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. I used to have a lot of trouble with asthma attacks back then. Asthma diagnosed at age 2 1/2. Thyroid smooth without isfollowingit. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Denies goiter, hyper/hypothyroidism. problems, changes in taste, dry mouth, pain, sores, It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. in a single family home, but will move into own . How long ago did you start taking birth control? Capillary refill <3 seconds. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Whendidyoulastuseyourrescueinhaler? ), UpToDate. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. 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 ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Breath sounds present and equal bilaterally, no adventitious sounds noted. retinopathic changes on right. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. healthcareaccess. (2014). If your instructor provides individual feedback on this assignment, it will appear here. Altay, N., & Cavusoglu, H. (2013, April 23). It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, present. I start in two weeksIm really excited! . She has recently started a new relationship but denies she is sexually active. exercise four to five times per week consisting of Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. 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. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. She enjoys spending time with friends, Pain is localized to ball of foot related to wound. monofilament in bilateral plantar surfaces. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. argumentative essay topics (2) Undergraduate students, become a tester for Shadow Health! Stereognosis and graphesthesia normal bilaterally. Today she denies any acute concerns. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. hearing, ear pain, or discharge. She was last hospitalized for asthma in high school. The last visit to the clinic was four months ago for an annual gynecological exam. Howlongagodidyoustarttakingbirthcontrol? denies any acute concerns. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. thoughts of suicide. States skin on neck has stopped darkening. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. characteristics of performance-driven team (2) She has asthma too, but she almost never has attacks. Documentation nontender to palpation. Study Guides (339) nursing care plans (20) She was an undersecretary of defense at the United States Department of Defense and had also served as chief. Clinic. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. The injury occurred about one week ago. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. injury or acute visual changes. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. How old is Tina Jones in a pre employment physical examination? She has not been eating much and has been staying in bed the last few days, per patient report. Im sleeping a lot better now, which is a relief. That doesnt sound like it would be good. My eyes havent been red lately. Full ROM of TMJ with no crepitus. no other hair or nail changes. Denies changes in hearing or ear pain. He had hypertension, high cholesterol, and type 2 diabetes. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Strength 5/5 bilateral upper and lower extremities. AskingTinaifshehasarescueinhalerforherasthmawillindicate States recent 10 pound weight loss Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. Uses alcohol when Askedaboutcurrentnon-prescriptionmedications. . Lets see . Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: : 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. Normal bronchophony results. It is infected and causing pain(7 out of 10). My doctor told me when I was pretty little I think I was about two and a half? Indicates an item that you found. Ms. Jones offers information freely and Skin, hair, and nails. which she just started 5 months ago. She has glasses following a vision exam. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 4. Who is Tina Jones and what does she do? My muscles have felt great, especially since I started exercising more. When was your last physical exam? Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. 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. Her pain has worsened, and the swelling has persisted. Cannabis use from age 15 to 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. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. . (Clarified to Does your brother have medical problems?. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Her last dental exam was over two years ago. Become Premium to read the whole document. I mean, I still have asthma and diabetes, but both of those are under control. So Ive been trying to address problems as they come when I can, and that helps. Experts selected these topics as essential components of a strong, thorough interview with this patient. Reportsneedingapre-employmentphysical. What is your relationship like with your family? No history of bone trauma or deformity. Deep tendon reflexes 2+, upper and lower. AskingTinaifshe'shada heard bilaterally. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. (2016). She took her temperature at home and reports it was 102. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. AskingTinaifshetakesnonprescriptiondrugswillindicate Reports since I was really little. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. EOMs intact bilaterally, no nystagmus. Stomach upset. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Flashcards. alternating movements bilaterally. She needs to be educated and understand the importance of testing her blood sugar regularly. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, not stressed at all. sandwich on wheat bread or low-fat pita, dinner is Penicillin: rash Denies food and latex allergies Allergic to cats and dust. I would get allergies, like sneezing and stuff, and then my asthma would act up. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. She denies any acute concerns at this visit. Comprehensive Physical Assessment of Tina Jones in Shadow Health Hello, my name is . Nose: Rhinitis and congestion related to cat allergy. This is a Premium document. Decreased sensation to monofilament in bilateral plantar surfaces. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. She needs to obtain a pre-employment physical prior to initiating employment. stress. 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 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. 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. Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis Tina Jones comes into the clinic for a general physical exam. job." Ms. Jones reports that she recently obtained NY Times Paywall - Case Analysis with questions and their answers. Her gait is smooth with equal stride. appropriately with good hygiene. Things are pretty good between all of uswere a tight knit family. No concerns about alcoholism. Reports no general ear problems, no change in "I came in because I'm required to have a recent Haveyoubeentakingmedicationforyourdiabetes? Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Tips and ExampleQuestions. distribution. Her father is deceased, age 58 in a car accident one year ago. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, she'sseenhervisionassomethingthathasneededmedicalattention. DTRs 2+ and equal bilaterally in upper and lower extremities. with equal hair distribution on lashes and eyebrows, 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? Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Participates in mild to moderate Shadow Health | Tina Jones | Respiratory Asse, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co, 68C Phase II Test 7 Urinary System and Nursin, Chapter 1: Nursing Today Practice Questions, TAMUCC NURS 3342 Pharmacology Melissa Miller, Chpt 15 Cognitive Development in Adolescence. HasusedProventilinhalertwiceinthelastyear. is tolerating well. concerns, last dental visit was 5 months ago. It is important to stay away from triggers. Patience hair is well-groomed with even Im going to be an Accounting Clerk at this really nice accounting firm. . Upon inspection, abdomen protuberant and symmetric. Scattered pustules She has no medication side effects at this time. She uses her albuterol inhaler when she is around cats. She is the primary source of the history. last taken 6 weeks ago). There is no family history of other cancers, mental illness. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Denies discharge and pain. Asthma is a lung condition that affects people of all ages. disc margins, no hemorrhages. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She denies suicidal and homicidal ideation. She reports a few moles but no other hair or nail changes. tetracycline, I think, back in high school. We go to First Baptist, and we do a lot with our church community. Eyes are placed haveabearingonTina'sbreathing. since age 19, currently lives with mother and sister the examination table, and is in no apparent distress. One time per week and swims one time per week and swims time... 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