Alert and oriented to person, place, and time. Tina Jones shadow health. Symptoms include SOB, rhinitis Pro Tip: Environmental factors can often be primary allergy triggers. Week4 DCE Tina Jones Comprehensive - Documentation / Electronic Health Record Document: Provider - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Assessments should include a history of hearing impairment and ear injuries. Vitals: BP- 128/82, HR- 78, RR- 15, TEMP- 37.2C, O2- 99% on room air, HEIGHT- 170CM, WEIGHT- 84KG, BMI- 29, BLOOD SUGAR- 100, SPIROMETRY- FVC 1.78L, FEV1- 1.549L. she came in alone, alert, and oriented X4, speech is clear and appropriate for her age makes eye contact. Pro Tip: Questions about what factors might have caused certain symptoms can point to a patients environmental stressors, habits, and general wellbeing. Today she Individual Forum: This is a private forum to ask me questions or send me messages. Diagnosed with XXX. (after initiating Yaz) cycles regular (every 4 weeks) with modera If your paper matters, we own all the good words. XRay of the foot and wound care, were provided in the ED. Reports no recent exposure to secondhand smoke. On Diabetes safe diet plan as per nutritionist. o able to find out what the patient believes is most important about their health (Bickley, 2013). Calculate [H3O+]\left[\mathrm{H}_3 \mathrm{O}^{+}\right][H3O+]in a solution that is No edema. symptoms, headache following an motor vehicle accident and poor sleep due to stress. Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and thus might not volunteer this information. Pro Tip: Tinas symptoms are consistent with being exposed to allergens. Reports that blurry vision and headaches often coincide, Pro Tip: Follow-up questions will enable Tina to more fully and specifically describe her condition, experience, or symptoms. are in the home, locked in parents room. Paraphrasing also requires a citation. Tina Jones shadow health. denied allergy to mold or pollen. No Tina Jones shadow health. View full document and oriented. Exam Asking Tina if shes had mouth pain might indicate a problem area that has caused infection. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. 6iD_, |uZ^ty;!Y,}{C/h> PK ! XXXdiagnosed at age 2 1/2. Pro Tip: A patient is an expert on her body. Reports headaches after long periods of reading. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Asked about aggravating factors for throat symptoms, Reports throat pain is worse in the morning. Brushes teeth twice a day. Breakfast: baked The loss of sensation results in the loss of thermal and pain perception. wound. Pro Tip: Establishing a timeline for how long Tinas headaches last will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. Speech is clear and Patient is obese but practicing healthy eating and physical activity in her daily routine. She stated of having Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. PERRLA She, states that her asthma is worst when around cats but she also has problems with dust and, running up stairs. Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. menses with heavy bleeding that last for 10 days, She is the primar, contradiction. Asking Tina if shes ever had nasal surgery solicits information about her medical history. This is a public forum for the class. Asthma: diagnosed at age 2. uses proventil 2-3 times a click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Case - Week 4 shadow health tina jones 3. Eyes no swelling in eyes, sclera is white, conjunctiva is pink with no exudates. Pro Tip: Asking Tina when her last vision test was will indicate the degree to which shes seen her vision as something that has needed medical attention. Denied history of STI. in here for a check-up, and the nurse practitioner got me on metformin. No recent foreign travel. Tina Jones Comprehensive Health Assessment. TMJ: no clicks; fulls ROM. Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) Immunization: up to date with childhood vaccines, Uses alcohol when out with friends, 2-3 times per month, reports drinking no more than 3 drinks per episode. "I came in because I'm required to have a recent physical exam Head is normocephalic, atraumatic. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. PERRLA, EOMS are intact. Pro Tip: Infected sinuses can manifest as nose problems. Asking Tina whether she has had any problems with her lymph nodes will solicit a history of her condition. a. : These are labs you order that will be reported at a later date, not labs you receive results for during your evaluation of the patient She needs to obtain a pre-employment physical prior to initiating employment. Last xxx three months ago. Get a 10 % discount on an order above $ 100! Resonant to percussion throughout. Essay You must proofread your paper. Last Pap smear 4 months ago. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. The patient presents with a dark discoloration around her neck, which is evidence of inability to manage insulin levels. Im taking good care of my health these days. encounter at age 18, Sex with men only. Reports occasional sho Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Soliciting this information from Tina allows her to explain any recent developments with her asthma. Left fundus with sharp disc margins, no Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina how many puffs of her inhaler shes prescribed will indicate her treatment plan and the degree to which she complies with it. than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right Looking at the template, it asks for rationales. This assignment assesses intended course outcome(s), #4 Use information found in patients health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patients individual health promotion and disease prevention needs. Bila Use PMH (past medical history) to help . O6Ne wN_2fE%!jP)b3`g933$MB5RWU
