Example Question: She reports no depression or anxiety. AskingTinaifshetakesnonprescriptiondrugswillindicate AskingTinaifshestillhasherinhalerwill No wheezing, runny nose or a cough. (Found) Asking Tina how many days a week she exercises can help you to assess her current levels of health and nutrition. When in doubt, cite the source. Finding: Are you allergic to dust? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. PROBLEM LIST severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious The universitys policy on late assignments is 10% penalty PER DAY LATE. 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. dental exam was a few years ago. The Tuberculosis (TB) test was negative two years ago. Comprehensive Assessment of Tina Jones. Finding: ASSESSMENT: Tina Jones comes in for a follow-up/general physical exam. Example Question: ProTip:DiscerningwhetheranythingismakingTina'sasthmaworsecanpointto Bates guide to physical examination and history taking(11th ed.). Denies current breathing problems Denies adverse effects of diabetes medication Do you have a history of breast cancer? Tina jones comprehensive. Position sense on toes and fingers intact. Example Question: Pro Tip: When doing a review of the neurological system, you will want to ask about general symptoms that will allow Tina to describe, in her own words, any specific neurological problems that she is experiencing. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. RC Rachel1 month ago thank you uploader Students also viewed Quiz 1 study guide 19 20 22 Midterm Study Guide Exam 1 Study Guide S20 Get personalized services with MyCoursebay, You can select one writer for all your papers. Last dental visit was five months ago with no concerns. Do you take your pill at the same time every day? The last She is sleeping well, and her diabetes is well managed with medication, diet, and exercise. andchesttightness. 850 mg twice daily. ages of 15 and 21. Normally, she would eat a sandwich for Within the Shadow Health platform, complete the Comprehensive Assessment. establishesatimelineofhercurrenttreatmentplan. hertreatmentplanandthedegreetowhichshecomplieswithit. Reports checking sugar in the morning How long are your walks? ProTip:Broad,openquestionswillallowTinatodescribe,inherownwords,thespecific frequencyanddurationofherpalpitationsrecentlywillallowyoutoassesstherecent She is required to have a physical exam for her health insurance. Ms. Jones reports no muscle pain or weakness. understandhoweffectivelyshecomplieswithhertreatmentplan. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). It may also reveal problems not covered elsewhere in the exam. Reportsneedingapre-employmentphysical. Left disc round with sharp margins. Asking Tina what she typically has for a snack will illustrate her recent dietary patterns. severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious The last visit to the clinic was four months ago for an annual gynecological exam. Sinus palpated with no tenderness noted. (Found) What is the dose of your metformin? Skin, hair, and nails. Example Question: PMI nondisplaced, no heaves or lifts. Example Question: ProTip:Initiallyestablishingachiefcomplaintallowsthepatienttoexpresstheirreason Finding: (2016). A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. How many days a week do you exercise? For assignments that need to be submitted to. Denies tobacco use Thefollowingdetailsare These allergens aggravate her asthma symptoms, so she tries to avoid them. As soon as the paper is ready, well send you a copy via email. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Respiratory: History of asthma and inhaler use, asthma symptoms triggered by cats, and dust Are you taking any form of birth control? Pro Tip: Follow up questions about Tinas diabetes medication history and timeline will help you to understand her treatment plan and recent health history. practices. Past Medical History Finding: Pro Tip: Asking Tina if she has been to an eye doctor will indicate the degree to which shes seen her vision as something that has needed medical attention. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), WK9Assgn 1 The patient is a 70 year old Caucasian female that presents with complaints, Tina Jones- Week 9 SH Comprehensive SOAP Note, Week 4 Health History Template Tina Jones, Module 2 Full Spectrum Nursing Model w Mrs Munoz, Principles of Business Management (BUS 1101), Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Introduction To Computer And Information Security (ITO 310), RN-BSN HOLISTIC HEALTH ASSESSMENT ACROSS THE LIFESPAN (NURS3315), Strategic Human Resource Management (OL600), 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), EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, 1010 - Summary Worlds Together Worlds Apart, 3.1.6 Practice Comparing Executive Organizations, 3.4.1.7 Lab - Research a Hardware Upgrade, Full Graded Quiz Unit 3 - Selection of my best coursework, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Cecilia Guzman - Identifying Nutrients Gizmo Lab, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Tina jones comprehensive questions to ask, 324069444 Introduction to Mastering Chemistry, Lab 1-Chemistry and Measurement-Lab Report, Wong s Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank, 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 has glasses following a vision exam. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Reports rare cramping Denies changes to breasts Finding: Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Finding: Indicates an item that is available to be found. Asking Tina if she takes supplements will indicate her current treatment plan. treatmentplans. Understanding a patients history of birth control can be an indicator of health literacy. Example Question: (Found) Example Question: Category: Health Detail Health all motor skills are performed with ease - finger to nose, run heel down to shin. Finding: Abdomen tympanic on percussion. Denies general HEENT issues We do not endorse or condone any type of plagiarism. Example Question: the foot. i got the paper a bit late but it is good quality will for sure come back and use this website. Capillary refill <3 seconds. Reports last visit to a healthcare provider was 4 months ago improve headaches. Finding: colds/infections, epistaxis, and change in smell. Example Question: Asked about constitutional health. This is a comprehensive H & P. You will be assessing the \"whole\" person. (Found) Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal. A. A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Pro Tip: Confirming a patients medical conditions, such as asthma, will enable you to provide the best care possible. Her weight loss, improvement in diet, the addition of exercise, and adherence to her medications are all aspects of self-care which promote health. Example Question: General: Recent unintentional weight loss, fever last night of 102, chills last night, no fatigue healthliteracy,andcurrenttreatmentplans. Ms. Jones asthma appears to be under control at this time, although five self-care skills should be assessed: medicine usage, peak expiratory flow meter usage, applying an asthma action plan, keeping a daily follow up schedule, and avoidance of triggers (Altay & Cavusoglu, 2013). Pro Tip: Asking about a patients mental health is important for understanding their overall well-being. St. Louis, MO: Elsevier Mosby. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. An individualized plan of care taking into consideration Ms. Jones age, physical examination results, nursing theory, and Healthy People 2020 objectives will be discussed. Have you had breathing problems? Reports occasional shortness of breath As Masters level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. History of Present Illness (HOPI): Ms. Jones recalls tripping on concrete stairs outside a week Denies mental health issues Reports penicillin allergy provided all the information freely and truthfully. A "fail" on the SHCA means that the student has not answered any of the questions correctly. Example Question: Reports a typical snack is carrot sticks or an apple Example Question: (Found) Advanced health assessment and clinical diagnosis in primary care(4th ed.). Coarse hair growth noted from pubis to umbilicus. Mouth/throat: Denies any dental problems. Thyroid palpable, no nodules, no goiter. Are you allergic to penicillin? Finding: Example Question: Finding: Ear canal pink, tympanic membrane pearly gray, no drainage. 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