Haveyoubeentakingmedicationforyourdiabetes? (Found) Pro Tip: Asking Tina if she experiences any adverse effects from her inhaler can help you determine if the treatment is effective and appropriate for her health needs. Speech is coherent and audible. What is your average blood sugar number? Pro Tip: Confirming a patients medical conditions, such as diabetes, will enable you to provide the best care possible. Asking Tina what she typically has for breakfast will illustrate her recent dietary patterns. Example Question: Finding: A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and . she'sseenhervisionassomethingthathasneededmedicalattention. AskingTina Three months was her last visit to the optometrist for which she was given prescription eyeglasses. andaccesstohealthcare. Reports asthma medication has not changed Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. When was the last time you took ibuprofen? NRS Week 4: Comprehensive Assessment Tina Jones, ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT NRS 434 Shadow Health: Comprehensive Assessment, https://www.ncbi.nlm.nih.gov/books/NBK499933/, https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/. She claims that her church and family Followed up about birth control prescription. 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. Example Question: Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Reports belief that asthma is well-controlled Have you lost weight? (Found) Her skin is pink, warm, with no tenting. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. (Found) Finding: Cultural Competence in the Care of Muslim Patients and Their Families. Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a productive exam and prioritzing the patients needs. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. (Found) Have you been coughing? Finding: Comprehensive Health History for Shadow Health History & Final Comprehensive Health It is particularly important for Tina, as she suffers from asthma. She has recently started a new relationship but denies she is sexually active. Finding: Example Question: Physical activity. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. Palpated fremitus equal bilaterally. Example Question: currenttreatmentplan. Pro Tip: It is important to determine any recent changes to breast, such as swelling, rashes, lumps, or nipple discharge, as it could be indicative of a serious underlying condition. Finding: Promotion of cardiovascular health is a high priority for Healthy People 2020. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward). Asking Tina if shes lost weight might indicate recent changes in health. No current complaints or recent illness. Thyroid palpable, no nodules, no goiter. Struggling to find relevant content or pressed for time? Review of systems: Can you confirm your allergies? Pro Tip: Broad, open questions about HEENT systems will allow Tina to describe, in her own words, any specific head conditions and symptoms that she is experiencing. Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Have you had any stomach or bowel problems? Neurological. Followedupaboutbirthcontrolprescription, Startedtakingbirthcontrol4monthsago. When in doubt, cite the source. Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. Drospirenone and ethinyl estradiol: one pill every day. She is a good historian. Is your paper made up of someone elses thoughts more than your own? AskingTinahowlongagoshestartedtakingbirthcontrol Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Denies cough, 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. Asked review of systems for gastrointestinal. (Found) Example Question: (Found) Finding: Pro Tip: Discovering occasional environmental triggers, such as animal allergies, is important in understanding a patients health. Example Question: Her paternal grandmother is alive and well, 82, with hypertension. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). Expertsselectedthesetopicsasessentialcomponentsofastrong,thoroughinterviewwiththis A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. 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. How many puffs of your inhaler do you typically take? Reports blood sugar number is usually around 90 Denies having a mammogram Do you have an inhaler? Cardiovascular. The papers are not supposed to be submitted for academic credit. This is a Premium document. Stereognosis and graphesthesia normal bilaterally. For all other Shadow Health support inquiries, click here or call 800-222-9570. Cross), 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), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Give Me Liberty! chest pain, and irregular heartbeat. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent Our expert's notes are NOT intended to be forwarded as finalized projects, as it is only strictly meant to be used for research and study purposes. An individualized plan of care taking into . Use Coupon CODE: SAVE15, 2013 - 2023 Online Nursing Essays. (Found) Verified answer physics String is wrapped around the outer rim of a solid uniform cylinder that axles through its center. NRS 434 Shadow Health: Comprehensive Assessment Tina jones comprehensive. Current Health Status, Finding: She reports a few moles but no other hair or nail Finding: Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. Ms. Jones states her acne has improved due to oral contraceptive use. Her paternal grandmother is alive and well, 82, with hypertension. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Her skin is pink, warm, with no tenting. Tag: tina jones comprehensive assessment shadow health. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). Does ibuprofen help your cramps? Example Question: Reports having an inhaler Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Bowel sounds normoactive and present in all four quadrants. Pay Someone to Write My Personal Statement For Me, Premium Service | Pay Someone to Do My Statistics Homework, I Need to Pay Someone to Do My Excel Assignment for Me, College Papers for Sale Research Papers. Denies history of breast cancer Breath sounds present and equal bilaterally, no adventitious sounds noted. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Finding: Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Finding: indicatehertreatmentplanandthedegreetowhichsheisfollowingit. Acanthosis nigricans. Sinus palpated with no tenderness noted. Deep tendon reflexes 2+, upper and lower. Example Question: She enjoys spending time with friends, attending Bible (Found) Respiratory: History of asthma and inhaler use, asthma symptoms triggered by cats, and dust What kind of exercise do you do? (2014). Peripheral pulses 2+, equal bilaterally. Reports taking birth control pill at the same time every day wear glasses/contacts, reports eye itching associated with exposure to cats but no discharge. Mouth/throat: Denies any dental problems. She doesnt monitor her blood sugar regularly at home. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. (Found) Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Finding: Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Lived independently since age 20, currently lives with mother and Reports eating probiotic yogurt helps with side effects. Immunizations: She reports that she believes she is up to date on childhood vaccines. Example Question: This option enhances the consistency in the quality of your assignments. Finding: Do you use any herbal products? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. (Found) B. Finding: andaccesstohealthcare. She denies having homicidal and suicidal thoughts. Identifying Data & Reliability Tina Jones is a single 28-year-old African American female who presents to the clinic to seek care due to a recent right foot injury. Have you noticed any side effects from the metformin? hertreatmentplanandthedegreetowhichshecomplieswithit. (Found) Do you have swelling? She reports stressors relating to the death of her father Reportsnocurrentmedicationforallergies. Get top-notch homework help now. Eyes: Reports blurry vision after reading for long periods, last vision exam as a child, does not Denies sexual activity She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. (Found) A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. If she has not had any screenings, it provides an opportunity for patient education. practices. 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). AskingTinaifshetakessupplementswillindicatehercurrent Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. 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. Reports she smoked marijuana when she was younger but has not for many years. Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. (Found) Full ROM of TMJ with no crepitus. ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Mother: age 50, hypertension (HTN), hyperlipidemia (HLD) Get 15% OFF your order now! Areyoutakinganyformofbirthcontrol? Pro Tip: Finding out specifically if a patient drinks coffee helps you understand what constitutes her typical caffeine intake. Asked review of systems for neurological. been cleaning the wound twice a day and applying antibacterial ointment and bandages. She maintains Example Question: ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, History of Present Illness (HOPI): Ms. Jones recalls tripping on concrete stairs outside a week When was the last time you used your inhaler? Asked about diabetes management through lifestyle. (Found) Example Question: Shadow Health - Tina Jones, Health History Flashcards. Do you have side effects from your birth control? One or two sentence responses, simple statements of agreement or good post, and responses that are off-topic will not count as substantive. Asked about current prescription medications. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. haveabearingonTina'sbreathing. she'sseenhervisionassomethingthathasneededmedicalattention. Research Request a Demo For Shadow Health billing/invoicing questions, email our billing team or call 800-222-9570. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. Reports drinking 2-3 nights per month She wears corrective lenses and states they have helped with her blurry vision and headaches. You will develop differential diagnosis based on the chief complaint and HPI. Employed 32 hours per week as a supervisor at Mid- WK7Assgn 1Payette A - Assignment for week 7, WK9Assgn 1 The patient is a 70 year old Caucasian female that presents with complaints, WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Focused Episodic SOAP Note for Sore Throat, Week 4 Skin Assignment Picture 2 (Stretch Marks), Business Environment Applications II: Process, Logistics, and Operations (D079), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Art History I OR ART102 Art History II (ART101), 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), Summary Reimagining Global Health - Chapter 5 & 6, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Lunchroom Fight II Student Materials - En fillable 0, Summary Give Me Liberty! Reports using glucometer Comprehensive Health History for Shadow Health History & Final Comprehensive Health colds/infections, epistaxis, and change in smell. Asking Tina what she typically has for lunch will illustrate her recent dietary patterns. Pro Tip: Follow up questions about the dosage of Tinas diabetes medication will help you to understand her treatment plan and recent health history. Tina Jones University Keiser University Course Physical Assessment in Healthcare Academic year:2021/2022 Helpful? Reports no dizziness, tingling, or loss of sensation. Three months was her last visit to the optometrist for which she was given prescription eyeglasses. Example Question: Can you confirm your asthma? Example Question: When was your last menstrual period? With the assistance of Orems self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. (Found) Example Question: The estimated average time to complete this assignment each time is 3 hours. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Finding: Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, painanddiscomfortthatsheisexperiencing. Reports taking prescription birth control pills treatmentplans. You can even attach screenshots or add additional instructions later. Environmental factors such as dust, dustmites, mold, pollen, (secondhand) smoke could contribute to an asthma exacerbation. For nurses unfamiliar with the culture, it may be a good advice to inquire with the patient or any accompanying family their cultural norms and how they can be treated with respect and without judgement. Pro Tip: Asking Tina about the recommended dose of her inhaler can help you determine if the treatment is effective and appropriate for her health needs. General: Recent unintentional weight loss, fever last night of 102, chills last night, no fatigue Permalink:https://eaziessay.com/comprehensive-asnt-of-tina-jones/. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. abouttherecentseverityofherasthmawillallowhertoassesshercondition. 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). See what other students think about our do my paper service. (Found) Reports swimming weekly Reports last visit to a healthcare provider was 4 months ago ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Ms. Jones has a penicillin allergy with a reaction of rash. Followed up about diabetes medication. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. (Found) Denies current sleep issues Her new job is as an accounting clerk, which starts in two weeks. That her church and family Followed up about birth control prescription and increasing vegetable consumption it is normally concomitant systemic! Up about birth control prescription applying antibacterial ointment and bandages one pill every day to complete This assignment each is. Age 50, hypertension ( HTN ), hyperlipidemia ( HLD ) 15. Recent unintentional weight loss, fever last night of 102, chills last night, no adventitious sounds.. 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