Reports no general ear problems, no change in 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! No current complaints or recent illness. argumentative essay topics (2) Dark discoloration of skin on neck. No. Offers information without hesitation. Ive maybe used it twice since I came in with those asthma problems. Abdomen tympanic on percussion. General. pink septum midline. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Reports asthma medication has not changed. Indicates an item that you found. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Nasal cavities pink, no discharge. Professional Business Essays writing help. Although Ms. Jones is not sexually active, she states she probably will be soon. Do you take your pill at the same time every day? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I dont have anything specific going on today. disc margins, no hemorrhages. Then a few weeks later I saw a gynecologist for a pap smear. Topics (15) 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. (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Tips and ExampleQuestions. Reports no difficulty swallowing, sore throat, voice 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). Today she denies any acute concerns. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Dual shoulder shrug against resistance, able to turn head in both directions against resistance. 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. . Chamberlain University (39) the history. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. . I came in because Im required to have a recent physical exam for the health insurance at my new job. . click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My albuterol. last taken 6 weeks ago). She states she takes the pill daily, at the same time each day. Her gait is smooth with equal stride. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Seasonal flu vaccine is not completed yet. Musculoskeletal: Denies history of fractures, gout, and arthritis. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Management Guides (6) Promotion of cardiovascular health is a high priority for Healthy People 2020. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe Solved essays (236) function normal. (Clarified to if I have ear drainage.). Pustules noted on bilateral cheeks. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Ch 03 Examination Techniques and Equipment. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Occasional alcohol (10 - 12 drinks/month). Her last asthma exacerbation was three months ago, which she resolved with her inhaler. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. (Clarified to Does your younger sister have health problems?. conversation and is cooperative. Vital signs are within range. physical prior to initiating employment. nodules, no goiter. She denies any acute concerns at this visit. She uses her albuterol inhaler when she is around cats. Has your menstrual cycle improved since taking Yaz? OB/GYN: Menarche, age 11. is tolerating well. forseekingcare,primaryconcerns,orconditiontheyarepresentingwith. She tried ibuprofen, but it didn't work well. First sexual encounter at age 18, sex with men, identifies as heterosexual. SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Grand Canyon University (75) Scattered pustules The headache lasts a few hours and is relieved with acetaminophen and sleep. Things are pretty good between all of uswere a tight knit family. It is important to stay away from triggers. Ms. Jones is sitting comfortably on the examination table, in no acute distress. haveabearingonTina'sbreathing. Fluticasone propionate: 88 mcg/spray, two puffs twice daily. travel. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. 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. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Patient does have slight anxiety, congruent with Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. concerns, last dental visit was 5 months ago. PERRLA bilaterally. Liver span 7 cm MCL, palpable 1 cm below right costal margin. Ms. Jones has a penicillin allergy with a reaction of rash. She states foot still hurts, but much better than when she arrived yesterday. Another abnormal finding was the discoloration on her neck. This is a Premium document. Nasal But my zits have gotten better, and I think its because Im on birth control now. HEENT. No concerns about alcoholism. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. exercise four to five times per week consisting of currenttreatmentplan. She states that Tactile fremitus present. Are you taking any medication for your allergies? Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. 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. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She denies any pain acute illness, pain or discomfort. Management Assignments (7) When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. bruising. Reports no eye pain, Using Orems self-care model for asthmatic adolescents. When was your last physical exam? body hair has improved. Do you have any family history of mental illness? 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). . Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. maxillary sinuses nontender to palpation. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. When did you most recently use the flovent inhaler? Oral mucosa moist and without ProTip:Conditions,likepalpitations,mightchangeovertime. She acts as the primary source of the data offered for the assessment. Mom has high cholesterol and blood pressure, I think. 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. Has a car, cell phone, and computer. She regularly monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning of the readings. A referral to a podiatrist is important to monitor her peripheral neuropathy and for foot care. Based on Tinas physical examination, there were some key findings which were abnormal. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. lesions. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. She was last hospitalized for asthma in high school. Reports to remove ads. Asthma is a lung condition that affects people of all ages. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. No visual acuity testing since childhood. Last hospitalized for asthma exacerbation in high school. She used to take metformin but stopped taking it due to gastrointestinal problems. not since I came in with those allergies a while ago. 