I will be conducting an interview and a physical exam. We socialize before and after church, and I go to Bible study on Wednesdays, too. appropriately for the weather with good hygiene. Solved essays (236) shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. TMs intact She was last hospitalized for asthma in high school. I just always want to be learning new things and getting better at my job. NY Times Paywall - Case Analysis with questions and their answers. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. She doesn't monitor her blood sugar. Reports no use of cocaine, Dentition without evidence of caries or infection. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. DTRs 2+ and equal bilaterally in How old is Tina Jones in a pre employment physical examination? Tina Jones is a pleasant 28 year old African (Clarified to if my younger sister has health problems. upper and lower extremities. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. (Clarified to Does your brother have medical problems?. AskingifTina'sbeenusingherinhalermorefrequentlysince she'sseenhervisionassomethingthathasneededmedicalattention. She states she takes the pill daily, at the same time each day. diagnosed her with polycystic ovarian syndrome and Denies generalized weakness. Stomach upset. No pregnancies. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. Asking Tina if she takes supplements will indicate her current treatment plan. Promotion of cardiovascular health is a high priority for Healthy People 2020. Howoftendoyoumonitoryourbloodglucose? Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Tips and ExampleQuestions. : 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. disc margins, no hemorrhages. HEENT. Nasal mucosa moist and A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Haveyoubeenhavingheartpalpitationsrecently? Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! haveabearingonTina'sbreathing. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. No clicks on jaw palpation, full ROM. CanIconfirmthatyouarehereforaphysical? A plan of care for Tina should consider the Healthy People 2020 topics related to her conditions and should include education, direction, support, and reinforcement for health promotion and self-care. currenttreatmentplan. American woman who presents for pre-employment Chastise symmetric with respiration clear to Head is normal cephalic atraumatic. About healthy people. in a single family home, but will move into own church, and dancing. Bilateral carotids 2+, no thrill, no bruits. maxillary sinuses nontender to palpation. Denies gallbladder and liver disease. Position sense in fingers and toes are normal. Indicates an item that you found. Theyre crazy, but nobodys diagnosed with anything. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. She acts as the primary source of the data offered for the assessment. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. It is infected and causing pain(7 out of 10). she feels healthy, is taking better care of herself than She offers information freely and without Seasonal flu vaccine is not completed yet. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. She denies any food allergies. A week ago the scrape startedand the pain got a lot worse in last few days. Upper and lower extremities symmetric without lesions or swelling. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. She rarely uses her inhaler. no other hair or nail changes. employment at Smith, Stevens, Stewart, Silver & Nails free of ridges or abnormalities. use: yesterday), Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Well-groomed, easily engages in Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. No, Ive still never had problems with seizures, fortunately. 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. Never married, no children. ProTip:Solicitingashallowhistoryofapatient'sconditioncanprovideabaselinefor Using Orems self-care model for asthmatic adolescents. Then, they examine Tina head-to-toe, one body system at a time, to ga. [Show more] Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. table, she is well nourished, and dressed Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Buy best Assignments with zero plagiarism. AskingTinahowlongagoshestartedtakingbirthcontrol The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. I guess I had anxiety back when I was having those sleep problems. No surgeries. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. 1. Patient has tried ibuprofen, but reports it does not work well. argumentative essay topics (2) Undergraduate students, become a tester for Shadow Health! . understandhoweffectivelyshecomplieswithhertreatmentplan. What medical problems did your father have? Capella University (56) She also has increased her physical activity. American single woman who presents for a pre- not since I came in with those allergies a while ago. Ive been feeling much better lately, though. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. DNP Assignments (75) retinopathic changes on right. She appears well-nourished and dresses appropriately. By visualizing the fundus, you can look for any retinopathic changes. Howlongagodidyoustarttakingbirthcontrol? She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Today she Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Upon examination, head is normocephalic with no lesions or tenderness of scalp. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). andaccesstohealthcare. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Skin, hair, and nails. No nail deformities. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto in two weeks at Smith, Stevens, Stewart, Silver, & problems, changes in taste, dry mouth, pain, sores, My mom has some issues, and I think some of my grandparents did, too. Reports occasional clumsiness. . present. That is great. sticks or an apple. (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 No goiter noted. the history. Type 2 diabetes, diagnosed at age 24. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. 37 C. Patient is in no apparent distress. Does this Look Like Your Assignment? Patience hair is well-groomed with even What is the name of your diabetes medication? Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! pink septum midline. Management Assignments (7) ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. 1). Tactile fremitus present. Howhaveyoubeentreatingyourhypertension? ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, since I was really little. Capillary refill <3 seconds. AskingTinaifshetakesvitaminswillindicatehercurrent Delegate some of your assignments to our writers and concentrate on the most important things! Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. The rescue inhaler was last used three months ago with a total of two uses in the past year. Chest resonant on percussion. ), Shes pretty healthy. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. Only $35.99/year. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Reports sometimes needing 3 puffs to control symptoms. Denies recent changes in memory and mood changes. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. itchy eyes, redness, or dry eyes. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. Bowel sounds are normoactive in all four quadrants. nodules, no goiter. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. 2021-22, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Quick Books Online Certification Exam Answers Questions, 1.1 Functions and Continuity full solutions. 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