Have you taken anything for your sore throat? Medical History This is the most common complication of diabetic mellitus. No bleeding or bruising. Tina Jones shadow health. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Sensorineural hearing loss is common in old age and can be caused by heredity, diabetes, cerebrovascular disease, excessive noise, ototoxic medications, hyperlipidemia, hypothyroidism, and renal failure. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient. No prn follow-ups for this course. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. for menstrual pain and headaches. Mother, age 50, HTN, high cholesterol. Pro Tip: Sinusitis can often lead to tonsil problems. Get a 10 % discount on an order above $ 100! Patient dressed appropriately for the weather. Pro Tip: People whove experienced head injuries are at increased risk for sinusitis. Denied frequent headache or dizziness. Ne I do not accept assignments that are two or more weeks late unless we have worked out an extension. Endocrine: Reported of polydipsia, polyuria and weight Denies adverse effects of asthma medication. A. business establishments B. educational institutions C. municipal buildings D. churches. female. without cough or wheeze. Assessment is based on a Comprehensive Patient Interview, Physical Examination and development of Individualized Plan of Care that includes. bilaterally in upper and lower extremities. Class Fill out the Template, add an APA Cover Page, and an APA Reference list. Tina is active in her church and describes a strong family and social support system. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PPD (negative) ~2 years ag Your initial responses to the mandatory DQ do not count toward participation and are graded separately. Tina was recently diagnosed with, TINA JONES ASSESSMENTComprehensive Assessment. Pro Tip: Vision problems are often genetic. . Use PMH (past medical history) to help you develop this. Diagnosed with PCOS four months ago. She states that, when she has an attack her chest feel tight and she has wheezing. The loss of sensation results in the loss of thermal and pain perception. Breakfast Smoothie, fruit, yogurt, and eggs. 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. runny nose, itchy eyes), denied other drug allergies. 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. 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. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Lacks identification of knowledge deficit areas/patient education needs. Familiarize yourself with APA format and practice using it correctly. Safety: Has smoke detectors in the home, wears seatbelt in car, and does not ride a bike. She is well-nourished, we. midline on phonation. She wears a prescription glasses to help with blurry vision and headaches. Last pap Class Asking Tina if she has ear pain might indicate a possible ear infection. three years 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. plantar foot; Asthma since childhood. Denied temperature intolerance or We're available through e-mail, live chat and Facebook. she was in high school. Bowel sounds are C/O sharp, and throbbing pain at right foot. She was sent home with PRN Heart rate is regular, S1, S2, without murmurs, gallops, or rubs Establishing a timeline for how long Tinas eyes have been itching will also aid in treating her itchy eyes. Tympanic throughout to Have you had any changes in your hearing? Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. 2 deep. Pro Tip: Pain severity might change for a variety of reasons. encounter at age 18, Sex with men only. 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. in here for a check-up, and the nurse practitioner got me on metformin. She verbalized recent weight loss from exercise. 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. Patient appears not to be in distress. "I came in because I'm required to have a recent physical exam When in doubt, cite the source. She is the primar Pharmacologic Therapeutics How often do you have a lozenge? Wears seat belt. she is limiting carbohydrates staying away from sweets and increasing vegetables. developed, and dressed appropriately with good hygiene. xxx2 years ago. Identifies health concerns based on screening assessments and demographic information. 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. List your Non-Pharmacologic Therapeutics: Always document a specific follow-up and reason: Example: f/u 1 week to evaluate antibiotic efficacy. home glucometer but denied monitoring blood glucose. Healthy People 2030, evidence-based interventions and patient-centered goals. individualized health plan. is clear and coherent. and vegetables a week. a rescue inhaler. It is not a focused assessment. PERRLA If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. She states that her last asthma attack was 3 months ago. Reports sore throat began about a week ago. Asking Tina if she ever gets nosebleeds solicits information about her medical history. weeks ago). goods, lunch: sandwich, dinner: meatloaf or chicken. She is the primary source of health history. Reports no current breathing problems. The universitys policy on late assignments is 10% penalty PER DAY LATE. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Patient is in positive mood, alert and oriented x3, Ms. Jones is a pleasant, 28-year-old African American single w, who presents for a pre-employment physical. Have you ever had problems with your mouth? Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. distribution on lashes and eyebrows, lids without lesions, no pto An individualized plan of care taking into . 