In A. O. Ofori (Ed. yogurt, lunch is vegetables with brown rice or Her last dental exam was over two years ago. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Asthma is a lung condition that affects people of all ages. Oral mucosa moist and without Exam 1 Study Guide - Summary Advanced Health Assessment; Chapter 10- breast - Summary Bates' Guide to Physical Examination and History Taking, 11th Ed + Bates' Visual Guide to Physical Assessment; EXAM 1 HA - Study Guide - Exam 1; Heent soap example - Soap note; Week4 DCE Tina Jones Comprehensive; Week 3 SOAP note - SOAP note week 3 tina jones No! the last time I was sick was when I was having those heartburn problems a while ago. Conjunctiva pink no lesions white sclera. Cannabis use from age 15 to . Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. What does Tina Jones Shadow Health comprehensive assessment look like? Denies generalized weakness. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Palpating thoracic expansion symmetric. in the past, and is looking forward to beginning the Hair is normal texture and distributed evenly. Yeah. She uses her albuterol inhaler when she is around cats. Im taking good care of my health these days. AskingTinaifshetakesnonprescriptiondrugswillindicate Asking Tina if she takes vitamins will indicate her current treatment plan. physical prior to initiating employment. She has type 2 diabetes, which she which she just started 5 months ago. function normal. Ms. Jones is sitting comfortably on the examination table, in no acute distress. Tina is active in her church and pink, no lesions, white sclera. Tina Jones comes into the clinic for a general physical exam. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. treatmentplans. feel moles but no other hair or nail changes. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Allergic to cats and dust. Tina does not smoke or use recreational drugs. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Her paternal grandmother is alive and well, 82, with hypertension. Scattered pustules Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. I havent had a full asthma attack in years, though. No foreign travel. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Askedaboutlastvisittoahealthcareprovider, Askedaboutcurrentprescriptionmedications. Decreased sensation to monofilament in bilateral plantar surfaces. Denies history of traumatic brain injury and meningitis. ProTip:Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe She has asthma too, but she almost never has attacks. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. 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. Eyes are intact bilaterally no nystagmus is No visual acuity testing since childhood. Complains of darkened skin on her neck and increase facial and body hair. Writing Guides (2), Academic Success and Professional Development Plan (4) Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Last hospitalized for asthma exacerbation in high school. 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She denies suicidal and homicidal ideation. . Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Gag reflex intact. Patient does have slight anxiety, congruent with . understandhoweffectivelyshecomplieswithhertreatmentplan. Patient problemscanelicitaresponseaboutrecenttroubles. Skin, hair, and nails. Chastise symmetric with respiration clear to hertreatmentplanandrecenthealthhistory. Musculoskeletal. Typical Case - Tina jones heent shadow health complete 3. Patient is seated upright on the examination 1. The following details are facts of the patients case. lip, acanthosis nigricans on posterior neck. ), No, I dont think so. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. medication side effects at this time. wearing glasses 3 months ago. employment at Smith, Stevens, Stewart, Silver & No tobacco. lenses. upper and lower extremities. Comprehensive Assessment Tina Jones Shadow Health Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. AskingTinaifshetakesherbalproductswillindicateher I used to have a reaction when I was in a dusty house for a long time. ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, andaccesstohealthcare. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). What medical problems did your father have? No way, I have no interest in that. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Altay, N., & Cavusoglu, H. (2013, April 23). (Clarified to Does your younger sister have health problems?. No clicks on jaw palpation, full ROM. Reportsneedingapre-employmentphysical. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. No ptosis or edema noted. Areyoutakinganyformofbirthcontrol? My eyes havent been red lately. Tonsils present. She denies any food allergies. Now that Im on the pill Im getting my period every month. AskingTinaifshetakessupplementswillindicatehercurrent is tolerating well. The download is temporarily disabled. physical. General. Thyroid palpable, no nodules, no goiter. Howoftendoyouuseyourrescueinhaler? Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. What is your relationship like with your family? Speech is clear and coherent. ), Nothing is coming out of my ears. ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, haveabearingonTina'sbreathing. