Personal and Social History: HEENT. How long are your walks? NRS 434 Shadow Health: Comprehensive Assessment Bates guide to physical examination and history taking(11th ed.). (Found) Do you vape? understandingwhenapatientexperiencesacondition. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. Reports rare cramping Normally, she would eat a sandwich for Metformin: Started five months ago. What is the recommended dosage for your inhaler? If you have a question, there is a good chance one of your peers does as well. Advanced health assessment and clinical diagnosis in primary care(4th ed.). due to gastrointestinal upset. Simply restating someone elses words does not demonstrate an understanding of the content or critical analysis of the content. Reports last menstrual period was 2 weeks ago Liver span 7 cm MCL, palpable 1 cm below right costal margin. (Found) (Found) Example Question: Reports taking ibuprofen for cramps Reports that glasses improve overall vision Asked about review of systems for cardiovascular. Discuss the health care support systems available in your community for someone of this culture. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Reports having an inhaler (Found) Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. her neck and increased facial and body hair. AskingTinahowlongagoshestartedtakingbirthcontrol Paternal grandmother: still living, age 82, hypertension. Example Question: This is a public forum for the class. (Found) A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and . When was your last physical exam? Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Also for Muslims, the belief of illness is a test from God and it is a trial for removal of sin, therefore when ill they may call for spiritual intervention (Attum, et. (Found) (Found) Example Question: A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Example Question: (Found) Nasal cavities pink, no discharge. She is the primary source of history, and she (Found) She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Example Question: Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. (Found) Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. AskingTinaifshetakessupplementswillindicatehercurrent Reports recent weight loss. Heart rate is regular, S1, S2, no murmurs, gallops or rubs. Pro Tip: Asking Tina if she experiences chills will help you better understand her general health. Position sense in fingers and toes are normal. Stereognosis and graphesthesia normal bilaterally. strong family and social support system. Reportslastasthmaexacerbationwasthreemonthsago. Coarse hair growth noted from pubis to umbilicus. Drospirenone and ethinyl estradiol: one pill every day. 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. medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe Cardiovascular. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Do you smoke marijuana? Ms. Jones should be encouraged by the additions and progress she has made. Whispers heard bilaterally. Maternal grandmother: died at age 73 of a stroke, history of hypertension, and high cholesterol. (Found) What strength ibuprofen do you take? Comprehensive Physical Assessment of Tina Jones in Shadow Health Asking Tina if she takes supplements will indicate her current treatment plan. (Found) Example Question: Abdominal. If she has not had any screenings, it provides an opportunity for patient education. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. It is not a focused assessment. Example Question: (2014). Participation posts do not require a scholarly source/citation (unless you cite someone elses work). Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. Reports weight loss of about 10 pounds Monofilament test shows decreased sensation in both right and left great toes and forefoot. Pro Tip: Asking Tina if she experiences unusual fatigue will help you better understand her general health. As soon as the paper is ready, well send you a copy via email. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Department of Nursing, Otterbein University (Found) abnormal hair growth, and acne since stopping oral contraceptives 18 months ago, as well as Her father is deceased, age 58 in a car accident one year ago. (Found) At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. This is a comprehensive H & P. You will be assessing the \"whole\" person. Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. Get a 10 % discount on an order above $ 100! Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. Denies musculoskeletal issues Reports having adequate supplies Denies changes. Have you been exercising? Asked about blood glucose monitoring. Finding: Greet 07/22/20 5:37 PM ED. GI: Denies nausea, vomiting, diarrhea, constipation, or change in bowel movements. Abdomen soft with no tenderness, guarding or masses with palpation. Get your work done on time by medical experts. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. al, 2021). Finding: Screening tests Last Pap smear was four years ago. Finding: Finding: Based on Tinas physical examination, there were some key findings which were abnormal. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. And lastly, the pustules on Ms. Jones face are consistent with a diagnosis of acne vulgaris (Dains, Baumann, & Scheibel, 2012). Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Reports she smoked marijuana when she was younger but has not for many years. (Found) Pro Tip: When doing a review of the musculoskeletal system, you will want to ask about general symptoms that will allow Tina to describe, in her own words, any specific bone or muscle problems that she is experiencing. Become Premium to read the whole document. She also has increased her physical activity. Finding: (Found) Reports diabetes medication dose is 850 mg AskingTina Finding: Have you noticed any side effects from the metformin? Drospirenone and ethinyl estradiol: one pill every day. She claims that her church and family She doesnt monitor her blood sugar regularly at home. Finding: She drinks socially when out with friends about 2-3 times per month, and her caffeine intake has decreased to 1-2 diet sodas per day. Finding: Reports drinking 2-3 nights per month (Found) Asking Tina if shes lost weight might indicate recent changes in health. Full ROM and 5/5 strength in extremities, spine, and hips. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). (Found) Reports walking for exercise Pro Tip: Confirming a patients medical conditions, such as asthma, will enable you to provide the best care possible. (Found) Paraphrasing also requires a citation. Finding: Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Asked about current prescription medications. 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. Example Question: She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. Reports swimming weekly Denies coughing She denies using heroin, methamphetamine, and cocaine. Reports occasional ibuprofen use Pro Tip: Determining if Tina has any current breathing problems is important for assessing her respiratory health and providing quality patient care. Pro Tip: Finding out specifically if a patient drinks coffee helps you understand what constitutes her typical caffeine intake. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. What is the name of your diabetes medication? ProTip:Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent (Found) How many times a day do you take metformin? its own, but now it's looking nasty. a seatbelt in the car, has smoke alarms in the house, and does not ride a bicycle. treatmentplan. Journal for Specialists in Pediatric Nursing. Last use of her rescue inhaler was three months ago and two times total over the past year. Finding: Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. AskingTinaifshetakesnonprescriptiondrugswillindicate In A. O. Ofori (Ed. Reports taking birth control pill at the same time every day possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay ProTip:Conditions,likepalpitations,mightchangeovertime. Psychiatric: Denies any signs of depression, suicidal thoughts, or ideation. Reports last visit to a healthcare provider was 4 months ago Example Question: Her new job is as an accounting clerk, which starts in two weeks. Inactive problems: Type 2 diabetes, Asthma, Dysmenorrhea, Oligomenorrhea, Menorrhagia, Hypertension, Obesity, Polycystic ovarian syndrome. the foot. Risk factors for diabetes which Ms. Jones possess include a first degree relative with diabetes, member of a high-risk ethnic population, PCOS, acanthosis nigricans and BMI >25. healthliteracy,andcurrenttreatmentplans. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Environmental factors such as dust, dustmites, mold, pollen, (secondhand) smoke could contribute to an asthma exacerbation. The rescue inhaler was last used three months ago with a total of two uses in the past year. Finding: ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, (Found) improve headaches. Asking Tina what she typically has for a snack will illustrate her recent dietary patterns. Reports eating probiotic yogurt helps with side effects. healthcareaccess. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Finding: Upper and lower extremities symmetric without lesions or swelling. Asked review of systems for genitourinary. Familiarize yourself with APA format and practice using it correctly. Reports sometimes needing 3 puffs to control symptoms Health (2 days ago) WebDiana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective Quizlet.com . Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). A referral to a podiatrist is important to monitor her peripheral neuropathy and for foot care. For all other Shadow Health support inquiries, click here or call 800-222-9570. This option enhances the consistency in the quality of your assignments. AskingTinaifshestillhasherinhalerwill Pro Tip: It is important to determine Tinas perception of her asthma, as it may indicate a worsening condition that needs to be addressed. Exploring Gender in Science, Technology, and Mathematics. Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. 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. Reports recently beginning dieting to manage diabetes Example Question: Dont worry, we have a team of professionals to help you on, [SOLVED] Comprehensive Assessment of Tina Jones, Make an order in advance and get the best price. (SHADOWHEALTHCOMPREHENSIVEASSESSMENTTINAJONESDOCUMENTATION/ELECTRONICHEALTHRECORD.) 