Answer:

Based on the comprehensive assessment, Tina Jones is in generally good health but manages several chronic conditions, including asthma, type 2 diabetes, and PCOS. Her current vital signs and recent health maintenance practices indicate she is effectively managing these conditions.

Assessment and Plan:

1. Asthma:
   1. Continue current medications: Albuterol 90 mcg/spray MDI PRN and Fluticasone Propionate 88 mcg/spray BID.
   1. Monitor symptoms and use peak flow meter regularly.
   1. Avoid known triggers, particularly cats.
2. Type 2 Diabetes:
   1. Continue Metformin 850 mg BID.
   1. Maintain current diet and exercise regimen.
   1. Regular blood sugar monitoring, aiming to keep levels in the 90s.
3. PCOS:
   1. Continue taking YAZ daily.
4. Hypertension:
   1. Monitor blood pressure regularly.
   1. Maintain a healthy diet low in sodium and rich in vegetables and lean proteins.
   1. Continue regular exercise.
5. Vision:
   1. Continue wearing prescription glasses.
   1. Schedule regular eye exams to monitor vision changes.
6. General Health:
   1. Maintain healthy eating habits and regular physical activity.
   1. Limit alcohol intake and caffeine consumption.
   1. Avoid smoking and illicit drug use.
   1. Continue regular dental and gynecological check-ups.

Recommendations:

• Follow up with primary care physician for routine monitoring and management of chronic conditions.
• Ensure medication adherence and refills are managed promptly.
• Continue health maintenance practices, including a balanced diet and regular exercise.
• Schedule routine health screenings as recommended for overall wellness.

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