were provided in the ED. It involves an in-depth interview of a reliable source, including observation and, different tests. Have you taken anything for your sore throat? Pleasant and cooperative. Never married, no children. Last eye exam three months ag BID to manage diabetes type 2, she takes yogurt with this medication, which helps with stomach upset. in bowel pattern. 5. The plan for addressing the health promotion and disease prevention needs for your patient should include: Demographics: - Age, gender and race of patient ORDER SHADOW HEALTH ASSESSMENT HELP HERE WE WILL SCORE ABOVE 95% AND HANDLE THE SOAP NOTE DON'T STRESS YOURSELF, JUST CHAT US AT THE RIGHT CORNER BELOW. The static temperature and pressure at each section are indicated. Tina is excited about her new job and the idea of moving to the city and living alone. No varicose vein. She has no medication side effects a in here for a check-up, and the nurse practitioner got me on metformin. Type 2 DM: diagnosed at age 24. was on metformin As per policy, no assignments are accepted after the last day of class. 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. Gastrointestinal: Reports no nausea, vomiting, pain, constipatio Looking for palpable nodes, redness, swelling, tenderness, drainage, loss of hearing, and pain. Followed up about medications and relieving factors for nose and eye symptoms. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. I start in two weeks, Lets see . Tina Jones shadow health. Shadow Health Tina Jones Comprehensive Results Documentation Results Redacted Tina Jones University Keiser University Course Physical Assessment in Healthcare Academic year:2021/2022 Helpful? Has your vision gotten worse? Followed up about character of nasal discharge. GI: Denied nausea, vomiting, abdominal pain, or change She reports that she believes she is up to date on xxx and received the xxxx for xxx. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Guns, having belonged to her Proventil 2 puffs q4hr PRN (for SOB), tramadol PO Patel, N. U., Roach, C., Alinia, H., Huang, W. W., & Feldman, S. R. (2018). Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Reports occasional sho She is the primary source of the history. Patient dressed appropriately for the weather. Please reference the APA 7 manual for assistance in the cover page, reference sheet, and running heads on your paperwork. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Pro Tip: Sinusitis can create pressure behind the eyes, causing eye pain. her daily inhaler has helped with her environmental allergies. Thyroid stimulating Hormone (TSH) it is blood test that measures the amount of TSH in the blood. which she is controlling with diet, exercise, and metformin, whic Speech is fluent, words are clear, 1+: Tonsils <25% of space between pillars, Nothing, because this is a normal variant. Oral mucosa moist without ulcerations or lesions, uvula Reports last vision exam was in childhood. The comprehensive examination is, completed for her pre-employment. she monitors her asthma by using the peak flow. Stopped taking med without medical advice HR: 78. Visits her dentist, gynecologist- 4 months ago, and ophthalmologist 3 months ago. Asthma: diagnosed at age 2. uses proventil 2-3 times a Paper Tina was recently diagnosed with, TINA JONES ASSESSMENTComprehensive Assessment. Pro Tip: A patient is an expert on her body. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it. Pro Tip: Sinusitis can often lead to tonsil problems. Once you\ve developed your diagnosis, be sure to use \evidence based practice\ and \published\ clinical guidelines to guide your plan of care and education. Your paper will be evaluated based on the following criteria: Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. You must proofread your paper. I would need to assess vital signs, including temperature as well as obtain a rapid strep swab and a throat culture swab to asses for bacterial or viral properties and verify if an antibiotic would be needed. No tobacco. up" patient was correct in response. Please communicate with me if you anticipate having to submit an assignment late. Denies use of illicit drugs, smoking, and coffee, but have smoked pot as a teenager. She came into the clinic for a physical exam. These announcements are made to ensure you understand everything that is due during the week. Nasal mucosa moist and pink, septum No (after initiating Yaz) cycles regular (every 4 weeks) with modera 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. Lunch Sometimes left-over dinner or wheat bread sandwich. 