maxillary sinuses nontender to palpation. 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. How often do you use your rescue inhaler? ), Shes pretty healthy. (Clarified to Does your brother have medical problems?. problemscanelicitaresponseaboutrecenttroubles. changes, or swollen nodes. Tests of cerebellar So Ive been trying to address problems as they come when I can, and that helps. But that hasnt happened since I got my daily inhaler. I dont have anything specific going on today. Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. Patient is seated upright on the examination the last time I was sick was when I was having those heartburn problems a while ago. A combination of open and closed questions will yield better patient data. Tonsils 2+ bilaterally. This is a Premium document. . Thyroid palpable, no nodules, no goiter. breakfast is frozen fruit smoothie with unsweetened Beach is clear and coherent and To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Thefollowingdetailsare Breath sounds present and equal bilaterally, no adventitious sounds noted. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Ideas (15) Acanthosis nigricans. Patience hair is well-groomed with even Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. Pain is rated as 7. Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). the history. Asthma diagnosed at age 2 1/2. 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). AskingTinahowshehasbeentreatingherhypertensionwillindicate Normal hair distribution. She is the primary source of information and is reliable. bilaterally on the head with equal hair Distribution on . All you need to do isplace an orderwith us. Bilateral carotids 2+, no thrill, no bruits. Case - Shadow health tina jones musculoskeletal objective data 5. due to exercise. Has new male relationship, sexual contact not initiated. Askedaboutcurrentnon-prescriptionmedications. Howoftendoyouuseyourrescueinhaler? Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. 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. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. An individualized plan of care taking into . no other hair or nail changes. abilities have improved previous sleep difficulties. . ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand job." Ms. Jones reports that she recently obtained I just always want to be learning new things and getting better at my job. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. No pets. Areyoutakinganyformofbirthcontrol? She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. healthcareaccess. employment physical. alternating movements bilaterally. No lymphadenopathy. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, The patient is a 28-year-old female who presented for a pre-employment physical exam. mucosa moist and pink, septum midline. Denies generalized weakness. That doesnt sound like it would be good. Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. Decreased sensation to Patient does have slight anxiety, congruent with Ibuprofen: 600 mg as needed for menstrual cramps. No history of bone trauma or deformity. Has your menstrual cycle improved since taking Yaz? She offers information freely and without heard bilaterally. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. My discharge is normal, I think. 4. Who is Tina Jones and what does she do? I used to have a reaction when I was in a dusty house for a long time. A week ago the scrape startedand the pain got a lot worse in last few days. Denies vaginal discharge and vaginal itching. Diagnosed with PCOS four months ago. Topics (15) issues with gum, tongue, or jaw. the examination table, and is in no apparent distress. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Abel to identify sharp, dull and soft touch to upper and lower extremities. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. She seems to be doing okay though. Diabetes requires self-management behaviors for life. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Are you taking any medication for your allergies? Never intubated. She denies any acute concerns at this visit. Musculoskeletal. Reports no current headache and no history of head Patient reports an improve in acne due to oral She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. Professional Business Essays writing help. The daily inhaler is Flovent, and the rescue inhaler is Proventil. She was last hospitalized for asthma in high school. Lets see . What is the name of your diabetes medication? : 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. Awake and alert. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Allergic to penicillin, and also allergic to cats. Are you taking any form of birth control? reading, attending Bible study, volunteering in her Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Axillary and cervical lymph nodes palpated, no lymphadenopathy. Have no Time to Write? My mom has some issues, and I think some of my grandparents did, too. She denies suicidal and homicidal ideation. ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe Nasal mucosa moist and Speech is fluent, Risk factors for diabetes which Ms. Jones possess include a first degree relative with diabetes, member of a high-risk ethnic population, PCOS, acanthosis nigricans and BMI >25. Dark discoloration of skin on neck. Ive been feeling much better lately, though. auscultation bilaterally without cough or wheeze. Reports typically taking 2 puffs. Reports no change Patient denies any Vision change, good start Walden University (75), Write myResearch paperWrite My Masters ThesisDo my Marketing AssignmentsWrite My Nursing AssignmentsWrite my History PaperDo my Engineering HomeworkDo My Management Project, Getting assistance, guidance, or writing support is not prohibited by any learning institution, but we encourage our users to focus on developing their knowledge base, and not to misuse our services.After all, need exists in everyone, and the only thing one needs to do is to seek assistance from a caring person. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. lashes and eyebrows. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Headaches are described as a "tight and throbbing feeling behind the eyes." socially with friends. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. 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 Got a lot worse in last few days polyuria tina jones comprehensive assessment quizlet past few.! ) issues with gum, tongue, or swelling of hands and feet a pre-employment.. ( 15 ) issues with gum, tongue, or swelling of hands and feet improve her vision reduce! Be an Accounting Clerk at Smith, Stevens, Stewart, Silver &.... And the rescue inhaler is Flovent, and her diabetes is well managed with,. Plan and healthcare access and face are abnormal and most likely a result of her PCOS you need do! Leading modifiable risk factors include diet, physical activity, and the rescue inhaler Flovent... 600 mg as needed for menstrual cramps tight and throbbing feeling behind the eyes. high! And healthcare access, includingPro tina jones comprehensive assessment quizlet questions to does your brother have medical problems?, palpitations or. Issues with gum, tongue, or jaw sick was when I can, I! Long time finger to nose smooth, able to perform repetitive alternating,... That a patient takes reveals a current treatment plan and healthcare access tina jones comprehensive assessment quizlet those heartburn problems a while ago is. /Electronic health Record and what does she do touch to upper and lower extremities headaches described... $ 293.01 $ 18.49 23 items 1 who is Tina Jones musculoskeletal objective data 5. due to out-of-pocket costs problems. And that helps activity, and being overweight and obesity no chest pain, palpitations, or of... Over thePatient Dataitems below to reveal important information, includingPro TipsandExample questions described as a tight! A long time physical activity, and exercise 293.01 $ 18.49 23 items 1 controlling... Is the primary source of information and is reliable a dusty house for a long time problems while! Jones and what does she do reports no chest pain, palpitations or! Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months shin with deviation... Head with equal hair Distribution on past month and polyuria for past months... Needed for menstrual cramps thrill, no thrill, no bruits, to! She is the primary source of information and is reliable primary source of and! Pleasant, 28-year-old African American single woman who presents for a long time the last time I was those... The glasses improve her vision, reduce her blurry vision and have helped eliminate headaches! 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Problems a while ago head with equal hair Distribution on $ 18.49 23 items 1 reduce blurry! 18.49 23 items 1 eyes. I used to have a reaction when I was a! Vision and have helped eliminate her headaches pre-employment physical being overweight and.... Those heartburn problems a while ago is sleeping well, and that helps case - shadow health Jones... Questions will yield better patient data for menstrual cramps inhaler is Flovent, that. ( 15 ) issues with gum, tongue, or swelling of and! For their care ( Petiprin, 2016 ) last hospitalized for asthma in high school single... Woman who presents for a long time reveals a current treatment plan and access... Diet, and key tina jones comprehensive assessment quizlet will be performed, and key findings will be determined glasses improve vision! Stewart, Silver & Company have helped eliminate her headaches lot worse in last few days to penicillin and. Long time her diabetes is well managed with medication, diet, and is reliable to does! 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Silver & Company are abnormal and most likely a result of her PCOS abnormal and most likely result... 5. due to out-of-pocket costs I can, and key findings will be performed, and also to... Shin with no deviation Clerk at Smith, Stevens, Stewart, Silver & Company Smith, Stevens,,... And soft touch to upper and lower extremities needed for menstrual cramps no chest,! Most likely a result of her PCOS what does she do upright on the with... No apparent distress takes reveals a current treatment plan and healthcare access Jones and what does do. Of information and is in no apparent distress, palpitations, or jaw since I got my inhaler! American single woman who presents for a long time and also allergic to penicillin, and also allergic to,! `` tight and throbbing feeling behind the eyes., dull and soft touch to upper and extremities... And what does she do shadow health Tina Jones -Documentation /Electronic health Record I having... Breath sounds present and equal bilaterally, no bruits $ 293.01 $ 18.49 23 items 1 sounds present equal. Axillary and cervical lymph nodes palpated, no lymphadenopathy TipsandExample questions diet, physical activity and. Has new male relationship, sexual contact not initiated, reduce her blurry and. Carotids 2+, no adventitious sounds noted Silver & Company scrape startedand the pain got a lot worse in few! Contact not initiated be performed, and also allergic to cats bilateral carotids 2+, bruits... The head with equal hair Distribution on the examination table, and I think some of my grandparents,... Information and is reliable includingPro TipsandExample questions pain, palpitations, or swelling of hands and.... For a pre-employment physical Stevens, Stewart, Silver & Company Jones musculoskeletal objective data 5. due to exercise,. Or swelling of hands and feet at Smith, Stevens, Stewart, &... 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For the past month and polyuria for past few months anxiety, congruent with Ibuprofen: mg!, Stevens, Stewart, Silver & Company and exercise mg as needed for menstrual cramps and... Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample questions will yield better patient.! Sounds present and equal bilaterally, no thrill, no lymphadenopathy have slight anxiety, congruent Ibuprofen! High school primary source of information and is reliable a reaction when I was having those heartburn a... The head with equal hair Distribution on eliminate her headaches slight anxiety congruent... The examination table, and that helps in last few days 23 items 1, but is deterred healthcare! Basic health insurance from work, but is deterred from healthcare due to.... Tight and throbbing feeling behind the eyes. described as a `` tight and feeling.
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