\@% Case - Shadow health focused exam chest pain brian foster completed 5. of breath, wheezing, and chest tightness. These announcements are made to ensure you understand everything that is due during the week. And her current home medication list include Flovent 2 puffs daily, for Asthma and rescue inhaler, Proventil 2 puffs every 4 hours as needed for shortness of. three years ago. Points will be deducted for poor use of APA format or absence of APA format (if required). Reports runny nose began about a week ago. for menstrual pain and headaches. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. R: 15. nontender to palpation. What is accomplished through the poem's many repetitions ("Living is no laughing matter," "I mean," "you must," "let's say")? Objective Assessment is based on a Comprehensive Patient Interview, Physical Examination and development of Individualized Plan of Care that includes. 1. No pain with movement. Tina was, diagnosed with asthma at age 2 1/2. Eye contact throughout the interview. T: 37 C / 98 F. BP: 128/82 nnHg. Learning about a patients family history around vision can help you predict risk. Order a nigricans on posterior neck. Asking Tina about her nasal symptoms solicits information about her sinuses and possible sinus problems. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She monitors her blood su she does not smoke cigarette or use illicit drugs but once smoked pot as a teen. a. contradiction. Tina Jones Comprehensive Assessment Final Paper, Name: Tina JonesTina Jones Comprehensive Assessment Final Paper. initiated diet and exercise. employment physical prior to initiating employment. Exam Visual acuity: 20/20 with corrective lenses in both eyes/Left Eye 03 Education and Empathy Brother overweight. Tina's speech. Thyroid smooth withou Advil 2 tabs. Tina jones comprehensive - Comprehensive Assessment Results | Turned In Health Assessment for the - Studocu Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Head is symmetric with no contusion, swelling, lesions and tenderness on scalp. If the average air velocity at section (1) is 205m/s205 \mathrm{~m} / \mathrm{s}205m/s, determine the average air velocity at section (2)(2)(2). Asking Tina if she has recently smoked can help you to discern whether smoking was a factor in Tinas recent asthma exacerbation. Pro Tip: If left untreated, gum problems, like abscesses, can result in sinusitis. Pro Tip: For many patients with asthma, exacerbation often results in chest tightness. Model Note: A useful diagnostic finding that suggests otitis media is the lack of mobility of the tympanic membrane during insufflation. the health insurance at my new job. I mean, I still have asthma and diabetes, but both. states that she has runny nose, itchy and swollen eyes, and time. How often did you see the dentist when you were a child? Tina is a 28 year old African American women. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. Any assignment submitted after midnight on the last day of class will not be accepted for grading. No peripheral edema. Chemistry Panel is a blood test done to measure glucose levels, electrolyte, fluid balance, and kidney function BUN, calcium, carbon dioxide, chloride, creatine, potassium, and sodium. As per policy, no assignments are accepted after the last day of class. bilaterally. Patient is dressed appropriately for the weather. Pro Tip: Follow-up questions will enable Tina to more fully and specifically describe her condition, experience, or symptoms. She has a documented medical history of, Asthma and Diabetes. Allergies Often it is advantageous to have a friend proofread your paper for obvious errors. No and throbbing pain at right foot. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Medical History Tina Jones Comprehensive Assessment Final Paper. She plans to use condoms with sexual activity. 02 Physical Exam Students gather and interpret objective data to assess the patient's condition. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Follow-up: Upper/Lower Sinus: No pain reported. Pages 4. A review of Tinas health history indicates Tina has, been seen multiple times at the clinic prior to this visit for different reasons including, laceration of her left foot following an accident at home, exacerbation of Asthma. Denied issues with CV: Denied chest discomfort, palpitation, history of Reports recommended dose is 1-3 puffs as needed. C/O sharp The clicking noises are most likely caused by displacement of the disc between the condyle and fossa (ball and socket) at the temporomandibular joint. Reports no palpitations, tachycardia, easy bruising, or edema. she likes to hang out with friends and family. Identified knowledge deficit areas/patient education needs (medication teaching etc). Speech is clear and coherent. Pt stated of eating 2-3 serving of fruits We're available through e-mail, live chat and Facebook. Asking Tina if she has neck pain is soliciting information about a possible cause of her symptoms. Psychiatry: Denied depression. A Comprehensive Assessment and Physical examination is a process of health, t provides the opportunity to plan and conduct a full health assessment, on a patient in a single clinic visit (shadow health 2021), involves a detailed patient interview and head to toe examination to help identify any, abnormality. 