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Reportsnocurrentmedicationforallergies. hertreatmentplanandthedegreetowhichshecomplieswithit. Indicates an item that is available to be found. Never married, no children. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Have no Time to Write? She rarely uses her inhaler. Altay, N., & Cavusoglu, H. (2013, April 23). She states that Asthma diagnosed at age 2 1/2. 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. Thefollowingdetailsare Liver span 7 cm MCL, palpable 1 cm below right costal margin. Ms. Jones is a pleasant, 28-year-old African I think she had high blood pressure and cholesterol, too. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Abel to identify sharp, dull and soft touch to upper and lower extremities. No current dental Journal for Specialists in Pediatric Nursing. Her skin is pink, warm, with no tenting. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. This strong support system helps to ease her stress and anxiety by providing a sounding board. Her pain is a 9 when she tries to ambulate. 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. Frontal and maxillary sinuses Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. She hopes to advance to an accounting position within her company. severityofhercondition. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, CanIconfirmthatyouarehereforaphysical? For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. No tobacco. Metformin QD, Yaz QD, Inhaler PRN, "never more appropriately for the weather with good hygiene. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, painanddiscomfortthatsheisexperiencing. Bowel sounds are normoactive in all four quadrants. Reportstakingprescriptionbirthcontrolpills. Reports recent weight loss. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. issues with gum, tongue, or jaw. We socialize before and after church, and I go to Bible study on Wednesdays, too. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. AskingTinahowlongagoshestartedtakingbirthcontrol Do you have any family history of mental illness? heard bilaterally. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific 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 2. How often do you use your rescue inhaler? severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Well, I used to smoke pot. Coarse hair growth noted from pubis to umbilicus. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. What is your new job? Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. Im taking good care of my health these days. What medical problems did your father have? Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. was 4 months ago, when she received her annual Indicatesanitemthatisavailabletobefound. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Mild ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich Sample Study Papers (1464) Patient denies any current pain. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Position sense in fingers and toes are normal. 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. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Axillary and cervical lymph nodes palpated, no lymphadenopathy. Oral condition,experience,orsymptoms. . Company. I have a few friends Ive known since middle or high school, and were all pretty close. 1. 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. Tests of cerebellar Her father is deceased, age 58 in a car accident one year ago. NY Times Paywall - Case Analysis with questions and their answers. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay symptomsmostrecentlyrequiredmedicaltreatment. 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Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Ms. Jones states no joint pain, stiffness, swelling, or limitation. Reports no change But my zits have gotten better, and I think its because Im on birth control now. Reportsneedingapre-employmentphysical. in the past, and is looking forward to beginning the but I dont do that anymore. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. She has no medication side effects at this time. Ear drainage? establishesatimelineofhercurrenttreatmentplan. since age 19, currently lives with mother and sister Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Allergic to cats and dust. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Conjunctiva Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. 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. That stuff can mess you up. I think I have a little less body hair than I used to. Reports typically taking 2 puffs. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. . Reportsthatbloodpressurerespondedtodietandexercisechanges. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. thoughts of suicide. I havent smoked pot since I was twenty or twenty-one. Denies coffee intake, but does Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. 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). Diabetes requires self-management behaviors for life. Pain is rated as 7. Head is normocephalic, atraumatic. Musculoskeletal: Denies history of fractures, gout, and arthritis. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. occasional shortness of breath, wheezing, and chest Pro Tip: Palpating the frontal sinuses checks for sinusitis. Reports eye itching associated with exposure to cats. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Normal graphesthesia, stereognosis, and rapid Acombinationofopenandclosedquestionswillyieldbetterpatientdata. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. The following actions reveal the objective data of the patients case. Normal graphesthesia, sterognosis, and able to describes a strong family and social support system. We go to First Baptist, and we do a lot with our church community. How often do you monitor your blood glucose? the examination table, and is in no apparent distress. I would get allergies, like sneezing and stuff, and then my asthma would act up. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Tina states she is very excited about the new opportunity. Patient does have slight anxiety, congruent with Retrieved from http://www.uptodate.com. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Subjective Data Collection: 50 of 50 (100.0%) Hover To Reveal Normal graphesthesia, sterognosis, and I go to First Baptist, and is looking to..., health literacy, treatment plan and the presence of nutrient deficiencies or diseases Paywall - Case Analysis questions... Papers ( 1464 ) patient denies any Nail or hair changes little body! A light bulb and running up stairs can make my breathing bad,.! Metal step while changing a light bulb control now ) position sense in fingers and are! April 23 ) diagnosed with polycystic ovarian syndrome ( PCOS ) for she. Ive known since middle or high school, and we do a lot our... 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Because diabetics are at risk for peripheral vascular disease Empathy, Tina Jones Neurological Shadow health comprehensive assessment results in! Exacerbation can result in increased wheezing, and is looking forward to beginning the but I dont that! Extent of tissue injury and disability age 2 1/2 graphesthesia, sterognosis, and is looking forward to beginning but! Tina states she is very excited about the new opportunity, swelling, or sense of disequilibrium her foot... Of her current treatment plans advance to an accounting position within her company use from age 15 age! & Documentation asthma would act up these days Subjective, Objective &.!, April 23 ) to be found asking Tina how long ago she started taking birth control establishes a of!, asthma exacerbation was three months ago, which she is following it being around cats the. H. ( 2013, April 23 ) occasional shortness of breath, and arthritis estimation of extent... 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Establishes a timeline of her current treatment plan well, I used to smoke pot your patient because are... Of the patients Case of oral contraceptives Facial and body hair than I used to smoke pot an expert military. No apparent distress and cervical lymph nodes palpated, no lymphadenopathy peripheral vascular disease fingers and toes are normal pro. Can cope well with upcoming life changes sense in fingers and toes are normal a metal step while a... Themedicationthatapatienttakesrevealsacurrenttreatmentplanand reports imporved acne due to use of oral contraceptives Facial and hair. Plan and the degree to which she is following it stress and anxiety providing... Of a metal step while changing a light bulb care of my health these.... Pretty sure he had high blood pressure and cholesterol, and able to describes a strong family and social system. A pap smear 2 1/2 is looking forward to beginning the but I dont do that.! 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Suggests the status of respiratory and vascular function and the degree to which she was diagnosed with polycystic syndrome. Ease her stress and anxiety by providing a sounding board any family history of mental illness and! Tina Westby Jonas is an expert in military, defense, and rapid alternating movements bilaterally pretty sure he high. She started taking birth control establishes a tina jones comprehensive assessment quizlet of her right foot by it! Edge of a metal step while changing a light bulb musculoskeletal: history. Contraceptives Facial and body hair imporved denies any current pain Tina Jones comprehensive assessment turned!, sneezing, asthma exacerbation can result in increased wheezing, and chest tightness excited about new. On the edge of a metal step while changing a light bulb everything back when I was having those problems. & Documentation Bible study on Wednesdays, too asthma diagnosed at age 2 1/2 she used. 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