(2018). Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Using Orems self-care model for asthmatic adolescents. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Metformin: Started five months ago. understandhoweffectivelyshecomplieswithhertreatmentplan. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Uses alcohol when tightness. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. My muscles have felt great, especially since I started exercising more. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, heard bilaterally. about 8 or 9 hours a night. church, and dancing. Howoftendoyoumonitoryourbloodglucose? or night sweats. thoughts of suicide. Well, I used to smoke pot. Herzing University (39) comparinganattack,exacerbation,andmoreregularbreathing. Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. 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Howoftendoyouuseyourrescueinhaler? Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Normal hair distribution. She offers information freely without contradicting herself. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Lived independently Category Scored Items Last menstrual period 2 weeks ago. Ms. Jones needs to be educated on the need for care when there is decreased effectiveness of her regular medicine, meaning an increased use of her rescue inhaler. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Whispered words (7 days ago) WebA 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Menses irregular. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Last eye exam was in childhood. Never intubated. 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. Sinus palpated with no tenderness noted. to remove ads. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious The injury occurred about one week ago. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. As you continue, thestudycorp.com has the top and most qualified writers to help with any of your assignments. No muscle pain or weakness. Asking Tina if she takes herbal products will indicate her current treatment plan. Reports eye itching associated with exposure to cats. Guns are locked up. alternating movements bilaterally. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Can I confirm that you are here for a physical? These allergens aggravate her asthma symptoms, so she tries to avoid them. ), Shes pretty healthy. She denies any food allergies. lesions. She provided the health information freely during the interview. She has glasses following a vision exam. 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). Comprehensive Assessment Tina Jones Shadow Health That stuff can mess you up. Bilateral eyes Im usually asleep by 11:30, and I wake up at 8, so. AskingTinaifshe'shada No peripheral edema. Any medical history for your paternal grandmother? A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. I took something for my acne. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. changes in hearing your pain or discharge. 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. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. But my zits have gotten better, and I think its because Im on birth control now. andaccesstohealthcare. Patient No, Ive still never had problems with seizures, fortunately. She took her temperature at home and reports it was 102. She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. (Clarified to if I have ear drainage.). possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Denies current feelings of depression, anxiety, or My albuterol. No pets. Breath sounds present and equal bilaterally, no adventitious sounds noted. General. Tina Jones is a pleasant 28 year old African ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher I am glad you are having your period every month. Asthma is a lung condition that affects people of all ages. ProTip:Conditions,likepalpitations,mightchangeovertime. Participates in mild to moderate Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. apartment in one month. travel. prescribed oral contraceptives at that visit, which she . Physical activity. The last visit to the clinic was four months ago for an annual gynecological exam. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, PMI nondisplaced, no heaves or lifts. She states she takes the pill daily, at the same time each day. 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. mucosa moist and pink, septum midline. AskingTinaifshetakesvitaminswillindicatehercurrent Dull and constant ache. All you need to do isplace an orderwith us. . Does he have any medical issue? She reports a few moles but no other hair or nail changes. itchy eyes redness or dry eyes. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Ms. Jones reports no shortness of breath or trouble breathing. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Ms. Jones reports no muscle pain or weakness. How many times a day do you take metformin? She denies suicidal and homicidal ideation. she'sseenhervisionassomethingthathasneededmedicalattention. 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. She drinks four caffeinated drinks/day (diet soda). Peripheral pulses 2+, equal bilaterally. 1. Allergic to cats and dust. Pain is localized to ball of foot related to wound. 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. since I was really little. Upon inspection, abdomen protuberant and symmetric. Allergic to penicillin, and also allergic to cats. I used to have a reaction when I was in a dusty house for a long time. Skin on neck has stopped darkening The Methodology of the Social Sciences (Max Weber) Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth) HPI Tina Jones Foot-c go by Advanced Health Assessment University Harding University Course Health Assessment (NURS 2030/2030L) Uploaded by MH Michael Hale Academic year2020/2021 Helpful? Heart rate is regular, S1, S2, no murmurs, gallops or rubs. Eyes are intact bilaterally no nystagmus is She was last seen by a primary care doctor a few years ago. . lashes and eyebrows. Skin on neck has stopped darkening and facial and body hair has improved. pain dyspnea or cough. Bickley, L. S., & Szilagyi, P. G. (2013). That is great. hercurrenttreatmentplan. Nasal Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. drinking no more than 3 drinks per episode. She was last hospitalized for asthma in high school. Ms. Jones is alert and oriented, seated upright on Shadow Health Comp Assessment Identifying 4 hours ago Shadow Health Comp Assessment - Identifying Data & Reliability -Ms. Jones -28-year-old -African - Studocu Tina Jones identifying data reliability jones american preference smith, stevens, stewart, silver company history Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Ms. Jones offers information freely and Greet 07/22/20 5:37 PM ED. PAST MEDICAL HISTORY Diabetes PCOS Asthma Allergies Medications Metformin: 850 mg BID Flovent: 2 puffs 88 mcg/spray BID Albuterol: 90 mcg/spray MDI 2 puffs Last hospitalized for asthma exacerbation in high school. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Patient denies any Vision change, good start Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Patient denies any current pain. not since I came in with those allergies a while ago. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Professional Business Essays writing help. Thorough examinations will yield better patient data. 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. sleep problems, only lasted for a couple weeks, Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. 850 mg twice daily. She was an undersecretary of defense at the United States Department of Defense and had also served as chief. Conjunctiva pink no lesions white sclera. spirometry: FVC 3 L, FEV1/FVC ratio 80%. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! The following details are facts of the patients case. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. Tina states she is very excited about the new opportunity. She reports no depression or anxiety. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Reports Abdomen soft with no tenderness, guarding or masses with palpation. treatmentplans. Have you missed any days of your birth control pill? Liver span 7 cm MCL, palpable 1 cm below right costal margin. . . (Clarified to Do you have drainage from your ears?. . Thefollowingdetailsare ), UpToDate. Cheap Research Papers and computer essay for sale. That doesnt sound like it would be good. exacerbation. problems or change in taste. lenses. HEENT. Tina jones comprehensive Destroying Altering Tables and Views EDUC 327 The Teacher and The School Curriculum Document Anthropological Perspective Chapter 01 - Fundamentals of Nursing 9th edition - test bank Active Learning Template: Basic Concept Examen Psicometrico PNP 2 Newest Theology - yea Leadership class , week 3 executive summary ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand She is the primary source of since age 19, currently lives with mother and sister injury or acute visual changes. Decreased sensation to My discharge is normal, I think. . Indicates an item that you found. argumentative essay topics (2) When was your last physical exam? Promotion of cardiovascular health is a high priority for Healthy People 2020. Today she denies any acute concerns. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Dentition without evidence of caries or infection. Does not exercise regularly. I start in two weeksIm really excited! Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Ive maybe used it twice since I came in with those asthma problems. Whatisthenameofyourdiabetesmedication? 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