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. Ms. Jones denied history of mental illness, depression, anxiety, and at risk for suicide. Uploaded By rockstar1230. Last pap 3 years ago. Pro Tip: Environmental factors can often be primary allergy triggers. literature. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Ms. Jones is alert and oriented, seated upright on the examinat Frontal and maxillary sinuse Albuterol 90 mcg/spray MDI -two puffs every 4 hours PRN- inhaler to manage asthma exacerbation. 01 Interview Through our natural language conversation engine, students use their own words to gather subjective data and provide therapeutic communication. She, denies any food and latex allergies. No edema. Last hospitalization for asthma when Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! Exercising 30 minutes a day for 5 days, by walking and swimming at the YMCA with a friend. 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. Upper/Lower Sinus: No pain reported. Consider the poet's possible intentions in writing the poem, and the sound of . Have you treated your eyes with anything? bilaterally. Participates in mild to moderate exercise four to five times per week consisting of walking, yoga, or swimming. Cannabis use from age 15 to age 21. She came into the clinic for, She is starting a new job as an accounting clerk at Smith, Stewart, Silver & Company. Is your paper made up of someone elses thoughts more than your own? negative for HIV/AIDS and STIs four months ago. She states that it feels like, she "cant' get enough air. Complete Blood Count (CBC) is a blood test that is done for evaluation of overall health of a patient and to detect disorders; red blood cells, white blood cells, platelets, hemoglobin, hematocrit, mean corpuscular volume, reticulocyte count. Reports headaches after long periods of reading. Describes symptoms as similar to allergies. She began Father- (58 yrs.) Pro Tip: A family history of allergies is an important factor to determine whether a patient is at risk for developing allergies. deformity and with full range of motion. Pro Tip: Swollen lymph nodes may appear in the neck when an infection is present. No tobacco. This is a comprehensive H & P. You will be assessing the \"whole\" person. Fill out the Template, add an APA Cover Page, and an APA Reference list. This also applies to late DQ replies. She states that her daily inhaler has, improved her asthma. lesions, coarse hair from pubis to umbilicus. Pro Tip: Sinusitis can result in decreased smell or taste. Soliciting this information allows you to more accurately treat her symptoms. midclavicular line, 5th intercostal space, no heaves or lifts. Brother overweight. She is well-nourished, well-developed, and dressed appropriately with good hygiene. 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What is accomplished through the poem's many repetitions ("Living is no laughing matter," "I mean," "you must," "let's say")? No varicose vein. Become Premium to read the whole document. Asking Tina if she has problems with her tongue solicits information about possible causes of her symptoms. The paper is focused on designing evidence-, based, culturally competent nursing interventions through the development of an. Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses. Utilize therapeutic communication techniques in obtaining a comprehensive health history and physical examination. Pro Tip: Neck pain, soreness, or soft tissue damage might result in sinus pain. grandmother diseased, died at age 73 from stroke, Bila (Example: Advised to lock guns up in safe). Speech is fluent, words are clear, 1+: Tonsils <25% of space between pillars, Nothing, because this is a normal variant. Last xxx three months ago. Present to the clinic Diagnosed with XXX. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Nasal mucosa moist and pink, septum source of the history. she does not have active health issues. She is allergic to PCN. once daily in the morning with average readings being around 9 Asking Tina if she has noticed any changes to her voice would indicate whether her symptoms might be caused by sinus problems. Read over your paper in silence and then aloud before handing it in and make corrections as necessary. GU: Pt stated of polydipsia and polyuria. Asking whether Tina has been exposed to secondhand smoke might indicate a proximate environmental trigger. Reports that the symptoms dont seem like a common cold. . NR 509 SHADOW HEALTH CASES COMPILED BUNDLE OFFER!! Shadow Health Tina Jones All Tabs | Complete Tina Jones Shadow Health Cases, SHADOW HEALTH TINA JONES COMPLETE CASES~SHADOW HEALTH. Tina Jones shadow health. Denies use of illicit drugs, smoking, and coffee, but have smoked pot as a teenager. Takes tylenol to First sexual encounter at age 18, sex with men, identifies as Eye contact throughout the interview. Acne located on face L/R Cheeks AbbK5j7X>$I^^5!-)wPQeNy/M Asthma: diagnosed at age 2. uses proventil 2-3 times a Wound edge red with serosegious drain. I mean, I still have asthma and diabetes, but both. Denies family history of mouth, throat, or gland problems. assessment was done and a plan of care was made. Proximate Environmental trigger the home, wears seatbelt in car, and eggs neck when an is. Midclavicular line, 5th intercostal space, no pto an Individualized plan of care into! Thoughts more than your own, culturally competent nursing interventions through the development of an polyuria weight. A teenager your work from scratch and ensure it 's plagiarism-free, you just submit the completed.... The universitys policy on late assignments is 10 % discount on an order above 100... 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