*NURSING > SHADOW HEALTH > Exam (elaborations) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Object (All)

Exam (elaborations) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation

Document Content and Description Below

Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my... name is . I will be conducting an interview and later perform a physical exam. Greet 07/22/20 5:37 PM EDT Hey. What is your name? Question 07/22/20 5:37 PM EDT Tina Jones. Your date of birth? Question 07/22/20 5:37 PM EDT February 17th. How old are you? BUY PLAGIARISM-FREE PAPER HERE OR SHADOW HEALTH HELP Question 07/22/20 5:43 PM EDT I’m 28. What brought you into the clinic today? Question 07/22/20 5:43 PM EDT I came in because I’m required to have a recent physical exam for the health insurance at my new job. Do you have any current health problem? Question 07/22/20 5:44 PM EDT I don’t have anything specific going on today. I mean, I still have asthma and diabetes, but both of those are under control. I’m taking good care of my health these days. What is your new job? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Question 07/22/20 5:44 PM EDT I’m going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I’ll be helping a more experienced accountant with her clients, and then eventually I’ll get more responsibility, and build my own client list. I start in two weeks–I’m really excited! That is great. Empathize 07/22/20 5:45 PM EDT Thanks.    Our papers are plagiarism-free, and our service is private and con dential. Do you need any writing help? Customer Support just now Type here and press enter..    We are Online 1 When was your last physical exam? Question 07/22/20 5:45 PM EDT Let’s see . . . I had two doctor’s appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Then a few weeks later I saw a gynecologist for a pap smear. What did your gynecologist say? Question 07/22/20 5:45 PM EDT She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She started me on birth control, and it seems to be helping things. How often do you take birth control? Question 07/22/20 5:48 PM EDT I take it every morning, with breakfast. What is the name of the birth control pill you took? Question 07/22/20 5:49 PM EDT They’re called Yaz. Has your menstrual cycle improved since taking Yaz? Question 07/22/20 5:50 PM EDT Now that I’m on the pill I’m getting my period every month. That is great. I am glad you are having your period every month. Empathize 07/22/20 5:50 PM EDT Thanks. How long have you had asthma. Question 07/22/20 5:51 PM EDT I’ve had asthma a long time. . . since I was really little. What age were you diagnosed with asthma? Question 07/22/20 5:51 PM EDT My doctor told me when I was pretty little... I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then. I am sorry about the experience. Empathize 07/22/20 5:52 PM EDT Thanks. How do you manage your asthma? Question 07/22/20 5:52 PM EDT I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. What are your triggers for asthma? Question 07/22/20 5:53 PM EDT Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven’t had a full asthma attack in years, though. It is important to stay away from triggers. Educate 07/22/20 5:54 PM EDT Thanks for telling me. What happens when you are around dust? Question 07/22/20 5:54 PM EDT I used to have a reaction when I was in a dusty house for a long time. . . I would get allergies, like sneezing and stuff, and then my asthma would act up. But that hasn’t happened since I got my daily inhaler. What inhaler do you use? Question 07/22/20 5:59 PM EDT The daily inhaler is Flovent, and the rescue inhaler is Proventil. How often do you use flovent? Question 07/22/20 6:00 PM EDT Twice a day. When did you most recently use the flovent inhaler? Question 07/22/20 6:01 PM EDT I use my Flovent inhaler two times a day. When did you last use your inhaler? Question 07/22/20 6:03 PM EDT I used my Flovent inhaler this morning–I have to take it twice a day. My albuterol. . . I’ve maybe used it twice since I came in with those asthma problems. Once three months ago, and before that it had been months, too. How much Albuterol do you use? Question 07 I have a few friends I’ve known since middle or high school, and we’re all pretty close. Plus I have my friends from church. What is your relationship like with your family? Question 07/22/20 7:39 PM EDT Things are pretty good between all of us–we’re a tight knit family. I think we’re pretty special, the way we all get along. That is great. Empathize 07/22/20 7:39 PM EDT Thanks. Are you involved in church? Question 07/22/20 7:39 PM EDT Yeah. We go to First Baptist, and we do a lot with our church community. We socialize before and after church, and I go to Bible study on Wednesdays, too. Are you feeling stressed? Question 07/22/20 7:40 PM EDT I’m actually feeling really good lately. . . not stressed at all. How do you cope with