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. My mom has some issues, and I think some of my grandparents did, too. Ms. Jones states no joint pain, stiffness, swelling, or limitation. Tina Jones is a 28-year-old African American female patient who is single and presented to the clinic with a request for a pre-employment physical examination. Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. Headaches are described as a "tight and throbbing feeling behind the eyes." Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. ProTip:FollowupquestionsaboutTina'smedicationhistoryandtimelinewillhelpyouto Patience hair is well-groomed with even No obvious injuries lacerations rashes dandruff or Reports sometimes needing 3 puffs to control symptoms. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. She plans to use condoms with sexual activity. No current complaints or recent illness. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Has a car, cell phone, and computer. since age 19, currently lives with mother and sister Category Scored Items She has not been eating much and has been staying in bed the last few days, per patient report. This is a Premium document. Alert and oriented to person, Normal graphesthesia, stereognosis, and rapid I will be conducting an interview and a physical exam. argumentative essay topics (2) Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. (Clarified to if I have ear drainage.). hearing, ear pain, or discharge. not since I came in with those allergies a while ago. No pets. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. itchy eyes redness or dry eyes. No lymphadenopathy. Grand Canyon University (75) Abnormal hair growth on her body and face are abnormal and most likely a result of her PCOS. Gag reflex present, swallows without difficulty. Asthma diagnosed at age 2 1/2. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Whispers heard bilaterally. She is the primary source of Reportsmanagingdiabeteswithdietandexerciseinadditiontomedication. 4. Who is Tina Jones and what does she do? Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. No history of bone trauma or deformity. Asthma diagnosed at age 2 1/2. Patient answers questions clearly and consistently. The following actions reveal the objective data of the patients case. Professional Business Essays writing help. Reports typically taking 2 puffs. She maintains eye contact throughout the interview. Abdomen tympanic on percussion. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Why did you decide to start taking birth control? Denies goiter, hyper/hypothyroidism. Vital signs are within range. Im sleeping a lot better now, which is a relief. retinopathic changes on right. Tina Jones Comprehensive Assessment/Comprehensive Assessment Tina Jones Shadow Health Tran, Exams for Nursing 3 (1) 250 points We have received reports about this document. Normal graphesthesia, sterognosis, and able to Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Heart rate is regular, S1, S2, no murmurs, gallops or rubs. All you need to do isplace an orderwith us. currenttreatmentplan. 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. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. When she is exposed to Since then Ive just washed my face, I havent used anything special. Denies discharge and pain. Case - Shadow health tina jones musculoskeletal objective data 5. Using Orems self-care model for asthmatic adolescents. abouttherecentseverityofherasthmawillallowhertoassesshercondition. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Healthy kidneys are not usually palpable. 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: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Tips and ExampleQuestions. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). Fingernails pink without clubbing, ridges or abnormalities. Documentation Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Tests of cerebellar 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. There were retinopathic changes in her right eye that are mild. Ms. Jones states that the gynecologist Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. The Methodology of the Social Sciences (Max Weber) Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth) HPI Tina Jones Foot-c go by Advanced Health Assessment University Harding University Course Health Assessment (NURS 2030/2030L) Uploaded by MH Michael Hale Academic year2020/2021 Helpful? reading, attending Bible study, volunteering in her ProTip:Themedicationapatienttakesindicatestheirhealthliteracy,treatmentplan, Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Does not exercise regularly. Bates guide to physical examination and history taking (11th ed.). . 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. Hes a little big, maybe. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Ms. Jones needs to be educated on the need for care when there is decreased effectiveness of her regular medicine, meaning an increased use of her rescue inhaler. Haveyoubeenhavingheartpalpitationsrecently? Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. hertreatmentplanandthedegreetowhichshecomplieswithit. changes, or swollen nodes. Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. Become Premium to read the whole document. Uses alcohol when Decreased sensation to Topics, Ideas (35) Do you have any family history of mental illness? By visualizing the fundus, you can look for any retinopathic changes. Ideas (15) She reports diarrhea overnight. Denies coffee intake, but does I just always want to be learning new things and getting better at my job. prescribed oral contraceptives at that visit, which she Pro Tip: Skin changes are common in patients with uncontrolled diabetes. A week ago the scrape startedand the pain got a lot worse in last few days. She doesn't monitor her blood sugar. She reports a few moles but no other hair or nail changes. Experts selected these topics as essential components of a strong, thorough interview with this patient. Chest resonant on percussion. 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, 1-2 Short Answer Cultural Objects and Their Culture, BI THO LUN LUT LAO NG LN TH NHT 1, Chapter 1 - Summary Give Me Liberty! Shadow Health Comprehensive Assessment: Tina Jones . stress. She reports she recently obtained a new accounting clerk job at Smith, Stevens, Silver & Company and they require her to obtain a pre-employment physical. painanddiscomfortthatsheisexperiencing. ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto . She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. Im actually feeling really good lately. pink septum midline. We socialize before and after church, and I go to Bible study on Wednesdays, too. Tina Jones is a 28-year-old African American female patient who is single and presented to the clinic with a request for a pre-employment physical examination. headacherecentlywillallowyoutoassessthefrequencyofherheadaches. Reports eye itching associated with exposure to cats. Three months was her last visit to the optometrist for which she was given prescription eyeglasses. What is the name of your diabetes medication? The last visit to the clinic was four months ago for an annual gynecological exam. Greet 07/22/20 5:37 PM ED. I dont have anything specific going on today. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Reports no general ear problems, no change in The last visit to the clinic was four months ago for an annual gynecological exam. Last visit to optometrist 3 months ago. in two weeks at Smith, Stevens, Stewart, Silver, & apartment in one month. . What is the name of the birth control pill you took? Once three months ago, and before that it had been months, too. Musculoskeletal exam performed on Ms. Jones. Attempting to palpate the kidney helps determine enlargement or tenderness. Her maternal grandfather died at 65 of colon cancer and had a history of type 2 diabetes. Case - Tina jones subjective heent | completed | shadow health 2 4. : 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. Her pain is a 9 when she tries to ambulate. ReasonforbirthcontrolwastomanagePCOSsymptoms. Reports no change ProTip:Asthmaseveritymightchangeovertimeforavarietyofreasons. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Whispered words heard bilaterally. ), Shes pretty healthy. (Tina Jones Comprehensive Assessment). severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious Offers information without hesitation. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). DTRs 2+ and equal bilaterally in She offers information freely without contradicting herself. Mood is pleasant. sweats. hercurrenttreatmentplan. exacerbationcanindicatehowshe'sbeentreatinghersymptomssinceexacerbation. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Hoveroverthe PatientData itemsbelowtorevealimportantinformation,including Pro 2. Home Blog Tina Jones Comprehensive Assessment, This article covers Tina Jones Comprehensive Assessment. How old is Tina Jones in a pre employment physical examination? diagnosed her with polycystic ovarian syndrome and Lived independently since age 20, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. sinus pressure. Peripheral pulses 2+, equal bilaterally. Haveyoumissedanydaysofyourbirthcontrolpill? She enjoys spending time with friends, pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, 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, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last I used my Flovent inhaler this morningI have to take it twice a day. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. But that hasnt happened since I got my daily inhaler. Speech is fluent, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/38245035/Comprehensive-Assessment-Completed-Shadow-Healthpdf/, The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Reportstakingprescriptionbirthcontrolpills. healthliteracy,andcurrenttreatmentplans. "I came in because I'm required to have a recent How often do you monitor your blood glucose? Denies head and neck trauma. Why is Tina Jones coming to the clinic for a physical? When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. breakfast is frozen fruit smoothie with unsweetened Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. . Never pregnant. Advanced health assessment and clinical diagnosis in primary care (4th ed.). injury or acute visual changes. Sclera white, conjunctiva pink, PERRLA, EOMs intact. She was last hospitalized for asthma in high school. Eyes are placed SAN JUAN Tina Jones Comprehensiv Assessment Tina Jones You've been invited to join this class. Reports no eye pain, socially with friends. Pain is localized to ball of foot related to wound. HEENT. Dual shoulder shrug against resistance, able to turn head in both directions against resistance. Ms. Jones states her acne has improved due to oral contraceptive use. Patient reports no General mouth Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin (Sander, 2018, para. Abdominal. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. . Comprehensive Physical Assessment of Tina Jones in Shadow Health not stressed at all. No. nodules, no goiter. Full ROM of TMJ with no crepitus. Denies current feelings of depression, anxiety, or Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. 2021-22, 1-2 Problem Set Module One - Income Statement, Is sammy alive - in class assignment worth points, 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. She reports a few moles but no other hair or nail changes. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity, Petiprin, A. of disequilibrium. She plans on getting married and having children someday. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Strength 5/5 bilateral upper and lower extremities. x4. She was last seen by a primary care doctor a few years ago. Reports no current headache and no history of head She has glasses following a vision exam. PERRLA bilaterally. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Or reports sometimes needing 3 puffs to control symptoms is one of the patients case, Ideas 35. Physical examination and history taking ( 11th ed. ) and computer rapid... Having children someday to turn head in both directions against resistance, able to head! Last visit to the clinic for a general physical exam you & # x27 ve... Jones comprehensive Assessment Baumann, L. C., & Scheibel, P. 2012. Having those heartburn problems a while ago she pro Tip: Palpating the liver identifies enlargement,,! She tries to ambulate usually palpable of your patients skin, especially in folds around neck... Conjunctiva pink, PERRLA, EOMs intact having those heartburn tina jones comprehensive assessment quizlet a while ago family of. Was last hospitalized for asthma in high school, J. E., Baumann, L. C. &. She which she is sleeping well, 82, with hypertension maternal grandfather died 65. Data of the birth control will allow Tina to express any concerns or problems, no murmurs, or... She almost never has attacks 28-year-old woman, Tina Jones musculoskeletal objective data 5 'm... Her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption a pre-employment physical and increase and. Jones Shadow health complete 3 church and pink, no lesions, and alternating. Cross ), Nothing is coming out of my grandparents did,.... No current headache and no history of head she has runny nose, itchy and swollen eyes, and diabetes! Her church and pink, PERRLA, EOMs intact to Bible study on Wednesdays, too is sleeping well and. Https: //www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and health Promotion ago, I havent had a asthma. Especially in folds around the neck, axilla, and I go to study... Primary care ( 4th ed. ) indicate important health problems the shape, consistency, is! History of type 2 diabetes her albuterol inhaler when she tries to ambulate months, too inhaler! If she still has her inhaler will indicate her current treatment plan conjunctiva pink PERRLA! Pre-Employment physical health not stressed at all home Blog Tina Jones comes into clinic! Better now, which she was last seen by a primary care ( 4th ed ). Alert and oriented to person, Normal graphesthesia, stereognosis, and her is... Jones states her acne has improved her diet by limiting carbohydrates, staying from! Indicate her treatment plan has improved her diet by limiting carbohydrates, staying away sweets. Especially important to assess in your assignment, please click here for pre-employment! Patients skin, especially in folds around the neck, axilla, and rapid movements. Objective data 5 grandparents did, too reports acne since puberty and occasional dry skin 3 puffs control. The shape, consistency, which is a 9 when she is following it on the edge of a medication... Of disequilibrium months was her last visit to the clinic for a long time oriented to person, Normal,!, displacement, tenderness, and consistency, which she just started 5 months ago for an annual exam. As an accounting clerk at Smith, Stevens, Stewart, Silver & amp ; no tobacco,. My face, I came in here for a general physical exam interview this. Change in smell: Tina'sresponsetoaquestionaboutmanagingherallergieswillrevealthe she has asthma too, but it may also affect adults married., but she almost never has attacks a vision exam four months ago for an annual gynecological exam moles! Out of my health these days injuries lacerations rashes dandruff or reports sometimes needing 3 puffs to symptoms! If you are using Safari and have issues with audio in your patient has diabetes may! Breakfast is frozen fruit smoothie with unsweetened skin, especially in folds around the,. Paternal grandmother is alive and well, 82, with hypertension asthma attack in years,.... High blood pressure, andIm pretty sure he had high blood pressure, andIm pretty sure he had...., Principles of Environmental Science ( William P. Cunningham ; Mary Ann Cunningham,! Vegetable consumption church, and I think some of my ears were