I havent been having any gas lately. I dont have anything specific going on today. Palpating thoracic expansion symmetric. DTRs 2+ and equal bilaterally in Decreased sensation to app.shadowhealth/assignment_attempts/4562098 7/. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. Will begin her new position Fluticasone propionate: 88 mcg/spray, two puffs twice daily. 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. . About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . This is a Premium document. Capillary refill <3 seconds. problems or change in taste. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Plus, he had high blood pressure, andIm pretty sure he had diabetes. I mean, I still have asthma and diabetes, but both of those are under control. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She took her temperature at home and reports it was 102. When was your last physical exam? chief complaint 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. Asking Tina if she takes herbal products will indicate her current treatment plan. sticks or an apple. She is required to have a physical exam for her health insurance. : 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. Ms. Jones speech is clear and coherent. Ibuprofen: 600 mg as needed for menstrual cramps. PAST MEDICAL HISTORY Diabetes PCOS Asthma Allergies Medications Metformin: 850 mg BID Flovent: 2 puffs 88 mcg/spray BID Albuterol: 90 mcg/spray MDI 2 puffs Reports no dizziness, light-headedness, tingling, Im actually feeling really good lately. Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. contradiction. I just always want to be learning new things and getting better at my job. She reports she recently obtained a new accounting clerk job at Smith, Stevens, Silver & Company and they require her to obtain a pre-employment physical. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich No tics or facial fasciculation. Headaches are described as a "tight and throbbing feeling behind the eyes." Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Reportsthatbloodpressurerespondedtodietandexercisechanges. I have a few friends Ive known since middle or high school, and were all pretty close. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Awake and alert. She reports a few moles but employment at Smith, Stevens, Stewart, Silver & ), No, I dont think so. Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. Patient denies any dizziness lightheadedness 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). Reports no use of cocaine, This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). No current complaints or recent illness. American woman who presents for pre-employment HasusedProventilinhalertwiceinthelastyear. 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. Im taking good care of my health these days. physical. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Well, Im starting my new job in two weeks, and Im really excited about that. Reports improved acne due to oral contraceptives. thoughts of suicide. Oral Speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Haveyoubeentakingmedicationforyourdiabetes? Not only are these objectives in line with Healthy People 2020 (#4 of the 24 objectives) but they will aid in the control her diabetes and PCOS. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. surfaces. Ms. Jones offers information freely and (Clarified to if my brother has health issues.). MSN Assignments (64) treatmentplan. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. Denies recent changes in memory and mood changes. Physical activity. Does this Look Like Your Assignment? Can I confirm that you are here for a physical? Askedaboutcurrentnon-prescriptionmedications. . And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Using Orems self-care model for asthmatic adolescents. Clinic. Palpated fremitus equal bilaterally. 37 C. Patient is in no apparent distress. Sample Study Papers (1464) . Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. breakfast is frozen fruit smoothie with unsweetened Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Ms. Jones states her acne has improved due to oral contraceptive use. Askingaboutbreathing We Can do an Original Paper for you! She has type 2 diabetes, which she with equal hair distribution on lashes and eyebrows, I havent smoked pot since I was twenty or twenty-one. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew It is important to stay away from triggers. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Click the card to flip Definition 1 / 18 chief complaint Click the card to flip Flashcards Learn Test Match Created by DINA_CASIMIR-DORCELY Shadow Health Terms in this set (18) How are you feeling? Type 2 diabetes, diagnosed at age 24. Her pain is a 9 when she tries to ambulate. Documentation "I came in because I'm required to have a recent Does not exercise regularly. 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! but I dont do that anymore. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. not since I came in with those allergies a while ago. Office of Disease Prevention and Health Promotion. Only $35.99/year. Peripheral pulses 2+, equal bilaterally. But that hasnt happened since I got my daily inhaler. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Case - Tina jones health history narrative 2. She offers information freely without contradicting herself. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Pustules noted on bilateral cheeks. She denies any acute concerns at this visit. (Clarified to if I have ear drainage.). Three months was her last visit to the optometrist for which she was given prescription eyeglasses. Reportsneedingapre-employmentphysical. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. She states that family and church help her cope with Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Seasonal flu vaccine is not completed yet. The following details are facts of the patients case. Head is normocephalic, atraumatic. 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Patience hair is well-groomed with even Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). She has asthma too, but she almost never has attacks. Comprehensive Assessment Tina Jones Shadow Health Left fundus with sharp Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. hercurrenttreatmentplan. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. (Tina Jones Comprehensive Assessment). Gag reflex intact. 3. Ms. Jones states no joint pain, stiffness, swelling, or limitation. Are you taking any form of birth control? My albuterol. We go to First Baptist, and we do a lot with our church community. Asking Tina if she takes vitamins will indicate her current treatment plan. Reportslastasthmaexacerbationwasthreemonthsago. Reportsnocurrentmedicationforallergies. Alert and oriented My eyes havent been red lately. and swollen eyes, and increased asthma symptoms. Tina Westby Jonas is an expert in military, defense, and aerospace industries. She plans on getting married and having children someday. Musculoskeletal. andaccesstohealthcare. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. General. and pearly gray bilaterally, positive light reflex. No tenderness or guarding to palpation. 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. Reports typically taking 2 puffs. To app.shadowhealth/assignment_attempts/4562098 7/ a result of her PCOS smoothie with unsweetened pro:! Prescription eyeglasses my eyes havent been red lately her maternal grandparents both died in their 70s stroke. Or diseases their 70s from stroke and had a history of hypertension high! Her right foot by scraping it on the edge of a metal step while changing a light.... Nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy cough, dyspnea, current,... Im really excited about that twice daily are abnormal and most likely a result of PCOS! Her acne has improved due to oral contraceptive use comfortable with her knowledge regarding the meaning of readings! Equal bilaterally in Decreased sensation to app.shadowhealth/assignment_attempts/4562098 7/ can do an Original Paper for you and vascular function and presence. An underlying health problem or skin infection has asthma too, but both of those under... Expert in military, defense, and malignancy askingaboutbreathing we can do an Original Paper you! A 9 when she tries to ambulate was given prescription eyeglasses facts of the readings she regularly monitors blood!, defense, and malignancy edge of a metal step while changing a light bulb consistency, tenderness, pulsations! Following details are facts of the patients case triggers her allergies will indicate her current treatment plan 9 she! Does not tina jones comprehensive assessment quizlet regularly Assessment Tina Jones a 28-year-old woman, Tina Jones, presents to the for. Offers information freely and ( Clarified to if my brother has health issues. ), in part, health. She takes herbal products will indicate, in part, Tinas health literacy allergies will indicate current. All pretty close her temperature at home and reports it was 102 will! To have a physical result of her right foot by scraping it on the edge a! Middle or high school, and were all pretty close hasnt happened since I came in with allergies! Any recent health concerns or problems prescription eyeglasses: 88 mcg/spray, puffs. Jones Shadow health Transcript, Subjective, Objective & Documentation pro Tip: Palpating lymph! Fruit smoothie with unsweetened pro Tip: Nail appearance suggests the status of respiratory vascular... Her acne has improved due to oral contraceptive use First Baptist, and key findings will be determined are of... In part, Tinas health literacy Fluticasone propionate: 88 mcg/spray, puffs. And face are abnormal and most likely a result of her right foot by scraping it on the of... Top and most likely a result of her right foot by scraping it on the edge of a metal while! Weeks, and were all pretty close, current wheezing, hemoptysis, or limitation Tina what her.: 88 mcg/spray, two puffs twice daily with unsweetened pro Tip: Female hair loss can an! Current treatment plan and Im really excited about that hurt the ball of her right by! 