I start in two weeks, Lets see . Head is normocephalic, atraumatic. Asking whether Tina has a cat allergy can reveal one such trigger. Tested position sense on toes: Right foot patient said "I think tht was Mole on posterior upper right shoulder. Identifies health concerns based on screening assessments and demographic information. All Rights Reserved. This also applies to late DQ replies. Asking whether Tina has a dust allergy can reveal one such trigger. Healthy People 2030, evidence-based interventions and patient-centered goals. Pro Tip: Corrective lenses might indicate a recent change in vision. TMJ: no clicks; fulls ROM. Vitals: BP- 128/82, HR- 78, RR- 15, TEMP- 37.2C, O2- 99% on room air, HEIGHT- 170CM, WEIGHT- 84KG, BMI- 29, BLOOD SUGAR- 100, SPIROMETRY- FVC 1.78L, FEV1- 1.549L. Denied history of STI. Reports recommended dose is 1-3 puffs as needed. Brother overweight. What are they following up for? Speech is clear and coherent. any acute concerns. By asking Tina if she regularly changes her bedding, youre soliciting information about environmental factors that might exacerbate her condition. Asking Tina if she thinks she is having an allergic reaction will give Tina the opportunity to compare her current symptoms with symptoms shes historically had during an allergic reaction. Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. Describes similarity to her sisters hay fever symptoms. Patient wears a prescription glasses for short sightedness. Bila Reports using 2 3 puffs of inhaler when used. I would need to assess vital signs, including temperature as well as obtain a rapid strep swab and a throat culture swab to asses for bacterial or viral properties and verify if an antibiotic would be needed. She began XXX months ago and initially had some gastrointestinal side effects which have since dissipated. Found: Indicates an item that you found. asthma exacerbation was yesterday, which she resolved with h diarrhea, or excessive flatulence. required change of tampon every 2-3 hours. Tina Jones s Comprehensive Physical Assessment. She states that, when she has an attack her chest feel tight and she has wheezing. Confirmed medications from previous visit (no new medications). Last xxx three months ago. Pro Tip: If left untreated, jaw problems, like abscesses, can result in sinusitis. If no concrete diagnosis is made, the hearing loss should be attributed to old age. Learning about a patients family history around sinus problems can help you predict risk. Pro Tip: Chills could be an indication of fever, which could be an indication of infection. Asking Tina if shes had mouth pain might indicate a problem area that has caused infection. 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Asthma: since childhood, takes albuterol, and Proventil. Pro Tip: Tinas response to a question about managing her sore throat will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. the day i caught my fiance cheating 2 days before our wedding. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Denies current feelings of depression, anxiety, or thoughts of suicide. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. As per policy, no assignments are accepted after the last day of class. Denied mental or Has smoke detectors in the home, wears seatbelt in car, and do Vinik, A., Casellini, C., Nevoret, M. R. (2018). Liver Span: 7cm MCL on percussion No prn follow-ups for this course. No pets. in here for a check-up, and the nurse practitioner got me on metformin. WK7Assgn 1Payette A - Assignment for week 7, WK9Assgn 1 The patient is a 70 year old Caucasian female that presents with complaints, WEEK5 Assignment Episodic/Focused Note for Focused Exam: Cough, Focused Episodic SOAP Note for Sore Throat, Week 4 Skin Assignment Picture 2 (Stretch Marks), Operating Systems 1 (proctored course) (CS 2301), Advanced Design Studio in Lighting (THET659), Introduction to Anatomy and Physiology (BIO210), Nurs & Healthcare I: Foundations [Lec] (NURS356), Critical Thinking In Everyday Life (HUM 115), Statistical Methods and Motivations (STA 296), Electrical Machines and Power Electronic Drives (E E 452), 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), Bates Test questions The Thorax and Lungs, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Graded Quiz Unit 8 - Selection of my best coursework, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Pretest IN Grade 10 English jkhbnbuhgiuinmbbjhgybnbnbjhiugiuhkjn,mn,jjnkjuybnmbjhbjhghjhjvjhvvbvbjhjbmnbnbnnuuuuuuhhhghbnjkkkkuugggnbbbbbbbbfsdehnnmmjjklkjjkhyt ugbb, 1-3 Assignment- Triple Bottom Line Industry Comparison, 446939196 396035520 Density Lab SE Key pdf, (8) Making freebase with ammonia cracksmokers, Module One Short Answer - Information Literacy, Sample solutions Solution Notebook 1 CSE6040, Focused Exam Alcohol Use Disorder Completed Shadow Health, 1-2 Problem Set Module One - Income Statement, 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. Diabetes type 2: diagnosed at age 24 years. Tonsils 2+ bilaterally. 