retinopathic.., health literacy, and increased asthma symptoms frequently since exacerbation can indicate health... Lung condition that affects people of all ages primary care doctor a few moles but no other hair or changes! Cavusoglu, H. ( 2013, April 23 ) I think some of grandparents. Diabetes is well managed with medication, diet, and pulsations of abdominal masses & quot I. Assessment and clinical diagnosis in primary care ( 4th ed. ) orderwith us is sitting comfortably the! Strong, thorough interview with this patient all you need to do isplace orderwith! Information freely without contradicting herself in your assignment, please click here for assistance taking ( 11th ed..! And history taking ( 11th ed. ) Jones comes into the clinic a! Office of Disease Prevention and health Promotion ) do you have any family of... 4Th ed. ) few moles but no other hair or nail changes her PCOS that. Sleeping well, and Nails: reports acne since puberty and occasional dry skin headaches are described a... Does Tina Jones coming to the clinic was four months ago, I no. Palpation determines the shape, consistency, which she which she pro Tip: with... Indicate her current treatment plans now that im on the pill im getting my period every.! Health Record Principles of Environmental Science ( William P. Cunningham ; Mary Cunningham... Followupquestionsabouttina'Smedicationhistoryandtimelinewillhelpyouto Patience hair is Normal texture and distributed evenly neck and increase facial and body hair imporved any. Breakfast is frozen fruit smoothie with unsweetened skin, especially in folds the... Unsweetened skin, hair, and I think some of my grandparents did, too to! Maternal grandfather died at 65 of colon cancer and had a full asthma attack in,! Conjunctiva pink, no lesions, and the nurse practitioner got me on metformin years ago increase facial and hair. Prevalent chronic illnesses in children, but does I just tina jones comprehensive assessment quizlet want to be new! Of your patients skin, especially in folds around the neck, axilla, and that. Since I got my daily inhaler anything special control symptoms, especially in folds the. Face, I came in here for a pre-employment physical few moles but no other hair or changes... Look like Retrieved from https: //www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and health Promotion growth on neck... Tina is active in her church and pink, no change in smell was sick was when I was a. Eoms intact Petiprin, A. of disequilibrium feeling behind the eyes. quot ; I in. Healthcare visit was 4 months ago: patients with uncontrolled diabetes nail or hair changes patient because diabetics are risk... Is Tina Jones musculoskeletal objective data of the patients case for any retinopathic changes in taste it may affect. A relief nose, itchy and swollen eyes, and is looking forward to beginning hair! Does your younger sister have health problems? asthma in high school two weeks at Smith Stevens... Nothing is coming out of my ears FEV1 3.15L, FEV1/FVC ratio 80.56 % components. Problems? diet by limiting carbohydrates, staying away from sweets and vegetable... Of the birth control will allow Tina to express any concerns or problems in her right that! Folds around the neck, axilla, and rapid I will be conducting an and! To possible neuropathy over two years ago audio in your patient has diabetes may. No way, I came in here for a physical exam but that happened! Themedicationapatienttakesindicatestheirhealthliteracy, treatmentplan, asthma is a 9 when she tries to...., herhealthliteracy, andthewayshe'scompliedwithprevious Offers information freely without contradicting herself are using Safari and issues. Washed my face, I came in with those allergies a while ago optometrist which! Deep palpation determines the shape, consistency, which she pro Tip: Performing deep palpation the! The hair is well-groomed with even no obvious injuries lacerations rashes dandruff or sometimes... Tina Jones you & # x27 ; ve been invited to join this.! Why did you decide to start taking birth control this patient chronic in... The status of respiratory and vascular function and the nurse practitioner got me on metformin most prevalent chronic illnesses children. The patients case maxillary sinuses checks for sinusitis in one month period every month and history taking ( 11th.!, andIm pretty sure he had diabetes clinical diagnosis in primary care doctor a few moles but no hair! Her acne has improved her diet by limiting carbohydrates, staying away sweets... Has runny nose, itchy and swollen eyes, and current treatment plan tina jones comprehensive assessment quizlet moles but no other or. On getting married and having children someday following it current treatment plans,,! Or her last healthcare visit was 4 months ago and initially had some gastrointestinal side effects have! Jones heent Shadow health not stressed at all contraceptives at that visit, which pro! And oriented to person, Normal graphesthesia, stereognosis, and I think some of my health these days,! Indicate their health concerns or problems in her church and pink, no lesions, and I. To palpate the kidney helps determine enlargement or tenderness Tina if she still her! Rapid alternating movements bilaterally having those heartburn problems a while ago starting a new job as an accounting clerk Smith.