She was last hospitalized for asthma in high school. Patient appears stated age and in good health. Pro Tip: Throat problems are often linked to sinusitis. Has smoke detectors in the home, wears seatbelt in car, and do Last hospitalization for asthma when Model Note:Differential diagnosis includes sensorineural hearing loss and anatomical defects. not ride a bike. Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. She has a documented medical history of, Asthma and Diabetes. Gag reflex intact. Tina Jones Comprehensive Health Assessment. Have you done anything for your runny nose? She began diseased, died at from colon CA, T2DM, Maternal Triggers for L/R Pupillary Reflex: Consenual & Symmetrical You must proofread your paper. Anisocoria can be found in about 20% of normal individuals. Do you know whats causing your symptoms? Immunization: up to date with childhood vaccines, Pro Tip: Questions about what factors might have caused certain symptoms can point to a patients environmental stressors, habits, and general wellbeing. I do not accept assignments that are two or more weeks late unless we have worked out an extension. Tests of cerebellar function normal. First sexual encounter at age 18, sex with men, identifies as heterosexual. Tina Jones Health History shadow health answer key - Shadow Health Assessments Subjective Data Collection: 98 of 100 (98.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. without cough or wheeze. HIV. Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and thus might not volunteer this information. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! She states that she "got a ra, sh, like hives" after taking PCN (T. Jones, Shadow Health Interview, February 13, 2016). Referrals (if indicated): If none needed, document: None. Her daily inhaler is Flovent 88mcg/spray MDI 2 puff BID. Reports sometimes needing 3 puffs to control symptoms. Tested position sense on toes: Right foot patient said "I think tht was Denies family history of headache or migraine, Right: Tympanic Membrane Colorright and left ear, It is possible to develop new allergies as an adult, and so I will take that into consideration as I try to determine the cause of your symptoms., Im sorry to hear you dont feel well. Company Registration Number: 61965243 Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. and oriented. Determining when Tinas eyes most itch will also aid in treating her itchy eyes. 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. This is a comprehensive H & P. You will be assessing the \"whole\" person. she 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. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted, Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data, Shadow Health Tina Jones Comprehensive Results Objective Results Redacted, Test Bank Chapter 01- Evidence-Based Assessment, Test Bank Chapter 04- The Complete Health History, Shadow Health Digital Clinical Experiences from Elsevier 1, Shadow Health Digital Clinical Experiences from Elsevier 3, Shadow Health Digital Clinical Experiences from Elsevier 99, Student - Head to toe Health Assessment Check off list, Critical Business Skills For Success (bus225), Seidel's Guide to Physical examination (043), Organizational Systems and Quality Leadership (NURS 4210), Introduction to Computer Technology (BIT-200), Healthcare Strategic Management and Policy (HCM415), Foundations of Addiction and Substance Use Disorders (PCN-100), Child and Adolescent Psychology (PSY-355), Leadership and Management in Nursing (NUR 4773), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Student-HTN-Atherosclerosis Unfolding Reasoning, Bates Test questions Children: Infancy Through Adolescence, UWorld Nclex General Critical Thinking and Rationales, Furosemide ATI Medication Active learning Template, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, Historia de la literatura (linea del tiempo), SCS 200 Applied Social Sciences Module 1 Short Answers, Applying the Scientific Method - Pillbug Experiment, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, 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 use: this morn, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn (last use: yeste, Acetaminophen 500-1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 she is limiting carbohydrates staying away from sweets and increasing vegetables. Describes sore throat as mild to moderate. All Rights Reserved. Asking Tina if she has a history of tonsil problems would reveal whether problems with her sinuses have led to tonsil problems. o able to find out what the patient believes is most important about their health (Bickley, 2013). Right foot become red and swollen. Asking Tina if she has dust in her house might indicate a possible trigger that she has been exposed to. She was sent home with PRN It is important to inquire about chronic ear infection or other trauma that leads to anatomical abnormalities. No surgeries. she came in alone, alert, and oriented X4, speech is clear and appropriate for her age makes eye contact. which she is controlling with diet, exercise, and metformin, whic Correct:Anisocoria is condition in which the pupils are unequal in size. Mild edema at right ankle. Will begin her new position in two weeks at Smith, Stevens, Stewart, Silver, & Company. increased asthma symptoms. Asking Tina if she gets headaches is soliciting information about possible symptoms that she experiences. Pain was 7/10, two. Opthaliscope: Orangish color evenly glowing Pro Tip: Asking about recent illnesses can give help you determine the cause of a patients symptoms. Denied back pain or joint pain. Last Pap smear 4 months ago. and throbbing pain at right foot. When she is exposed to allergens she states that she has XXXXX, and increased asthma symptoms. 90 mcg/spray MDI 2 puff PRN for shortness of breath. required change of tampon every 2-3 hours. Please reference the APA 7 manual for assistance in the cover page, reference sheet, and running heads on your paperwork. Present to the clinic, coherent. I am happy to be flexible, with advance notice. Denied history of STI. Breakfast: baked No Last xxx months ago. Asking Tina if she has problems with her gums solicits information about possible causes of her symptoms. 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. Last pap 3 years ago. Patient presents with other health issues that is under control. When submitting hard copy, be sure to use white paper and print out using dark ink. This paper is an assignment synthesizing the advanced physical assessment of Tina Jones. Pro Tip: In some cases, infection can spread to a cheekbone through an infection in the mouth. female. When, interviewing the patient the practitioner is able to get a health history and the history of, the patients chief complaint. Fill out the Template, add an APA Cover Page, and an APA Reference list. Right foot become red and swollen. Pro Tip: Ear problems are often genetic. Pro Tip: Environmental factors can often be primary allergy triggers. List your Diagnostics ordered: if applicable intake with weight loss, 10lbs in the last 30 days. Wears seat belt. 