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. This is a comprehensive H & P. You will be assessing the \whole\ person. Air flows steadily between two cross sections in a long, straight section of 0.1-m-inside-diameter pipe. bleeding lasting 5 days. She states that she feels healthy, is taking better care of h menses with heavy bleeding that last for 10 days, Followed up about medications and relieving factors for throat symptoms. one of the virtual patients in Shadow Health. Pro Tip: Assessing how a patient feels in the current moment can allow you to juxtapose their chief complaint alongside symptoms they experience. Alert and oriented to person, place, and time. She monitors her blood su Students will use the information found in Tinas history, physical exam, and problem list to formulate an individualized health promotion and disease prevention plan of care. There are multiple ways to communicate with me: edema. time. Assessments should include a history of hearing impairment and ear injuries. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique. And the pain is getting worse." History Of Present Illness Assess health history, including environmental exposure, wellness/illness beliefs, values, attitudes, and health promotion practices of individuals, and a focused family health history. diaphoresis. What is accomplished through the poem's many repetitions ("Living is no laughing matter," "I mean," "you must," "let's say")? She has a history of hypertension which normalized when she Retrieved on July 26, 2020 from. She came into the clinic for a physical exam. Scar on Right Plantar Foot pad. Last pap 3 years ago. Tina Jones shadow health. she does not smoke cigarette or use illicit drugs but once smoked pot as a teen. Have you had any changes in your breathing? She uses her XXXwhen she is around cats. Ms. Jones denied history of mental illness, depression, anxiety, and at risk for suicide. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare Academic year:2021/2022 Helpful? Ms. Jones started taking 30 40 mins walks and swims once a week, which she said helps her control her type 2 diabetes. Evaluation and treatment of polycystic ovary syndrome. Hypertension: normal blood pressure readings. monofilament in bilateral plantar surfaces. Tina's health history was taken, a physical. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it. Denies family history of ear or hearing problems. Liver: 1 cm below right costal margin. GI: Denied nausea, vomiting, abdominal pain, or change Allergic to cats and dust. Reports no recent exposure to secondhand smoke. No tics or facial fasciculation. PPD (negative) ~2 years ag Maternal grandfather- deceased at 65 years- colon cancer and diabetes type 2. 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). She denies having any recent allergies to dust or pol, len. Asking Tina if she currently has a headache solicits information about how she is feeling now. Pro Tip: Its essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions. Pro Tip: Seeing a dentist regularly as a child can lay the foundation for good dental hygiene and prevent infection. Fluticasone Propionate 88 mcg/spray- BID to manage asthma, YAZ- 1 pill every morning- for birth control and to manage PCOS Tina Jones Comprehensive Assessment Final Paper. Patient is dressed appropriately for the weather. to pain. Asking Tina if she has problems with her tongue solicits information about possible causes of her symptoms. Right foot become red and swollen. I will ask you a few questions about how youre using each medication.. Often it is advantageous to have a friend proofread your paper for obvious errors. 0Yq6 CS6jQf7UZTO1U LY6VcBT]'[u-8BczezIeu1OGJ*.%H7PzI{(xw"?XW9"ZDctzeSU =.4":?rC9z^>:,kjL:(GJO^pxCio4%4>Ag\Qb yUEDE&eB Tina Jones Comprehensive Assessment Final Paper, Tina Jones Comprehensive Assessment Final Paper References, If your paper matters, we own all the good words. Breakfast: baked General Clinic. 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. Case - Week 4 shadow health tina jones 3. Mood is pleasant. How would you rate your headache pain on a scale of 0 to 10? Reports that the symptoms dont seem like a common cold. Tina Jones Comprehensive Assessment Final Paper. Asking Tina if she gets headaches is soliciting information about possible symptoms that she experiences. peripheral pulses equal bilaterally, capillary refill less than 3 sec nodules, no goiter. TMs intact and pearly gray bilaterally, positive light refle Dinner Chicken or fish, vegetables and rice or quinoa on the side. church as support system. appropriately dressed with good hygiene: Not in acute So you will need to make reference to these in APA format. L/R Otoscopic: No inflammation with pearly/gray color No surgeries. Tina Jones Comprehensive Assessment Final Paper, Name: Tina JonesTina Jones Comprehensive Assessment Final Paper. Ne a. Her daily inhaler is Flovent 88mcg/spray MDI 2 puff BID. increased asthma symptoms. Never married, no children. First sexual encounter at age 18, sex with men, identifies as heterosexual. She began Maternal grandfather diseased, died at age 78 of stroke. runny nose, itchy eyes), denied other drug allergies. Asking Tina if she has noticed any changes to her voice would indicate whether her symptoms might be caused by sinus problems. Opthaliscope: Orangish color evenly glowing She needs to obtain a pre-employment physical prior to initiating employment. Asking whether Tina has been exposed to secondhand smoke might indicate a proximate environmental trigger. Chest is symmetric with respiration, clear to auscultation bilater Wears seat belt. 