Shadow Health - Tina Jones Health History
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Questions and Answers

Does your family have a history of thyroid issues?

No, I don't think so.

Does your family have a history of substance abuse?

One person in the family, my dad's brother, has an alcohol problem.

Does your family have a history of headaches?

No, not that I know of.

How much alcohol do you drink?

<p>I only have a few drinks when I go out.</p> Signup and view all the answers

What is your level of education?

<p>I'm finishing up my bachelor's degree right now.</p> Signup and view all the answers

What are stressors?

<p>I feel really stressed out right now due to my foot injury and missing work or school.</p> Signup and view all the answers

Where do you live?

<p>Right now, I'm living at my mom's place in the suburbs.</p> Signup and view all the answers

What is your belief system?

<p>I'm Baptist, and my faith is a big part of my life.</p> Signup and view all the answers

Have you experienced abuse?

<p>I've never been in any kind of situation like that.</p> Signup and view all the answers

Have you used illicit drugs?

<p>I used to smoke pot, but I don't do that anymore.</p> Signup and view all the answers

What type of drugs did you use?

<p>I've smoked pot before.</p> Signup and view all the answers

Have you used drugs other than marijuana?

<p>No.</p> Signup and view all the answers

When did you last use drugs?

<p>I haven't smoked pot since I was twenty or twenty-one.</p> Signup and view all the answers

Have you ever smoked cigarettes?

<p>No, I think it's gross.</p> Signup and view all the answers

Have you been around people that are smoking?

<p>Some of my friends smoke when we go out drinking.</p> Signup and view all the answers

How old were you when your father died?

<p>He died last year, so I was 27.</p> Signup and view all the answers

Did your father die from any disease?

<p>He died in a car accident.</p> Signup and view all the answers

What does a health history require you to ask questions about?

<p>Past and present health</p> Signup and view all the answers

Who is the patient in this simulation?

<p>Tina Jones</p> Signup and view all the answers

What should be the focus of the health history assessment?

<p>Ms. Jones' past and present health, systems review, psychosocial history, and family medical history.</p> Signup and view all the answers

You can return to the instructions at any time during the simulation.

<p>True</p> Signup and view all the answers

What percentage of time is the assignment expected to take?

<p>90 to 110 minutes</p> Signup and view all the answers

What should you do if you discover any disease states during the health history?

<p>Ask about symptoms and the patient's experiences.</p> Signup and view all the answers

What medications did Tina Jones take for her diabetes?

<p>Metformin</p> Signup and view all the answers

What allergies does Tina Jones have?

<p>Cats</p> Signup and view all the answers

What is Tina's current pain level on a scale of 0 to 10?

<p>7</p> Signup and view all the answers

What is Tina's height?

<p>170 cm</p> Signup and view all the answers

What is Tina's weight?

<p>90 kg</p> Signup and view all the answers

What does Tina state is making her foot infected?

<p>She got scraped while changing a light bulb</p> Signup and view all the answers

What did Tina Jones use to treat her wound?

<p>Advil and Neosporin</p> Signup and view all the answers

How does Tina describe the pain in her foot?

<p>Throbbing and sharp</p> Signup and view all the answers

What type of medical history does Tina Jones have regarding her family?

<p>Father had diabetes and high cholesterol, mother has high cholesterol.</p> Signup and view all the answers

Has Tina experienced gastrointestinal problems?

<p>No</p> Signup and view all the answers

Study Notes

Health History Overview

  • Tina Jones is a 28-year-old African American woman admitted for a painful foot wound.
  • Main objectives include obtaining a comprehensive health history covering past and present conditions, psychosocial history, and family medical background.

Patient Description

  • Presenting issue: infected scrape on the foot described as red, swollen, with pus, hot to touch, and painful.
  • Vital signs: Height 170 cm, Weight 90 kg, BMI 31. Blood glucose 238, Temperature 102.4°F, Blood pressure 138/90 mmHg, Heart rate 90, Respiratory rate 18, O2 saturation 98%.

Medical History

  • Pre-existing conditions: asthma and diabetes (diagnosed at age 24).
  • Currently not taking diabetes medication; previously managed with metformin.
  • Reports increased thirst and hunger recently, along with weight loss.

Asthma Management

  • Triggers include cats, dust, and physical exertion.
  • Usual management entails using an inhaler, primarily albuterol, with two to three puffs as needed.
  • Historical frequency of asthma exacerbations: max twice a week.

Family Medical History

  • Grandfather had colon cancer, high blood pressure, and diabetes.
  • Mother's health includes high cholesterol and blood pressure issues.
  • Father passed away due to a car accident; had type 2 diabetes and high cholesterol.
  • Grandmother living independently but has health concerns related to blood pressure and cholesterol.

Psychological and Social Aspects

  • Coping with father's death a year ago, supports mother emotionally.
  • Currently experiencing stress due to hospital admission impacting education and work.
  • Strong faith as a Baptist provides emotional support through tough times.

Health Beliefs and Practices

  • Proactive in managing wound initially with cleaning and Neosporin; ultimately deemed ineffective.
  • Engages in healthy eating but lacks consistent monitoring of blood glucose levels.

Allergy Information

  • Allergies identified: penicillin and cats.
  • No known food allergies; occasional asthma symptoms may occur around dust.

Education and Lifestyle

  • Currently completing a bachelor's degree.
  • Engages socially, drinking alcohol occasionally but in moderation.

Conclusion

  • Importance of thorough health history: establishes a comprehensive understanding of the patient's overall health, enabling accurate treatment and care planning.### Drug Use
  • Tina Jones previously smoked marijuana but no longer engages in drug use.
  • She experimented with pot during her high school years and shortly after, with a cessation around the age of twenty or twenty-one.
  • Tina confirms she has not used any drugs other than marijuana.

Smoking Habits

  • Tina Jones has never smoked cigarettes and finds the practice unappealing.
  • Although she avoids smoking, she is around friends who smoke when they socialize, particularly while drinking.

Family Background

  • Tina's father passed away last year when she was 27 years old.
  • His death was due to a car accident, not an illness.

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Description

Explore the key elements of health history taking with Tina Jones through these flashcards. Learn important tips and tricks for conducting a health interview effectively. This quiz will enhance your understanding and preparation for clinical assessments.

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