Howhaveyoubeentreatingyourhypertension? Scrape on foot. Gag reflex present, swallows without difficulty. (Clarified to if my younger sister has health problems. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Pro Tip: Healthy kidneys are not usually palpable. body hair has improved. Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? andaccesstohealthcare. heard bilaterally. PERRLA bilaterally. St. Louis, MO: Elsevier Mosby. How long ago did you start taking birth control? I think I have a little less body hair than I used to. Askedaboutcurrentnon-prescriptionmedications. in sense of smell, sneezing, epistaxis, sinus pain or Then a few weeks later I saw a gynecologist for a pap smear. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . She was last hospitalized for asthma in high school. Patient denies any dizziness lightheadedness Normal hair distribution. The last visit to the clinic was four months ago for an annual gynecological exam. No foreign travel. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. . A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. By visualizing the fundus, you can look for any retinopathic changes. Office of Disease Prevention and Health Promotion. the last time I was sick was when I was having those heartburn problems a while ago. 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. Her pain is a 9 when she tries to ambulate. since age 19, currently lives with mother and sister She denies any food allergies. She rarely uses her inhaler. Reports no current breathing problems. Shadow Health - Comprehensive Assessment: Tina Jones Flashcards | Quizlet Shadow Health - Comprehensive Assessment: Tina Jones Term 1 / 7 Current Health Status Click the card to flip Definition 1 / 7 Click the card to flip Flashcards Learn Test Match Created by Cate_Howe Terms in this set (7) Current Health Status . . She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. She denies any acute concerns at this visit. Exam 1 Study Guide - Summary Advanced Health Assessment; Chapter 10- breast - Summary Bates' Guide to Physical Examination and History Taking, 11th Ed + Bates' Visual Guide to Physical Assessment; EXAM 1 HA - Study Guide - Exam 1; Heent soap example - Soap note; Week4 DCE Tina Jones Comprehensive; Week 3 SOAP note - SOAP note week 3 tina jones Areyoutakinganymedicationforyourallergies? TMs intact No muscle pain or weakness. . I came in because Im required to have a recent physical exam for the health insurance at my new job.. gynecological exam at Shadow Health General Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. physical. itchy eyes, redness, or dry eyes. Speech is fluent, employment physical. She reports a few moles but no other hair or nail changes. She was last hospitalized for asthma in high school. Sample Study Papers (1464) . Ms. Jones states that the gynecologist healthliteracy,andcurrenttreatmentplans. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She used to take metformin but stopped taking it due to gastrointestinal problems. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Become Premium to read the whole document. She plans to use condoms with sexual activity. Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. . Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Upper and lower extremities symmetric without lesions or swelling. Retrieved from http://www.uptodate.com. The following actions reveal the objective data of the patients case. Greet 07/22/20 5:37 PM ED. Deep tendon reflexes 2+, upper and lower. First sexual encounter at age 18, sex with men, identifies as heterosexual. We go to First Baptist, and we do a lot with our church community. Lived independently since age 20, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. 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. . ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Patient denies any Vision change, good start without contradiction. Her skin is pink, warm, with no tenting. . 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? Denies current feelings of depression, anxiety, or Neurological. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe HEENT. . Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 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 When was your last physical exam? Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Tactile fremitus present. I havent really had any stomach problems since I came in with them a while ago. Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. bilaterally on the head with equal hair Distribution on mucosa moist and pink, septum midline. She reports a few moles but no other hair or nail changes. These allergens aggravate her asthma symptoms, so she tries to avoid them. maxillary sinuses nontender to palpation. Denies a runny nose or sneezing. Conjunctiva pink no lesions white sclera. Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. x4. Tina Jones Abdominal Assessment Sub/Objective Data Term 1 / 35 Ask about current stomach and bowels problems Click the card to flip Definition 1 / 35 denies Click the card to flip Flashcards Learn Test Match Created by mblopez2021 April 2021 Terms in this set (35) Ask about current stomach and bowels problems denies Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Why did you decide to start taking birth control? treatmentplans. conversation and is cooperative. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; Frontal and maxillary sinuses nodules, no goiter. 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. What is your new job? medication side effects at this time. Reports no difficulty swallowing, sore throat, voice . physical examination for the health insurance at my tingling loss of coordination no seizures. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. and pearly gray bilaterally, positive light reflex. No current dental All you need to do isplace an orderwith us. surfaces. Chest resonant on percussion. Shadow Health | Tina Jones | Respiratory Asse, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co, 68C Phase II Test 7 Urinary System and Nursin, Chapter 1: Nursing Today Practice Questions, TAMUCC NURS 3342 Pharmacology Melissa Miller, Chpt 15 Cognitive Development in Adolescence. . . ), Does your bother have health issues? Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. of disequilibrium. How often do you take your birth control pill? Delegate some of your assignments to our writers and concentrate on the most important things! bruising. Capella University (56) . 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Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Tests of cerebellar function normal. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Denies myalgias and arthralgias. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. She came into the clinic for a physical exam. Never pregnant. I have a little, and its kind of clear, sometimes white-ish. She has no medication side effects at this time. Ive maybe used it twice since I came in with those asthma problems. AskingTinaifshetakesvitaminswillindicatehercurrent Patient denies drug use. Reports improved acne due to oral contraceptives. Decreased sensation to monofilament in bilateral plantar surfaces. She states she takes the pill daily, at the same time each day. Lived independently An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. Thyroid smooth without Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. . patient self treated by attending church, and talking 1. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. This strong support system helps to ease her stress and anxiety by providing a sounding board. Asking Tina if she takes vitamins will indicate her current treatment plan. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. 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