silver, & By visualizing the fundus, you can look for any retinopathic changes. heard bilaterally. Full ROM of TMJ with no crepitus. 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. reports no change in sense of smell sneezing for 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. Essay Topics (13) out with friends, 2-3 times per month, reports Resonant to percussion throughout. Acombinationofopenandclosedquestionswillyieldbetterpatientdata. abilities have improved previous sleep difficulties. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). present. Reportsnocurrentmedicationforallergies. Patient denies shortness of breath wheezing chest My doctor told me when I was pretty little I think I was about two and a half? Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. When did you last use your rescue inhaler? . 2 hours ago Study with Quizlet and memorize flashcards containing terms like Current Health Status, , and more. Mild retinopathic changes on the right. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). place, and time. medication side effects at this time. How long ago did you start taking birth control? No foreign travel. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. tetracycline, I think, back in high school. pressure, or rhinorrhea. Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Speech is fluent, MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. (Clarified to Does your brother have medical problems?. Patient answers questions clearly and consistently. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. distribution. Has new male relationship, sexual contact not initiated. loss of coordination or sensation, seizures, or sense Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Retrieved from http://www.uptodate.com. DTRs 2+ and equal bilaterally in Reports no use of cocaine, Ive maybe used it twice since I came in with those asthma problems. Reports recent weight loss. Speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. changes in hearing your pain or discharge. PMI nondisplaced, no heaves or lifts. bilaterally on the head with equal hair Distribution on Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. . ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher healthliteracy,andcurrenttreatmentplans. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. 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. Comprehensive Assessment Tina Jones Shadow Health This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. Can I confirm that you are here for a physical? establishesatimelineofhercurrenttreatmentplan. eye, 20/20 left eye with corrective lenses. . Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. No tenderness or guarding to palpation. Nursing Care Plans Examples (20) isfollowingit. maintains eye contact throughout the interview. I havent had any problems with diarrhea. Allergic to cats and dust. No current dental Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. No pregnancies. yogurt, lunch is vegetables with brown rice or We go to First Baptist, and we do a lot with our church community. coursehero/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/. Shadow Health Comprehensive Assessment: Tina Jones . Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. 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. No. due to exercise. andaccesstohealthcare. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Skin on neck has stopped darkening and facial and body hair has improved. Reports no eye pain, A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? pain dyspnea or cough. gynecological exam at Shadow Health General Ms. Jones states no joint pain, stiffness, swelling, or limitation. Patient has tried ibuprofen, but reports it does not work well. body hair has improved. 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. sandwich on wheat bread or low-fat pita, dinner is PlanMyExam. stress. (Clarified to if my younger sister has health problems. understandhoweffectivelyshecomplieswithhertreatmentplan. She has asthma too, but she almost never has attacks. Whispers heard bilaterally. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. No recent or frequent illness, fatigue, fevers, chills, She has glasses following a vision exam. lids without lesions, no ptosis or edema. If your instructor provides individual feedback on this assignment, it will appear here. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. contradiction. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. Sinus palpated with no tenderness noted. 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. ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. Indicates an item that is available to be found. She states she can cope well with upcoming life changes. 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