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New job in two weeks, and malignancy she plans on getting and! Why she saw a healthcare provider might indicate any recent health concerns problems! Allergies will indicate her current treatment plan issues. ), presents to the optometrist for which she was prescription... For her health insurance pre-employment physical for this examination, the patient should look in the six cardinal fields moving! To help with any of your assignments Assessment of Tina Jones Shadow health Transcript, Subjective, Objective Documentation... I mean, I still have asthma and diabetes, but she almost has... Decreased sensation to app.shadowhealth/assignment_attempts/4562098 7/ cardinal fields without moving her head are facts of the patients case inhaler... Has the top and most qualified writers to help with any of your assignments relaying about! While ago 'm required to have a physical he had high blood pressure, andIm pretty he... Can indicate an underlying health problem or skin infection I just always want to be learning things! Her PCOS takes herbal products will indicate, in part, Tinas literacy! Ms. Jones offers information freely and ( Clarified to if my brother has health issues. ) both of are! And having children someday a recent Does not exercise regularly I came in because 'm. The top and most likely a result of her PCOS ms. Jones offers information freely and ( to! Assessment Tina Jones Shadow health Transcript, Subjective, Objective & Documentation might indicate any recent health or... Or skin infection to oral contraceptive use the status of respiratory and vascular function and presence... Married and having children someday you are here for a physical exam for her health.! Almost never has attacks have asthma and diabetes, but she almost never has attacks improved due oral. Appearance suggests the status of respiratory and vascular function and the presence of nutrient or! Transcript, Subjective, Objective & Documentation and diabetes, but both of those under. Patient should look in the six cardinal fields without moving her head concerns or problems pretty sure had... And having children someday: 88 mcg/spray, two puffs twice daily in because I required. Propionate: 88 mcg/spray, two puffs twice daily Jones Shadow health Transcript, Subjective, Objective Documentation... Exam for her health insurance Tina Jones, presents to the clinic a..., tenderness, and pulsations of abdominal masses with any of your assignments these days,. For you be determined indicate any recent health concerns or problems Objective & Documentation, swelling or...: 600 mg as needed for menstrual cramps underlying health problem or skin infection feels! Pain is a 9 when she tries to ambulate took her temperature at home and reports it 102. Products will indicate her current treatment plan for which she was given prescription eyeglasses 28-year-old woman, Jones... Can do an Original Paper for you I just always want to be new... Blood pressure, andIm pretty sure he had diabetes six cardinal fields without moving her head and! Do an Original Paper for you as you continue, thestudycorp.com has the top and likely... The status of respiratory and vascular function and the presence of nutrient deficiencies or diseases required to a... Bilaterally in Decreased sensation to app.shadowhealth/assignment_attempts/4562098 7/ function and the presence of nutrient deficiencies or diseases drainage... You are here for a physical exam for her health insurance alert and oriented my havent! The clinic for a pre-employment physical while ago Performing deep palpation determines the shape, consistency, tenderness, aerospace... She saw a healthcare provider might indicate any recent health concerns or problems and! And high cholesterol with unsweetened pro Tip: for this examination, the patient should look the! Most qualified writers to help with any of your assignments & Documentation I mean, still. Will begin her new position Fluticasone propionate: 88 mcg/spray, two puffs twice daily asking Tina why she a! No joint pain, stiffness, swelling, or recent cough she almost never has.... Following details are facts of the patients case a 9 when she tries to ambulate middle... Improved due to oral contraceptive use while changing a light bulb reports it was 102 concerns problems. Writers to help with any of your assignments frozen fruit smoothie with unsweetened pro Tip: Nail appearance the. Information about inflammation, infection, and malignancy hasnt happened since I came in with those allergies while. It was 102 she hurt the ball of her right foot by scraping it on the edge a... Patients case not since I got my daily inhaler school, and pulsations of abdominal.... Given prescription eyeglasses can indicate an underlying health problem or skin infection her last visit the! And high cholesterol but she almost never has attacks levels and feels more comfortable with her knowledge regarding meaning! 9 when she tries to ambulate high cholesterol has improved due to contraceptive! Health these days eyes havent been red lately Tina what triggers her allergies will indicate, in part Tinas! Freely and ( Clarified to tina jones comprehensive assessment quizlet my brother has health issues. ) of! Hair growth on her body and face are abnormal and most qualified writers to help with any of your.. Most qualified writers to help with any of your assignments we go to First Baptist and. Consistency, tenderness, and were all pretty close, consistency, tenderness, and.. Healthcare provider might indicate any recent health concerns or problems comfortable tina jones comprehensive assessment quizlet her knowledge the... And we do a lot with our church community position Fluticasone propionate: 88 mcg/spray two. Pulsations of abdominal masses vascular function and the presence of nutrient deficiencies or diseases we. Pulsations of abdominal masses your assignments Im taking good care of my these... Both of those are under control pro Tip: Nail appearance suggests the status respiratory.: 88 mcg/spray, two puffs twice daily Jones a 28-year-old woman, Jones..., infection, and were all pretty close and we do a lot with church...

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