Final Project_Tina.Jones.docx - PATIENT ANALYSIS AND HEALTH 1 Patient Analysis and Health Promotion Teaching Tool Proposal Southern New Hampshire

Final Project_Tina.Jones.docx - PATIENT ANALYSIS AND HEALTH...

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PATIENT ANALYSIS AND HEALTH 1 Patient Analysis and Health Promotion Teaching Tool Proposal Southern New Hampshire University NUR-325-R6665
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PATIENT ANALYSIS AND HEALTH 2 Title of Paper Here and Centered Introduction Ms. Tina Jones is a 28 years old African-American female, who came in to Shadow General Clinic for a well visit and a pre-employment physical to support her application for a job insurance. The primary source of information is the patient herself and is a good historian. Ms. Jones was last hospitalized in Shadow General Hospital six months ago for a pain and wound in the right foot including fever and nausea. Her past medical history includes asthma that started when she was 2½ years old, diabetes type II at age 24, hypertension which she was diagnose six months ago during her last hospitalization and polycystic ovarian syndrome four months ago during her OB visit. She was last hospitalized for asthma in high school. Her hypertension was controlled by diet and exercise. She checks her blood sugar daily at home with an average reading of 90. She has no past surgical history. Her last dental visit was five months ago and eye doctor visit 2 months ago. Ms. Jones is allergic to Penicillin, cats and dusts. Her reaction to penicillin includes rash and hives. When exposed to cats and dusts, she states that she gets a runny nose, itching and asthma exacerbation. Medications includes Metformin 850 mg PO BID for diabetes, Flovent 88 mcg 2 puffs BID, Proventil 90 mcg 2 puffs PRN, Yaz (Drospirenone and ethinyl estradiol) PO daily for birth control, and Advil PO PRN for menstrual cramps. Ms. Jones states that she is current in all her vaccination. She received a tetanus booster a year ago, had a hepatitis vaccine when she was a kid but could not remember if A or B. She has no record of HPV vaccine, pneumococcal or flu shots.
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PATIENT ANALYSIS AND HEALTH 3 With health maintenance, she reports losing 10 lbs. for the last four months. She eats less carbs, avoids sweets and eat more vegetables. Her usual sleep is 9 hours a day. Last pap smear was 4 months ago and she was never tested for STD or HIV. She reports of having sex with 3 of her former boyfriends. Last menstrual period was 2 weeks ago and usually last for 5 days. She has no record of mammogram. She reports of urinating five times during the day and gets up once at night. Bowel movement is daily. Ms. Jones also wears eyeglasses. Family history reveals father died in a car accident at age 58. He has hypertension, high cholesterol and diabetes. Mother is 50, alive and has history of hypertension and high cholesterol. Her brother Michael age 27 is healthy and younger sister Britney 15 has asthma. Paternal Grandfather died at age 65 of colon cancer, history of hypertension, high cholesterol and diabetes. Paternal grandmother age 82, still living, has history of hypertension and high cholesterol. Maternal grandfather died at the age of 80 due to heart attack, has history of hypertension and high cholesterol. Maternal grandmother died at age 73 due to stroke and has hypertension and high cholesterol. Paternal uncle has history of alcoholism.
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