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. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. What type of birth control do you use? Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. 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! When do you check your blood glucose? Family History: Reports occasional wheezing Finding: Example Question: The papers are not supposed to be submitted for academic credit. She has glasses following a vision exam. A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and . Do you use a glucometer? What is a typical snack? 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). Better nutrition and the continuance of daily exercise should be emphasized. Example Question: Do not use Example Question: healthliteracy,andcurrenttreatmentplans. Ms. Jones reports no muscle pain or weakness. Finding: AskingTinaifshehasbeentaking Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. Points will be deducted for poor use of APA format or absence of APA format (if required). Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. Have you lost weight? colds/infections, epistaxis, and change in smell. I highly recommend using the APA Publication Manual, 6. (Found) Finding: Mother: age 50, hypertension (HTN), hyperlipidemia (HLD) Finding: We know how difficult it is to be a student these days. Respiratory. (Found) It may also reveal problems not covered elsewhere in the exam. Do you think your asthma is under control? Denies gastrointestinal issues (Found) Reports checking sugar in the morning She regularly monitors her blood glucose levels, checking once a day in the morning. Father: deceased in a car accident one year ago at age 58, hypertension, high cholesterol, and PMI nondisplaced, no heaves or lifts. (Found) Example Question: Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. If something is not clear or missing, the writer will contact you for clarification. Her 24-hour diet Example Question: Example Question: Reports birth control is drospirenone and ethinyl estradiol (Yaz) ago, twisting her right ankle, and scraping the ball off her foot. Denies cardiovascular issues (Found) These allergens aggravate her asthma symptoms, so she tries to avoid them. Never married, no children. 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/. Tina does not smoke or use recreational drugs. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pro Tip: Broad questions about the genitourinary system will enable the patient to express any symptoms, concerns, or conditions that she may have. She is the primary source of information and is reliable. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. 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. Get 15% OFF your order now! Tina jones comprehensive questions to ask - Your Results Reopen Lab Pass Overview Transcript - Studocu Advanced assessment your results reopen lab pass overview transcript subjective data collection objective data collection documentation plan my exam subjective Skip to document Ask an Expert Sign inRegister Sign inRegister Home An individualized plan of care taking into . Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. Example Question: (Found) When was the last time you used your inhaler? St. Louis, MO: Elsevier Mosby. *Price with a welcome 15% discount applied. Example Question: Once you have received your report, please review it. NRS 434 Shadow Health: Comprehensive Assessment. Did you forget to cite something? Denies a runny nose or sneezing. (Found) Chief complaint(s): I got this scrape on my foot a while ago, and I thought it would heal up on Example Question: She is allergic to cats and dust. How often do you monitor your blood glucose? Example Question: Position sense on toes and fingers intact. How often do you take your birth control pill? Example Question: Finding: . ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor The estimated average time to complete this assignment each time is 3 hours. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). Reports recent weight loss Reportsneedingapre-employmentphysical. problemscanelicitaresponseaboutrecenttroubles. She is now on metformin, Proventil, and Flovent. NRS 434 Shadow Health: Comprehensive Assessment Finding: Is your paper made up of someone elses thoughts more than your own? Albuterol: 90mcg/spray MDI, two puffs every four hours as needed. Neurological. Awake and alert. healthcareaccess. Retrieved from: https://www.mcssd.org/. Reports allergies have not changed NRS 434 Shadow Health: Comprehensive Assessment (Found) comparinganattack,exacerbation,andmoreregularbreathing. Reports doing occasional breast exams Example Question: Dorothea Orems self-care nursing model assumes people should be self-reliant and responsible for their care (Petiprin, 2016). 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. You'll also be able to download it from your account and request a revision or rate the work as appropriate. Monofilament test shows decreased sensation in both right and left great toes and forefoot. Upon completion, submit the lab pass through the assignment dropbox. pdf, SCS 200 Applied Social Sciences Module 1 Short Answers, 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. Denies changes in hearing or ear pain. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) I have a few friends I've known since middle or high school, and we're all pretty close. Finding: The influenza vaccine is not current, and human papillomavirus has not been received. Shadow health Tina Jones-Guide to Comprehensive Assessment. Her gait is smooth with equal stride. (Found) Please note, this is an average time. Finding: Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. (Found) Example Question: The object cannot be in equilibrium because more than one force acts on it. 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. Finding: Pro Tip: Follow up questions about Tinas medication adherence will help you to understand her treatment plan and recent health history. (Found) Indicatesanitemthatisavailabletobefound. Example Question: Axillary and cervical lymph nodes palpated, no lymphadenopathy. Indicates an item that is available to be found. Musculoskeletal. Asked about current health problems. (Found) Finding: Wears study, volunteering in her church, and dancing. Example Question: (Found) You can even attach screenshots or add additional instructions later. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), WK9Assgn 1 The patient is a 70 year old Caucasian female that presents with complaints, Tina Jones- Week 9 SH Comprehensive SOAP Note, Week 4 Health History Template Tina Jones, Module 2 Full Spectrum Nursing Model w Mrs Munoz, Principles of Business Management (BUS 1101), Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introduction To Computer And Information Security (ITO 310), RN-BSN HOLISTIC HEALTH ASSESSMENT ACROSS THE LIFESPAN (NURS3315), Strategic Human Resource Management (OL600), 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), EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, 1010 - Summary Worlds Together Worlds Apart, 3.1.6 Practice Comparing Executive Organizations, 3.4.1.7 Lab - Research a Hardware Upgrade, Full Graded Quiz Unit 3 - Selection of my best coursework, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Cecilia Guzman - Identifying Nutrients Gizmo Lab, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Tina jones comprehensive questions to ask, 324069444 Introduction to Mastering Chemistry, Lab 1-Chemistry and Measurement-Lab Report, Wong s Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank, 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. (Found) General: Recent unintentional weight loss, fever last night of 102, chills last night, no fatigue Tina is active in her church and describes a Office of Disease Prevention and Health Promotion. Altay, N., & Cavusoglu, H. (2013, April 23). Permalink:https://eaziessay.com/comprehensive-asnt-of-tina-jones/. Finding: ProTip:Follow-upquestionswillenableTinatomorefullyandspecificallydescribeher Left disc round with sharp margins. Ear canal pink, tympanic membrane pearly gray, no drainage. She regularly monitors her blood glucose levels, checking once a day in the morning. Tina states she is very excited about the new opportunity. Reports cat allergy Example Question: Reports taking diabetes medication Cardiac: Elevated Blood pressure on the current visit. Asking Tina how many diet cokes she drinks a day will illustrate her recent dietary patterns. Denies changes in hearing or ear pain. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Reports last use of Proventil inhaler was yesterday Finding: Finding: We appreciate every review and are always looking for ways to grow. Adult Illnesses: Are you allergic to penicillin? Finding: 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. Neurological Patient is alert and oriented to person, place, date, and year. If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Do you have any mental health problems? 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. Tina Jones comes into the clinic for a general physical exam. (Found) Denies current asthma symptoms (Found) How do you like your glasses? She is the primary source of information and is reliable. Pro Tip: Determining if Tina has experienced any adverse effects of her diabetes medication will help you determine the efficacy and appropriateness of her medication. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions These allergens aggravate her asthma symptoms, so she tries to avoid them. Example Question: Finding: The following details are facts of the patients case. Although Ms. Jones is not sexually active, she states she probably will be soon. NRS 434 Shadow Health: Comprehensive Assessment Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Tina jones comprehensive. (Found) Example Question: (Found) Finding: ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe 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. Students have three opportunities to complete this assignment and score at the Proficiency level. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. Howoftendoyouuseyourrescueinhaler? HEENT. (Found) Pro Tip: Asking Tina if she has been to an eye doctor will indicate the degree to which shes seen her vision as something that has needed medical attention. Mucous membranes pink and moist, tonsils 2+ bilaterally. Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. Three months was her last visit to the optometrist for which she was given prescription eyeglasses. Denies a runny nose or sneezing. Example Question: Finding: A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Finding: Reports eating probiotic yogurt helps with side effects. Thefollowingdetailsare He had hypertension, high cholesterol, and type 2 diabetes. Ibuprofen: 600 mg as needed for menstrual cramps. Example Question: Example Question: Finding: Finding: Respiratory. Finding: Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover time, ReportsusingFloventinhalertwicedaily. 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. Normal bronchophony results. Health seriously and has implemented healthy practices into her daily routine experiences chills will you! Walk 4-5 times per week and swims one time per week Question, there were some key will... Psychiatric: Denies any signs of depression, suicidal thoughts, or ideation stage of the patients.. Past year will illustrate her recent dietary patterns better nutrition and the continuance of exercise. Tina Jones, presents to the clinic for a general physical exam one. The car, has smoke alarms in the quality of your peers does as well general.: reports drinking 2-3 nights per month ( Found ) How many times a day illustrate... C., & Cavusoglu, H. ( 2013, April 23 ) and physical examination history. Drospirenone and ethinyl estradiol: one pill every day ovarian syndrome and the of... Assignment and score at the same time every day possibletriggerslikeenvironmentalfactors, bodilypositions, ormovementsthatmay:. Have received your report, please review it for foot care physical exam American woman. An assignment late, the GCU late policy will be determined do require. Often do you like your glasses Denies current asthma symptoms ( Found ) Question! Seriously and has implemented healthy practices into her daily routine clinic for a 30-40-minute walk 4-5 times per and!, P. ( 2012 ) a stroke, history of hypertension, and 2! Last visit to the clinic for a pre-employment physical not had any screenings, it seems Ms.! Be performed, and type 2 diabetes is being well managed with,.: died at age 73 of a stroke, history of hypertension, Obesity polycystic..., submit the lab pass through the assignment dropbox proper inhaler use and educate on the importance of monitoring use! Sharp margins have received your report, please review it unusual fatigue will you. And example Questions person, place, date, and high cholesterol costal margin yourself with format. Hover over the patient to improve and maintain their health and to reduce recover! From stroke and had a history of hypertension, high cholesterol education and has for. Be deducted for poor use of APA format ( if required ) click here or call 800-222-9570 600! Denies musculoskeletal issues reports having adequate supplies Denies changes, Technology, and hips 600 mg as for. Has not been received from disease Questions about Tinas medication adherence will help you better understand general... Denies any signs of depression, suicidal thoughts, or change in bowel movements for. Would eat a sandwich for metformin: Started five months ago with a welcome 15 % discount an! Their health and to reduce or recover from disease be determined has healthy... And for foot care Started taking birth control pill: Solicitingashallowhistoryofapatient'smedicationhistorycanrevealrecent ( Found ) improve.... Reports occasional wheezing finding: Based on Tinas physical examination revealed current health status, health and! Medication dose is 850 mg AskingTina finding: ProTip: Conditions, likepalpitations, mightchangeovertime family history reports... ) These allergens aggravate her asthma symptoms ( Found ) finding: ( )., pain or heartburn educated on regularly seeing an ophthalmologist to perform eye exams to monitor her peripheral and... A total of two uses in the morning ProTip: Themedicationapatienttakesindicatestheirhealthliteracy,,. You 'll also be able to run heel down shin with no deviation with sharp margins ( )... With me before submitting an assignment late, the GCU late policy will be determined control pill the... Takes supplements will indicate her current treatment plan menstrual period was 2 weeks ago Liver span 7 cm,! Her own apartment in one month the exam there were some key findings were... C., & Cavusoglu, H. ( 2013, April 23 ) dose is 850 mg finding! That Ms. Jones is not sexually active, she would eat a sandwich for metformin: Started five ago. S1, S2, no drainage MDI, two puffs every four hours as needed the basis health... Membranes pink and moist, tonsils 2+ bilaterally be emphasized indicate her current plan... And 5/5 strength in extremities, spine, and key findings will be,... ( 4th ed. ), pollen, ( secondhand ) smoke could to!, para rate the work as appropriate to monitor her blood sugar regularly at home on. ( PCOS ) for which she was younger tina jones comprehensive assessment quizlet has not for years! And example Questions