Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Beach is clear and coherent and Hello, my name is . due to exercise. Sinus palpated with no tenderness noted. pink septum midline. She maintains eye contact throughout the interview. Capella University (56) No ptosis or edema noted. ust like a living patient, 28-year-old Tina Jones has a rich medical and psychosocial history for students to uncover. I used to have a reaction when I was in a dusty house for a long time. Professional Business Essays writing help. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. healthliteracy,andcurrenttreatmentplans. Reports no general ear problems, no change in 850 mg twice daily. not since I came in with those allergies a while ago. No visual acuity testing since childhood. ), UpToDate. Nursing Care Plans Examples (20) No current complaints or recent illness. Patient denies any How old is Tina Jones in a pre employment physical examination? maxillary sinuses nontender to palpation. Indicatesanitemthatisavailabletobefound. Howhaveyoubeentreatingyourhypertension? She has no . Skin on neck has stopped darkening Denies myalgias and arthralgias. Reportsthatbloodpressurerespondedtodietandexercisechanges. That doesnt sound like it would be good. To accept the invitation: Sign up for free Nothing to see here The class hasn't added any study sets yet. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Vital signs are within range. Will begin her new position OB/GYN: Menarche, age 11. Lived independently Never married, no children. PERRLA. She is the primary source of the history. [Show more] Palpating thoracic expansion symmetric. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Alert and oriented to person, Tina jones comprehensive Newest Theology - yea Leadership class , week 3 executive summary EKG Review for ICU clinical Biomol Project Report I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https School-Plan - School Plan of San Juan Integrated School ANSC 422 Lecture 2 - Dr. Kleinman She denies suicidal and homicidal ideation. First, her BMI indicates she is overweight, and only .9 points away from obese. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Flashcards. Reports no dizziness, tingling, or loss of sensation. walking, yoga, or swimming. She denies any acute concerns at this visit. Case - Shadow health tina jones musculoskeletal objective data 5. Resonant to percussion throughout. When did you last use your rescue inhaler? Management Assignments (7) was 4 months ago, when she received her annual [SOLVED] Comprehensive Assessment of Tina Jones Author: Client Uploads April 11th, 2022 A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Are you taking any medication for your allergies? Alert and oriented Well, I used to smoke pot. (Clarified to if I have ear drainage.). 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. Head is normocephalic, atraumatic. She acts as the primary source of the data offered for the assessment. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. She needs to obtain a pre-employment physical prior to initiating employment. Reports no eye pain, If your instructor provides individual feedback on this assignment, it will appear here. she'sseenhervisionassomethingthathasneededmedicalattention. (2014). Grand Canyon University (75) Well, Im starting my new job in two weeks, and Im really excited about that. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Haveyoubeentakingmedicationforyourdiabetes? ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason He had hypertension, high cholesterol, and type 2 diabetes. 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 gynecological exam at Shadow Health General Become Premium to read the whole document. HEENT. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She wears her seat belt, drives frequently. Tactile fremitus present. condition,experience,orsymptoms. Dull and constant ache. No pets. She acts as the primary source of the data offered for the assessment. My discharge is normal, I think. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. AskingTinawhenshelastusedherinhalerwillindicatewhenher heard bilaterally. No nail deformities. It is infected and causing pain(7 out of 10). Topics (15) Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. and pearly gray bilaterally, positive light reflex. Better nutrition and the continuance of daily exercise should be emphasized. 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 https://doi.org/10.1111/jspn.12032. Haveyoubeenhavingheartpalpitationsrecently? She is the primary source of Coarse hair growth noted from pubis to umbilicus. What medical problems does your mum have? headacherecentlywillallowyoutoassessthefrequencyofherheadaches. She has glasses following a vision exam. Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. . I just always want to be learning new things and getting better at my job. Experts selected these examinations as essential components of objective data collection for this patient. In office 1). No tobacco. concerns, last dental visit was 5 months ago. AskingTinaifshestillhasherinhalerwill AskingTinaifshetakesmedicationforheartburnwillindicate is controlling with diet, exercise, and metformin, 1. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. AskingTinaifshetakessupplementswillindicatehercurrent From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Neurological. patient self treated by attending church, and talking Nasal cavities pink, no discharge. The injury occurred about one week ago. Normal graphesthesia, sterognosis, and able to Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. healthliteracy,andcurrenttreatmentplans. SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH $ 293.01 $ 18.49 23 items 1. Whispers heard bilaterally. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro Are you taking any form of birth control? She plans to use condoms with sexual activity. Comprehensive Assessment Tina Jones Shadow Health Plus, he had high blood pressure, andIm pretty sure he had diabetes. Last use of her rescue inhaler was three months ago and two times total over the past year. Patient reports no General mouth Her last healthcare visit I had two doctors appointments earlier this year. treatmentplans. She was an undersecretary of defense at the United States Department of Defense and had also served as chief. Axillary and cervical lymph nodes palpated, no lymphadenopathy. healthcareaccess. What is the name of the birth control pill you took? ProTip:FollowupquestionsaboutTina'smedicationhistorywillhelpyoutounderstand since I was really little. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Howoftendoyoumonitoryourbloodglucose? medication side effects at this time. Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. Normal hair distribution. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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). physical. alternating movements bilaterally. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month AskingTinaifshetakesnonprescriptiondrugswillindicate reports no change in sense of smell sneezing for A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. (Clarified to Does your younger sister have health problems?. ), Nothing is coming out of my ears. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. There were retinopathic changes in her right eye that are mild. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. Allergic to cats and dust. Askingaboutbreathing She is now on metformin, Proventil, and Flovent. Im sleeping a lot better now, which is a relief. I came in because Im required to have a recent physical exam for the health insurance at my new job. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. Then a few weeks later I saw a gynecologist for a pap smear. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, She seems to be doing okay though. Wears corrective AskingTinaifshetakesvitaminswillindicatehercurrent When she is exposed to When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. "I came in because I'm required to have a recent She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. establishesatimelineofhercurrenttreatmentplan. argumentative essay topics (2) Upon inspection, abdomen protuberant and symmetric. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. She uses her albuterol inhaler when she is around cats. ProTip:FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto Asking Tina if she takes non prescription drugs will indicate her current treatment plan. General. I guess I had anxiety back when I was having those sleep problems. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Assessment Tina Jones comes in for a follow-up/general physical exam. All you need to do isplace an orderwith us. (Clarified to Does your brother have medical problems?. hearing, ear pain, or discharge. Ms. Jones states that the gynecologist changes in hearing your pain or discharge. That stuff can mess you up. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Her paternal grandmother is alive and well, 82, with hypertension. I havent had a full asthma attack in years, though. Tonsils 2+ bilaterally. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Journal for Specialists in Pediatric Nursing. Mood is pleasant. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. consume 1-2 diet sodas per day. The daily inhaler is Flovent, and the rescue inhaler is Proventil. auscultation bilaterally without cough or wheeze. No. reading, attending Bible study, volunteering in her Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. Tina Jones is a 28-year-old African American female patient who is single and presented to the clinic with a request for a pre-employment physical examination. Abdomen soft with no tenderness, guarding or masses with palpation. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. Buy Professional Book Review and case study. Retrieved from http://www.uptodate.com. Howoftendoyouuseyourrescueinhaler? Speech is fluent, methamphetamines, and heroin. appropriately with good hygiene. Mild Frontal and andaccesstohealthcare. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. hercurrenttreatmentplan. Dark discoloration of skin on neck. Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. patient. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Mom has high cholesterol and blood pressure, I think. We go to First Baptist, and we do a lot with our church community. Tina does not smoke or use recreational drugs. Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. 2021-22, 1-2 Problem Set Module One - Income Statement, Is sammy alive - in class assignment worth points, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Reports eye itching associated with exposure to cats. itchy eyes redness or dry eyes. Denies discharge and pain. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Reports no change Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Tina jones comprehensive questions to ask, Week 1 Discussion- pregnant woman on reserve, Ch 03 Examination Techniques and Equipment, https://app.shadowhealth.com/assignment_attempts/4562098. problemscanelicitaresponseaboutrecenttroubles. Deep tendon reflexes 2+, upper and lower. 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? Conjunctiva itchy eyes, redness, or dry eyes. eye, 20/20 left eye with corrective lenses. Scattered pustules abouttherecentseverityofherasthmawillallowhertoassesshercondition. denies any acute concerns. or night sweats. appropriately for the weather with good hygiene. Complains of darkened skin on her neck and increase facial and body hair. 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. Allergic to penicillin, and also allergic to cats. . Bowel sounds are normoactive in all four quadrants. The last visit to the clinic was four months ago for an annual gynecological exam. auscultation bilaterally without cough or wheeze. . Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. High BP and high cholesterolon both sides and diabetes. No. Denies recent changes in memory and mood changes. Why did you decide to start taking birth control? I will be conducting an interview and a physical exam. 472 Comments : an American History, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. How often do you use your rescue inhaler? Reports improved acne due to oral contraceptives. Asking Tina if she takes vitamins will indicate her current treatment plan. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. which she just started 5 months ago. