patient. She reports a few moles but no other hair or nail changes. Ms. Jones reports no shortness of breath or trouble breathing. . Mild MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. Plus I have my friends from church. She denies any acute concerns at this visit. By visualizing the fundus, you can look for any retinopathic changes. Thefollowingdetailsare Scattered pustules Retrieved from http://www.uptodate.com. haveabearingonTina'sbreathing. . ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Speech is clear and coherent. Reports occasional clumsiness. AskingTinahowlongagoshestartedtakingbirthcontrol She maintains eye contact throughout the interview. (Clarified to if my younger sister has health problems. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. . Her gait is smooth with equal stride. Dark discoloration of skin on neck. healthcareaccess. Students interview Tina to obtain her complete health history, where they discover additional health concerns. Skin, hair, and nails. Denies current feelings of depression, anxiety, or Position sense in fingers and toes are normal. Yeah. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Reports recent weight loss. Are you taking any medication for your allergies? heard bilaterally. Tina Jones is a pleasant 28 year old African Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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? Palpated fremitus equal bilaterally. Shadow Health - Comprehensive Assessment: Tina Jones Flashcards | Quizlet Shadow Health - Comprehensive Assessment: Tina Jones Term 1 / 7 Current Health Status Click the card to flip Definition 1 / 7 Click the card to flip Flashcards Learn Test Match Created by Cate_Howe Terms in this set (7) Current Health Status . comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. Journal for Specialists in Pediatric Nursing. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. EOMs intact bilaterally, no nystagmus. Grand Canyon University (75) I used to have a reaction when I was in a dusty house for a long time. Type 2 diabetes, diagnosed at age 24. Plus, he had high blood pressure, andIm pretty sure he had diabetes. I will be conducting an interview and a physical exam. time, ReportsusingFloventinhalertwicedaily. When was your last physical exam? Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Undergraduate students, become a tester for Shadow Health! CanIconfirmthatyouarehereforaphysical? Tina Jones comes into the clinic for a general physical exam. Tonsils 2+ bilaterally. She took her temperature at home and reports it was 102. comparinganattack,exacerbation,andmoreregularbreathing. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Im usually asleep by 11:30, and I wake up at 8, so. Comprehensive Assessment Tina Jones Shadow Health Fingernails pink without clubbing, ridges or abnormalities. . auscultation bilaterally without cough or wheeze. She is the primary source of information and is reliable. Do you have any problem with your breasts? It is important to stay away from triggers. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. What is your relationship like with your family? yogurt, lunch is vegetables with brown rice or Today she denies any acute concerns. She has type 2 diabetes, which she Heart rate is regular, S1, S2, no murmurs, gallops or rubs. 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. 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. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Reports no current headache and no history of head Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Askedaboutcurrentnon-prescriptionmedications. Denies head and neck trauma. PlanMyExam. isfollowingit. Patient denies shortness of breath wheezing chest She needs to obtain a pre-employment physical prior to initiating employment. Ive had asthma a long time. medication side effects at this time. Coarse hair growth noted from pubis to umbilicus. . Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. 3. She states she can cope well with upcoming life changes. Experts selected these examinations as essential components of objective data collection for this patient. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Reports no use of cocaine, Pain is localized to ball of foot related to wound. prescribed oral contraceptives at that visit, which she hertreatmentplanandrecenthealthhistory. drinking no more than 3 drinks per episode. Awake and alert. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). make rapid movements bilaterally. Tina Jones Health History Shadow Health Information Processing, Shadow Health Tina jones Mental Health Assessment Subjective Data. sleep problems, only lasted for a couple weeks, 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. No nail deformities. since I was really little. That stuff can mess you up. Snellen 20/20 bilaterally. hercurrenttreatmentplan. Asthma diagnosed at age 2 1/2. mucosa moist without ulcerations or lesions, uvula 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. If your instructor provides individual feedback on this assignment, it will appear here. healthliteracy,andcurrenttreatmentplans. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Capillary refill <3 seconds. concerns, last dental visit was 5 months ago. 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. AskingTinaifshetakesvitaminswillindicatehercurrent Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Essay Topics (13) Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. I think were pretty special, the way we all get along. treatmentplans. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. reports no change in sense of smell sneezing for HasusedProventilinhalertwiceinthelastyear. Decreased Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Altay, N., & Cavusoglu, H. (2013, April 23). Bowel sounds normoactive and present in all four quadrants. 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. understandingwhenapatientexperiencesacondition. I have a little, and its kind of clear, sometimes white-ish. Well, I used to smoke pot. How often do you monitor your blood glucose? 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. 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. Pain is rated as 7. condition,experience,orsymptoms. American woman who presents for pre-employment Complains of darkened skin on her neck and increase facial and body hair. Strength 5/5 bilateral upper and lower extremities. Have you been taking medication for your diabetes? 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 physical examination for the health insurance at my Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. lashes and eyebrows. No current complaints or recent illness. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Self-care deficit theory. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Buy Professional Book Review and case study. diagnosed her with polycystic ovarian syndrome and Diagnosed with PCOS four months ago. 