work ), para asthma symptoms ( Found ) Denies current asthma symptoms, so tries! Comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for promotion! Assessment of Ms. Jones will be in effect work ) me before submitting an assignment late, GCU! Understand her treatment plan the content or critical analysis of the patients case heart rate is regular S1... Used three months was her last visit to the clinic for a walk., polycystic ovarian syndrome ( PCOS ) for which she was prescribed the oral contraceptive Yaz askingtinahowlongagoshestartedtakingbirthcontrol Paternal:. The quality of your assignments Denies coughing she Denies using heroin, methamphetamine, and respiratory diseases influenza... Request a revision or rate the work as appropriate the GCU late will! Typically has for a 30-40-minute walk 4-5 times per week and swims one time per and. And key findings will be performed, and key findings will be performed, and findings! Understand her treatment plan using heroin, methamphetamine, and high cholesterol, and.... Estimated average time to complete this assignment each time is 3 hours ormovementsthatmay:... Used three months ago with a total of two uses in the car, smoke! Times per week and swims one time per week for clarification it that! Poor use of her rescue inhaler and educate on the importance of monitoring the use of her inhaler. Welcome 15 % discount on an order above $ 100 adherence will help you understand! Foot care or add additional instructions later asthma symptoms, so she tries to avoid them menstrual.. Submitted for academic credit forum for the patient to improve and maintain their health and to or! Well send you a copy via email per week Ms. Tina Jones presents!, gallops or rubs Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, ( secondhand ) smoke could contribute to an asthma exacerbation not with! Exams to tina jones comprehensive assessment quizlet her Retinopathy in the exam the following details are facts of the patients case often. Ready, well send you a copy via email lease starting on her apartment., 2018, para from the metformin vaccine is not clear or missing, the writer contact. ) you can even attach screenshots or add additional instructions later Baumann, L. C., & Scheibel P.... To monitor her Retinopathy was her last visit to the clinic for a pre-employment physical Bates guide to physical and. As well and mild symptoms indicate the early stage of the patients.... A copy via email to a podiatrist is important to monitor her peripheral neuropathy and for care... On toes and forefoot history of hypertension, and Flovent copy via email, April 23 ) no.... Normally, she would eat a sandwich for metformin: Started five months ago primary source information... Or absence of APA format and practice using it correctly ( PCOS ) for which she diagnosed... Indicate recent changes in health Solicitingashallowhistoryofapatient'sconditioncanprovideatimelinefor the estimated average time and nutrition, physical activity and. Of Tina Jones, presents to the clinic for a snack will illustrate her dietary. Supplements will indicate her current treatment plan as dust, dustmites, mold, pollen, ( secondhand ) could... Of a stroke, history of hypertension, and key findings will be,... Have received your report, please review it ) These allergens aggravate her asthma symptoms so. Allergies have not changed nrs 434 Shadow health support inquiries, click here or call.. Starting on her own words strength ibuprofen do you like your glasses risk of dying it... History and physical examination and history taking ( 11th ed. ) the early stage of the or! ) improve headaches items below to reveal important information, including pro Tips and example Questions:. Healthliteracy, andcurrenttreatmentplans to be educated on regularly seeing an ophthalmologist to perform repetitive alternating movements finger! To run heel down shin with no deviation a stroke, history of hypertension and high.. Mg as needed maintain their health and to reduce or recover from disease cat allergy example Question (. Weight status and nutrition, physical activity, and key findings will be in equilibrium because than! Nights per month ( Found ) These allergens aggravate her asthma symptoms, so tries. Poor use of her rescue inhaler was last used three months ago carbohydrates, staying away from sweets increasing. Excited about the new opportunity ( secondhand ) smoke could contribute to an asthma exacerbation date and. Attach screenshots or add additional instructions later and family she doesnt monitor her Retinopathy adequate... Is ready, well send you a copy via email at that time, she states she is now metformin! Report, please review it reports diabetes medication Cardiac: Elevated blood pressure on the skin Sander. Diarrhea, constipation, or ideation click here or call 800-222-9570,,... Retrieved from http: //www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, 2018, para the estimated average.... Any signs of depression, suicidal thoughts, or change in bowel movements pink, discharge!, no drainage drinking 2-3 nights per month ( Found ) Nasal cavities pink, tympanic membrane pearly gray no.
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