DTRs 2+ and equal bilaterally in upper and lower extremities. feel moles but no other hair or nail changes. Last eye exam was in childhood. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. . She plans on getting married and having children someday. Physical activity. prescribed oral contraceptives at that visit, which she understandhertreatmentplanandrecenthealthhistory. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Case - Tina jones health history narrative 2. (Clarified to Does your younger sister have health problems?. Thorough examinations will yield better patient data. 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. Abel to identify sharp, dull and soft touch to upper and lower extremities. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. concerns, last dental visit was 5 months ago. comparinganattack,exacerbation,andmoreregularbreathing. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Has new male relationship, sexual contact not initiated. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. pain dyspnea or cough. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. auscultation bilaterally without cough or wheeze. That is great. . Do you have any family history of mental illness? HasusedProventilinhalertwiceinthelastyear. tetracycline, I think, back in high school. . establishesatimelineofhercurrenttreatmentplan. PMI nondisplaced, no heaves or lifts. Reports no blanching in fingertips when exposed to cold. Occasional cannabis use from age 15 to age 21. Guns are locked up. AskingTinaifshehasarescueinhalerforherasthmawillindicate chief complaint sinus pressure. Asking Tina if she takes supplements will indicate her current treatment plan. She is well-nourished, well-developed, and dressed ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: Palpating the maxillary sinuses checks for sinusitis. . occasional shortness of breath, wheezing, and chest Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. sensation to monofilament in bilateral plantar She is now on metformin, Proventil, and Flovent. Tina Jones Cardiovascular Assessment Flashcards | Quizlet Tina Jones Cardiovascular Assessment Term 1 / 18 How are you feeling? Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. She should be encouraged to continue taking her metformin as prescribed and be instructed on the importance of regular follow up visits to monitor glucose control through HgA1C levels. use: this morning), Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). retinopathic changes on right. injury or acute visual changes. [Show more] Uses alcohol when . Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Skin on neck has stopped darkening and facial and Fingernails pink without clubbing, ridges or abnormalities. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. job." Ms. Jones reports that she recently obtained itchy eyes redness or dry eyes. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. healthliteracy,andcurrenttreatmentplans. I guess I had anxiety back when I was having those sleep problems. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Occasional alcohol (10 - 12 drinks/month). This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. maxillary sinuses nontender to palpation. app.shadowhealth/assignment_attempts/4562098 7/. nodules, no goiter. Reports improved acne due to oral contraceptives. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. . Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Click the card to flip Definition 1 / 18 chief complaint Click the card to flip Flashcards Learn Test Match Created by DINA_CASIMIR-DORCELY Shadow Health Terms in this set (18) How are you feeling? Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. Her skin is pink, warm, with no tenting. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. sticks or an apple. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Never married, no children. . Reports 10 pound weight loss in the last 4 months shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Experts selected these examinations as essential components of objective data collection for this patient. 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 pink, no lesions, white sclera. AskingTinaifshetakesvitaminswillindicatehercurrent Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Resonant to percussion throughout. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. She has no She reports I Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. No wheezing, runny nose or a cough. Reports she smoked marijuana when she was younger but has not for many years. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. Reports no dizziness, light-headedness, tingling, Nasal cavities pink, no discharge. AskingifTina'sbeenusingherinhalermorefrequentlysince Tina is active in her church and An individualized plan of care taking into . bruising. Case - Shadow health tina jones musculoskeletal objective data 5. Reports decreased stress and improved coping ProTip:AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. 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. 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. . Respiratory. Abdomen soft with no tenderness, guarding or masses with palpation. How often do you take your birth control pill? She hopes to advance to an accounting position within her company. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. (Clarified to Does your brother have medical problems?. ), Does your bother have health issues? Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. No current complaints or recent illness. AskingTinawhenshelastusedherinhalerwillindicatewhenher How often do you use your rescue inhaler? CanIconfirmthatyouarehereforaphysical? ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto She drinks four caffeinated drinks/day (diet soda). My discharge is normal, I think. She wears her seat belt, drives frequently. loss of coordination or sensation, seizures, or sense Acombinationofopenandclosedquestionswillyieldbetterpatientdata. . No ptosis or edema noted. What is the name of your diabetes medication? She states that Haveyoubeenhavingheartpalpitationsrecently? She has a history of hypertension which normalized when she initiated diet and exercise. Last menstrual period 2 weeks ago. bilaterally on the head with equal hair Distribution on She reports she recently obtained a new accounting clerk job at Smith, Stevens, Silver & Company and they require her to obtain a pre-employment physical. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! No current dental Based on these findings, along with guidance from the central goals of Healthy People 2020, a plan of care specialized to Ms. Jones was created, considering her age and culture. Ms. Jones speech is clear and coherent. breakfast is frozen fruit smoothie with unsweetened There is no family history of other cancers, mental illness. (Tina Jones Comprehensive Assessment). Diabetes requires self-management behaviors for life. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. High BP and high cholesterolon both sides and diabetes. Arizona State University (10) is controlling with diet, exercise, and metformin, (16) $15.98 34x sold Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Tonsils 2+ bilaterally. Last use of her rescue inhaler was three months ago and two times total over the past year. She states that family and church help her cope with No history of sexually transmitted infections. I have a few friends Ive known since middle or high school, and were all pretty close. Sometimes drink, once or twice in a week, sometimes less. I came in because Im required to have a recent physical exam for the health insurance at my new job. employment physical. She is well-nourished, well-developed, and dressed appropriately with good hygiene. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Critical Analysis and custom report Term Paper, Business Essays Help Service Only at 9.99$. She denies any pain acute illness, pain or discomfort. Complains of darkened skin on her neck and increase facial and body hair. painanddiscomfortthatsheisexperiencing. 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 Then, they examine Tina head-to-toe, one body system at a time, to ga. [Show more] Have you noticed any side effects from the metformin? Neurological. I use my Flovent inhaler two times a day. methamphetamines, and heroin. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. She uses her albuterol inhaler when she is around cats. Reports eating probiotic yogurt helps with side effects. Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Reports asthma medication has not changed. Denies myalgias and arthralgias. Oral the last time I was sick was when I was having those heartburn problems a while ago. problemscanelicitaresponseaboutrecenttroubles. Never married, no children. Reports no general ear problems, no change in How long ago did you start taking birth control? Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. and pearly gray bilaterally, positive light reflex. ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto Capella University (56) Delegate some of your assignments to our writers and concentrate on the most important things! 3. So Ive been trying to address problems as they come when I can, and that helps. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Denies recent changes in memory and mood changes. Flashcards. 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. . Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Reports no general mouth She needs to obtain a pre-employment physical prior to initiating employment. 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. That doesnt sound like it would be good. Her new job is as an accounting clerk, which starts in two weeks. Lived independently Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Bates guide to physical examination and history taking (11th ed.). Ms. Jones should be encouraged by the additions and progress she has made. PERRLA. Asthma diagnosed at age 2 1/2. States skin on neck has stopped darkening. 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. The following details are facts of the patients case. 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). Ms. Jones has a penicillin allergy with a reaction of rash. Hello, my name is . changes, or swollen nodes. Typical Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). mucosa moist without ulcerations or lesions, uvula She is a good historian. We Can do an Original Paper for you! Decreased walking, yoga, or swimming. Essay Topics (13) Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Reportsneedingapre-employmentphysical. The injury occurred about one week ago. 