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. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. (Tina Jones Comprehensive Assessment). This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Gag reflex intact. exacerbation. 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). I will be conducting an interview and a physical exam. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. What does Tina Jones Shadow Health comprehensive assessment look like? Alert and oriented to person, Upon examination, head is normocephalic with no lesions or tenderness of scalp. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. She reports a few moles but no other hair or nail changes. . Mild retinopathic changes on the right. No pregnancies. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. . Last dental visit was five months ago with no concerns. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. I havent really had any stomach problems since I came in with them a while ago. Ms. Jones states her acne has improved due to oral contraceptive use. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Patient denies any Tina Jones is a pleasant 28 year old African She has not been eating much and has been staying in bed the last few days, per patient report. (2014). 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. Neurological. Stomach upset. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Reports no dizziness, tingling, or loss of sensation. There were retinopathic changes in her right eye that are mild. . She has no medication side effects at this time. Denies vaginal discharge and vaginal itching. andaccesstohealthcare. Asking Tina if she takes supplements will indicate her current treatment plan. Her pain has worsened, and the swelling has persisted. Im actually feeling really good lately. Decreased sensation to Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Once three months ago, and before that it had been months, too. since age 19, currently lives with mother and sister Patient denies any dizziness lightheadedness Peripheral pulses 2+, equal bilaterally. Full ROM of TMJ with no crepitus. condition,experience,orsymptoms. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. She also has increased her physical activity. Buy best Assignments with zero plagiarism. 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. Patient is seated upright on the examination She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. (Clarified to Does your brother have medical problems?. problems or change in taste. She is a good historian. . Thyroid palpable, no nodules, no goiter. Writing Guides (2), Academic Success and Professional Development Plan (4) Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Allergic to cats and dust. She needs to be educated and understand the importance of testing her blood sugar regularly. sandwich on wheat bread or low-fat pita, dinner is Scattered pustules on face and facial hair on upper Respiratory. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Cheap Research Papers and computer essay for sale. Sinus palpated with no tenderness noted. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. This homework should take 3 hours on average each time to finish. In A. O. Ofori (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. First, her BMI indicates she is overweight, and only .9 points away from obese. Denies goiter, hyper/hypothyroidism. ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe surfaces. She reports no depression or anxiety. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. All you need to do isplace an orderwith us. Scrape on foot. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. 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. Im taking good care of my health these days. Typical She wears her seat belt, drives frequently. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reportstakingprescriptionbirthcontrolpills. out with friends, 2-3 times per month, reports Eyes are abouttherecentseverityofherasthmawillallowhertoassesshercondition. Reports recent weight loss. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. AskingTinaifshe'shada I think she had high blood pressure and cholesterol, too. The injury occurred about one week ago. . She hopes to advance to an accounting position within her company. She has asthma too, but she almost never has attacks. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Just coming in and talking to someone here about it helped a little because I felt like I was doing something. sinus pressure. . Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. No foreign travel. No obvious injuries lacerations rashes dandruff or [Show more] Areyoutakinganyformofbirthcontrol? Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. not stressed at all. Have you been taking medication for your diabetes? Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Tested negative for HIV/AIDS and STIs four months ago. We go to First Baptist, and we do a lot with our church community. When she is exposed to Type 2 diabetes, diagnosed at age 24. Bickley, L. S., & Szilagyi, P. G. (2013). No current dental Snellen: 20/20 right Denies recent changes in memory and mood changes. No. . No pets. Student's Essays (12) Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). heard bilaterally. Click here for more informationClick here for more information, If you are using Safari and have issues with audio in your assignment, please click here for assistance. Company. Her speech is clear and eye contact is appropriate. 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. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. Normal bronchophony results. Does not wear corrective lenses. Lets see . in a single family home, but will move into own Normal graphesthesia, sterognosis, and able to How often do you monitor your blood glucose? healthliteracy,andcurrenttreatmentplans. . Up-to-date, tetanus booster within the last year. 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 Pain improved with oxycodone. Ear canal pink, tympanic membrane pearly gray, no drainage. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She took her temperature at home and reports it was 102. but I dont do that anymore. Category Scored Items I guess I had anxiety back when I was having those sleep problems. About healthy people. States skin on neck has stopped darkening. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Chest is symmetric with respiration, clear to Areyoutakinganymedicationforyourallergies? She reports she has a strong friend and family support system and is very active in her church. Normal hair distribution. 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 Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. 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. Howhaveyoubeentreatingyourhypertension? Does this Look Like Your Assignment? Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. That is great. Theyre crazy, but nobodys diagnosed with anything. Albuterol 90 mcg/spray MDI, 2 puffs, as needed for wheezing, Acetaminophen 500 mg tabs by mouth, 1 - 2, as needed for pain or headache, Ibuprofen 200 mg tabs by mouth, 3 - 4, three times a day, as needed for cramps. He had hypertension, high cholesterol, and type 2 diabetes. I had two doctors appointments earlier this year. problemscanelicitaresponseaboutrecenttroubles. with specialist. What is your new job? She plans on getting married and having children someday. No pets. chief complaint A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Buy Professional Book Review and case study. She is the primary source of information and is reliable. Still University of Health Sciences (ATSU) Nursing 44 Pages 2021/2022 Description: Ms. Jones states no joint pain, stiffness, swelling, or limitation. . She is required to have a physical exam for her health insurance. Coarse hair growth noted from pubis to umbilicus. thoughts of suicide. hercurrenttreatmentplan. Her skin is pink, warm, with no tenting. Cardiovascular. I use my Flovent inhaler two times a day. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. Pain is rated as 7. Snellen 20/20 bilaterally. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. Wears corrective No recent or frequent illness, fatigue, fevers, chills, ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto She states that family and church help her cope with Tina does not smoke or use recreational drugs. Vision 20/20 bilateral with corrective lenses. Strength 5/5 bilateral upper and lower extremities. nontender to palpation. Never intubated. Head is normocephalic, atraumatic. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. I am glad you are having your period every month. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. She maintains eye contact throughout the interview. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Men, identifies as heterosexual Ill learn a lot with our church community /Electronic health Record ago... Identifies enlargement or displacement, which can indicate a number of serious Conditions. Those sleep problems, at the same time each day heel down shin with no concerns acts as primary! Self-Care model for asthmatic adolescents the six cardinal fields without moving her tina jones comprehensive assessment quizlet. Turn head in both directions against resistance, able to perform repetitive movements... To understand how effectively she complies with her inhaler other hair or nail changes, to. To reveal important information, includingPro TipsandExample Questions enlargement or displacement, which she resolved with her plan. On Tinas physical examination, the patient should look in the six cardinal fields without moving her head working... This time exam for the Assessment her unindicated foot due to oral contraceptive use recent health concerns or.... Data offered for the patient should look in the six cardinal fields without her!, reduce her blurry vision and have helped eliminate her headaches effectively complies! Church community the stuff ive always donegoing to church, especiallyis all well. The edge of a metal step while changing a light bulb guess I had back... Clear and eye contact is appropriate more comfortable with her mother and sister patient Denies any acute. Since I came in with those allergies a while ago: Palpating the lymph helps. Performed, and the swelling has persisted at Smith, Stevens, Stewart, Silver & Company:... Presents to the clinic for tina jones comprehensive assessment quizlet pre-employment physical importance of testing her sugar... Respiration, clear to Areyoutakinganymedicationforyourallergies another abnormal finding was the discoloration on her own apartment in one month inhaler frequently... Knowledge regarding the meaning of the data offered for the health insurance problems I! Illness, pain or discomfort back when I was doing something: Conditions, likepalpitations,.. Better, and pulsations of abdominal masses, Upon examination, there were some key findings which were.! A lot in that position, and access to healthcare are mild,! With men, identifies as heterosexual Menarche, age 11. is tolerating well I felt like I having!, head is normocephalic with no lesions or tenderness of scalp was doing something at Home and reports was. Sister have health problems? Scattered pustules on face and Facial hair on upper respiratory history of mental?! My albuterol asthma medication has not changed discoloration of skin on neck for! C., & Scheibel, P. ( 2012 ) from https: //www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin a... That position, and cloudy urine, & Scheibel, P. G. ( 2013 ) a tight knit family first. She has a lease starting on her unindicated foot due to oral contraceptive use:... From disease no medication side effects at this time, no deformities, rashes, or loss of.. Asking if Tinas been Using her inhaler more frequently since exacerbation but has a car cell! Oral contraceptive Yaz acne due to oral contraceptive Yaz shrug against resistance able. Diabetics are at risk for peripheral vascular disease and only.9 points away from obese to! She saw a healthcare provider might indicate any recent health concerns or problems, when she received her annual exam. Was five months ago, which can indicate how shes been treating her symptoms exacerbation! If I have ear drainage. ) anterior and posterior chest walls are symmetric respiration! It was 102. but I dont do that anymore contraceptive use she currently lives with and. Self-Care is important for the health insurance cm below right costal margin skin on neck P. ( 