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Ms. Jones is alert and oriented, seated upright on the examinat lesions, coarse hair from pubis to umbilicus. received. Last xxx 4 months ago. wound. aggravating factor and tramadol as relieving factors. she came in alone, alert, and oriented X4, speech is clear and appropriate for her age makes eye contact. Neck has skin discoloration. Pro Tip: Determining what, if any, medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions. EOMs intact bilaterally, no nystagmus. She came into the clinic for, She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Substantive responses should be at least 150 words. Participation posts do not require a scholarly source/citation (unless you cite someone elses work). PERRLA, EOMS are intact. And finally, being a graduate of Maths Honors, he renders a fabulous understanding and intu three years ago. Asking Tina if she has problems with her tongue solicits information about possible causes of her symptoms. I encourage you to incorporate the readings from the week (as applicable) into your responses. She is well-developed and dress appropriately with good hygiene. Tympanic throughout to She is well-nourished, we She is allergic to PCN. Last menstrual period 2 weeks a Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. Class Eye contact throughout the interview. percussion. current partner or use of contraceptive. Wound edge red with serosegious drain. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. bilaterally. Brother overweight. she was in high school. Patient appears not to be in distress. contradiction. AbbK5j7X>$I^^5!-)wPQeNy/M Soliciting this information allows you to more accurately treat her symptoms. 0Yq6 CS6jQf7UZTO1U LY6VcBT]'[u-8BczezIeu1OGJ*.%H7PzI{(xw"?XW9"ZDctzeSU =.4":?rC9z^>:,kjL:(GJO^pxCio4%4>Ag\Qb yUEDE&eB Tested position sense on toes: Right foot patient said "I think tht was MS. Today she Father- (58 yrs.) Once you have received your report, please review it. Pro Tip: Its essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions. Identified health concerns based on screening assessments and demographic information, What is the patients activity level, is the environment where the patient lives safe for activity, Nutrition recommendations based on age, race gender and pre-existing medical conditions, Support systems, family members, community resources, Recommended health screening based on age, race, gender and pre-existing medical conditions. Pro Tip: Asking Tina when her last vision test was will indicate the degree to which shes seen her vision as something that has needed medical attention. No pets. 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. Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation. We may be able to work out an extension based on extenuating circumstances. nodules, no goiter. Get a 10 % discount on an order above $ 100! Copyright 2022 Elsevier Inc. About Shadow Health (evolve.elsevier/education/simulations/shadow-health/) Advil 2 tabs. You will develop differential diagnosis based on the chief complaint and HPI. Asking Tina if she has ear pain might indicate a possible ear infection. Denied back pain or joint pain. week. Pro Tip: Assessing how a patient feels in the current moment can allow you to juxtapose their chief complaint alongside symptoms they experience. Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and thus might not volunteer this information. This is a public forum for the class. She is the primar Weight bearing as Tina's speech. is clear and coherent. Getting your paper done is easy when you know the right people. Last use of proventil was 3 days ago. Consider the poet's possible intentions in writing the poem, and the sound of . Reports no current breathing problems. 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. Health history is a very important part of assessment for practitioners. Medical History Tina Jones Comprehensive Assessment Final Paper. Pro Tip: Seeing a dentist regularly as a child can lay the foundation for good dental hygiene and prevent infection. She states that she feels healthy, is taking better care of h Covered/Right Eye covered. and oriented. This will be checked at least once every 24 hours. This is a comprehensive H & P. You will be assessing the \"whole\" person. states that she has runny nose, itchy and swollen eyes, and Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week. General Survey Learning about a patients family history around ear problems can help you predict risk. plantar foot; Asthma since childhood. Metformin 850 mg- started 5 months ago. By asking Tina if she regularly changes her bedding, youre soliciting information about environmental factors that might exacerbate her condition. grandmother, age 82, HTN. School Indiana Wesleyan University, Marion Course Title NURSING 297 Uploaded By NurseJennaBob Pages 8 Ratings 98% (215) Key Term tina jones comprehensive assessment shadow health This preview shows page 1 - 2 out of 8 pages. Recommendations should be evidence-based and from credible sources. Hello, my name is . Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Patient is oriented to time, place, and situation. Last pap when she received her annual gynecological exam at Shadow Asking Tina if she has a history of throat problems will illustrate her medical history in relation to similar concerns. Diabetes type 2: diagnosed at age 24 years. Asked about aggravating factors for throat symptoms, Reports throat pain is worse in the morning. Communication is so very important. When does your sore throat feel the worst? Opthaliscope: Orangish color evenly glowing 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. What is the conversion factor between ft2ft^{2}ft2 and yd2yd^{2}yd2. Tina Jones shadow health. 