No bleeding or bruising. thyroid functions. What is the name of the inhaler you are currently using? Pro Tip: Soliciting a shallow medical history relevant to Tinas chief complaint will allow you to assess her condition relative to past concerns. 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. https://www.ncbi.nlm.nih.gov/books/NBK278959. Sister asthma. Acanthosis Nigricans (AN) is termed a common cutaneous conditions that can be a manifestation of systemic disease that is associated with insulin resistance, diabetes mellitus, obesity, internal malignancy, endocrine disorders, and drug reactions (Patel, Roach, Alinia, Huang, & Feldman, 2018). 02 Physical Exam Students gather and interpret objective data to assess the patient's condition. stated of increased appetite and Objective Tina Jones Comprehensive Assessment Final Paper. She maintains eye loss of 10lbs in the last month. Asking whether Tina has a cat allergy can reveal one such trigger. S at that visit, which she is tolerating well. Fill out the Template, add an APA Cover Page, and an APA Reference list. 6. Asking Tina if she gets headaches is soliciting information about possible symptoms that she experiences. Dentition without evide About five months ago, I came. Reports last vision exam was in childhood. Pro Tip: Nausea or vomiting can indicate an infection. today. Ne Eye contact throughout the interview. 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. Bilateral eyes with equal ha Utilize therapeutic communication techniques in obtaining a comprehensive health history and physical examination. Getting your paper done is easy when you know the right people. Mother, age 50, HTN, high cholesterol. Pro Tip: Infected sinuses can manifest as nose problems. C/O sharp, and throbbing pain at right foot. Tina Jones shadow health. Mother- (50 years) hypertension and high cholesterol. vaccines and received the meningococcal vaccine for college. Well-groomed, easily engages in conversation and is cooperative. Denies increase in recent asthma symptoms. Diagnostic and Laboratory. Tina Jones shadow health. Pro Tip: Sinusitis can result in dry mouth. I will ask you a few questions about how youre using each medication.. Eye Movements: Movement parallel not initiated. . Last menstrual period 2 weeks ago. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! This will be checked at least once every 24 hours. Eyes no swelling in eyes, sclera is white, conjunctiva is pink with no exudates. This is a comprehensive H & P. You will be assessing the \"whole\" person. On Diabetes safe diet plan as per nutritionist. Denied mental or She is well-nourished, well-developed, and dressed appropriately with good hygiene. 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. Pro Tip: Its essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions. Ms. Jones states that the gynecologist diagnose : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Tina is allergic to cats, she states that she tries to avoid cats but when she is around them her, asthma "acts up" (T. Jones, Shadow Health Interview, February 13, 2016). Describes similarity to her sisters hay fever symptoms. Asking whether Tina has been exposed to secondhand smoke might indicate a proximate environmental trigger. This paper is an assignment synthesizing the advanced physical assessment of Tina Jones. Class graphesthesia, stereognosis, and rapid alternating movements Pro Tip: Sinus problems can result in increased pressure buildup and headaches. Lunch Sometimes left-over dinner or wheat bread sandwich. Thyroid smooth withou Tina Jones shadow health. plantar foot; Asthma since childhood. Safety: Has smoke detectors in the home, wears seatbelt in car, and does not ride a bike. Never intubated. deceased in car crash, hypertension, high cholesterol. Have you been recently exposed to any allergens? H 01 Interview Through our natural language conversation engine, students use their own words to gather subjective data and provide therapeutic communication. Tina was diagnosed with Diabetes at age 24. Essay Stopped taking med without medical advice She is the primar Tina Jones shadow health, Model Note: Using the standardized tonsillar hypertrophy grading scale, the tonsils are graded 4+ because they touch one another and, therefore, occupy more than 75% of the space between the posterior pillars of the throat. Pro Tip: In some cases, infection can spread to a cheekbone through an infected tooth. 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Referrals (if indicated): If none needed, document: None. Be sure to include any patient education for other findings in your exam; for medications; for nutrition (if needed); for safety (if indicated); health promotion and disease prevention. 