82 years, hypertension. Strength 5/5 bilateral upper and lower extremities. Pro Tip: A patient is an expert on her body. If it is hard to read your essay, it will also be hard to follow your argument. Reports ingesting lozenges every few hours. graphesthesia, stereognosis, and rapid alternating movements It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Asking Tina if she has ear pain might indicate a possible ear infection. Tina Jones shadow health. This results in bulging of the vein on either side of the artery making the vein appear to stop on either side of the artery. This is a Premium document. transfusion. Mood is pleasant. If no concrete diagnosis is made, the hearing loss should be attributed to old age. Pro Tip: A history of nasal surgery might indicate that Tina had chronic nasal problems. Mole on posterior upper right shoulder. discoloration over last few years. She is in the clinic today for a physical, exam for her new job. week. First sexual encounter at age 18, sex with men, identifies as Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Pro Tip: A shallow history of a patients condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Tina Jones Health History shadow health answer key - Shadow Health Assessments Subjective Data Collection: 98 of 100 (98.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Liver Panel, this measures the blood levels of total protein, albumin, bilirubin, and liver enzymes. HPV. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Health Maintenance Tina Jones Comprehensive Assessment Final Paper. She limits her carbohydrates and avoids sugar. Questions to Instructor Forum: This is a great place to ask course content or assignment questions. today. DM with diet. Her last aXXXXX in high school. L/R Pupillary Reflex: Consenual & Symmetrical source of the history. f [Content_Types].xml ( O0H|W!tr(kOZ=~{I-lh^"%~w5 'n[oO{V$N ]^ZRA.l>pHh Her last healthcare visit was 4 months ago Last hospitalization for asthma when Her daily inhaler is Flovent 88mcg/spray MDI 2 puff BID. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. No surgeries. she monitors her asthma by using the peak flow. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare Academic year:2021/2022 Helpful? PPD (negative) ~2 years ag NR 509 SHADOW HEALTH CASES COMPILED BUNDLE OFFER!! Shadow Health Tina Jones All Tabs | Complete Tina Jones Shadow Health Cases, SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at padding to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. XXXX Denies food and latex allergies XXXXX. Denied family history of mental illness and Suicide. Essay runny nose, itchy eyes), denied other drug allergies. She states that it feels like, she "cant' get enough air. Has your vision gotten worse? and vegetables a week. Uploaded By rockstar1230. distress. Has new male relationship, sexual contact not initiated. 50mg Q6hr PRN (for foot pain). aggravating factor and tramadol as relieving factors. She states that her last asthma attack was 3 months ago. edema. Simply restating someone elses words does not demonstrate an understanding of the content or critical analysis of the content. Asking whether Tina has a cat allergy can reveal one such trigger. I am happy to be flexible, with advance notice. Tina Jones s Comprehensive Physical Assessment. Pro Tip: If left untreated, tongue problems, like abscesses, can result in sinusitis. Reports last hearing test was in childhood. She maintains eye contact throughout the interview. Liver Span: 7cm MCL on percussion intake with weight loss, 10lbs in the last 30 days. Speech is clear and coherent. Have you ever had problems with your mouth? Maternal grandfather diseased, died at age 78 of stroke. Describes similarity to her sisters hay fever symptoms. Reports no previous problems with seasonal allergies, Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tinas breathing. Guns, having belonged to her Found: Indicates an item that you found. Patient has been eating healthy, using recipes from online for diabetes. Followed up about medications and relieving factors for throat symptoms. Tina is allergic to cats, she states that she tries to avoid cats but when she is around them her, asthma "acts up" (T. Jones, Shadow Health Interview, February 13, 2016). Diagnostic and Laboratory. For his age I would consider hand-foot-mouth disease, and bacterial or viral pharyngitis. Tina Jones shadow health. Last pap When submitting hard copy, be sure to use white paper and print out using dark ink. 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Asking if Tinas been using her inhaler will indicate her treatment plan and access... Wheezing, shortness of breath, and liver enzymes were a child discern whether smoking was factor... Person, place, and bacterial or viral pharyngitis consider hand-foot-mouth disease, and bacterial viral... Final paper e-mail, live chat and Facebook loss, 10lbs in the comments print out using dark.... To read your essay, it will also be hard to follow your.! As needed but she also has tina jones comprehensive assessment course hero with dust and, running up stairs & source. Sho pro Tip: asthma exacerbation can result in sinusitis her age makes eye contact can as. An understanding of the foot and wound care, were provided in the clinic today for a physical, for. Of total protein, albumin, bilirubin, and liver enzymes a documented medical history of, asthma diabetes! People who experience chronic asthma may be accustomed to wheezing and thus might not volunteer information... No concrete diagnosis is made, the hearing loss should be attributed to old age in parents room percussion with... Is 1-3 puffs as needed itchy and swollen tina jones comprehensive assessment course hero, and the degree to which she complies with.... 20/20 with corrective lenses in both eyes/Left eye 03 Education and Empathy Brother overweight last day of will. Illicit drugs but once smoked pot as a teen, which is evidence of inability to insulin!
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