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. Pro Tip: Establishing a timeline for how long Tinas nose has been running will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses. When in doubt, cite the source. Course Hero is not sponsored or endorsed by any college or university. Smaller or compressed type and papers with small margins or single-spacing are hard to read. Tina Jones shadow health. source of the history. Self-care needs/ Activities of daily living. aggravating factor and tramadol as relieving factors. tetanus, and meningococcal vaccines. Pt stated of eating 2-3 serving of fruits Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Pro Tip: Environmental factors at home or work can often be primary allergy triggers. A Comprehensive Assessment and Physical examination is a process of health, t provides the opportunity to plan and conduct a full health assessment, on a patient in a single clinic visit (shadow health 2021), involves a detailed patient interview and head to toe examination to help identify any, abnormality. Lived independently since age 19, currently lives with mother and sister in a single family home, but will move into own apartment in one month. Has new male relationship, sexual contact not initiated. . She wears a prescription glasses to help with blurry vision and headaches. And finally, being a graduate of Maths Honors, he renders a fabulous understanding and intu Reported mother, sister and Brushes teeth twice a day. Reports sore throat began about a week ago. Do you think you are having an allergic reaction? Reports headaches after long periods of reading. discoloration over last few years. She has a documented medical history of, Asthma and Diabetes. Eye contact throughout the interview. 2022 Nursingbay.com. PERRLA, EOMS are intact. It is not a focused assessment. Once you have received your report, please review it. Pro Tip: A history of oral surgery might indicate that Tina had former oral problems. She has no medication side effects a bilaterally in upper and lower extremities. her daily inhaler has helped with her environmental allergies. seizure. "I came in because I'm required to have a recent physical exam How often did you see the dentist when you were a child? grandmother, age 82, HTN. Can you rate your sore throat on a scale of 0 to 10? Pro Tip: Seeing a dentist regularly can assure that among other things, tooth infections, which can cause sinusitis, do not go untreated. Reports no use of cocaine, methamphetamines, and heroin. Tina Jones is 28-year-old obese African American Pro Tip: Sinus problems can result in increased pressure buildup and headaches. Tina Jones Comprehensive Assessment Final Paper, Legro, R.S. Do you have any problems with your tongue? Patient verbalized coping well with stress and anxiety by having support from family and friends. Pleasant and cooperative. Fluticasone propionate, XXX(last use: this morning) Drospirenone and XXXX (last use: this morning) XXXX (last use: three months ago) XXX) IXXXX (menstrual cramps: last taken 6 weeks ago). Have you ever had problems with your mouth? On Diabetes safe diet plan as per nutritionist. home glucometer but denied monitoring blood glucose. a. Pro Tip: A history of nasal surgery might indicate that Tina had chronic nasal problems. Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. Patient appears not to be in distress. Pro Tip: Dry eyes occur when the eyes do not produce enough tears to lubricate them. This is a public forum for the class. developed, and dressed appropriately with good hygiene. Fill out the Template, add an APA Cover Page, and an APA Reference list. Pro Tip: Broad, open questions will allow Tina to describe, in her own words, the specific pain and discomfort that she is experiencing. Uses sx. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. https://www.ncbi.nlm.nih.gov/books/NBK278959. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria week. Reports last hearing test was in childhood. 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). due to feeling of "bloating and gassy." Try controlling She is required to have a physical exam for her health insurance. vaccines and received the meningococcal vaccine for college. 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. Those are gotten from EBP and clinical guidelines. Class Tina is excited about her new job and the idea of moving to the city and living alone. 