Tina Jones Shadow Health Comprehensive Assessment - Tina Jones Subjective 33 of 33 (100.0%) & Objective Data Collection.

Comprehensive Assessment Results | Turned In Health Assess - Spring 1 2020, 322301 Return to Assignment (/assignments/289776/) Your Results Lab Pass (/assignment_attempts/6135509/lab_pass.p Overview Transcript Subj ...

Comprehensive Assessment Results | Turned In Health Assess - Spring 1 2020, 322301 Return to Assignment (/assignments/289776/) Your Results Lab Pass (/assignment_attempts/6135509/lab_pass.p Overview Transcript Subjective Data Collection: 33 of 33 (100.0%) Subjective Data Collection Objective Data Collection Documentation Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Indicates an item that you found. Indicates an item that is available to be found. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yiel better patient data. The following details are facts of t patient's case. Current Health Status Asked about current health problems Denies current acute health problems Reports diabetes Reports asthma Asked about last visit to a healthcare provider Reports last visit to a healthcare provider was 4 months ago Reports reason for last visit was annual gynecological exam Reports last general physical examination was 5 months ago Asked about current prescription medications Reports taking diabetes medication Reports having an inhaler Reports taking prescription birth control pills Followed up about diabetes medication Reports diabetes medication is metformin Reports starting taking diabetes medication 5 months ago Reports that side effects of diabetes medication abated over time Reports taking diabetes medication twice daily Reports diabetes medication dose is 850 mg Denies adverse effects of diabetes medication Asked about asthma medication Reports asthma medication has not changed Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week Reports recommended dose is 1-3 puffs as needed Reports typically taking 2 puffs Reports sometimes needing 3 puffs to control symptoms Denies adverse effects of asthma medication Followed up about birth control prescription Reports starting birth control 4 months ago Reports reason for birth control was to manage PCOS symptoms Reports birth control is drospirenone and ethinyl estradiol (Yaz) Reports taking birth control pill daily Reports taking birth control pill at the same time every day Denies adverse side effects from birth control Asked about current non-prescription medications Reports occasional ibuprofen use Denies OTC herbals Denies OTC supplements Followed up on ibuprofen (Advil) Asked about allergies Reports dust allergyR(Aevpaoi rlatsbt lea)king ibuprofen for cramps Reports ibuprofen is regular strength Subjective ActioRneports ibuprofen is effective Reports last use of ibuprofen was six weeks ago Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly Reports allergies have not changed important. Reports penicillin allergy Example Questio Rn e: p" oA r r tse cy ao tu allergy allergic to dust?" Reports dust allergy Asked about diabetes management through lifestyle Reports recently beginning dieting to manage diabetes Reports recently beginning exercising to manage diabetes Asked about blood glucose monitoring Reports checking blood sugar once a day Reports checking sugar in the morning Reports using glucometer Reports blood sugar number is usually around 90 Reports having adequate supplies Asked about asthma symptoms Denies change in asthma symptoms Reports belief that asthma is well-controlled Denies current asthma symptoms Reports last use of Proventil inhaler was yesterday Asked about vision Reports optometrist visit Reports last optometrist visit was 3 months ago Reports recently prescribed eyeglasses Reports that glasses improve overall vision Asked about reproductive system Reports last menstrual period was 2 weeks ago Reports menstrual cycle is normal Reports rare cramping Asked about breast health Reports doing occasional breast exams Denies having a mammogram Denies changes to breasts Denies history of breast cancer Asked about weight changes Reports recent weight loss Reports weight loss of about 10 pounds Psychosocial History Asked about diet Reports a typical breakfast is smoothie with probiotic yogurt or egg on wheat toast with probiotic yogurt Reports a typical lunch is dinner leftovers or tuna or chicken sandwich on wheat bread Reports a typical dinner is vegetables with a protein and brown rice or quinoa Reports a typical snack is carrot sticks or an apple Asked about caffeine intake Denies drinking coffee Reports only caffeine is diet Coke Reports drinking 2 diet Cokes per day Asked about alcohol intake Reports drinking 2-3 nights per month Reports having 2 or 3 drinks when out with friends Asked about tobacco use Denies tobacco use Denies vaping Asked about illicit drugs Reports history of smoking recreational marijuana Asked about exercise Reports walking for exercise Reports swimming for exercise Reports walking four or five times a week Reports that a typical walk is thirty or forty minutes Reports swimming weekly Review of Systems Asked about sexual activity Denies sexual activity Asked about mental health Denies mental health issues