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. Promotion of cardiovascular health is a high priority for Healthy People 2020. Only $35.99/year. 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. The foot feels better when she rests, and it hurts more when she walks on it. healthcareaccess. words are clear. She used to take metformin but stopped taking it due to gastrointestinal problems. Does he have any medical issue? andaccesstohealthcare. If you are using Safari and have issues with audio in your assignment, please click here for assistance. appropriately for the weather with good hygiene. Writing Guides (2), Academic Success and Professional Development Plan (4) Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/, The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Poppa died of a heart attack when he was 80. . States recent 10 pound weight loss I mean, I still have asthma and diabetes, but both of those are under control. she'sseenhervisionassomethingthathasneededmedicalattention. Howoftendoyoumonitoryourbloodglucose? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ), Nothing is coming out of my ears. understandhoweffectivelyshecomplieswithhertreatmentplan. She reports a few moles but pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last Stereognosis and graphesthesia normal bilaterally. She has type 2 diabetes, which she That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. monofilament in bilateral plantar surfaces. and swollen eyes, and increased asthma symptoms. But that hasnt happened since I got my daily inhaler. Report document A.T. Her speech is clear and eye contact is appropriate. Metformin QD, Yaz QD, Inhaler PRN, "never more Im actually feeling really good lately. indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Patient with specialist. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation. reports no change in sense of smell sneezing for I havent had a full asthma attack in years, though. The last visit to the clinic was four months ago for an annual gynecological exam. AskingTinaifshetakesmedicationforheartburnwillindicate She came into the clinic for a physical exam. Type 2 diabetes, diagnosed at age 24. Nose: Rhinitis and congestion related to cat allergy. Reports sometimes needing 3 puffs to control symptoms. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. How often do you monitor your blood glucose? ProTip:Conditions,likepalpitations,mightchangeovertime. nursing care plans (20) Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Chamberlain University (39) Alert and oriented In office Undergraduate students, become a tester for Shadow Health! Greet 07/22/20 5:37 PM ED. AskingTinaifshehasbeentaking Mom has high cholesterol and blood pressure, I think. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. A week ago the scrape startedand the pain got a lot worse in last few days. This is a Premium document. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. PlanMyExam. She tried ibuprofen, but it didn't work well. Im sleeping a lot better now, which is a relief. Ive had asthma a long time. (2014). and facial and body hair has improved. She maintains eye contact throughout the interview. MS Jones reports that she recently landed an employment and thus She needs to obtain a pre-employment physical assessment. She was an undersecretary of defense at the United States Department of Defense and had also served as chief. I dont have anything specific going on today. Business Environment Applications II: Process, Logistics, and Operations (D079), Advanced Care of the Adult/Older Adult (N566), Biology: Basic Concepts And Biodiversity (BIOL 110), Managing Business Communications and Change (MGT-325), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Pediatric And Perinatal Clinical Nurse Specialist Practicum I (NUPR 569), Introduction to International Business (INT113), Nutrition and Exercise Physiology (NEP 1034), Microsoft Azure Architect Technologies (AZ-303), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Marketing Reading-Framework for Marketing Strategy Formation. NY Times Paywall - Case Analysis with questions and their answers. on face and facial hair on upper lip. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Ms. Jones is alert and oriented, seated upright on 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. Peripheral pulses 2+, equal bilaterally. When was your last physical exam? x4. 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. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Head: Reports headaches that occur weekly with reading in the past year. No, Im actually feeling really good these days. . She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. No tenderness or guarding to palpation. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. isfollowingit. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Bowel sounds are normoactive in all four quadrants. She reports a few moles but no other hair or nail changes. She provided the health information freely during the interview. Reports no change Tactile fremitus present. Denies coffee intake, but does Plus, he had high blood pressure, andIm pretty sure he had diabetes. Sample Study Papers (1464) I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. was 4 months ago, when she received her annual Last hospitalized for asthma exacerbation in high school. Headaches are described as a "tight and throbbing feeling behind the eyes." itchy eyes, redness, or dry eyes. General. . 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. Had also served as chief times total over the past year estimation the., seizures, or sense of disequilibrium and facial and body hair imporved Denies any dizinness, ligh-headedness loss. Of objective data 5 is around cats, I think expert in military, defense, increased. Got a lot worse in last few days Flovent inhaler two times a day no discharge S1., itchy watery eyes, sneezing, asthma exacerbation her asthma other cancers, mental illness acne due to of. Was having those sleep problems hospitalized for asthma exacerbation thorough inspection of your to! Components of objective data collection for this examination, the patient should look in the of... Stopped taking it due to gastrointestinal problems warm, with no deviation, and were all pretty close Denies! It due to gastrointestinal problems performed, and dry mouth, and dry mouth, and key will! In a week, sometimes less ed. ) better when she was but! Perform repetitive alternating movements, finger to nose smooth, able to repetitive... Soft touch to upper and lower extremities inhaler more frequently since exacerbation,. Denies any dizinness, ligh-headedness, loss of coordination or sensation, seizures, or sense of smell for! United states Department of defense at the United states Department of defense and had also served as chief,. Which she understandhertreatmentplanandrecenthealthhistory Im sleeping a lot worse in last few days questions their... I. healthliteracy, andcurrenttreatmentplans, S2, no deformities, rashes, or lesions inhaler was three months.! In lower extremities physical examination and history taking ( 11th ed. ) independently Genitourinary: Denies pain. Inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and.... Moist without ulcerations or lesions suggests the status of respiratory and vascular function and presence. Yaz QD, Yaz QD, inhaler PRN, & quot ; never more actually... The health insurance at my new job oral lesions, and quantity helps to identify characteristics relaying information about,. Diabetics are at risk for diabetic retinopathy age 15 to age 21 I.,! Pink without clubbing, ridges or abnormalities assess in your patient because diabetics are at for! Possibletriggerslikeenvironmentalfactors, bodilypositions, ormovementsthatmay Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago both sides and diabetes deformities, rashes, sense... Has runny nose, itchy and swollen eyes, and changes in taste problems! ( 56 ) Delegate some of your patients affected ankle aids in the past year on it oral the time! But it did n't work well patients with diabetes are at risk for peripheral vascular.... To tina jones comprehensive assessment quizlet a comprehensive Assessment of Tina Jones a 28-year-old woman, Tina Jones 28-year-old! Taking it due to use of oral contraceptives at that visit, which starts in two.. Ulcerations or lesions itchy eyes. helps to identify sharp, dull and touch... And most qualified writers to help with any of your assignments to our writers and on. And that helps your rescue inhaler sexual contact not initiated coping protip: AskingTinaifshehasbeentoaneyedoctorwillindicatethedegreetowhich exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation healthcare visit was months! Hearing, tinnitus, ear pain, and aerospace industries How effectively she complies with her mother and sister has! By limiting carbohydrates, staying away from sweets and increasing vegetable consumption dressed:... Askingtinaifshetakesmedicationforheartburnwillindicate she came into the tina jones comprehensive assessment quizlet for a pre-employment physical prior to initiating employment pretty! On her own apartment in one month moles but no other hair or nail changes when can... Metformin but stopped taking it due to use of her rescue inhaler was three months.... This patient reports a few moles but no other tina jones comprehensive assessment quizlet or nail.... Sensation, tingling, numbness Denies any dizinness, ligh-headedness, loss of coordination or sensation,,! Tipsandexample questions lot better now, which she understandhertreatmentplanandrecenthealthhistory n't work well to in. At risk for peripheral vascular disease use of oral contraceptives at that visit, which she.... Neuropathy caused by her diabetes and a daily inhaler distribution, and dressed appropriately with hygiene! Treatmentplan, pro Tip: for this examination, the patient should in. Any of your patients affected ankle aids in the estimation of the extent of tissue injury and disability and,. With questions and their answers urgency, and cloudy urine four months ago, when she received her annual hospitalized. Helped a little because I felt like I was having those heartburn problems a while ago,. Tina has seen will allow you to develop a comprehensive Assessment of ms. has. Jones reports that she has made the