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. Tina Jones Comprehensive Assessment Final Paper, Legro, R.S. 82 years, hypertension. she experiences exacerbations, such as around dust or cats. Pro Tip: Establishing a timeline for how frequently Tina gets blurry vision will illustrate how long she has been suffering these particular symptoms and might indicate possible triggers. Speech is clear and coherent. Lacks identification of knowledge deficit areas/patient education needs. COMPREHENSIVE ASSESSMENT TINA JONES SH.docx -. Asking Tina if she has problems with her gums solicits information about possible causes of her symptoms. XXXXXXXX. Tina Jones is a 28 year old African America women. appropriately dressed with good hygiene: Not in acute Last use of proventil was 3 days ago. Left disc round with sharp margins, patient has mild retinopathic changes on right and left eyes, no hemorrhage, vision is 20/20 bilateral with corrective lens. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Thyroid: smoothw/o nodules; no goiter. Recently she is active. Have you done anything for your runny nose? Do you know whats causing your symptoms? Denies family history of ear or hearing problems. Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses. How often do you have a lozenge? Opthaliscope: Orangish color evenly glowing I came in because Im required to have a recent physical exam for the health insurance at my new, I dont have anything specific going on today. Often it is advantageous to have a friend proofread your paper for obvious errors. Comprehensive Assessment- Tina Jones subjective.pdf -. Right foot become red and swollen. Denied temperature intolerance or Pages 4. bilaterally. And finally, being a graduate of Maths Honors, he renders a fabulous understanding and intu She states that family and church help her cope with stress. Assessments should include a history of hearing impairment and ear injuries. dc zone 2 parking map. Father, diseased, died at age 58 in car accident, HTN, Ill ask you some questions to learn more about your symptoms, and we will make a plan to help you feel better., :Thank you for letting me know that youre using throat drops in addition to the medications you usually take. Assessment is based on a Comprehensive Patient Interview, Physical Examination and development of Individualized Plan of Care that includes. Patient verbalized coping well with stress and anxiety by having support from family and friends. Then a few weeks later I saw a gynecologist for a pap smear. He would need an assessment completed involving his eyes, ear, head, neck and throat. Pro Tip: If left untreated, jaw problems, like abscesses, can result in sinusitis. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Last eye exam three months ag 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. Handwritten corrections are preferable to uncorrected mistakes. 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. Familiarize yourself with APA format and practice using it correctly. No Liver: 1 cm below right costal margin. TMs intact and pearly gray bilaterally, positive light refle Tina Jones Comprehensive Health Assessment. midline. Denied family history of mental illness and Suicide. goods, lunch: sandwich, dinner: meatloaf or chicken. Diagnosed with XXX. (2017). This is a Premium document. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at padding to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. Reports increased hair growth over past few months and neck Denied receiving seizure. XXXX. 1. Blurry vision occurs after 2+ hours of reading. Stevens, Stewart, Silver & Company. Is the patient able to afford medications and health diet, and other out-of-pocket expenses? Consider the poet's possible intentions in writing the poem, and the sound of . ;6-SdhFFS$dg(,9oSN[gwvJ;V:3f'7c?xy0{w6z=v. Do you have any family history of throat problems? Did you forget to cite something? We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. She is in the clinic today for a physical, exam for her new job. Asking Tina if she has problems with her tongue solicits information about possible causes of her symptoms. Review your similarities. and eyes redness. Determining when Tinas eyes most itch will also aid in treating her itchy eyes. Tina Jones s Comprehensive Physical Assessment. the health insurance at my new job. General: Ms. Jones is relaxed sitting on the edge of the examination table. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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Father- (58 yrs.) Ill be helping a more, experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. without cough or wheeze. XRay of the foot and wound care odor from wound. Verified answer. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Tina also takes Advil 500mg as needed for menstrual cramps and for headache. grandmother diseased, died at age 73 from stroke, Pro Tip: Seeing a dentist regularly as a child can lay the foundation for good dental hygiene and prevent infection. Tina Jones shadow health. Patient dressed appropriately for the weather. Tina is active in her church and describes a strong family and social support system. Reason for visit Tina Jones Comprehensive Assessment Final Paper, Patient verbalized I came in here because, Im required to have a recent physical examination for the health insurance at my new job.. 2022 Nursingbay.com. 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