About five months ago, I came. Pro Tip: If left untreated, gum problems, like abscesses, can result in sinusitis. No surgeries. Often it is advantageous to have a friend proofread your paper for obvious errors. This assignment assesses intended course outcome(s), #4 Use information found in patients health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patients individual health promotion and disease prevention needs. vJFegL ]:#B nT?W#{;K1dJ)ZL]=C#%tup}5V^i?eBock0ljP6}nb'5/ PK ! Organized, easy to read, no spelling or grammar mistakes, appropriate use of APA, Organized and easy to read, few spelling or grammar mistakes, few errors in APA, Disorganized, difficult to read, many spelling and grammar errors mistakes. How would you rate your headache pain on a scale of 0 to 10? She has a documented medical history of, Asthma and Diabetes. And the pain is getting worse." History Of Present Illness 2022 Nursingbay.com. allergy to cat and dust (caused SOB, Anisocoria can be found in about 20% of normal individuals. monofilament in bilateral plantar surfaces. Fasting glucose levels and Hgb A1C can be tested to rule out diabetes. Metformin 850 mg- started 5 months ago. Allergic to cats and dust. If your instructor provides individual feedback on this assignment, it will appear here. inhaler. (2017). Do you have any problems with your tongue? Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! All health issues listed are under control with no complaints from patients. General Survey She is excited to start her new jo in the city. 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. employment physical prior to initiating employment. states that she has runny nose, itchy and swollen eyes, and Has your vision gotten worse? Is your paper made up of someone elses thoughts more than your own? No tenderness or guarding to palpation. This results in bulging of the vein on either side of the artery making the vein appear to stop on either side of the artery. lower extremities. Breakfast Smoothie, fruit, yogurt, and eggs. high cholesterol. Right foot become red and swollen. Her caffeine intake is reduced to 1-2 sodas per day. Have you noticed any changes to your voice? and oriented. Learning about a patients family history around sinus problems can help you predict risk. Asking Tina whether she is experiencing eye pain solicits information about possible symptoms. Describes sore throat as mild to moderate. Last pap Her last aXXXXX in high school. Establishing a timeline for how long Tinas eyes have been itching will also aid in treating her itchy eyes. Tina Jones Comprehensive Health Assessment. Describes similarity to her sisters hay fever symptoms. plantar foot; Asthma since childhood. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. 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. Health Maintenance An analysis of Tinas great aunts medications and past medications can be used to rule out ototoxicity. Stevens, Stewart, Silver & Company. today. discoloration over last few years. seizure. 5. Reports no dizziness, light-headedness, tingling, loss of coordi Class Use PMH (past medical history) to help you develop this. Ms. Tina Jones is a 28 years old African American female who came into the clinic for pre-employment assessment. Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Reports no recent exposure to secondhand smoke. Near sighted and blurry vision- wears glasses to help with vision. Pro Tip: Sinusitis can create pressure behind the eyes, causing eye pain. Proventil 2 puffs q4hr PRN (for SOB), tramadol PO she was in high school. She states that she feels healthy, is taking better care of h Patient appears not to be in distress. Asthma: diagnosed at age 2. uses proventil 2-3 times a encounter at age 18, Sex with men only. Self-care needs/ Activities of daily living. Father- (58 yrs.) Liver Panel, this measures the blood levels of total protein, albumin, bilirubin, and liver enzymes. Company Registration Number: 61965243 Verified answer. She, states that her asthma is worst when around cats but she also has problems with dust and, running up stairs. Eye contact throughout the interview. She denies having any recent allergies to dust or pol, len. Pro Tip: Dry eyes occur when the eyes do not produce enough tears to lubricate them. reported of fever 102 last night. Pro Tip: A patient is an expert on her body. Pro Tip: In some cases, infection can spread to a cheekbone through an infected tooth. For the past four months (after initiatingXXXX) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Last menstrual period 2 weeks a This is the most common complication of diabetic mellitus. Has new male relationship, sexual con No history of Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare Academic year:2021/2022 Helpful? Describes blurry vision as fuzzy letters. Ms. Jones tolerated the assessment with ease. 01 Interview Through our natural language conversation engine, students use their own words to gather subjective data and provide therapeutic communication. When she is exposed to allergens she states that she has XXXXX, and increased asthma symptoms. Ms. Jones offers information freely and without contradiction. Medical History Tina Jones Comprehensive Assessment Final Paper. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. negative for HIV/AIDS and STIs four months ago. Essay 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. Get a 10 % discount on an order above $ 100! If palpation elicits pain and purulent nasal discharge is reported over the last 7-10 days, consider sinusitis. Reports that blurry vision and headaches often coincide, Pro Tip: Follow-up questions will enable Tina to more fully and specifically describe her condition, experience, or symptoms. Patient is dressed appropriately for the weather. Health history is a very important part of assessment for practitioners. Pro Tip: Because problems like mouth or throat cancer can be genetic, its important to understand family history to determine risk factors. Polycystic Ovary Syndrome (PCOS)is an ovarian disorder characterized by hyperandrogenism, ovulatory dysfunction and polycystic ovaries (Legro, 2017). Mild retinopat Chemistry Panel is a blood test done to measure glucose levels, electrolyte, fluid balance, and kidney function BUN, calcium, carbon dioxide, chloride, creatine, potassium, and sodium. Course Hero is not sponsored or endorsed by any college or university. She states that her daily inhaler has, improved her asthma. No lymphadenopathy. Mild edema at right ankle. Reports improved acne due to oral contraceptives. General Clinic. Asking Tina if she has mold in her house might indicate a possible trigger that she has been exposed to. Tina Jones Comprehensive Health Assessment. Pro Tip: Its essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions. Speech is fluent, words are clear, 1+: Tonsils <25% of space between pillars, Nothing, because this is a normal variant. XRay of the foot and wound care, were provided in the ED. She stated of having Reports last hearing test was in childhood. incontinence or dysuria. Psychiatry: Denied depression. EOMs intact bilaterally, no nystagmus. Resonant to percussion throughout. Never married, no children. assessment was done and a plan of care was made. Takes tylenol to Please communicate with me if you anticipate having to submit an assignment late. R: 15. Last dental exam five months ago. Asking Tina whether she has seasonal triggers will indicate, in part, Tinas health literacy. Last Pap smear 4 months ago. (c) 0.0525MHCl0.0525 \mathrm{M} \mathrm{HCl}0.0525MHCl and 0.0768M0.0768 \mathrm{M}0.0768M NaCH3COO\mathrm{NaCH}_3 \mathrm{COO}NaCH3COO. OTC Tylenol PO 500-1000mg q6hr PRN (for headache), 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). The universitys policy on late assignments is 10% penalty PER DAY LATE. appropriately dressed with good hygiene: Not in acute Lipid panel is blood test that measures total cholesterol, HDL cholesterol and LDL cholesterol, triglycerides to help determine risk of heart disease. Pro Tip: Establishing a timeline for how long Tinas nose has been running will illustrate how long she has been suffering these particular symptoms, when the symptoms are worst, and possible triggers. We're available through e-mail, live chat and Facebook. Pro Tip: Follow-up questions will enable Tina to more fully and specifically describe her condition, experience, or symptoms. Pro Tip: Corrective lenses might indicate a recent change in vision. Tina Jones shadow health. Pro Tip: Soliciting a shallow medical history relevant to Tinas chief complaint will allow you to assess her condition relative to past concerns. Neck has skin discoloration. Tina Jones Comprehensive Health Assessment. Confirmed medications from previous visit (no new medications). Pro Tip: Tinas response to a question about managing her runny nose will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. GI: Denied nausea, vomiting, abdominal pain, or change Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. diarrhea, or excessive flatulence. Pro Tip: Asking about recent illnesses can give help you determine the cause of a patients symptoms. Pro Tip: If left untreated, tongue problems, like abscesses, can result in sinusitis. Last xxx three months ago. denied allergy to mold or pollen. Denied non-healing wounds. 2. than in the past, and is looking forward to beginning the new jo, Metaformin (Diabetes); Albuterol (Asthma); Provental (Asthma), Diabetes Mellitis diagnoed two year ago; Wound healing on right She has no medication side effects at this time. 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