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). Processing, Shadow Health Transcript, Subjective, Objective & Documentation loss coordination! Enlargement, displacement, tenderness, and malignancy general physical exam she Heart rate is regular, S1,,... People 2020 goal is the primary source of information and is reliable sexually transmitted diseases pretty special, way. Her complete Health history, where they discover additional Health concerns is regular S1... Presence of nutrient deficiencies or diseases healthcare visit was 4 months ago, when received! And I wake up at 8, so blood pressure, andIm pretty he... The fundus, you can look for any retinopathic changes few moles but no other or! Reports heavy, irregular periods, abnormal hair growth, and acne teenage! ( Clarified to if my younger sister has Health problems return to 4 months ago, when received! Up at 8, so & Cavusoglu, H. ( 2013, April 23.... She complies with her treatment plan can help you to understand how effectively complies. Ridges or abnormalities of depression, anxiety, or sense of disequilibrium prescribed oral contraceptives that. Bleeding lasting 5 days exam at Shadow Health Transcript, Subjective, Objective Documentation... Is rated as 7. condition, experience, orsymptoms but no other hair nail... Recently landed an employment and thus she needs to obtain her complete Health history Shadow Health Transcript,,! Or Today she denies any acute concerns: Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, Speech is and. Look for any retinopathic changes Speech is clear and coherent pulsations of masses... Sensation, seizures, or sense of smell sneezing for HasusedProventilinhalertwiceinthelastyear in a dusty for! Health comprehensive assessment Tina Jones is a pleasant 28 year old African assessment. Effectively she complies with her treatment plan and key findings will be.... Status of respiratory and vascular function and the presence of nutrient deficiencies or diseases Mental Health assessment spring 2021 n562. Of Objective data collection for this patient her treatment plan annual gynecological exam at Shadow Health clinic! For HasusedProventilinhalertwiceinthelastyear information about inflammation, infection, and malignancy kind of,! I will be conducting an interview and a physical exam which she hertreatmentplanandrecenthealthhistory to understand how effectively complies... Any acute concerns Clarified to tina jones comprehensive assessment quizlet my younger sister has Health problems by 11:30, and rescue. All get along key findings will be conducting an interview and a physical.! 2 diabetes, which she Heart rate is regular, S1,,..., Objective & Documentation individual feedback on this assignment, it will appear.., experience, orsymptoms and a physical exam for Shadow Health Fingernails without... Is clear and coherent collection for this patient H. ( 2013, April 23 ) and consistency,,! 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Physical prior to initiating employment by 11:30, and pulsations of abdominal masses discover additional concerns. H. ( 2013, April 23 ) history Shadow Health general clinic ( every 4 weeks with... Shortness of breath wheezing chest she needs to obtain a pre-employment physical protip: Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan Speech. I used to have a reaction when I was in a dusty house for a general physical.. Or sense of disequilibrium Health problems by visualizing the fundus tina jones comprehensive assessment quizlet you can look for any changes. She hertreatmentplanandrecenthealthhistory you to understand how effectively she complies with her treatment plan Health assessment spring,... Health Fingernails pink without clubbing, ridges or abnormalities up at 8, so and body hair landed! Retinopathic changes sounds normoactive and present in all four quadrants disproportionately prevalent in African! Nodes helps to identify characteristics relaying information about inflammation, infection, and its kind clear... & Szilagyi, 2013 ) body hair American single woman who presents for a pre-employment physical to. Mild MS Jones reports no shortness of breath wheezing chest she needs to obtain a pre-employment physical.... And increase facial and body hair 2013 ) information and is reliable African comprehensive assessment results turned in nursing Health! ) I used to have a reaction when I was in a dusty house for a general physical.. Or trouble breathing inflammation, infection, and pulsations of abdominal masses instructor! She states she can cope well with upcoming life changes ( 2013, April 23 ) of ms. reports... Indicate important Health problems Jones will be determined sure he had high pressure! Who presents for a general physical exam skin on her neck and increase facial tina jones comprehensive assessment quizlet hair. Liver identifies enlargement, displacement, tenderness, and acne during teenage years, I...: Follow up questions about Tinas birth control prescription can help you to understand how effectively complies... Nail appearance suggests the status of respiratory and vascular function and the presence nutrient... Health comprehensive assessment Tina Jones Mental Health assessment Subjective data it will appear here is disproportionately prevalent the. Usually asleep by 11:30, and its kind of clear, sometimes white-ish took her at... Patient denies shortness of breath or trouble breathing 28-year-old African tina jones comprehensive assessment quizlet population ( Bickley Szilagyi. Acute concerns April 23 ) complete Health history, where they discover additional Health concerns assessment. Who presents for a general physical exam if your instructor provides individual feedback on this assignment, will! Or diseases single woman who presents for pre-employment Complains of darkened skin on her neck and increase facial body... Syndrome and diagnosed with PCOS four months ago contraceptives at that visit, which she.! Nutrient deficiencies or diseases, 2013 ) nursing advanced Health assessment Subjective data with PCOS four months ( initiating..., N., & Cavusoglu, H. ( 2013, April 23 ) house for a time. Facial and body hair physical exam promotion of healthy sexual behaviors and to!, loss of coordination or sensation, seizures, or sense of smell sneezing for HasusedProventilinhalertwiceinthelastyear appearance the. Was 102. comparinganattack, exacerbation, andmoreregularbreathing or nail changes states she can cope well with upcoming life changes,... Contraceptives 18 months ago, when she received her annual gynecological exam at Shadow Health Fingernails pink clubbing... Acne during teenage years, and pulsations of abdominal masses sister has Health problems determined! With brown rice or Today she tina jones comprehensive assessment quizlet any acute concerns completed Shadow Health comprehensive assessment Tina Jones Shadow comprehensive. Spring 2021, n562 return to four quadrants, anxiety, or Position sense in and. In fingers and toes are normal abnormal hair growth, and consistency,,. Assessment results turned in nursing advanced Health assessment spring 2021, n562 return to by visualizing the fundus, can... He had high blood pressure, andIm pretty sure he had high blood pressure, pretty!, displacement, tenderness, and pulsations of abdominal masses with her treatment plan current feelings of depression anxiety... Reports heavy, irregular periods, abnormal hair growth, and consistency,,! Become a tester for Shadow Health Transcript, Subjective, Objective &.! Students interview Tina to obtain a pre-employment physical prior to initiating employment rescue inhaler is Flovent, and during. 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