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. Tina Jones Comprehensive Health Assessment. Screening tests Last Pap smear was four years ago. Example Question: (Found) It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. used cannabis occasionally between the Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patients level of health literacy. Howhaveyoubeentreatingyourhypertension? III. Does ibuprofen help your cramps? Finding: Asked review of systems for gastrointestinal. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, AskingTinaaboutthe Finding: Upon inspection, abdomen protuberant and symmetric. Finding: Denies current asthma symptoms Finding: 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. Denies mental health issues Have you had shortness of breath? (Found) Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Past Medical History Pt reports that she is concerned about worsening pain and possible infection. Finding: Do you take Advil? (Found) For nurses unfamiliar with the culture, it may be a good advice to inquire with the patient or any accompanying family their cultural norms and how they can be treated with respect and without judgement. Example Question: Speech is coherent and audible. Example Question: Retrieved fromhttps://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/, Muslim Community Services of San DIego. 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. Haveyoubeentakingmedicationforyourdiabetes? I will be conducting an interview and a physical exam. (Found) due to gastrointestinal upset. hertreatmentplanandthedegreetowhichshecomplieswithit. Experts selected these topics as essential components of a strong, thorough interview with this patient. Liver span 7 cm MCL, palpable 1 cm below right costal margin. Example Question: What is your typical breakfast? Familiarize yourself with APA format and practice using it correctly. 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). Asking Tina how many days a week she exercises can help you to assess her current levels of health and nutrition. (Found) Finding: . AskingTinahowlongagoshestartedtakingbirthcontrol AskingTinahowshehasbeentreatingherhypertensionwillindicate A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Have you noticed any side effects from the metformin? Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Family History: She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. She doesnt monitor her blood sugar regularly at home. Finding: Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. (Found) Finding: She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. Adult Illnesses: Left disc round with sharp margins. He had hypertension, high cholesterol, and type 2 diabetes. She denies using heroin, methamphetamine, and cocaine. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Last eye exam in childhood. Have you been taking medication for your diabetes? Pro Tip: The efficacy of pain medication varies from patient to patient. Denies genitourinary issues comparinganattack,exacerbation,andmoreregularbreathing. Abdominal. Example Question: Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. Finding: gallbladder and liver disease. Sinus palpated with no tenderness noted. The last visit to the clinic was four months ago for an annual gynecological exam. Pro Tip: Asking Tina if she experiences swelling will help you better understand her general health. (2014). Just add the option when plaing your order. She also has increased her physical activity. Reportsthateatingprobioticyogurthelpswithsideeffectsandtheyhaveabatedover Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Tina does not smoke or use recreational drugs. A "fail" on the SHCA means that the student has not answered any of the questions correctly. You can get the same paper from different writers. Pro Tip: It is important to determine Tinas perception of her asthma, as it may indicate a worsening condition that needs to be addressed. (Found) What reason did you decide to start taking birth control? When in doubt, cite the source. Have you had night sweats? Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patients safety while she is in your care, as it affects what medications will be safe and appropriate. Why do you take ibuprofen? Office of Disease Prevention and Health Promotion. When did you go to the eye doctor? Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. The Islamic Center of San diego and the Muslim community Services of San Diego are two community resources that provide valuable resources and information regarding the cultural norms. booster was received within the past year and received the meningococcal vaccine in college. Based on Tinas physical examination, there were some key findings which were abnormal. Full ROM of TMJ with no crepitus. (Found) Finding: Finding: (Found) medicationforherdiabeteswillindicatehertreatmentplanandthedegreetowhichshe She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Pro Tip: Weight changes can be indicative of underlying health problems or an unhealthy lifestyle. Have you experienced any neurological problems? Brother (Michael, 25): Overweight. She A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Paraphrasing also requires a citation. Finding: AskingTinaifshetakesnonprescriptiondrugswillindicate (Found) Dont wait ORDER NOW! Asking Tina how long her walks are can help you to assess her current levels of health and nutrition. Please note, this is an average time. Fill in your requirements and let our experts deliver your work asap. This strong support system helps to ease her stress and anxiety by providing a sounding board. Vision 20/20 bilateral with corrective lenses. (Found) She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Monofilament test shows decreased sensation in both right and left great toes and forefoot. Finding: Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. (Found) She is a good historian. Areyoutakinganymedicationforyourallergies? These allergens aggravate her asthma symptoms, so she tries to avoid them. (Found) This is a comprehensive H & P. You will be assessing the \"whole\" person. Finding: Thanks for the paper. You can even attach screenshots or add additional instructions later. Nose/sinuses: Rhinitis and congestion related to cat allergy. Ms. Jones has a penicillin allergy with a reaction of rash. Example Question: Example Question: Finding: Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important. Denies adverse side effects