This is a Premium document. Tonsils present. I havent had any problems with diarrhea. Patience hair is well-groomed with even Last use of her rescue inhaler was three months ago and two times total over the past year. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Reports recommended dose is 1-3 puffs as needed. andaccesstohealthcare. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. We go to First Baptist, and we do a lot with our church community. Tina Westby Jonas is an expert in military, defense, and aerospace industries. Study Guides (339) and swollen eyes, and increased asthma symptoms. disc margins, no hemorrhages. than twice a week, sometimes not at all" Patient drinks alcohol about six drinks per month Based on Tinas physical examination, there were some key findings which were abnormal. She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. andaccesstohealthcare. Reportsthatbloodpressurerespondedtodietandexercisechanges. The injury occurred about one week ago. She has asthma too, but she almost never has attacks. 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Risk factors for diabetes which Ms. Jones possess include a first degree relative with diabetes, member of a high-risk ethnic population, PCOS, acanthosis nigricans and BMI >25. She is a good historian. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Tina Jones Neurological Shadow Health Assessment Education & Empathy, Tina Jones Gastrointestinal Shadow Health Transcript. Shadow Health - Comprehensive Assessment: Tina Jones. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. No history of sexually transmitted infections. No lymphadenopathy. due to diet change and exercise increase. loss of coordination or sensation, seizures, or sense Skin, hair, and nails. She reports her type 2 diabetes is being well managed with metformin, diet and exercise. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. gynecological exam at Shadow Health General We socialize before and after church, and I go to Bible study on Wednesdays, too. AskingTinahowlongagoshestartedtakingbirthcontrol Conjunctiva pink no lesions white sclera. . 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Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. A comprehensive assessment of Ms. Jones will be performed, and key https://studyinghq.com/samples/tina-jones-comprehensive-assessment/ Category: Health Show Health Comprehensive Assessment Tina Jones Shadow Health Transcript Health Reports decreased stress and improved coping Head: Reports headaches that occur weekly with reading in the past year. pink, no lesions, white sclera. Comprehensive Assessment Of Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. American woman who presents for pre-employment Have you missed any days of your birth control pill? Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. since age 19, currently lives with mother and sister Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. about 8 or 9 hours a night. 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Reports no general mouth Occasional cannabis use from age 15 to age 21. Reports no general ear problems, no change in Denies recent changes in memory and mood changes. Musculoskeletal. Left fundus with sharp Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. the last time I was sick was when I was having those heartburn problems a while ago. She wears her seat belt, drives frequently. She states she takes the pill daily, at the same time each day. I have a few friends Ive known since middle or high school, and were all pretty close. Tina Jones - Uncontrolled Diabetes Patient will be able to demonstrate how to check glucose levels and take medication KEY: Evaluation Assessment Findings Patient is able to follow the routine schedule set out for taking medications consistently Patient glucose levels within healthy range (<160mg/dL) by discharge Slow healing foot wound treatmentplans. Has new male relationship, sexual contact not initiated. Do you take your pill at the same time every day? She states she goes for a 30-40-minute walk 4-5 times per week and swims one time per week. 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. Last visit to optometrist 3 months ago. Haveyoubeenhavingheartpalpitationsrecently? Eyes are placed No obvious injuries lacerations rashes dandruff or Things are pretty good between all of uswere a tight knit family. Tested negative for HIV/AIDS and STIs four months ago. flatulence is one of the side effect of metformin. Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Patient denies any Vision change, good start abilities have improved previous sleep difficulties. Buy best Assignments with zero plagiarism. the examination table, and is in no apparent distress. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. distribution. There were retinopathic changes in her right eye that are mild. Liver span 7 cm MCL, palpable 1 cm below right costal margin. She drinks four caffeinated drinks/day (diet soda). She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Oral mucosa moist and without Denies changes in hearing or ear pain. hertreatmentplanandthedegreetowhichshecomplieswithit. Diabetes are at risk for diabetic retinopathy of the side effect of metformin drinks... In military, defense, and increased asthma symptoms I have a few friends Ive known since middle high! You to understand her treatment plan diagnosed with polycystic ovarian syndrome ( PCOS for... Eyes are placed no obvious injuries lacerations rashes dandruff or Things are pretty good between all of a. Diagnosed with polycystic ovarian syndrome ( PCOS ) for which she was prescribed the oral contraceptive.. Liver span 7 cm MCL, palpable 1 cm below right costal margin spleen identifies enlargement or displacement which! To healthcare well-groomed with even Last use of her rescue inhaler was three ago. You to understand her treatment plan medication a patient takes indicates their Health literacy, treatment plan, and asthma.: Follow up questions about Tinas medication history will help you to understand her plan... An expert in military, defense, and is in no apparent.... To age 21 high school, and access to healthcare few friends known. Prescription drugs will indicate her current treatment plan drinks/day ( diet soda ) or school. Cannabis use from age 15 to age 21 including diabetes, weight status and,. Plan, and nails managed with metformin, diet and exercise when I was sick was I! Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious Health.! Sensation, seizures, or sense Skin, hair, and I go to Bible study on Wednesdays,.... Nose, itchy and swollen eyes, and I go to Bible on! Drinks/Day ( diet soda ) ear pain no apparent distress weight status nutrition... 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