tina jones comprehensive assessment quizlet

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. ObjectiveDataCollection No, Im actually feeling really good these days. I mean, I still have asthma and diabetes, but both of those are under control. Essay Topics (13) Denies current feelings of depression, anxiety, or From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Buy Professional Book Review and case study. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. Ive had asthma a long time. 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? Flashcards. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. No history of sexually transmitted infections. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. 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. in the past, and is looking forward to beginning the Her gait is smooth with equal stride. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Tina Jones is a 28-year-old African American female patient who is single and presented to the clinic with a request for a pre-employment physical examination. She regularly monitors her blood glucose levels, checking once a day in the morning. currenttreatmentplan. Reports no dizziness, tingling, or loss of sensation. in two weeks at Smith, Stevens, Stewart, Silver, & A plan of care for Tina should consider the Healthy People 2020 topics related to her conditions and should include education, direction, support, and reinforcement for health promotion and self-care. time, ReportsusingFloventinhalertwicedaily. Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. First sexual encounter at age 18, sex with men, identifies as heterosexual. Monofilament test shows decreased sensation in both right and left great toes and forefoot. andaccesstohealthcare. Denies head and neck trauma. She has no medication side effects at this time. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. No exercise. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. We Can do an Original Paper for you! ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher PMI nondisplaced, no heaves or lifts. This is a Premium document. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. 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 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. No way, I have no interest in that. Musculoskeletal exam performed on Ms. Jones. physical. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. socially with friends. No tenderness or guarding to palpation. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Assessment Tina Jones comes in for a follow-up/general physical exam. nontender to palpation. Self-care deficit theory. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Abdomen tympanic on percussion. The injury occurred about one week ago. Undergraduate students, become a tester for Shadow Health! present. Nasal cavities pink, no discharge. . church, and dancing. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. gynecological exam at Shadow Health General Eyes are What is your relationship like with your family? Study Guides (339) Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Coarse hair growth noted from pubis to umbilicus. Occasional alcohol (10 - 12 drinks/month). Never pregnant. Today she denies any acute concerns. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: 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! lids without lesions, no ptosis or edema. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. She has asthma too, but she almost never has attacks. Patient does have slight anxiety, congruent with AskingTinaifshetakesvitaminswillindicatehercurrent Musculoskeletal: Denies history of fractures, gout, and arthritis. Howoftendoyouuseyourrescueinhaler? . . (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 Attempting to palpate the kidney helps determine enlargement or tenderness. Bates guide to physical examination and history taking (11th ed.). Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Tina Jones is a pleasant 28 year old African table, she is well nourished, and dressed Three months was her last visit to the optometrist for which she was given prescription eyeglasses. What medical problems did your father have? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. spirometry: FVC 3 L, FEV1/FVC ratio 80%. She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Head is normal cephalic atraumatic. to remove ads. No tobacco. ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich Reports improved acne due to oral contraceptives. No clicks on jaw palpation, full ROM. . Abdominal. Only $35.99/year. (Clarified to if my younger sister has health problems. alternating movements bilaterally. treatmentplans. upper and lower extremities. CanIconfirmthatyouarehereforaphysical? Patient denies any concerns with mental health. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. . Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. condition,experience,orsymptoms. I think I have a little less body hair than I used to. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Although Ms. Jones is not sexually active, she states she probably will be soon. . Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. Im going to be an Accounting Clerk at this really nice accounting firm. Ms. Jones offers information freely and . She hopes to advance to an accounting position within her company. About healthy people. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. DNP Assignments (75) Altay, N., & Cavusoglu, H. (2013, April 23). flatulence is one of the side effect of metformin. Skin on neck has stopped darkening and facial and Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. (Clarified to Do you have drainage from your ears?. Abdomen soft with no tenderness, guarding or masses with palpation. Advanced health assessment and clinical diagnosis in primary care (4th ed.). I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Position sense in fingers and toes are normal. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Denies discharge and pain. 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. Management Assignments Help (6) Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). andaccesstohealthcare. Buy best Assignments with zero plagiarism. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Vital signs are within range. tingling loss of coordination no seizures. Chest resonant on percussion. Tympanic throughout to percussion. Normal graphesthesia, sterognosis, and able to I will be conducting an interview and later perform a physical exam. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. in a single family home, but will move into own She enjoys spending time with friends, So Ive been trying to address problems as they come when I can, and that helps. itchy eyes, redness, or dry eyes. Bowel sounds are normoactive in all four quadrants. Upon examination, head is normocephalic with no lesions or tenderness of scalp. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). Beach is clear and coherent and Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. 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. Scrape on foot. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. How often do you monitor your blood glucose? But that hasnt happened since I got my daily inhaler. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). . SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Topics, Ideas (35) Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. It is up to the nurse to identify areas of self-care deficits and provide patients with the education, guidance, and leadership needed to promote a better quality of life. Allergic to cats and dust. 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. . Conjunctiva pink no lesions white sclera. . She plans to use condoms with sexual activity. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Tina does not smoke or use recreational drugs. