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NURSING 3700[Tina Jones Health History Narrative]

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Running head: TINA JONES HEALTH HISTORY NARRATIVE Tina Jones Health History Narrative Anna M. Medina Professor Deborah Mathias NUR 3700: Nursing Health Assessment Metropolitan State University of... Denver TINA JONES HEALTH HISTORY NARRATIVE Introduction A complete health history based upon work in Shadow Health was completed on Tina Jones, a twenty-eight year old woman. Ms. Jones came in through the emergency department for an injury to her right foot. Utilizing interviewing and clinical skills, and clinical reasoning skills, the ability to perform a health history was successful. Health History Finding Data and Reliability Ms. Tina Jones is a pleasant twenty-eight year old African American woman. She is seated upright in her hospital bed. She was admitted for further evaluations of her right foot injury. She is the primary source of the history. She offers information freely. Her speech is clear and coherent. She maintains good contact throughout the interview. General Evaluation Ms. Jones is alert and oriented. She appears to be in pain. She is well nourished. She is well groomed, dressed appropriately, has good hygiene, and interacts appropriately. [Show More]

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