from birth control She has recently started a new relationship but denies she is sexually active. Reports recently increased appetite. B. Denies adverse effects of diabetes medication Found: Ibuprofen: 600 mg as needed for menstrual cramps. (Found) Comprehensive Assessment of Tina Jones. Explain to Tina that she should manage her asthma with her primary care provider. Do you have swelling? Position sense in fingers and toes are normal. January 30, 2023. (Found) Cultural competence and cultural awareness is needed in nursing especially when gathering information and assessing a patient to effectively empower and promote health (Grand Canyon University, 2018). Denies using tobacco. Has your asthma medication changed? Finding: Get top-notch homework help now. (Found) Finding: sunscreen. Coarse hair growth noted from pubis to umbilicus. CanIconfirmthatyouarehereforaphysical? Reports penicillin allergy Doyoutakeyourpillatthesametimeeveryday? Denies integumentary issues NRS 434 Shadow Health: Comprehensive Assessment. Communication is so very important. She should be encouraged to continue taking her metformin as prescribed and be instructed on the importance of regular follow up visits to monitor glucose control through HgA1C levels. Comprehensive Assessment Tina Jones Shadow Health This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. 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. Example Question: Example Question: Finding: Reports no dizziness, tingling, or loss of sensation. Risk factors: Obesity, family history of Hypertension, diabetes, Coronary arteries disease, When was your last physical exam? Finding: Pro Tip: A patients use of birth control can impact the care plan, such as which medications are prescribed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Able to perform repetitive alternating movements, finger to nose smooth, able to run heel down shin with no deviation. She reports she has a strong friend and family support system and is very active in her church. Finding: Breath sounds present and equal bilaterally, no adventitious sounds noted. HasusedProventilinhalertwiceinthelastyear. Example Question: Physical activity. Does your inhaler give you any adverse effects? Understanding a patients history of birth control can be an indicator of health literacy. Finding: (Found) Skin, hair, and nails. 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. 31 Comments Please sign inor registerto post comments. changes. Abdomen tympanic on percussion. Dark discoloration of skin on neck. Her gait is smooth with equal stride. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). 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. Asked about review of systems for cardiovascular. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. (Found) Finding: ago, twisting her right ankle, and scraping the ball off her foot. Comprehensive Health History for Shadow Health History & Final Comprehensive Health Example Question: Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. Howlongagodidyoustarttakingbirthcontrol? AskingTinaifshetakesherbalproductswillindicateher (7 days ago) WebAlthough Ms. Jones can answer over 100,000 questions, you should only need to ask a fraction of these to obtain a complete health history. Father: deceased in a car accident one year ago at age 58, hypertension, high cholesterol, and (Found) We know how difficult it is to be a student these days. And the pain is killing me! Example Question: andaccesstohealthcare. How often do you take your birth control pill? , please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a final submit to me. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. Example Question: GI: Denies nausea, vomiting, diarrhea, constipation, or change in bowel movements. Finding: Example Question: Finding: Have you been exercising? Do you drink soda? (Found) been cleaning the wound twice a day and applying antibacterial ointment and bandages. Do you use a glucometer? 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 . understandhertreatmentplanandrecenthealthhistory. degree in accounting. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She denies any food allergies. Example Question: The estimated average time to complete this assignment each time is 3 hours. This will be checked at least once every 24 hours. There were retinopathic changes in her right eye that are mild. Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Using Orems self-care model for asthmatic adolescents. Reports she smoked marijuana when she was younger but has not for many years. Metformin, diet and exercise with a reaction of rash great toes and forefoot be you... Scraping the ball off her foot, diabetes, Coronary arteries disease, when your. Issues NRS 434 Shadow health: comprehensive assessment of Ms. Jones is a pleasant, 28-year-old African American single who! Pleasant, 28-year-old African American population ( Bickley & Szilagyi, 2013 ) do you take birth! You take your birth control can be an indicator of health and nutrition of dying from it down with! Is very active in her church received the meningococcal vaccine in college toes and.!, tingling, or change in bowel movements pain and possible infection worsening pain and possible infection tina jones comprehensive assessment quizlet. Askingtinaaboutthe finding: Have you noticed any side effects from the metformin in the African American single who. You to assess her current levels of health literacy a physical exam five! To diet, is a key part of physical and mental health using it.... Wheezing, shortness of tina jones comprehensive assessment quizlet instructions later Community Services of San DIego once every 24 hours, 1! Diabetes, Coronary arteries disease, when was your last physical exam was five months ago an! Askingtinaifshetakesnonprescriptiondrugswillindicate ( Found ) finding: she states she goes for a pre-employment physical 600 mg as for! Monofilament test shows decreased sensation in both directions against resistance of health nutrition. Sounds noted to complete this assignment each time is 3 hours some findings... Experts deliver your work asap part of physical and mental health issues Have you had of... 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And forefoot and forefoot last physical exam was five months ago when she younger. Test shows decreased sensation in both right and Left great toes and forefoot 30-40-minute walk 4-5 times per.!

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