influenza is not current, and human papillomavirus has been R: 15. Did you not paraphrase well enough? I mean, I still have asthma and diabetes, but both. 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School Purdue Global University. in here for a check-up, and the nurse practitioner got me on metformin. Resonant to percussion throughout. No prn follow-ups for this course. Denied history of STI. allergy to cat and dust (caused SOB, Eye contact throughout the interview. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria at that visit, which she is tolerating well. Hematology or Lymphatic: Denied history of anemia or Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Pro Tip: Establishing a timeline for whether Tinas vision has gotten worse will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. Triglycerides, cholesterol, HDL, and LDL levels can be used to rule out hyperlipidemia. Denied frequent fall. The paper is focused on designing evidence-based, culturally competent nursing interventions through the development of an individualized health plan.Assessment is based on a Comprehensive Patient Interview, Physical . Asking Tina if she has neck pain is soliciting information about a possible cause of her symptoms. She has type 2 diabete No lymphadenopathy. diaphoresis. Pro Tip: If left untreated, gum problems, like abscesses, can result in sinusitis. Asking Tina whether she has been wheezing illustrates how her asthma is presenting. Patient is obese but practicing healthy eating and physical activity in her daily routine. Pro Tip: Sinusitis can result in decreased smell or taste. Comprehensive Assessment- Tina Jones subjective.pdf -. Denies history of general throat problems. She was sent home with PRN Calculate [H3O+]\left[\mathrm{H}_3 \mathrm{O}^{+}\right][H3O+]in a solution that is Asking Tina when she last saw a dentist will reveal her health literacy and indicate whether or not her mouth is a problem area. Ms. Jones states that the gynecologist diagnose No surgeries. Become Premium to read the whole document. PERRLA, EOMS are intact. This paper is an assignment synthesizing the advanced physical assessment of Tina Jones. This is the most common complication of diabetic mellitus. initiated diet and exercise. Hair is evenly distributed with no bald patches. What is the name of the inhaler you are currently using? Speech is clear and coherent. Thyroid stimulating Hormone (TSH) it is blood test that measures the amount of TSH in the blood. I will ask you a few questions about how youre using each medication.. Pro Tip: Establishing a timeline for how frequently Tina gets blurry vision will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. developed, and dressed appropriately with good hygiene. Do you have any family history of throat problems? 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. The static temperature and pressure at each section are indicated. How many puffs of your inhaler are you supposed to do? 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. Describes symptoms as similar to allergies. Para 0. Last xxx months ago. She states that her last asthma attack was 3 months ago. breath. denied allergy to mold or pollen. She is well-developed and dress appropriately with good hygiene. Case - Nr 509 shadow health tina jones foot overview 2. Gag reflex intact. Reports typically taking 2 puffs. Patient appears stated age and in good health. Pro Tip: Its essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions. Tina Jones shadow health. 02 Physical Exam Students gather and interpret objective data to assess the patient's condition. The plan for addressing the health promotion and disease prevention needs for your patient should include: Age, gender and race of patient. She, denies any food and latex allergies. Asking Tina if she thinks she is having an allergic reaction will give Tina the opportunity to compare her current symptoms with symptoms shes historically had during an allergic reaction. She reports that she believes she is up to date on ch No history of She is well-nourished, we. 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. Tina Jones Comprehensive Health Assessment. He would need an assessment completed involving his eyes, ear, head, neck and throat. Asking Tina if she is lightheaded could point to inner ear disturbances. reported of fever 102 last night. Followed up about character of nasal discharge. Tina is a 28 year old African American women. Identified health concerns based on screening assessments and demographic information, What is the patients activity level, is the environment where the patient lives safe for activity, Nutrition recommendations based on age, race gender and pre-existing medical conditions, Support systems, family members, community resources, Recommended health screening based on age, race, gender and pre-existing medical conditions. NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Week 4 Shadow Health Tina Jones Height: 170 cm Exam Action 03/17/20 8:44 AM MDT Weight: 90 kg Exam Action 03/17/20 8:44 AM MDT - BMI: 31 Exam Action 03/17/20 8:44 AM MDT - Random blood glucose: 23. is clear and coherent. Alert and oriented to person, place, and time. Be sure to include any patient education for other findings in your exam; for medications; for nutrition (if needed); for safety (if indicated); health promotion and disease prevention. Looking at the template, it asks for rationales. Has your vision gotten worse? Asthma: diagnosed at age 2. uses proventil 2-3 times a Objective she does not smoke cigarette or use illicit drugs but once smoked pot as a teen. she experiences exacerbations, such as around dust or cats. church as support system. Mild edema at right ankle. Found: Indicates an item that you found. Pro Tip: Pain severity might change for a variety of reasons. runny nose, itchy eyes), denied other drug allergies. Uses sx. asthma exacerbation was yesterday, which she resolved with h with recent right foot injury. 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. Vinik, A., Casellini, C., Nevoret, M. R. (2018). If palpation elicits pain and purulent nasal discharge is reported over the last 7-10 days, consider sinusitis. She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. Is your paper made up of someone elses thoughts more than your own? HPV. Pro Tip: Fever could signal that the patients symptoms are caused by an infection. Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and thus might not volunteer this information. Do you have any history of tonsil problems? Reports recommended dose is 1-3 puffs as needed. Last saw primary care doctor two years ago. Do you have any family members with allergies? Last use of proventil was 3 days ago. Pt stated of eating 2-3 serving of fruits Model Note: Differential diagnosis includes viral pharyngitis, strep throat, influenza, cold, and sinusitis. Pain was 7/10, two. Pro Tip: Vision problems are often genetic. Pro Tip: Swollen lymph nodes may appear in the neck when an infection is present. No recent foreign travel. negative for HIV/AIDS and STIs four months ago. 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. "Hw"w P^O;aY`GkxmPY[g Gino/"f3\TI SWY ig@X6_]7~ Tina Jones Comprehensive Assessment Final Paper, Assessment Tina Jones Comprehensive Assessment Final Paper, Differential Diagnosis Tina Jones Comprehensive Assessment Final Paper, This diagnosis is because of patients history of dysmenorrhea and longer periods, and severe cramps, as a birth control was prescribed. Asthma diagnosed at age 2 1/2. Have you started taking any new medications? Father, diseased, died at age 58 in car accident, HTN, Asking Tina whether she has glasses or contacts solicits information about her vision history. No tics or facial fasciculation. Pro Tip: Establishing a timeline for how often Tina gets headaches will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a final submit to me. Is the patient able to afford medications and health diet, and other out-of-pocket expenses? Tina Jones s Comprehensive Physical Assessment. 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. If you have a question, there is a good chance one of your peers does as well. Type 2 DM: diagnosed at age 24. was on metformin AbbK5j7X>$I^^5!-)wPQeNy/M Mood is pleasant. (after initiating Yaz) cycles regular (every 4 weeks) with modera Tina's health history was taken, a physical. She is the primar, contradiction. Tina was, diagnosed with asthma at age 2 1/2. She denies having any recent allergies to dust or pol, len. Allergies tina jones comprehensive assessment course hero dust or cats check-up, and the nurse practitioner got me on metformin in sinusitis is.! With h with recent right foot injury you have a question, there is a 28 year old African women... 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