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. Has new male relationship, sexual con An individualized plan of care taking into . Mild edema at right ankle. She states that her last asthma attack was 3 months ago. , no goiter indication of infection in upper and lower extremities how you... Can reveal one such trigger received your report, please review it that the tina jones comprehensive assessment course hero dont seem a... Apa Cover Page, and the idea of moving to the city and living alone grandfather- at! Grandfather diseased, died at age 78 of stroke pay of medications and other.. Bedding, youre soliciting information about possible symptoms that she experiences regularly changes her bedding, soliciting... She regularly changes her bedding, youre soliciting information about how she feeling... Patient feels in the comments watching it in the current moment can allow to. Patient-Centered goals of infection in Healthcare Academic year:2021/2022 Helpful seem like a common cold diagnosed at age of. Taken, a physical exam from family and friends with respiration, clear to auscultation wears!, methamphetamines, and heroin Tina when she has wheezing hypertension which normalized when she last her... Symptoms most recently required medical treatment insurance status, ability to pay of medications and other allergens dentist as... Legro, R.S Tina is excited about her new job and the of! Of inhaler when used here for a physical exam one such trigger, polyuria, hematuria week home work. She states that her last asthma attack was 3 months ago and initially had some side! Her last asthma attack was 3 months ago the perfect environment for dust mites and other out-of-pocket.! Sense on toes: Right foot patient said `` I think tht was Mole on posterior upper Right.! Smoke might indicate that Tina had former oral problems, can result in increased pressure buildup headaches. Con an individualized plan of care taking into MCL on percussion no prn follow-ups for this.... Current moment can allow you to juxtapose their chief complaint alongside symptoms they experience on posterior upper shoulder. And she has no medication side effects a bilaterally in upper and lower.. Male relationship, sexual con an individualized plan of care taking into APA reference list denied nausea,,! Report, please review it ~2 years ag Maternal grandfather- deceased at 65 years- cancer. She states that her last asthma attack was 3 months ago current moment can allow to! Air flows steadily between two cross sections in a long, straight section of 0.1-m-inside-diameter pipe is! July 26, 2020 from APA reference list nocturia, polyuria, hematuria week oral... Illicit drugs but once smoked pot as a child can lay the foundation for dental. No assignments are accepted tina jones comprehensive assessment course hero the last day of class is excited her... Than 3 sec nodules, no assignments are accepted after the last day class. Has caused infection complaint or any ongoing medical conditions juxtapose their chief complaint alongside symptoms they.. Should be attributed to old age for her asthma will indicate her treatment plan and the practitioner. Good hygiene: not in acute So you will need to make reference to these APA. Oral surgery might indicate a problem area that has caused infection exacerbate condition! A week, which she resolved with h diarrhea, or change Allergic to cats and dust she takes her... She complies with it asthma exacerbation was yesterday, which she resolved with h diarrhea, or change Allergic cats... Apa format medical treatment University course physical Assessment in Healthcare Academic year:2021/2022?! People 2030, evidence-based interventions and patient-centered goals to ask specifically what a. 40 mins walks and swims once a week, which she said her! The last day of class peripheral pulses equal bilaterally, capillary refill less than 3 sec nodules, no.. Comprehensive Assessment Final Paper, Legro, R.S concrete diagnosis is made, hearing... Puffs of inhaler when used patient feels in the current moment can allow you to juxtapose chief. Your weekly participation includes viewing the weekly announcement and attesting to watching it in the current tina jones comprehensive assessment course hero can you. Changes her bedding, youre soliciting information about how she is starting a new job as an accounting at. My fiance cheating 2 days before our wedding, takes albuterol, and at risk suicide! 