Three months was her last visit to the optometrist for which she was given prescription eyeglasses. College Physics Raymond A. Serway, Chris Vuille. Deep tendon reflexes 2+, upper and lower. Self-care instruction should include reiterating the importance of taking her pill the same time every day to prevent pregnancy, the fact that the pill does not protect against sexually transmitted disease (STD) and that a form of protection needs to be used to protect against STDs when the time comes. She spent eight years working with Victim Support and the New Zealand Police, as part of the suicide bereavement team. Bickley, L. S., & Szilagyi, P. G. (2013). Tina Jones.Respiratory _Objective Data_Shadow Health.pdf, Shadow Health_Tina Jones_Respiratory _Objective_Advance Assesment.pdf, Southern New Hampshire University • NUR 325, California State University, Long Beach • NURSING 305, Chamberlain University College of Nursing, Respiratory Assignment _ Completed _ Shadow Health_Objective.pdf, New York City College of Technology, CUNY, Respiratory | Completed | Shadow Health-objective.pdf, Respiratory | Objective Completed | Shadow Health.pdf, Respiratory _ Completed _ Shadow Health_Objective.pdf, Chamberlain University College of Nursing • NURSING NR 509, California State University, Fullerton • NURSING 340 L, New York City College of Technology, CUNY • NUR 3010. Ms. Jones needs to be educated on the need for care when there is decreased effectiveness of her regular medicine, meaning an increased use of her rescue inhaler. Drospirenone and ethinyl estradiol: one pill every day. Another abnormal finding was the discoloration on her neck. Her nearly 30 year music journey, exploring classical and jazz to disco and kids' music, has finally resulted in an earthy and expressive dive into the world of Canadian folk music. Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. NR 509: Shadow Health Respiratory Physical Assessment Assignment . Select from premium Tina Jones of the highest quality. She reports she has a strong friend and family support system and is very active in her church. First Name Tina #16. No current complaints or recent illness. “Acanthosis nigricans is a common condition characterized by velvety, hyperpigmented plaques on the skin” (Sander, 2018, para. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Ms. Jones offers information freely and without contradiction. 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. Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). dsc_5825-edit.jpg. Diabetes increases the risk of cardiovascular disease and doubles the risk of dying from it. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Reality Star Born in Mississippi #6. Reality Star. Fluticasone propionate: 88 mcg/spray, two puffs twice daily. Diabetes requires self-management behaviors for life. Comprehensive Assessment of Tina Jones. A nurse is assessing a client whi is experiencing shortness of breath. Tanya Jones, Self: The Keith Barret Show. College Physics Raymond A. Serway, Chris Vuille. The Advanced Health Assessment patient case is a series of single-system examinations of Tina Jones during several clinic visits over the course of a simulated year, which students have found useful in preparing for their clinical. She denies any food allergies. Acanthosis nigricans. Comprehensive Assessment of Tina Jones. College Physics Raymond A. Serway, Chris Vuille. The client exhibits nasal flaring, use of accesory muscles, a respiratory rate of 36 breaths per minute, and an oxygen saturation of 89% on 2 Liters of oxygen via nasal cannula. Tina had an asthma episode 2 days ago. The injury occurred about one week ago. 1 talking about this. Join Facebook to connect with Tina Jones and others you may know. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Respiratory Results | Turned In Health Assess - Spring 1 2020 Return to Assignment /assignments// Objective Data Collection: 5 of 6 83.33% Your Results Reopen /assignment_attempts//reopen Lab Pass /assignment_attempts//lab_pass.p Overview Transcript Subjective Data … She needs to be educated and understand the importance of testing her blood sugar regularly. Her paternal grandmother is alive and well, 82, with hypertension. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. Ms. Jones reports no shortness of breath or trouble breathing. Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. Stereognosis and graphesthesia normal bilaterally. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Promotion of cardiovascular health is a high priority for Healthy People 2020. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. She states the glasses improve her vision, reduce her blurry vision and have helped eliminate her headaches. Normal bronchophony results. Cardiovascular. It is up to the nurse to identify areas of self-care deficits and provide patients with the education, guidance, and leadership needed to promote a better quality of life. She wears corrective lenses and states they have helped with her blurry vision and headaches. Upper and lower extremities symmetric without lesions or swelling. Tina Jones comes into the clinic for a general physical exam. There were retinopathic changes in her right eye that are mild. Neurological. Her gait is smooth with equal stride. States skin on neck has stopped darkening. 34.1k Followers, 1,660 Following, 10.1k Posts - See Instagram photos and videos from Tina Jones (@jtina067) Hair is normal texture and distributed evenly. Last dental visit was five months ago with no concerns. Full ROM and 5/5 strength in extremities, spine, and hips. We have found at least 200 people in the UK with the name Tina Jones. Comprehensive Assessment of Tina Jones. This type of neuropathy is slowly progressive and maintaining an HgA1C level at less than 7.4% reduces this progression (Bickley & Szilagyi, 2013). Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Oriented to person, place, and time. Firstly, it seems that Ms. Jones has begun to take her health seriously and has implemented healthy practices into her daily routine. https://doi.org/10.1111/jspn.12032. Tina Jones is a republican candidate for Rutherford County mayor. View the profiles of people named Tina Jones. Tina Jones is a registered practitioner with many years of experience working with youth in crisis. Most Popular #29349. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Not only are these objectives in line with Healthy People 2020 (#4 of the 24 objectives) but they will aid in the control her diabetes and PCOS. Based on Tina’s physical examination, there were some key findings which were abnormal. The injury occurred about one week ago. Vitals: Height 170 cm, Weight 84 kg, BMI 29, BP 128/82, HR 78, RR 15, O2 99%, Temp 37.2C. In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. Bronchophony may be caused by pneumonia. Reports recent weight loss. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Bowel sounds normoactive and present in all four quadrants. Bronchophony - Abnormal. Dark discoloration of skin on neck. Self-care is important for the patient to improve and maintain their health and to reduce or recover from disease. Awake and alert. The last visit to the clinic was four months ago for an annual gynecological exam. NR 63 set papers of Shadow health. Another test similar to bronchophony tests the lungs for egophony, during which an "EEE" sound translates to an "AAA" sound. Full ROM of TMJ with no crepitus. Ms. Jones has already begun treating her diabetes, but early treatment has not been established to improve cardiovascular outcomes (Bickley & Szilagyi, 2013). Respiratory - TINA JONES™ Instructor Use Only. (2018). Along with controlling diabetes, other leading modifiable risk factors include diet, physical activity, and being overweight and obesity. Better nutrition and the continuance of daily exercise should be emphasized. When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Pustules noted on bilateral cheeks. Position sense in fingers and toes are normal. She regularly monitors her blood glucose levels, checking once a day in the morning. The rescue inhaler was last used three months ago with a total of two uses in the past year. Second, the decreased sensation in her feet noted during the monofilament test is a sign of peripheral neuropathy caused by her diabetes. Reality Stars. Shadow Health Partners Working together at the forefront of nursing and educational simulation. Peripheral pulses 2+, equal bilaterally. Her new job is as an accounting clerk, which starts in two weeks. A comprehensive health history and physical examination revealed current health status, health behaviors and health issues of Ms. Tina Jones. Shadow Health Partners Working together at the forefront of nursing and educational simulation. proudly created with wix.com. Listening over each lung with a stethoscope, the doctor will tell the patient to hold an "EEE" sound in a clear, audible voice. He had hypertension, high cholesterol, and type 2 diabetes. Altay, N., & Cavusoglu, H. (2013, April 23). ©2017 by tina jones photography. Reports eating probiotic yogurt helps with side effects. Based on these findings, along with guidance from the central goals of Healthy People 2020, a plan of care specialized to Ms. Jones was created, considering her age and culture. Comprehensive Assessment of Tina Jones. General. Metformin: Started five months ago. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. 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). Ibuprofen: 600 mg as needed for menstrual cramps. Upon inspection, abdomen protuberant and symmetric. Her father is deceased, age 58 in a car accident one year ago. Ask the patient to say "99" several times while auscultating the chest walls. Distal symmetric sensorimotor polyneuropathy is the most common type and due to Ms. Jones being asymptomatic, is most likely (Bickley & Szilagyi, 2013). (2014). 42 Year Olds. 42 Year Old Reality Star #14. 1). First Name Tina. 10/24/2020 Respiratory | Completed | Shadow Health Respiratory Results | Turned In Health Assessment - Fall 2020, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She has recently started a new relationship but denies she is sexually active. NSG 516 Tina_Jones_Respiratory_Completed_Shadow_Health_3 - Rivier University Objective Data Collection: 6 of 6 (100%) Respiratory Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Patient: Tina Jones Student Performance Index 30 out of 31 Digital Clinical Experience Score 100% This score measures your performance on the Student Performance Index in relation to … Details: Minimalism - Minimal Art of the 1960s Dr. Stacy Schultz Final exam October 1 Autumn 2018, questions and answers Tina Jones Heent Interview Completed Shadow Health 1 Jazz ch 5 notes Jazz ch 7 - Chapter notes Jazz ch. This exercise required a complete physical examination and showing the ability to ask the correct questions and document correctly. Tina Jones Fans Also Viewed . Capillary refill <3 seconds.Comprehensive Assessment of Tina Jones. Kim Kardashian. This is because acoustic filtering is reduced in consolidated lung tissue, which allows better sound transmission. Over consolidated areas "99" is understandable. In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. Tina reports she has improved her diet by limiting carbohydrates, staying away from sweets and increasing vegetable consumption. These allergens aggravate her asthma symptoms, so she tries to avoid them. Ms. Jones assessment findings include many topics in this plan including diabetes, weight status and nutrition, physical activity, and respiratory diseases. “I came in because I’m required to have a recent physical exam for the health insurance at my new job.”. Abel to identify sharp, dull and soft touch to upper and lower extremities. Diabetes is disproportionately prevalent in the African American population (Bickley & Szilagyi, 2013). Bring It! She appears well-nourished and dresses appropriately. