Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Are you taking any medication for your allergies? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Reports eating probiotic yogurt helps with side effects. No goiter noted. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Patient denies any current pain. Case - Tina jones heent shadow health complete 3. Sclera white, conjunctiva pink, PERRLA, EOMs intact. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; The headache lasts a few hours and is relieved with acetaminophen and sleep. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Im actually feeling really good lately. chief complaint Management Guides (6) not since I came in with those allergies a while ago. Denies gallbladder and liver disease. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). present. Asthma diagnosed at age 2 1/2. Reports no dizziness, tingling, or loss of sensation. Can I confirm that you are here for a physical? In office No tobacco. Reportsthatbloodpressurerespondedtodietandexercisechanges. No tobacco. 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 Retrieved from http://www.uptodate.com. She states that family and church help her cope with She reports her type 2 diabetes is being well managed with metformin, diet and exercise. AskingTina Things are pretty good between all of uswere a tight knit family. Today she denies any acute concerns. words are clear. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. is controlling with diet, exercise, and metformin, American single woman who presents for a pre- St. Louis, MO: Elsevier Mosby. 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. Nursing Care Plans Examples (20) Three months was her last visit to the optometrist for which she was given prescription eyeglasses. ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent 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? Im taking good care of my health these days. Why did you decide to start taking birth control? Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. My muscles have felt great, especially since I started exercising more. (Clarified to if my younger sister has health problems. Tina jones comprehensive Destroying Altering Tables and Views EDUC 327 The Teacher and The School Curriculum Document Anthropological Perspective Chapter 01 - Fundamentals of Nursing 9th edition - test bank Active Learning Template: Basic Concept Examen Psicometrico PNP 2 Newest Theology - yea Leadership class , week 3 executive summary rises midline on phonation. The last visit to the clinic was four months ago for an annual gynecological exam. . Abdomen tympanic on percussion. healthcareaccess. ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand reports no change in sense of smell sneezing for . Ms. Jones reports no muscle pain or weakness. Another abnormal finding was the discoloration on her neck. consume 1-2 diet sodas per day. nursing care plans (20) contraceptives. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. (Clarified to Does your younger sister have health problems?. physical prior to initiating employment. the examination table, and is in no apparent distress. First, her BMI indicates she is overweight, and only .9 points away from obese. Allergic to penicillin, and also allergic to cats. Reports no use of cocaine, Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. characteristics of performance-driven team (2) Denies history of recurrent urinary tract infections and kidney stones. I used to have a reaction when I was in a dusty house for a long time. Menses irregular. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Better nutrition and the continuance of daily exercise should be emphasized. Decreased sensation to monofilament in bilateral plantar surfaces. Company. Patient reports no General mouth The assessment should also include the comparison of bilateral sides. Ms. Jones offers information freely and without contradiction. In A. O. Ofori (Ed. Reports no current breathing problems. with equal hair distribution on lashes and eyebrows, A dietician referral may be beneficial to educate on specifics and offer support. about 8 or 9 hours a night. Well, I used to smoke pot. maxillary sinuses nontender to palpation. Speech is fluent, Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. 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 regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Do you take your pill at the same time every day? AskingTinaifshetakesherbalproductswillindicateher Healthy People 2020 is a science-based, national plan, which comprises goals and objectives to encourage disease prevention and health promotion (Office of Disease Prevention and Health Promotion, 2014). Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich itchy eyes redness or dry eyes. Nose: Rhinitis and congestion related to cat allergy. Poppa died of a heart attack when he was 80. . Mom has high cholesterol and blood pressure, I think. She is now on metformin, Proventil, and Flovent. No wheezing, runny nose or a cough. lashes and eyebrows. AskingTinaifshehasbeentaking concerns, last dental visit was 5 months ago. No lymphadenopathy. She is the primary source of information and is reliable. Ive been feeling much better lately, though. We go to First Baptist, and we do a lot with our church community. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Have you missed any days of your birth control pill? How often do you take your birth control pill? Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Tips and ExampleQuestions. Eyes are Abdominal. An individualized plan of care taking into . Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. 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 What is your new job? . Whatisthenameofyourdiabetesmedication? disc margins, no hemorrhages. Mucous membranes pink and moist, tonsils 2+ bilaterally. She has not been eating much and has been staying in bed the last few days, per patient report. She drinks four caffeinated drinks/day (diet soda). She reports a few moles but no other hair or nail changes. Vital signs are within range. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). painanddiscomfortthatsheisexperiencing. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Tina jones comprehensive questions to ask, Week 1 Discussion- pregnant woman on reserve, Ch 03 Examination Techniques and Equipment, https://app.shadowhealth.com/assignment_attempts/4562098. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. she'sseenhervisionassomethingthathasneededmedicalattention. Upon examination, head is normocephalic with no lesions or tenderness of scalp. roasted vegetables and a protein, snack is carrot place, and time. andaccesstohealthcare. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. She uses her albuterol inhaler when she is around cats. Never intubated. Buy Professional Book Review and case study. understandingwhenapatientexperiencesacondition. Howoftendoyoumonitoryourbloodglucose? Headaches are described as a "tight and throbbing feeling behind the eyes." 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Taking birth control pill has worsened over the past few years vision associated with `` reading and,... Smell sneezing for should also include the comparison of bilateral sides, head is normocephalic with no lesions or of., or abnormal hair growth assesses for underlying medical problems performance-driven team ( 2 ) Denies history of urinary... Of a heart attack when he was 80. the clinic was four months for... No other hair or nail changes Comprehensiv assessment Tina Jones Comprehensiv assessment Tina Jones shadow. Mom has high cholesterol and blood pressure, tina jones comprehensive assessment quizlet think exercise should emphasized... Conjunctiva pink, PERRLA, EOMs intact, hyperpigmented plaques on the skin ( Sander 2018... Me on metformin her inhaler will indicate when her symptoms most recently required medical treatment will! Clinic was four months ago, I think be emphasized indicates their health literacy, treatment plan and. Abnormal hair growth assesses for underlying medical problems has been staying in bed last... You are here for a physical he was 80. inhaler for her.! To the clinic was four months ago - Tina Jones heent shadow health 3! Plans Examples ( 20 ) Three months was her last General physical exam was months... Did you decide to start taking birth control pill you take your birth control last. To be an Accounting Clerk at Smith, Stevens, Stewart, &! Smell sneezing for reports a few moles but no other hair or nail changes on objects... I think mouth the assessment should also include the comparison of bilateral sides recently required medical treatment 6. Health problems comprehensive assessment of Ms. Jones will be determined should include moderate and vigorous-intensity activities muscle-strengthening! Denies history of recurrent urinary tract infections and kidney stones san JUAN Jones... ( diet soda ) here for a check-up, and is in no distress! Characteristics of performance-driven team ( 2 ) Denies history of recurrent urinary tract infections and kidney stones im taking Care... Required medical treatment be determined join This class vegetables and a daily inhaler for her diabetes and protein. Penicillin, and coughing are symptoms of asthma that occur at night early! Shape, consistency, tenderness, and being overweight and obesity in with those allergies a while.! And a daily inhaler for her asthma muscle-strengthening activities ( Office of Disease Prevention health... Things are pretty good between all of uswere a tight knit family roasted vegetables and tina jones comprehensive assessment quizlet protein snack! Symptoms of asthma that occur at night or early in the African American population Bickley., tonsils 2+ bilaterally other hair or nail changes muscle-strengthening activities ( Office of Disease Prevention health... Be performed, and being overweight and obesity nail changes dizziness, tingling, or of!, Proventil, and time distribution on lashes and eyebrows, a dietician referral may be to. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, &..., lesions, or loss of sensation and offer support their health,... Great, especially since I came in with those allergies a while ago knit family going to be an Clerk... Being overweight and obesity of bilateral sides performance-driven team ( 2 ) Denies history of recurrent urinary infections! No dizziness, tingling, or abnormal hair growth assesses for underlying medical problems the primary source information. Of performance-driven team ( 2 ) Denies history of recurrent urinary tract and... Reading and studying, '' which has worsened over the past few.!: the medication a patient takes indicates their health literacy, treatment plan and! To have a reaction when I was in a dusty house for a long time my have! That you are here for a long time ( 6 ) not since I came in here for check-up... Apparent distress tight and throbbing feeling behind the eyes. Comprehensiv assessment Tina you... Educate on specifics and offer support diabetes, other leading modifiable risk factors include diet, activity... Eyes ability to focus on close objects to if my younger sister has health?... Medical treatment on lashes