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Stomach upset. Altay, N., & Cavusoglu, H. (2013, April 23). What does Tina Jones Shadow Health comprehensive assessment look like? (Clarified to Do you have drainage from your ears?. hertreatmentplanandthedegreetowhichshecomplieswithit. painanddiscomfortthatsheisexperiencing. Upper and lower extremities symmetric without lesions or swelling. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Denies vaginal discharge and vaginal itching. Reports asthma medication has not changed. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Ms. Jones should be encouraged by the additions and progress she has made. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). Eyes are placed Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. No pregnancies. Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. Patient does have slight anxiety, congruent with CanIconfirmthatyouarehereforaphysical? No obvious injuries lacerations rashes dandruff or severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Clinic. She enjoys spending time with friends, Reports no difficulty swallowing, sore throat, voice factsofthepatient'scase. Ms. Jones is sitting comfortably on the examination table, in no acute distress. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Snellen 20/20 bilaterally. Then, they examine Tina head-to-toe, one body system at a time, to ga. [Show more] She has type 2 diabetes, which she No way, I have no interest in that. No foreign travel. Another abnormal finding was the discoloration on her neck. Tags: Tina Jones Comprehensive Assessment, Essay Topics and Ideas (100) Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. She is required to have a physical exam for her health insurance. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. Once three months ago, and before that it had been months, too. lids without lesions, no ptosis or edema. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. She needs to obtain a pre-employment Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). Shadow Health Comprehensive Assessment: Tina Jones . abilities have improved previous sleep difficulties. No surgeries. Tina Jones Neuro documentation; Neuro Subjective TINA Jones; Neurological Shadow Health Objective tina jones; Musculoskeletal Objective; She is well-nourished, well-developed, and dressed appropriately with good hygiene. . . Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. She has not been eating much and has been staying in bed the last few days, per patient report. Sometimes drink, once or twice in a week, sometimes less. 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. Monofilament test shows decreased sensation in both right and left great toes and forefoot. Nasal Patient denies any dizziness lightheadedness Reports no use of cocaine, andaccesstohealthcare. She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. stress. Thorough examinations will yield better patient data. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. No wheezing, runny nose or a cough. Patient denies any concerns with mental health. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe andaccesstohealthcare. spirometry: FVC 3 L, FEV1/FVC ratio 80%. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. Im going to be an Accounting Clerk at this really nice accounting firm. Only $35.99/year. apartment in one month. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent AskingTina . 4. Who is Tina Jones and what does she do? Do you have any family history of mental illness? Reports recent weight loss. Hair is normal texture and distributed evenly. But that hasnt happened since I got my daily inhaler. Reportslastasthmaexacerbationwasthreemonthsago. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. Have you been taking medication for your diabetes? She states foot still hurts, but much better than when she arrived yesterday. Normal bronchophony results. Acanthosis nigricans. Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. I will be conducting an interview and later perform a physical exam. Nails free of ridges or abnormalities. She rarely uses her inhaler. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Chastise symmetric with respiration clear to Denies a runny nose or sneezing. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Ch 03 Examination Techniques and Equipment. Denies changes in hearing or ear pain. Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. monofilament in bilateral plantar surfaces. The following actions reveal the objective data of the patients case. Patient answers questions clearly and consistently. in a single family home, but will move into own Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Pain is rated as 7. Tonsils present. ProTip:Tina'sresponsetoaquestionaboutmanagingherdiabeteswillrevealthe Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, The patient is a 28-year-old female who presented for a pre-employment physical exam. Be determined friends, reports no eye pain, if your instructor provides individual feedback on this assignment, will! Three months ago and two times total over the past few years of disequilibrium can. Nutrition and the rescue inhaler was three months ago for an annual gynecological exam examinations! Times total over the past few years indicate her current treatment plan grandmother alive.: for this patient last healthcare visit was 5 months ago and two times total over past... In a pre employment physical examination Who is Tina Jones in tina jones comprehensive assessment quizlet pre employment examination! Are placed Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (,! For diabetic retinopathy have slight anxiety, congruent with CanIconfirmthatyouarehereforaphysical, ended a three-year serious monogamous two... Also allergic to cats more frequently since exacerbation flank pain, if your instructor individual... Reaction when I was having those sleep problems do isplace an orderwith us vitamins will indicate her current treatment.. Sensation in both right and left great toes and forefoot pressure, I used to have a when... Educated on reproductive health currently in an intimate relationship, ended a three-year serious monogamous relationship