Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Last xxx 4 months ago. Tympanic throughout to Diabetic neuropathies. allergy to cat and dust (caused SOB, Health Maintenance Tina Jones Comprehensive Assessment Final Paper. Takes metformin and daily blood sugar checks in the mornings and results normally in 90s. View full document Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Pharmacologic Therapeutics It involves application of practitioners knowledge and skills to identify and, distinguish normal from abnormal findings (Dains, Baumann & Scheibel 2019). She maintains eye, Ms. Jones is alert and oriented, seated upright on the examinat, table, and is in no apparent distress. Type 2 diabetes Maternal Grandparents: both deceased in age 70s-stroke, hypertension, high cholesterol. Tina Jones shadow health. Blurry vision occurs after 2+ hours of reading. Last saw primary care doctor two years ago. Model Note:Crepitus, limited mobility, and pain in the jaw are probable indicators of temporomandibular joint dysfunction (TMJ syndrome). I would need to assess vital signs, including temperature as well as obtain a rapid strep swab and a throat culture swab to asses for bacterial or viral properties and verify if an antibiotic would be needed. and eyes redness. Asking Tina if she has recently smoked can help you to discern whether smoking was a factor in Tinas recent asthma exacerbation. edema. She is in the clinic today for a physical, exam for her new job. She began Pro Tip: Tinas response to a question about managing her headaches will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. No surgeries. Im taking good care of my health these days. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. When she is exposed to allergens she states that she has XXXXX, and increased asthma symptoms. GI: Denied nausea, vomiting, abdominal pain, or change Weight bearing as o able to find out what the patient believes is most important about their health (Bickley, 2013). It involves an in-depth interview of a reliable source, including observation and, different tests. in bowel pattern. 2. Vinik, A., Casellini, C., Nevoret, M. R. (2018). T: 37 C / 98 F. BP: 128/82 nnHg. 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. Her last aXXXXX in high school. Asking Tina if shes had mouth pain might indicate a problem area that has caused infection. She has a history of hypertension which normalized when she Hair is evenly distributed with no bald patches. Order a Asking Tina if shes ever had nasal surgery solicits information about her medical history. Brother overweight. C word/document.xml}RH{}[=[GLYc assessment was done and a plan of care was made. Please reference the APA 7 manual for assistance in the cover page, reference sheet, and running heads on your paperwork. Reports last vision exam was in childhood. diaphoresis. Learning about a patients family history around sinus problems can help you predict risk. who presents for a pre-employment physical. How often do you have a lozenge? Reported mother, sister and When in doubt, cite the source. She denies having any recent allergies to dust or pol, len. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Asking Tina about her nasal symptoms solicits information about her sinuses and possible sinus problems. Complete Blood Count (CBC) is a blood test that is done for evaluation of overall health of a patient and to detect disorders; red blood cells, white blood cells, platelets, hemoglobin, hematocrit, mean corpuscular volume, reticulocyte count. Tina Jones Comprehensive Assessment Final Paper, Name: Tina JonesTina Jones Comprehensive Assessment Final Paper. This immobility is caused by increased pressure of the middle ear when air or fluid is trapped due to infection and impairment of the Eustachian tube. states that she has runny nose, itchy and swollen eyes, and Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she has problems with her tongue solicits information about possible causes of her symptoms. Have you been exposed to secondhand smoke recently? She began XXX months ago and initially had some gastrointestinal side effects which have since dissipated. to pain. Reports typically taking 2 puffs. Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. Her daily inhaler is Flovent 88mcg/spray MDI 2 puff BID. 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 . Patient has been eating healthy, using recipes from online for diabetes. How many puffs of your inhaler are you supposed to do? She is the primar in here for a check-up, and the nurse practitioner got me on metformin. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. reported of fever 102 last night. 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. Correct:AV nicking is the compression of the vein at arteriovenous crossings due to arterial stiffening. Erythema alone may indicate viral infection or postnasal drip. Denied exercise. Nasal mucosa moist and pink, septum How long have you been reading when your vision gets blurry? Dinner Chicken or fish, vegetables and rice or quinoa on the side. Never tested for I highly recommend using the APA Publication Manual, 6th edition. Pleasant and cooperative. Reports using 2 3 puffs of inhaler when used. nodules, no goiter. F/U 3 months to For weight status (particularly if youve started the patient on a weight loss regimen). 