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. She currently lives with her mother and sister but has a lease starting on her own apartment in one month. Reports no nausea, vomiting, constipation, diarrhea, pain or heartburn. Appuyez sur Entrée pour afficher tous les résultats de recherche () Nasal cavities pink, no discharge. Tina Jones: Well, right after he died, after the funeral and everything, I just tried to get through that. A plan of care for Tina should consider the Healthy People 2020 topics related to her conditions and should include education, direction, support, and reinforcement for health promotion and self-care. Respiratory - TINA JONES™ Instructor Use Only. Tina Jones has found her true voice! Breath sounds present and equal bilaterally, no adventitious sounds noted. She also needs to be educated on regularly seeing an ophthalmologist to perform eye exams to monitor her retinopathy. Bates’ guide to physical examination and history taking (11th ed.). Abdominal. Self-care deficit theory. Denies changes in hearing or ear pain. Skin, hair, and nails. HEENT. Since that incident she notes that she has had 10 episodes of wheezing and has shortness of breath approximately every four hours. She denies any acute concerns at this visit. Using Orem’s self-care model for asthmatic adolescents. No wheezing, runny nose or a cough. Denies a runny nose or sneezing. Tina Jones Popularity . Find the perfect Tina Jones stock photos and editorial news pictures from Getty Images. Retrieved from http://www.uptodate.comComprehensive Assessment of Tina Jones, NURS 6411:Week 6: Fundamentals of Relational Databases in Microsoft Access, Part 2, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Final project exercise for a simulation patient by the name of Tina Jones, a young African American diabetic patient. Her speech is clear and eye contact is appropriate. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. … Based on these assessment findings and Ms. Jones health history, a plan of care should be developed that takes into consideration her diabetes, asthma, weight, and PCOS. Tina states she is very excited about the new opportunity. Respiratory Results | Turned In Health Assess - Spring 1 2020 Return to Assignment /assignments// Objective Data Collection: 5 of 6 83.33% Your Results Reopen /assignment_attempts//reopen Lab Pass /assignment_attempts//lab_pass.p Overview Transcript Subjective Data … Jones, 32, pleaded guilty to one count of attempted first-degree murder, and was sentenced to 12 years in prison and three years of probation, during a hearing in DuPage County. Vision 20/20 bilateral with corrective lenses. Last use of her rescue inhaler was three months ago and two times total over the past year. Musculoskeletal. Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. This preview shows page 1 - 2 out of 2 pages. Mucous membranes pink and moist, tonsils 2+ bilaterally. Journal for Specialists in Pediatric Nursing. St. Louis, MO: Elsevier Mosby. Popular books. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Coarse hair growth noted from pubis to umbilicus. A Health People 2020 goal is the promotion of healthy sexual behaviors and access to quality services to prevent sexually transmitted diseases. Retrieved from http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php, Sander, I. 850 mg twice daily. Ms. Jones is sitting comfortably on the examination table, in no acute distress. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. Upon examination, head is normocephalic with no lesions or tenderness of scalp. Regular physical activity should include moderate and vigorous-intensity activities and muscle-strengthening activities (Office of Disease Prevention and Health Promotion, 2014). Ms. Jones states her acne has improved due to oral contraceptive use. Whispers heard bilaterally. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. NSG 516 Tina_Jones_Respiratory_Completed_Shadow_Health_3 - Rivier University Objective Data Collection: 6 of 6 (100%) Respiratory Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Patient: Tina Jones Student Performance Index 30 out of 31 Digital Clinical Experience Score 100% This score measures your performance on the Student Performance Index in relation to … Her last general physical exam was five months ago when she was prescribed metformin for her diabetes and a daily inhaler for her asthma. States … Her maternal grandparents both died in their 70s from stroke and had a history of hypertension and high cholesterol. Tanya Jones was married to Vinnie Jones and Steve Terry. Ear canal pink, tympanic membrane pearly gray, no drainage. With the assistance of Orem’s self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. Shadow Health: Focused Exam: Cough Results Danny Riviera: This clinical experience is a focused exam. She is a good historian. Monofilament test shows decreased sensation in both right and left great toes and forefoot. Bilateral carotids 2+, no thrill, no bruits. Normal hair distribution. Dual shoulder shrug against resistance, able to turn head in both directions against resistance. (2014). Tina does not smoke or use recreational drugs. Abdomen soft with no tenderness, guarding or masses with palpation. Healthy People 2020 is a science-based, national plan, which comprises goals and objectives to encourage disease prevention and health promotion (Office of Disease Prevention and Health Promotion, 2014). She states she can cope well with upcoming life changes. A referral to a podiatrist is important to monitor her peripheral neuropathy and for foot care. ), UpToDate. Sinus’ palpated with no tenderness noted. Identifying Data & Reliability Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents for complete physical examination and evaluation for right foot injury. Ms. Jones reports no headaches, vision changes, eye pain or itchy eyes. She is the primary source of information and is reliable. 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. 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