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Education/Health Promotion: received. Triglycerides, cholesterol, HDL, and LDL levels can be used to rule out hyperlipidemia. 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). pain, vaginal discharge or itching. Soliciting this information from Tina allows her to explain any recent developments with her asthma. Health Maintenance Tina Jones Comprehensive Assessment Final Paper. Asking Tina if shes had mouth pain might indicate a problem area that has caused infection. she drinks occasionally with friends once or twice a week. Mother, age 50, HTN, high cholesterol. Pro Tip: Throat problems are often linked to sinusitis. Ms. Jones twisted her ankle walking down the stairs a Describes similarity to her sisters hay fever symptoms. Ms. Jones started taking 30 40 mins walks and swims once a week, which she said helps her control her type 2 diabetes. Peripheral vascular: Can you rate your sore throat on a scale of 0 to 10? Asking Tina whether shes ever had a head injury solicits health history information that might explain the cause of her symptoms. 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 . Pro Tip: Ear problems are often genetic. Asked about frequency and duration of runny nose, Reports nose is runny pretty much all day. deceased in car crash, hypertension, high cholesterol. Brother overweight. current partner or use of contraceptive. Liver Span: 7cm MCL on percussion PERRLA, EOMS are intact. Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmers ear. midline. She has no medication side effects at this time. Identified knowledge deficit areas/patient education needs (medication teaching etc). Take the extra few minutes to review instead of getting counted off for these mistakes. Communication is so very important. She needs to obtain a pre Pro Tip: Sinusitis can result in dry mouth. University of Maryland, University College, Comprehensive History with Genogram and Physical Exam with Write.docx, Thus we see that agency in later life while it is a human quality that is, A Decrease of the reabsorption of water B Increase of the reabsorption of sodium, Chapter 3 & 13 Key Terms & Objective.pdf, Soomro BA and Shah N 2019 Determining the impact of entrepreneurial orientation, Theology & Cultural application assignment Paper .docx, Mubaraq Mehta- Acoustics Assignment 1.jpeg, 452 OBTAINING PARAMETER VALUES The first step in developing a model is to decide, 8EEC8638-1C47-4BBC-B9F5-C7DBBCC863DA.jpeg. Reports headaches after long periods of reading. Tina Jones shadow health. 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. RC Rachel1 month ago thank you uploader Students also viewed Quiz 1 study guide 19 20 22 Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. For the past four mont No pets. Denied mental or And her current home medication list include Flovent 2 puffs daily, for Asthma and rescue inhaler, Proventil 2 puffs every 4 hours as needed for shortness of. Patient wears a prescription glasses for short sightedness. intake with weight loss, 10lbs in the last 30 days. heterosexual. Asking Tina if her chest feels tight might point to possible asthma symptoms. 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Do you have any family members with allergies? Terms of Use Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Tina Jones shadow health. Asking Tina if she has problems with her gums solicits information about possible causes of her symptoms. A comprehensive exam starts the moment the patient is within view taking, note of signs of distress, habitus, manner of sitting and degree of facial relaxation (Ball et, al, 2020). I start in two weeks, Lets see . No recent foreign travel. Pro Tip: Nosebleeds are often caused by sinusitis. Did you not paraphrase well enough? She is in the clinic today for a physical, exam for her new job. Diabetes type 2: diagnosed at age 24 years. Model Note: Differential diagnosis includes viral pharyngitis, strep throat, influenza, cold, and sinusitis. She states that her last asthma attack was 3 months ago. just started 5 months ago. she does not smoke cigarette or use illicit drugs but once smoked pot as a teen. Pro Tip: Swollen lymph nodes may appear in the neck when an infection is present. 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. She came into the clinic for a physical exam. The plan for addressing the health promotion and disease prevention needs for your patient should include: Demographics: - Age, gender and race of patient ORDER SHADOW HEALTH ASSESSMENT HELP HERE WE WILL SCORE ABOVE 95% AND HANDLE THE SOAP NOTE DON'T STRESS YOURSELF, JUST CHAT US AT THE RIGHT CORNER BELOW. Hello, my name is . 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. Pro Tip: Sinus problems are often genetic. 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. Do you have any family history of throat problems? She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Denied family history of mental illness and Suicide. her daily inhaler has helped with her environmental allergies. Hematology or Lymphatic: Denied history of anemia or Endocrine: Reported of polydipsia, polyuria and weight Reported of difficulty ambulating due to pain. Tina was diagnosed with Diabetes at age 24. Describes headaches as tight and throbbing, Describes headache location as behind her forehead, Pro Tip: Specifying the location of pain can narrow and define where Tinas pain is occurring. 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Pro Tip: Tinas response to a question about taking any decongestants will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Asking Tina if the lozenges help will illustrate the extent of her pain and how effectively OTC treatments works for her throat. of those are under control. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Type 2 diabetes, diagnosed at age 24. Wound edge red with serosegious drain. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. No history of Substantive responses should be at least 150 words. Simply restating someone elses words does not demonstrate an understanding of the content or critical analysis of the content. Asking whether Tina has been exposed to secondhand smoke might indicate a proximate environmental trigger. Tonsils 2+ bilaterally. When she is exposed to allergens she states that she has XXXXX, and increased asthma symptoms. a. Patient presents with other health issues that is under control. Eye contact throughout the interview. Pro Tip: People whove experienced head injuries are at increased risk for sinusitis. midclavicular line, 5th intercostal space, no heaves or lifts. Bowel sounds are Eye contact throughout the interview. to pain. Menarche at age 11, First sexual XXXXXXXX. Present to the clinic, coherent. It is not a focused assessment. Reports increased hair growth over past few months and neck (after initiating Yaz) cycles regular (every 4 weeks) with modera up" patient was correct in response. PK ! Lunch Sometimes left-over dinner or wheat bread sandwich. Advil 2 tabs. This is a public forum for the class. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions All health issues listed are under control with no complaints from patients. Handwritten corrections are preferable to uncorrected mistakes. Utilize therapeutic communication techniques in obtaining a comprehensive health history and physical examination. She is the primary source of health history. Reports no palpitations, tachycardia, easy bruising, or edema. Asking Tina if shes recently been exposed to allergens could explain whats triggering her symptoms. thyroid functions. murmur, or arrythmia. transfusion. S The comprehensive examination is, completed for her pre-employment. Speech is clear and coherent. CV: Denied chest discomfort, palpitation, history of Diabetic neuropathies. week ago, scraped the ball of right foot, She received Order a bilaterally. It involves application of practitioners knowledge and skills to identify and, distinguish normal from abnormal findings (Dains, Baumann & Scheibel 2019). table, and is in no apparent distress. Followed up about medications and relieving factors for throat symptoms. 0Yq6 CS6jQf7UZTO1U LY6VcBT]'[u-8BczezIeu1OGJ*.%H7PzI{(xw"?XW9"ZDctzeSU =.4":?rC9z^>:,kjL:(GJO^pxCio4%4>Ag\Qb yUEDE&eB 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. If purulent discharge is noted in the posterior pharynx assess for nasal discharge and palpate the appropriate sinuses for the patients age. Pro Tip: If left untreated, gum problems, like abscesses, can result in sinusitis. Her daily inhaler is Flovent 88mcg/spray MDI 2 puff BID. Referrals (if indicated): If none needed, document: None. Tina has been diagnosed with diabetes, asthma and polycystic ovarian syndrome (PCOS). Asking Tina whether she has seasonal triggers will indicate, in part, Tinas health literacy. she does not have active health issues. Frontal and maxillary sinuse Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Uses sunscreen. Sensorineural hearing loss is common in old age and can be caused by heredity, diabetes, cerebrovascular disease, excessive noise, ototoxic medications, hyperlipidemia, hypothyroidism, and renal failure. Looking at the template, it asks for rationales. This is the most common complication of diabetic mellitus. List your Non-Pharmacologic Therapeutics: Reports using 2 3 puffs of inhaler when used. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient. Asking Tina whether she is experiencing eye pain solicits information about possible symptoms. Never pregnant. Pro Tip: In some cases, infection can spread to a cheekbone through an infection in the mouth. Denies adverse effects of asthma medication. bleeding lasting 5 days. HPV. Right foot become red and swollen. 82 years, hypertension. And finally, being a graduate of Maths Honors, he renders a fabulous understanding and intu Essay Have you done anything for your runny nose? lenses. She needs to obtain a pre-employment physical prior to initiating employment. Decreased sensation Case - Tina jones mental health shadow health assessment transcript 4. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. Tina Jones Comprehensive Assessment Final Paper, Legro, R.S. Irregular Use PMH (past medical history) to help you develop this. GFR or creatinine levels can rule out renal failure. the day i caught my fiance cheating 2 days before our wedding. PERRLA Asking Tina how many puffs of her inhaler shes prescribed will indicate her treatment plan and the degree to which she complies with it. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! I will ask you a few questions about how youre using each medication.. She is well-nourished, we. Metformin 850 mg- started 5 months ago. Tina Jones Comprehensive Assessment Final Paper, Name: Tina JonesTina Jones Comprehensive Assessment Final Paper. Asthma diagnosed at age 2 1/2. . She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. states that she has runny nose, itchy and swollen eyes, and Asking whether shes noticed ear discharge could indicate whether she has a ruptured eardrum. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, female. Asking Tina if shes ever had oral surgery solicits information about her medical history. general overview of patients history, recent illness and health maintenances. Her last aXXXXX in high school. Father- (58 yrs.) 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. She reports that she believes she is up to date on xxx and received the xxxx for xxx. 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. Allergies who presents for a pre-employment physical. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. PMI at the 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 states that she, has tightness in her chest and wheezing. Reports no known exposure to irritants in work environment. ;6-SdhFFS$dg(,9oSN[gwvJ;V:3f'7c?xy0{w6z=v. (Example: Advised to lock guns up in safe). Can you confirm that youre allergic to cats? distress. Comprehensive Assessment 2 Purpose Statement This paper is an assignment synthesizing the advanced physical assessment of Tina Jones, one of the virtual patients in Shadow Health. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Denied history of STI. DTRs 2+ and eq OTC Tylenol PO 500-1000mg q6hr PRN (for headache), Have you taken anything for your sore throat? seizure. It is best to paraphrase content and cite your source. Pro Tip: A family history of allergies is an important factor to determine whether a patient is at risk for developing allergies. Tina Jones shadow health. Soliciting this information allows you to more accurately treat her symptoms. Pro Tip: Establishing a timeline for how long Tinas headaches last will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. An analysis of Tinas great aunts medications and past medications can be used to rule out ototoxicity. and eyes redness. Oral mucosa moist without ulcerations or lesions, uvula 31 Comments Please sign inor registerto post comments. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Tina Jones shadow health. No surgeries. loss of 10lbs in the last month. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Tina Jones shadow health. Use PMH (past medical history) to help . She has changed her, diet recently to help with her diabetes. ;|T\y o-j!z )QT8>?El^4AD }Cmno7~0zsA tk6 HUgv ))&X(l^(H=:(8u!(B8xvlhHx{D+scK