stress? Question 07/22/20 7:40 PM EDT I’ve realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. So I’ve been trying to address problems as they come when I can, and that helps. That, plus the stuff I’ve always done–going to church, especially–is all working well for me. That is good to hear. Empathize 07/22/20 7:40 PM EDT Thanks. Are you feeling depressed? Question 07/22/20 7:41 PM EDT No, I’m actually feeling really good these days. How do you feel about your life? Question 07/22/20 7:41 PM EDT Well, I’m starting my new job in two weeks, and I’m really excited about that. I’m going to be an Accounting Clerk at this really nice accounting firm. I’m hoping I’ll learn a lot in that position, and within a couple years, I’ll get promoted and be given new responsibilities. I just always want to be learning new things and getting better at my job. Are you feeling anxious? Question 07/22/20 7:41 PM EDT I guess I had anxiety back when I was having those sleep problems. . . I’ve been feeling much better lately, though. Do you have sleeping problems? Question 07/22/20 7:42 PM EDT I’m sleeping a lot better now, which is a relief. Good to hear. Empathize 07/22/20 7:42 PM EDT Thanks. How many hours are you sleeping a night? Question 07/22/20 7:42 PM EDT I’m usually asleep by 11:30, and I wake up at 8, so. . . about 8 or 9 hours a night. That is great. Empathize 07/22/20 7:42 PM EDT Thanks. Have you ever smoked tobacco? Question 07/22/20 7:43 PM EDT No. I think it’s gross. Have you ever used cocaine? Question 07/22/20 7:43 PM EDT No way, I have no interest in that. That stuff can mess you up. Have you ever used heroin? Question 07/22/20 7:49 PM EDT Uh, no. Have you ever used illegal drugs? Question 07/23/20 3:17 PM EDT Well, I used to smoke pot. . . but I don’t do that anymore. What was the last time you smoked pot? Question 07/23/20 3:17 PM EDT I haven’t smoked pot since I was twenty or twenty-one. Do you have any family history of mental illness? Question 07/23/20 3:18 PM EDT No. They’re crazy, but nobody’s diagnosed with anything. Have you had suicidal thoughts? Question 07/23/20 3:19 PM EDT No, I’ve never done that. Any new family medical history report? Question 07/23/20 3:20 PM EDT My mom has some issues, and I think some of my grandparents did, too. How old is your mom? Question 07/23/20 3:21 PM EDT Mom is 50. What medical problems does your mum have? Question 07/23/20 3:21 PM EDT Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though. What medical problems did your father have? Question 07/23/20 3:22 PM EDT He had high blood pressure and cholesterol, and diabetes too...the same kind as me. How old is your brother? Question 07/23/20 3:24 PM EDT He’s almost 27. Does he have any medical issue? (Clarified to Does your younger sister have health problems?.) Question 07/23/20 3:25 PM EDT She’s pretty healthy. She has asthma too, but she almost never has attacks. (Clarified to if my younger sister has health problems.) Does your bother have health issues? (Clarified to Does your brother have medical problems?.) Question 07/23/20 3:25 PM EDT No, I don’t think so. He’s a little big, maybe. (Clarified to if my brother has health issues.) How old is your maternal grandmother? Question 07/23/20 3:26 PM EDT Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too. How old is your maternal grandfather? Question 07/23/20 3:27 PM EDT Poppa died of a heart attack when he was 80. . . he had some blood pressure and cholesterol issues when he was alive, too. Any medical history for your paternal grandmother? Question 07/23/20 3:30 PM EDT She takes some blood pressure pills, and I think she has high cholesterol, but Granny’s doing great for 82. Does your dad’s father have health issues? Question 07/23/20 3:30 PM EDT Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and...I’m pretty sure he had diabetes. Have you had any recent illness? Question 07/23/20 3:31 PM EDT No. . . the last time I was sick was when I was having those heartburn problems a while ago. Any fever? Question 07/23/20 3:32 PM EDT I haven’t had a fever. Any chills? Question 07/23/20 3:32 PM EDT Nope, no chills. [Show More]

Last updated: 1 year ago

Preview 1 out of 44 pages

Add to cart

Instant download

document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

Reviews( 0 )

$14.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
199
0

Document information


Connected school, study & course


About the document


Uploaded On

Oct 01, 2021

Number of pages

44

Written in

Seller


seller-icon
Professor Lynne

Member since 3 years

338 Documents Sold


Additional information

This document has been written for:

Uploaded

Oct 01, 2021

Downloads

 0

Views

 199

Document Keyword Tags

More From Professor Lynne

View all Professor Lynne's documents »

Recommended For You

Get more on SHADOW HEALTH »

$14.00
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·