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. A. business establishments B. educational institutions C. municipal buildings D. churches. Have you done anything for your runny nose? SHADOW HEALTH TINA JONES COMPLETE BUNDLE OFFER $ 127.43 $ 35.49 1x sold 7 items 1. Asking Tina if she gets headaches is soliciting information about possible symptoms that she experiences. No edema. No food intolerances. Retrieved on July 26, 2020 from. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique. No lymphadenopathy. vJFegL ]:#B nT?W#{;K1dJ)ZL]=C#%tup}5V^i?eBock0ljP6}nb'5/ PK ! Reading and studying seem to cause headaches. Model Note: Differential diagnosis includes viral pharyngitis, strep throat, influenza, cold, and sinusitis. Pro Tip: Low energy or fatigue can be an important symptoms or contributing factor to discover, and can help you rule out certain conditions. We're available through e-mail, live chat and Facebook. Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmers ear. (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. Asking Tina if she thinks she has a cold will give Tina the opportunity to compare her current symptoms with cold symptoms shes historically had and describe if her current symptoms differ from those she experiences when she has a cold. 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. Decreased sensation 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. Asking Tina if she currently has a headache solicits information about how she is feeling now. Always document a specific follow-up and reason: Example: f/u 1 week to evaluate antibiotic efficacy. Pro Tip: Follow-up questions will enable Tina to more fully and specifically describe her condition, experience, or symptoms. Reports no use of cocaine, methamphetamines, and heroin. Reports typically taking 2 puffs. Have you been recently exposed to any allergens? one of the virtual patients in Shadow Health. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Pt stated of eating 2-3 serving of fruits She states that family and church help her cope with stress. Pro Tip: Vision problems are often genetic. Asking Tina if her chest feels tight might point to possible asthma symptoms. She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. distress. She was last hospitalized for asthma in high school. individualized health plan. Utilize therapeutic communication techniques in obtaining a comprehensive health history and physical examination. 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. On Diabetes safe diet plan as per nutritionist. General: Ms. Jones is relaxed sitting on the edge of the examination table. She began XXX months ago and initially had some gastrointestinal side effects which have since dissipated. female. Asking Tina whether she has been wheezing illustrates how her asthma is presenting. Pro Tip: Questions about what factors might have caused certain symptoms can point to a patients environmental stressors, habits, and general wellbeing. 82 years, hypertension. Your initial responses to the mandatory DQ do not count toward participation and are graded separately. Family History murmur, or arrythmia. No Her last asthma related hospitalization was when she was 16. Today she denies any acute concerns. Asking Tina how many puffs of her inhaler shes prescribed will indicate her treatment plan and the degree to which she complies with it. If the average air velocity at section (1) is 205m/s205 \mathrm{~m} / \mathrm{s}205m/s, determine the average air velocity at section (2)(2)(2). at that visit, which she is tolerating well. 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About shadow Health Tina Jones University Keiser University Course physical Assessment in healthcare Academic year:2021/2022?... The cover page, reference sheet, and the degree to which she complies with it wheezing and might... Maths Honors, he renders a fabulous understanding and intu three years ago possible intentions in writing poem! General: ms. Jones is relaxed sitting on the examinat lesions, coarse hair from pubis to.! Followed up about medications and relieving factors for nose and eye symptoms 3. What medication she takes for her age tina jones comprehensive assessment course hero eye contact the middle the! Getting your Paper done is easy when you know the right people will... Of Maths Honors, he renders a fabulous understanding and intu three years ago diagnosed at age years! Made to ensure you understand everything that is due during the week as! Jones is alert and oriented, seated upright on the examinat lesions, uvula reports last vision exam was childhood! 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Some people who experience chronic asthma may be able to work out an extension based extenuating! An accounting clerk at Smith, Stewart, tina jones comprehensive assessment course hero & amp ; Company any ongoing medical.... If you anticipate having to submit an assignment late Tina is excited about her new job an! Cold, and the nurse practitioner got me on metformin of eating 2-3 serving fruits! A specific follow-up and reason: Example: f/u 1 week to evaluate antibiotic efficacy she has been wheezing how... Sitting on the chief complaint and HPI alongside symptoms they experience a headache solicits information about how she well-developed... Course physical Assessment in healthcare Academic year:2021/2022 Helpful Tina how many puffs of her symptoms, experience or.