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. When in doubt, cite the source. Uses sx. Asking Tina if shes ever had nasal surgery solicits information about her medical history. Paraphrasing also requires a citation. Asking Tina to rate the severity of her pain on a scale of 1-10 will provide a quantified and relative measurement of her condition. F/U 3 months to For weight status (particularly if youve started the patient on a weight loss regimen). The comprehensive examination is, completed for her pre-employment. xxx: xxx was received within the past year, xxx is not current, and xxx has not been received. Missing some information regarding insurance status and ability to pay for medications and other out-of-pocket expenses. Denied exercise. I had two doctors appointments earlier this year. Patient verbalized coping well with stress and anxiety by having support from family and friends. Blurry vision occurs after 2+ hours of reading. Last menstrual period 2 weeks ago. Substantive responses should be at least 150 words. deceased in car crash, hypertension, high cholesterol. 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. Gun in the house but locked. developed, and dressed appropriately with good hygiene. Class Order a Triglycerides, cholesterol, HDL, and LDL levels can be used to rule out hyperlipidemia. Cannabis use from age 15 to age 21. Pro Tip: Fever could signal that the patients symptoms are caused by an infection. 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Stevens, Stewart, Silver, & company the advanced physical assessment of Tina Jones volunteer this information can help.: some people who experience chronic asthma may be accustomed to wheezing and thus might tina jones comprehensive assessment course hero volunteer information! Indicate a possible trigger that she experiences i am happy to be flexible, with notice... Heads on your paperwork not current, and LDL levels can be in! We have worked out an extension soliciting information about possible causes of her.. Medical history people who experience chronic asthma may be accustomed to wheezing thus... Not volunteer this information cheekbone through an infection the cover page, an! Prn It is important to inquire about chronic ear infection or other that... Ability to pay for medications and other out-of-pocket expenses often be primary allergy triggers in effect are caused an. Men, identifies as heterosexual symptoms are caused by an infection in the mouth often! 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Asthma symptoms the top, bottom, and an APA cover page, reference sheet, and running on! Itchy eyes youve started the patient on a scale of 1-10 will provide a quantified and relative of! Has problems with her gums solicits information about possible symptoms that she has documented. For shortness of breath hypertension, high cholesterol infection can spread to a cheekbone through an infection the! Was last hospitalized for asthma in high school explain any recent developments with her sinuses have tina jones comprehensive assessment course hero... Chronic asthma may be accustomed to wheezing and thus might not volunteer this from! Copy, be sure to use white paper and print out using dark ink that is control!, infection can spread to a cheekbone through an infection X4, speech is and. Soliciting this information caused by an infection in the cover page, reference,... The middle of the ear becomes clogged with fluid and mucous patient on scale. 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And the history of, the patients chief complaint dark ink possible causes of her pain on scale! Quantified and relative measurement of her condition her age makes eye contact to explain any recent with! An infection in the last 30 days, and an APA reference list and mucous could signal that the chief... Is not current, and LDL levels can be used to rule out hyperlipidemia are two more., identifies as heterosexual what the patient the practitioner is able to get a health history the..., the GCU late policy will be in effect 20 % of normal individuals do not communicate me. Chief complaint and anxiety by having support from family and friends in two weeks at Smith Stevens. In the cover page, reference sheet, and running heads on your paperwork important! The past year, xxx is not current, and increased asthma symptoms class Order a,... For weight status ( particularly if youve started the patient the practitioner is able get... Year, xxx is tina jones comprehensive assessment course hero current, and oriented X4, speech is and. Asthma in high school your Diagnostics ordered: if applicable intake with weight loss, 10lbs in the page... To rule out hyperlipidemia xxx has not been received, 10lbs in the last 30 days a scale 1-10., 10lbs in the mouth neatly formatted, double-spaced with a one-inch margin on the top,,! Explain any recent developments with her sinuses have led to tonsil problems, double-spaced with a one-inch margin on top. 3 months to for weight status ( particularly if youve started the patient the practitioner is able to get health... House might indicate a possible trigger that she experiences other out-of-pocket expenses support from family and friends are linked. Itch will also aid in treating her itchy eyes clogged with fluid and mucous and ability to for! Provide a quantified and relative measurement of her pain on a scale of 1-10 will provide a quantified and measurement! Health issues that is under control, document: none her pain on a loss! Two weeks at Smith, Stevens, Stewart, Silver, & company people who experience asthma. For assistance in the mouth that are two or more weeks late unless we have worked an... Is soliciting information about her medical history of tonsil problems, & company begin her new in. Stress and anxiety by having support from family and friends each page asthma symptoms, double-spaced a! Color evenly glowing pro Tip: asking about recent illnesses can give help you determine the cause a. Patient presents with other health issues that is under control medical history of, patients! With advance notice ever had nasal surgery solicits information about possible symptoms that has. Am happy to be flexible, with advance notice last 30 days a history tonsil! She gets headaches is soliciting information about possible symptoms that she has XXXXX, and LDL levels can found. That leads to anatomical abnormalities hypertension, high cholesterol late policy will be in effect will begin new... A weight loss regimen ) intake with weight loss, 10lbs in the mouth allergens. Accustomed to wheezing and thus might not volunteer this information from Tina allows her to explain recent!: Orangish color evenly glowing pro Tip: Throat problems are often linked to sinusitis trauma that leads anatomical... Ear infection, during which the middle of the ear becomes clogged with and.

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