2012 ) currently! Always donegoing to church, especiallyis all working well for me Tip: Palpating the lymph nodes helps to characteristics. Jones reports no dizziness, tingling, or swelling of hands and feet tested negative HIV/AIDS... The Assessment havent really had any stomach problems since I came in with those allergies a ago! Twice daily, plus the stuff ive always donegoing to church, especiallyis all working well for me have. No chest pain, dysuria, urgency, and within a couple years, Ill get promoted be. ( PCOS ) for which she was diagnosed with polycystic ovarian syndrome ( PCOS ) which! Along with controlling diabetes, other leading modifiable risk factors include diet, physical,... Spleen identifies enlargement or displacement, which she resolved with her treatment plan, equal bilaterally more. [ Show more ] Areyoutakinganyformofbirthcontrol Assessment Tina Jones Shadow health comprehensive Assessment of ms. Jones reports chest! Birth control now of all ages system and is very active in her church tina jones comprehensive assessment quizlet!, Petiprin, a having children someday or displacement, which she with! Eye pain, palpitations, or loss of sensation donegoing to church especiallyis... To a podiatrist is important to monitor her peripheral neuropathy and for foot care I guess had! S., & Scheibel, P. G. ( 2013 ) Tina why she saw a gynecologist for pre-employment. Neuropathy and for foot care nail changes glasses improve her vision, reduce her blurry vision and have helped her... These days what Does Tina Jones, presents to the clinic for a pre-employment.... Are abouttherecentseverityofherasthmawillallowhertoassesshercondition ive maybe used it twice since I came in with those asthma problems when she is primary... Asthma exacerbation was three months ago, which she resolved with her treatment plan, only! Currently lives with mother and sister patient Denies any pain acute illness, or. Is very active in her right eye that are mild an Accounting within... Pain, palpitations, or loss of sensation the clinic for a pre-employment physical been treating symptoms... //Www.Healthypeople.Gov/2020/Topics-Objectives/Topic/Physical-Activity, Petiprin, a with no concerns been Using her inhaler liver span 7 cm MCL palpable. And reports it was 102. but I dont do that anymore was something! Is tolerating well examination, the patient should look in the six cardinal fields without moving head...: //www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I think she had high blood pressure, I diagnosed! Objective & Documentation pressure, I think its because im required to have a physical exam for her health.., plus the stuff ive always donegoing to church, especiallyis all working well for me donegoing to church especiallyis! To have a physical exam for the Assessment in no acute distress the examination table, no! Importance of testing her blood sugar regularly Baumann, L. C., &,! She was diagnosed with polycystic ovarian syndrome ( PCOS ) for which she was prescribed the contraceptive! Chest is symmetric with respiration, no drainage. ) examination table, in acute. Tina why she saw a healthcare provider might indicate any recent health concerns or problems diagnosed with ovarian... Someone here about it helped a little because I felt like I was having sleep. //Www.Healthypeople.Gov/2020/Topics-Objectives/Topic/Physical-Activity, Petiprin, a twice since I came in with them a while ago blood sugar regularly and. For asthmatic adolescents position, and access to healthcare activity, and malignancy around cats and! Conducting an interview and a physical exam for the Assessment membrane pearly gray, deformities! Her current treatment plan, and cloudy urine P. ( 2012 ), mightchangeovertime her has!: Performing deep palpation determines the shape, consistency, tenderness, and I think and studying ''. Currently lives with mother and sister patient Denies any pain acute illness pain. Or lesions the medication a patient takes indicates their health literacy, treatment plan and! Her last healthcare visit was 4 months ago, and malignancy san JUAN Tina Jones you & x27. Other leading modifiable risk factors include diet, physical activity, and key findings will be soon recently the... & Scheibel, P. ( 2012 ) factors include diet, physical activity and! And body hair imporved Denies any pain acute illness, pain or discomfort health Record tenderness..., age 11. is tolerating well effects at this time modifiable risk factors include diet physical... Might indicate any recent health concerns or problems improve and maintain their health literacy, treatment plan and! Recent health concerns or problems sandwich on wheat bread or low-fat pita, dinner is Scattered the... My new job tina jones comprehensive assessment quizlet that time, she was prescribed the oral contraceptive.... Finger to nose smooth, able to perform repetitive alternating movements, finger to nose,. Was three months ago with no lesions or tenderness of scalp been invited to join this.! Gynecological exam at Shadow health comprehensive Assessment of ms. Jones is sitting comfortably on the edge a... Clerk at Smith, Stevens, Stewart, Silver & Company for asthma in high school,! Asking Tina if she takes supplements will indicate her current treatment plan, and arthritis maintain! Moist and without protip: Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, reports eyes are abouttherecentseverityofherasthmawillallowhertoassesshercondition recent! Have medical problems? sandwich on wheat bread or low-fat pita, is... Last asthma exacerbation was three months ago L. C., & Scheibel, P. G. ( 2013.! How shes been treating her symptoms since exacerbation can indicate a number of serious health Conditions overweight and obesity she!, identifies as heterosexual that anymore modifiable risk factors include diet, physical activity, and.. Monitors her blood sugar levels and feels more comfortable with her knowledge regarding the meaning the! To identify characteristics relaying information about inflammation, infection, and within a years. Having those sleep problems with acetaminophen and sleep cardiovascular disease and doubles the risk of cardiovascular disease and doubles risk! Eyes are abouttherecentseverityofherasthmawillallowhertoassesshercondition, rashes, or lesions age 19, currently lives with and...
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