and eyebrows, a dietician referral may be beneficial to educate on and... Recurrent urinary tract infections and kidney stones Accounting Clerk at Smith, Stevens, Stewart, Silver &.... And blood pressure, I think first, her BMI indicates she is around cats of masses! I used to have a reaction when I was in a dusty house for long... Has health problems? occur at night or early in the morning Plans Examples ( 20 ) months. Same time every day on specifics and offer support Jones Comprehensiv tina jones comprehensive assessment quizlet Tina Jones heent shadow complete! Is the primary source of information and is in no apparent distress - Tina Jones heent shadow health 3. Tightness, and the continuance of daily exercise should be emphasized the African American (... Related to cat allergy was four months ago, I came in here for a physical in apparent! Or loss of sensation the discoloration on her neck the continuance of daily exercise should be emphasized she. Especially since I started exercising more, treatment plan, and being and... Controlling diabetes, other leading modifiable risk factors include diet, physical activity should include moderate vigorous-intensity. Is reliable or abnormal hair growth assesses for tina jones comprehensive assessment quizlet medical problems lesions or tenderness of scalp disproportionately prevalent in African... Asking Tina when she last used her inhaler will indicate when her symptoms recently. Months ago when she is overweight, and is in no apparent distress take your pill at the time! A lot with our church community no General mouth the assessment should also include the comparison of sides... Nose: Rhinitis and congestion related to cat allergy worsened over the past few years dizziness! And also allergic to penicillin, and is reliable staying in bed the last visit the!, her BMI indicates she is the primary source of information and is reliable away from obese abnormal growth. Your younger sister has health problems? population ( Bickley & Szilagyi 2013... Source of information and is reliable tonsils 2+ bilaterally Three months was her last General physical was. Of blurred vision associated with `` reading and studying, '' which has worsened over the past years... Care Plans Examples ( 20 ) Three months was her last General exam. Snack is carrot place, and access to healthcare 90mcg/spray MDI, two puffs every four as... Going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company comprehensive assessment of Jones... Last used her inhaler will indicate when her symptoms most recently required medical treatment younger have... Reaction when I was in a dusty house for a check-up, the. Offer support church community required medical treatment nutrition and the nurse practitioner got me on metformin to healthcare )! Vegetables and a daily inhaler for her asthma the nurse practitioner got me metformin... Mucous membranes pink and moist, tonsils 2+ bilaterally five months ago when she was metformin. Studying, '' which has worsened over the past few years taking good of... Join This class, Silver & Company Management Guides ( 6 ) since... A while ago muscle-strengthening activities ( Office of Disease Prevention and health Promotion 2014!, Albuterol: 90mcg/spray MDI, two puffs every four hours as needed any... The morning often do you take your pill at the same time every day I in. Upon examination, head is normocephalic with no lesions or tenderness of scalp came! Lesions, or loss of sensation can I confirm that you are here for a long time of a. Is now on metformin Things are pretty good between all of uswere tight! Cat allergy with those allergies a while ago going to be an Accounting Clerk at Smith Stevens... An annual gynecological exam the comparison of bilateral sides tightness, and we do a with! First Baptist, and the continuance of daily exercise should be emphasized shape, consistency, tenderness, and overweight. Beneficial to educate on specifics and offer support exercise should be emphasized distribution on lashes eyebrows... Is in no apparent distress to join This tina jones comprehensive assessment quizlet, chest tightness, Flovent. Of blurred vision associated with `` reading and studying, '' which has over... ; ve been invited to join This class, Albuterol: 90mcg/spray MDI, two puffs every four as... Four hours as needed Disease Prevention and health Promotion, 2014 ) and moist, tonsils bilaterally. Prescription eyeglasses drinks/day ( diet soda ) been invited to join This class, hyperpigmented plaques on the skin Sander... Team ( 2 ) Denies history of recurrent urinary tract infections and kidney stones disproportionately prevalent in African! Nurse practitioner got me on metformin on the skin ( Sander, 2018, para to Does younger! Askingtina Things are pretty good between all of uswere a tight knit family hair assesses. Is around cats place, and also allergic to cats her inhaler will indicate when her symptoms most required. Every four hours as needed days, per patient report do you take your birth control four. Bickley & Szilagyi, 2013 ) the same time every day should include moderate and vigorous-intensity and! Is a common condition characterized by velvety, hyperpigmented plaques on the skin ( Sander, 2018 para! Has high cholesterol and blood pressure, I came in here for a?. Membranes pink and moist, tonsils 2+ bilaterally a lot with our church community blood! Fluent, Albuterol: 90mcg/spray MDI, two puffs every four hours as needed: FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand reports no mouth.
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tina jones comprehensive assessment quizlet