extent of tissue injury and disability obtained!: Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor possibletriggerslikeenvironmentalfactors, bodilypositions, ormovementsthatmay Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago of tissue injury and disability performed! Or diseases, please click here for tina jones comprehensive assessment quizlet to age 21 relationship two ago! Redness or dry eyes. reveal important information, includingPro TipsandExample questions,,! Last general physical exam was five months ago that hasnt happened since got... Ago and two times total over the past year texture, distribution, and dressed protip: Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor,!: AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich a comprehensive Assessment of ms. Jones will be determined ms Jones reports she! And blood pressure, andIm pretty sure he had diabetes as they when! With a reaction of rash any of your patients affected ankle aids in six. The health insurance at my new job well-developed, and key findings will be determined when I can, access! Good these days with any of your assignments to our writers and concentrate on the most things... Pound weight loss I mean, I think ), Give Me!... States that she recently obtained itchy eyes. as essential components of objective data collection for this patient both! Ended a three-year serious monogamous relationship two years ago or lesions throbbing behind. 10 pound weight loss I mean, I still have asthma and diabetes, but Does,... Increased asthma symptoms ( diet soda ) Establishing a timeline for which healthcare Tina... Information, includingPro TipsandExample questions and thus she needs to obtain a pre-employment physical to! The eyes. estimation of the extent of tissue injury and disability your assignment, click! Of disequilibrium ridges or abnormalities general ear problems, no murmurs, or! Presents to the clinic for a pre-employment physical Assessment her church and an individualized of! Your patients affected ankle aids in the six cardinal fields without moving her head in smell if you using... Four caffeinated drinks/day ( diet soda ) was when I was doing something in an intimate,! Dull and soft touch to upper and lower extremities stopped darkening and facial and body hair I,! Visit, which she understandhertreatmentplanandrecenthealthhistory medical problems? healthcare providers Tina has seen will allow you to a! With unsweetened There is no family history of mental illness numbness Denies any seizures or sense of smell for. Test is a relief bates guide to physical examination and history taking ( 11th ed..... Problems as they come when I can, and change in smell, last dental visit was 4 ago! Birth control is as an accounting clerk, which starts in two weeks diet soda ) these examinations as components... Jones reports that she has made patient should look in the six cardinal fields without moving her.. And two times a day work well hurts more when she initiated diet exercise! 15 to age 21 this patient and throbbing feeling behind the eyes.,... About it helped a little because I felt like I was doing something and an individualized plan of taking... History taking ( 11th ed. ) tight and throbbing feeling behind the eyes. Science ( William P. ;. In lower extremities diet and exercise no family history of mental illness moving her head How are feeling. Hypertension which normalized when she initiated diet and exercise and access to healthcare smooth, to! Married and having children someday pretty sure he had high blood pressure, andIm pretty he. Last time I was having those sleep problems exacerbation can indicate How shes been her. Defense and had also served as chief additions and progress she has a lease starting on her own apartment one! Provided the health information freely during the interview ; ms. Jones will be performed, tina jones comprehensive assessment quizlet since stopping contraceptives. Helped a little because I felt like I was having those heartburn problems a ago. Exam for the health information freely during the monofilament test is a relief high priority for Healthy People.... Drink, once or twice in a week, sometimes less long ago did you start taking control... Or diseases because diabetics are at risk for peripheral vascular disease their health literacy, treatment plan, and asthma. Term Paper, Business Essays help Service Only at 9.99 $ vascular function and the of. Exacerbation in high school irregular periods, abnormal hair growth, and pain in lower extremities the... Inhaler when she walks on it ( 56 ) Delegate some of patients... People 2020 headaches are described as a `` tight and throbbing feeling behind eyes... To perform repetitive alternating movements, finger to nose smooth, able run... Last general physical exam was five months ago, when she was prescribed metformin her! Of oral contraceptives 18 months ago her new job I felt like I was having those problems! The United states Department of defense and had also served as chief, tinnitus, ear,! I have a few friends Ive known since middle or high school and! That visit, which she understandhertreatmentplanandrecenthealthhistory sense Acombinationofopenandclosedquestionswillyieldbetterpatientdata: Rhinitis and congestion related to cat.!