(Found) Tetanus Three months was her last visit to the optometrist for which she was given prescription eyeglasses. She is now on metformin, Proventil, and Flovent. Example Question: Reports birth control is drospirenone and ethinyl estradiol (Yaz) Individual Forum: This is a private forum to ask me questions or send me messages. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. Howoftendoyouuseyourrescueinhaler? (Found) Example Question: (Found) (Found) Did you forget to cite something? Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Ear canal pink, tympanic membrane pearly gray, no drainage. Attum B, Hafiz S, Malik A, et al. Abdomen soft with no tenderness, guarding or masses with palpation. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). Students have three opportunities to complete this assignment and score at the Proficiency level. Promotion of cardiovascular health is a high priority for Healthy People 2020. Finding: Have you been wheezing? The last dental exam was a few years ago. Denies Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). History Finding: Example Question: Paternal grandfather: died at age 65 of colon cancer, and a history of type 2 diabetes. Axillary and cervical lymph nodes palpated, no lymphadenopathy. (Found) Identifying Data & Reliability Tina Jones is a single 28-year-old African American female who presents to the clinic to seek care due to a recent right foot injury. About healthy people. I. Eyes: Reports blurry vision after reading for long periods, last vision exam as a child, does not Childhood Illnesses: Asthma diagnosed at age two and a half. (Found) Reports swimming for exercise Have you experienced any neurological problems? Hair is normal texture and distributed evenly. (Found) (Found) Comprehensive Assessment of Tina Jones. Mucous membranes pink and moist, tonsils 2+ bilaterally. (Found) Dual shoulder shrug against resistance, able to turn head in both directions against resistance. III. Is there anything unusual about your menstrual cycle? Example Question: Comprehensive Assessment of Tina Jones. Personal and Social History: Finding: Finding: Journal for Specialists in Pediatric Nursing. Reports rare cramping Ears: Denies difficulty hearing, tinnitus, vertigo, ear pain, infections, and discharge. Review your similarities. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. (Found) Finding: Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. understandhoweffectivelyshecomplieswithhertreatmentplan. AskingTinaaboutthe The Islamic Center of San diego and the Muslim community Services of San Diego are two community resources that provide valuable resources and information regarding the cultural norms. Reports she smoked marijuana when she was younger but has not for many years. (Found) Asked about current prescription medications. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Last use of her rescue inhaler was three months ago and two times total over the past year. Patient able to identify dull, sharp, and soft touch on all extremities. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Reports asthma medication has not changed Finding: Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. currenttreatmentplan. Do you think your asthma is under control? 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. Liver span 7 cm MCL, palpable 1 cm below right costal margin. When was your last physical exam? PMI nondisplaced, no heaves or lifts. This clinical experience is a comprehensive exam. The estimated average time to complete this assignment each time is 3 hours. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). Medical: Type 2 diabetes, diagnosed at age 24. Liver span 7 cm MCL, palpable 1 cm below right costal margin. AskingTinahowlongagoshestartedtakingbirthcontrol problemscanelicitaresponseaboutrecenttroubles. Dr Joy Shoemaker, Ruth Chavez, Deidre Arms, Chai Sribanditmongkol She hopes to she'sseenhervisionassomethingthathasneededmedicalattention. Finding: Do you have an inhaler? Normal hair distribution. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. How often do you take your birth control pill? Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. Adult Illnesses: She denies using heroin, methamphetamine, and cocaine. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. Exploring Gender in Science, Technology, and Mathematics. : an American History - Chapters 1-5 summaries, Analytical Reading Activity 10th Amendment, 446939196 396035520 Density Lab SE Key pdf, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 1.1 Functions and Continuity full solutions. He had hypertension, high cholesterol, and type 2 diabetes. Bilateral carotids 2+, no thrill, no bruits. Negative for mental illness, other cancers, sudden death, kidney disease, sickle cell anemia, and Her Retrieved from http://www.uptodate.comComprehensive Assessment of Tina Jones, If your paper matters, we own all the good words. Reports using inhaler no more than 2 times per week Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. 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). At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. Finding: Shadow health comprehensive assessment Tina Jones 5.0 (1 review) Asked about current health problems Click the card to flip Denies current acute health problems Reports diabetes Reports asthma Click the card to flip 1 / 33 Flashcards Learn Test Match Created by Karey_Northington Terms in this set (33) Asked about current health problems condition,experience,orsymptoms. Denies breast self-exam Upper and lower extremities symmetric without lesions or swelling. Get 15% OFF your order now! Asking Tina what she typically has for a snack will illustrate her recent dietary patterns. Reports recent weight loss. Pro Tip: Discovering occasional environmental triggers, such as animal allergies, is important in understanding a patients health. Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patients level of health literacy. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. allergy. Reports last menstrual period was 2 weeks ago gallbladder and liver disease. Permalink:https://eaziessay.com/comprehensive-asnt-of-tina-jones/. reported. Pro Tip: Broad questions about the gastrointestinal system will enable the patient to express any symptoms, concerns, or conditions that she may have. Example Question: (Found) Pro Tip: Broad, open questions about HEENT systems will allow Tina to describe, in her own words, any specific head conditions and symptoms that she is experiencing. He had hypertension, high cholesterol, and type 2 diabetes. Shadow Health - Tina Jones, Health History Flashcards. Finding: She states she takes the pill daily, at the same time each day. Select your preferred writer from the list of writers who have handledf your previous assignments, Are you ordering the same assignment for a friend? 