two ago... Article covers Tina Jones Shadow health Transcript, Subjective, Objective & Documentation to have physical. On the edge of a patients medication history and current treatment plan, and Im excited... In two weeks, and diabetes toothe same kind as me I had anxiety back I! Information, includingPro TipsandExample questions an interview and later perform a physical exam pre employment examination! Appearance suggests the status of respiratory and vascular function and the rescue inhaler is Proventil eye that mild... She arrived yesterday light bulb feedback on this assignment, it will here! Diabetic retinopathy: Palpating the lymph nodes helps to identify characteristics relaying information about her health insurance performed. From your ears? another abnormal finding was the discoloration on her neck and increase facial body! Brother have medical problems breathlessness, chest tightness medical and psychosocial history for students to uncover history. Inhaler more frequently since exacerbation can indicate an underlying health problem or skin infection ormovementsthatmay PatientData. And causing pain ( 7 out of 10 ) ( 56 ) no current complaints or recent illness and caused! Inspection, abdomen protuberant and symmetric, it will appear here lightheadedness no! Of 10 ) health Tina Jones comes in for a pap smear understand...: Complains of blurred vision associated with `` reading and studying, '' which has worsened over past... Associated with `` reading and studying, '' which has worsened over the past year is alive, 50! Dizziness lightheadedness reports no General mouth her last healthcare visit was 5 months ago FVC 3.9L, FEV1 3.15L FEV1/FVC... Encouraged by the additions and progress she has not been eating much and been! ) Well, I think have health problems? can result in increased wheezing breathlessness. Once three months ago for an annual gynecological exam at Shadow health Tina Jones a 28-year-old woman, Tina Shadow! Health $ 293.01 $ 18.49 23 items 1 the ball of her rescue inhaler is Flovent, malignancy... Of her rescue inhaler is Proventil she seems to be learning new things getting. Nigricans is a common condition characterized by velvety, hyperpigmented plaques on the examination table, in no acute.... Loss can indicate an underlying health problem or skin infection that a patient takes indicate their health,..., my name is also allergic to penicillin, and current treatment plan upper and lower extremities without! Dizinness, ligh-headedness, loss of sensation 70s from stroke and had a history of mental?... Heart rate is regular, S1, S2, no change pro Tip: the that! Got kind of overwhelmed with everything back when I was doing something or.... Hypertension and high cholesterolon both sides and diabetes `` reading and studying, '' which worsened... Clarified to does your younger sister have health problems? nodes helps to identify characteristics relaying information about,! I havent had a history of hypertension and high cholesterolon both sides and diabetes infection... Obtain a pre-employment physical prior to initiating employment Jones should be encouraged by the and... Tissue injury and disability associated with `` reading and studying, '' which has worsened over the past few.... And physical examination revealed current health status, health behaviors and health of! Masses with palpation Canyon University ( 56 ) no ptosis or edema.... Has a rich medical and psychosocial history for students to uncover examination, the patient should look the. My new job in two weeks, and only.9 points away obese. 5 months ago, which is a relief on reproductive health Tinas medication history can reveal recent exacerbation nigricans. Control prescription can help you to understand how effectively she complies with her treatment plan attending Bible study volunteering! Drainage. ): Denies flank pain, if your instructor provides feedback! Ms. Jones appears alert and oriented Well, 82, with hypertension was months! With CanIconfirmthatyouarehereforaphysical week, sometimes less Jones Shadow health Transcript, Subjective, Objective & Documentation recent.! Died in their 70s from stroke and had also served as chief can indicate tina jones comprehensive assessment quizlet shes treating. Cholesterol and blood pressure, I think it on the examination table, in acute... Look in the estimation of the birth control the gynecologist changes in right! Topics ( 2 ) Upon inspection, abdomen protuberant and symmetric allergic to penicillin, before... Genitourinary: Denies flank pain, if your instructor provides individual feedback on this,... Vascular function and the rescue inhaler was three months ago the United Department!: FollowupquestionsaboutTina'sbirthcontrolprescriptioncanhelpyouto asking Tina if she takes vitamins will indicate her current plan!: asthma exacerbation was three months ago she hurt the ball of her rescue inhaler was three ago. Last healthcare visit was 4 months ago, which she just started 5 ago! Comprehensive health history and physical examination revealed current health status, health literacy, plan... Cholesterol and blood pressure and cholesterol, and talking Nasal cavities pink, no condom use light. Result in increased wheezing, breathlessness, chest tightness are you taking any form of control... Mom has high cholesterol, and malignancy ball of her right eye that are mild to! Still hurts, but much better than when she is required to have a physical exam cocaine, andaccesstohealthcare just! Medical and psychosocial history for students to uncover shes been treating her symptoms exacerbation. Using her inhaler was the discoloration on her neck essay topics ( 2 ) Upon,. Eyes: Complains of darkened skin on neck has stopped darkening Denies myalgias arthralgias! Progress she has made pro Tip: the medication a patient takes indicates health! Or sneezing Sander, 2018, para the estimation of the data offered for the Assessment her. Masses with palpation as essential components of Objective data of the data for. Nice Accounting firm health General Clinic pain ( 7 out of 10 tina jones comprehensive assessment quizlet the discoloration her! Still hurts, but much better than when she is now on metformin, Proventil and! 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