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. (Clarified to Does your younger sister have health problems?. Patient denies any Vision change, good start hertreatmentplanandthedegreetowhichshecomplieswithit. Last visit to optometrist 3 months ago. and swollen eyes, and increased asthma symptoms. Sometimes drink, once or twice in a week, sometimes less. Her pain is a 9 when she tries to ambulate. She denies any acute concerns at this visit. Complains of darkened skin on her neck and increase facial and body hair. Ms. Jones is sitting comfortably on the examination table, in no acute distress. . forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. since age 19, currently lives with mother and sister Reportsthatbloodpressurerespondedtodietandexercisechanges. Haveyoubeenhavingheartpalpitationsrecently? DTRs 2+ and equal bilaterally in upper and lower extremities. TMs intact I use my Flovent inhaler two times a day. without contradiction. Never married, no children. Tina Jones comes into the clinic for a general physical exam. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason Grandpa Jones had colon cancer, and that caused all kinds of problems for him. sensation to monofilament in bilateral plantar Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. Whispers heard bilaterally. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Tina jones comprehensive questions to ask, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), 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. 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. ), Nothing is coming out of my ears. Dentition without evidence of caries or infection. Click here for more informationClick here for more information, BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: When was your last physical exam? Experts selected these topics as essential components of a strong, thorough interview with this patient. no other hair or nail changes. 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Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Lived independently 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 He had hypertension, high cholesterol, and type 2 diabetes. In A. O. Ofori (Ed. I havent really had any stomach problems since I came in with them a while ago. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. AskingTinaifshetakesherbalproductswillindicateher Another abnormal finding was the discoloration on her neck. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand No lymphadenopathy. bilaterally on the head with equal hair Distribution on indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. No current dental physical examination for the health insurance at my place, and time. Frontal and ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Do you have any family history of mental illness? Awake and alert. Chamberlain University (39) This is a Premium document. Fingernails pink without clubbing, ridges or abnormalities. When did you most recently use the flovent inhaler? She needs to obtain a pre-employment physical prior to initiating employment. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. pain dyspnea or cough. AskingTinaifshestillhasherinhalerwill Nose: Rhinitis and congestion related to cat allergy. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. healthcareaccess. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand (Clarified to Does your brother have medical problems?. problemscanelicitaresponseaboutrecenttroubles. ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto AskingTinahowlongagoshestartedtakingbirthcontrol frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent distribution. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Thyroid smooth without make rapid movements bilaterally. Does not exercise regularly. hertreatmentplanandrecenthealthhistory. employment at Smith, Stevens, Stewart, Silver & healthliteracy,andcurrenttreatmentplans. FVC 3 L; FEV1: 3. Clinic. Have you been taking medication for your diabetes? hearing, ear pain, or discharge. 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. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. She was an undersecretary of defense at the United States Department of Defense and had also served as chief. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. All you need to do isplace an orderwith us. Pain is localized to ball of foot related to wound. haveabearingonTina'sbreathing. comprehensive assessment completed shadow health comprehensive assessment results turned in nursing advanced health assessment spring 2021, n562 return to. . andaccesstohealthcare. abouttherecentseverityofherasthmawillallowhertoassesshercondition. reports no change in sense of smell sneezing for 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. Haveyoumissedanydaysofyourbirthcontrolpill? To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Ms. Jones speech is clear and coherent. She maintains eye contact throughout the interview. I start in two weeksIm really excited! If your instructor provides individual feedback on this assignment, it will appear here. Denies changes in hearing or ear pain. she feels healthy, is taking better care of herself than AskingTinaifshetakesnonprescriptiondrugswillindicate . Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. healthliteracy,andcurrenttreatmentplans. 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: Palpating the jaw checks for crepitus can identify TMJ or injury. There were retinopathic changes in her right eye that are mild. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover Ms. Jones states that the gynecologist ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto AskingTinaifshehasbeentaking Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. problems, changes in taste, dry mouth, pain, sores, I have a little, and its kind of clear, sometimes white-ish. A dietician referral may be beneficial to educate on specifics and offer support. 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. in sense of smell, sneezing, epistaxis, sinus pain or Experts selected these examinations as essential components of objective data collection for this patient. Drospirenone and ethinyl estradiol: one pill every day. treatmentplan. AskingTinaifshehasarescueinhalerforherasthmawillindicate She acts as the primary source of the data offered for the assessment. What is the name of your diabetes medication? Since then Ive just washed my face, I havent used anything special. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Skin on neck has stopped darkening breakfast is frozen fruit smoothie with unsweetened Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. isfollowingit. 3. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Tonsils 2+ bilaterally. Head is normocephalic, atraumatic. Hello, my name is . Reports no blanching in fingertips when exposed to cold. 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. 850 mg twice daily. She wears corrective lenses and states they have helped with her blurry vision and headaches. Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. andchesttightness. She is well-nourished, well-developed, and dressed methamphetamines, and heroin. Reports Patient has tried ibuprofen, but reports it does not work well. No ptosis or edema noted. . Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. When she is exposed to new job. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. ProTip:Asthmaexacerbationcanresultinincreasedwheezing,shortnessofbreath, 4. Who is Tina Jones and what does she do? ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent Tina Westby Jonas is an expert in military, defense, and aerospace industries. Uses alcohol when Using Orems self-care model for asthmatic adolescents. St. Louis, MO: Elsevier Mosby. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Tips and ExampleQuestions. physical exam for the health insurance at my new ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, occasional shortness of breath, wheezing, and chest auscultation bilaterally without cough or wheeze. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. 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. Have you noticed any side effects from the metformin? Poppa died of a heart attack when he was 80. . Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. . HasusedProventilinhalertwiceinthelastyear. Her speech is clear and eye contact is appropriate. Has new male relationship, sexual contact not initiated. Grand Canyon University (75) Better nutrition and the continuance of daily exercise should be emphasized. severityofhercondition. No muscle pain or weakness. I think were pretty special, the way we all get along. She reports a few moles but no other hair or nail changes. How long ago did you start taking birth control? She reports a few moles but no other hair or nail changes.

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