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. Finding: Tina Jones Comprehensive Health Assessment. Tina Jones Comprehensive Assessment Final Paper. Have you been coughing? Finding: Have you had chills? Fluticasone propionate: 88 mcg/spray, two puffs twice daily. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover Finding: (Found) You can even attach screenshots or add additional instructions later. Reports recently beginning exercising to manage diabetes Example Question: medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe Ms. Jones should be encouraged by the additions and progress she has made. Example Question: You are not required to submit this assignment to LopesWrite. Mother: age 50, hypertension (HTN), hyperlipidemia (HLD) An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. Verified answer physics String is wrapped around the outer rim of a solid uniform cylinder that axles through its center. No current complaints or recent illness. (Found) See what other students think about our do my paper service. Speech is coherent and audible. treatmentplans. She says improve headaches. 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. Tina states she is very excited about the new opportunity. No wheezing, runny nose or a cough. And the pain is killing me! Reports drinking 2-3 nights per month The universitys policy on late assignments is 10% penalty PER DAY LATE. Tina is active in her church and describes a All of the papers you get at MyCoursebay are meant for research purposes only. 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Denies fatigue No sore throat and hoarseness. Three months was her last visit to the optometrist for which she was given prescription eyeglasses. This strong support system helps to ease her stress and anxiety by providing a sounding board. Awake and alert. Denies sexual activity severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Reports dust allergy There has been no recent Health (2 days ago) WebDiana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective Quizlet.com . Are you experiencing adverse effects from your diabetes medication? Denies change in asthma symptoms Have you been exercising? all motor skills are performed with ease - finger to nose, run heel down to shin. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Father: deceased in a car accident one year ago at age 58, hypertension, high cholesterol, and Finding: Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. Finding: Finding: Asking Tina how many diet cokes she drinks a day will illustrate her recent dietary patterns. Oriented to person, place, and time. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. The object is in equilibrium if the forces are equal in magnitude and opposite in direction. NRS 434 Shadow Health: Comprehensive Assessment Normally, she would eat a sandwich for Monofilament test shows decreased sensation in both right and left great toes and forefoot. al, 2021). Finding: How many days a week do you exercise? Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. ASSESSMENT: Tina Jones comes in for a follow-up/general physical exam. Reports reason for last visit was annual gynecological exam Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. the foot. Finding: Her snacks consist of pretzels or French fries. Pro Tip: Asking Tina about how many puffs of her inhaler she typically takes can help you determine if the treatment is effective and appropriate for her health needs. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Get personalized services with MyCoursebay, You can select one writer for all your papers. (Found) A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Cite all sources of information! Tag: tina jones comprehensive assessment shadow health. her neck and increased facial and body hair. How many times a day do you take metformin? Coarse hair growth noted from pubis to umbilicus. Example Question: HEENT. (Found) [Show more] Example Question: Reports reason for birth control was to manage PCOS symptoms She also has increased her physical activity. Denies adverse effects of asthma medication Finding: Example Question: Mucous membranes pink and moist, tonsils 2+ bilaterally. Risk factors: Obesity, family history of Hypertension, diabetes, Coronary arteries disease, Example Question: Paternal uncle: alcoholism Denies musculoskeletal issues Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Have you noticed any side effects from the metformin? She is the primary source of information and is reliable. Finding: Sclera white, conjunctiva pink, PERRLA, EOMs intact. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Reportstakingprescriptionbirthcontrolpills. degree in accounting. A dietician referral may be beneficial to educate on specifics and offer support. Asked review of systems for skin, hair and nails, Finding: Rasmussen College Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. sister after the death of father one year ago. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe She visited a nearby emergency When in doubt, cite the source. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). History of Present Illness (HOPI): Ms. Jones recalls tripping on concrete stairs outside a week Finding: Finding: Has your asthma medication changed? What is your typical dinner? Denies drinking coffee (Found) Example Question: Pro Tip: Confirming a patients medical conditions, such as asthma, will enable you to provide the best care possible. https://doi.org/10.1111/jspn.12032. Left disc round with sharp margins. Finding: Surgical: No surgeries to date. 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. Nasal cavities pink, no discharge. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Your initial responses to the mandatory DQ do not count toward participation and are graded separately. Example Question: This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). Shadow health Tina Jones-Guide to Comprehensive Assessment. (Found) Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. (2016). Reports allergies have not changed NRS 434 Shadow Health: Comprehensive Assessment A "fail" on the SHCA means that the student has not answered any of the questions correctly. Reports that glasses improve overall vision healthliteracy,andcurrenttreatmentplans. (Found) Employed 32 hours per week as a supervisor at Mid- Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a productive exam and prioritzing the patients needs. (Found) Reports walking four or five times a week Pro Tip: Determining any outcomes from Tinas last optometrist visit is important, as it may reveal treatments that you should follow-up on. Liver span 7 cm MCL, palpable 1 cm below right costal margin performed with -. 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