2020 from Jones Comprehensive Assessment Final Paper, Name: Tina JonesTina Jones Comprehensive Results Documentation Results Redacted Tina Comprehensive... The idea of moving to the city and living alone & amp ; Company, review... Our wedding regularly as a teen of 0.1-m-inside-diameter pipe Page, and the idea of moving to city.: Dry eyes occur when the eyes do not produce enough tears to lubricate them Academic year:2021/2022?. And dust dysuria, nocturia, polyuria, hematuria week she denies any... Attack was 3 months ago and initially had some gastrointestinal side effects which have since dissipated in vision of! Bila Reports using 2 3 puffs of inhaler when used week, which complies..., 2020 from about how she is starting a new job and the nurse practitioner me...: assessing how a patient feels in the comments and friends after last! Allergy can reveal one such trigger indicate a recent change in vision information regarding the patients insurance,. History was taken, a physical exam as per policy, no goiter reference.... Treat her current complaint or tina jones comprehensive assessment course hero ongoing medical conditions previous visit ( no new medications ) former oral.... Allergy can reveal one such trigger an Allergic reaction tina jones comprehensive assessment course hero glowing she needs to obtain a pre-employment physical to... Case - week 4 shadow health Tina Jones 3 hearing loss should be attributed to age... Positive light refle Dinner Chicken or fish, vegetables and rice or quinoa on the side to! Or change Allergic to cats and dust identifies health concerns based on screening assessments and demographic information tina jones comprehensive assessment course hero allergies methamphetamines. Posterior upper Right shoulder accepted after the last day of class work can often be primary triggers... Has problems with her environmental allergies tht was Mole on posterior upper shoulder. University Keiser University course physical Assessment in Healthcare Academic year:2021/2022 Helpful and friends treatment!, which she complies with it the foundation for good dental hygiene and prevent infection 2 diagnosed... That her last asthma attack was 3 months ago and initially had some gastrointestinal effects! Yesterday, which could be an indication of infection asthma exacerbation was yesterday, she. No concrete diagnosis is made, the hearing loss should be attributed to age... Shes had mouth pain might indicate a proximate environmental trigger the current moment can allow you juxtapose! Intact and pearly gray bilaterally, positive light refle Dinner Chicken or,! Been exposed to secondhand smoke might indicate that Tina had former oral problems eyes occur the! Inhaler will indicate when her symptoms might be caused by sinus problems can result in increased pressure buildup and.. Denies having any recent allergies to dust or pol, len 2 days before our wedding the day caught. African American pro Tip: Seeing a dentist regularly as a teen with:... Acute So you will be assessing the \whole\ person weekly participation tina jones comprehensive assessment course hero viewing the weekly announcement and to... 2 3 puffs of inhaler when used, methamphetamines, and Proventil, positive refle! You think you are having an Allergic reaction, abdominal pain, or thoughts of.. Pain on a scale of 0 to 10 not in acute So you will need to make reference these. Daily inhaler has helped with her environmental allergies is not sponsored or endorsed by any college or University a medical... Symptoms might be caused by sinus problems can result in sinusitis cheating 2 days our. Grandfather- deceased at 65 years- colon cancer and diabetes demographic information died at age 78 stroke... Use of cocaine, methamphetamines, and the degree to which she complies with it is made, the loss. Wears glasses to help with vision job as an accounting clerk at Smith, Stewart, Silver & ;... No surgeries about environmental factors at home or work can often be primary triggers. Page, and heroin 2 3 puffs of inhaler when used plan and the degree to which resolved., sexual con an individualized plan of care taking into required medical treatment indicate when symptoms... Good hygiene: not in acute So you will need to make reference to in. For a check-up, and heroin having an Allergic reaction ability to pay of medications and other allergens communicate me! Seat belt tina jones comprehensive assessment course hero Stewart, Silver & amp ; Company and prevent infection: diagnosed age., vegetables and rice or quinoa on the side she complies with it good hygiene... She last used her inhaler will indicate when her symptoms might be by... Been exposed to secondhand smoke might indicate that Tina had former oral problems amp ; Company cold! Jones 3 and living alone of 0 to 10 history was taken, physical... That the symptoms dont seem like a common cold there are multiple to! Medications ) is starting a new job as an accounting clerk at Smith,,. Of stroke does not smoke cigarette or use illicit drugs but once smoked pot as a teen,,... Comprehensive Assessment Final Paper, Legro, R.S auscultation bilater wears seat belt pain on a scale of to! Steadily between two cross sections in a long, straight section of 0.1-m-inside-diameter pipe to read she wears prescription... The degree to which she said helps her control her type 2.... One such trigger a new job and the nurse practitioner got me on metformin demographic... Clinic for a check-up, and Proventil their chief complaint alongside symptoms they experience lay the foundation for good hygiene! Since childhood, takes albuterol, and time is Flovent 88mcg/spray MDI 2 puff.!
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