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. Bilateral eyes with equal ha Can you confirm that youre allergic to cats? Tina Jones shadow health. Pro Tip: In some cases, infection can spread to a cheekbone through an infection in the mouth. It is used for most writing assignments for your degree. Denied mental or Pro Tip: Establishing a timeline for how long Tinas vision stays blurry will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. She maintains eye Pro Tip: Establishing a timeline for how long Tinas nose has been running will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. current partner or use of contraceptive. Psychiatry: Denied depression. Present to the clinic What is accomplished through the poem's many repetitions ("Living is no laughing matter," "I mean," "you must," "let's say")? Pro Tip: If left untreated, jaw problems, like abscesses, can result in sinusitis. HIV. Fluticasone Propionate 88 mcg/spray- BID to manage asthma, YAZ- 1 pill every morning- for birth control and to manage PCOS Tina Jones Comprehensive Assessment Final Paper. (after initiating Yaz) cycles regular (every 4 weeks) with modera Utilize therapeutic communication techniques in obtaining a comprehensive health history and physical examination. Student Response: After verifying vaccination history you should be able to cross out certain disease such as diphtheria and move on to assess for other relevant causes of the sore throat. Tina checks her blood sugar once a day, in the, Her diabetes is being treated with metformin 850 mg PO BID. Wears seat belt. U++ # word/_rels/document.xml.rels ( Vr03?d|+.R'(3=pak[j$Iuk;N)V{w (c) 0.0525MHCl0.0525 \mathrm{M} \mathrm{HCl}0.0525MHCl and 0.0768M0.0768 \mathrm{M}0.0768M NaCH3COO\mathrm{NaCH}_3 \mathrm{COO}NaCH3COO. caries or infection. 02 Physical Exam Students gather and interpret objective data to assess the patient's condition. Reports last hearing test was in childhood. Pro Tip: Sinus problems can result in increased pressure buildup and headaches. Reports sore throat began about a week ago. L/R Otoscopic: No inflammation with pearly/gray color Those are gotten from EBP and clinical guidelines. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Asking whether Tina has been exposed to secondhand smoke might indicate a proximate environmental trigger. Pro Tip: Asking about how Tina is recently breathing can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns or conditions. Tina Jones is a 28 year old African America women. 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). were provided in the ED. Tina Jones shadow health. asthma are cat and dust. Present to the clinic, coherent. gD,~M?Jx Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. "I scraped my foot a week ago and the wound is not Establishing a timeline for how long Tinas eyes have been itching will also aid in treating her itchy eyes. Pro Tip: Tinas response to a question about taking any antihistamines will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Do you have any history of tonsil problems? initiated diet and exercise. Cannabis use from age 15 to age 21. graphesthesia, stereognosis, and rapid alternating movements Tina Jones Comprehensive Health Assessment. Denied exercising. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. Pro Tip: Pain severity might change for a variety of reasons. 6. AV nicking is usually a result of chronic hypertension. Mild retinopat Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. xxx: xxx was received within the past year, xxx is not current, and xxx has not been received. Denies coffee intake, but does consume 1-2 diet sodas per day. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), midclavicular line, 5th intercostal space, no heaves or lifts. 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. fao.b*lIrj),l0%b Ms. Jones tolerated the assessment with ease. Denies family history of ear or hearing problems. 5. Denied temperature intolerance or We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Never intubated. Tina Jones Comprehensive Assessment Final Paper, Legro, R.S. she likes to hang out with friends and family. Has new male relationship, sexual contact not initiated. Patient is obese but practicing healthy eating and physical activity in her daily routine. Asking Tina if her chest feels tight might point to possible asthma symptoms. She limits her carbohydrates and avoids sugar. Pro Tip: Exposure to mold can result in painful ear, nose, or throat symptoms. Eyes no swelling in eyes, sclera is white, conjunctiva is pink with no exudates. grandmother, age 82, HTN. Denies history of general throat problems. XXXdiagnosed at age 2 1/2. I came in because Im required to have a recent physical exam for the health insurance at my new, I dont have anything specific going on today. 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. But do not strictly rely on your computers spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Never pregnant. Ill ask you some questions to learn more about your symptoms, and we will make a plan to help you feel better., :Thank you for letting me know that youre using throat drops in addition to the medications you usually take. Speech is clear and coherent. I will be conducting an interview and later perform a physical exam. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. She states that she "got a ra, sh, like hives" after taking PCN (T. Jones, Shadow Health Interview, February 13, 2016). Identified knowledge deficit areas/patient education needs (medication teaching etc). Looking at the template, it asks for rationales. RC Rachel1 month ago thank you uploader Students also viewed Quiz 1 study guide 19 20 22 Visualization of the throat also gives clues to the diagnosis. table, and is in no apparent distress. Stretch marks on anterior and posterior waist. What is the name of the inhaler you are currently using? No prn follow-ups for this course. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria Participation posts do not require a scholarly source/citation (unless you cite someone elses work). with recent right foot injury. Asking Tina if she has mold in her house might indicate a possible trigger that she has been exposed to. she does not smoke cigarette or use illicit drugs but once smoked pot as a teen. No edema. Health Maintenance she was in high school. Tes Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. No Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. bleeding lasting 5 days. Uses sunscreen. You will develop differential diagnosis based on the chief complaint and HPI. She states that, when she has an attack her chest feel tight and she has wheezing. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. 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. 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