What is your relationship like with your family? Once three months ago, and before that it had been months, too. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Chamberlain University (84) The pain sometimes radiates to his left leg. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, The patient is a 28-year-old female who presented for a pre-employment physical exam. Decreased sensation to monofilament in bilateral plantar surfaces. I'd say a 7. American woman in no acute distress. solved essays (19) The Subjective Data Collection page is broken into 2 columns. Never pregnant. Attempting to palpate the kidney helps determine enlargement or tenderness. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. . That is great. JVD. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Question Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. She plans to use condoms with sexual activity. Question The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. . Tina denies smoking and states she seldomly drinks. I used my Flovent inhaler this morningI have to take it twice a day. Im usually asleep by 11:30, and I wake up at 8, so. Add to Cart. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Ugh, horrible, honestly. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Additionally, you will see an example question that would unlock the finding. Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1160) No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. How many times a day do you take metformin? in the morning on her commute to class. pumpkin bread, lunch is a sandwich, dinner is a homemade mea Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. You have access to an EHR during the patient exam in which you can record your findings. She uses her albuterol inhaler when she is around cats. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Review of Systems: General: Denies changes in weight, but Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. PICOT Question (12) Thank you for your feedback, it will help us serve you better. She needs to obtain a pre-employment physical prior to initiating employment. Click here for more information. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Theyre crazy, but nobodys diagnosed with anything. I will be conducting an interview and later perform a physical exam. Im sorry youre dealing with so much Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. sweats. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. The page will refresh upon submission. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. . Ive been feeling much better lately, though. My mom has some issues, and I think some of my grandparents did, too. 10:25 PM EDT. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I This is the raw score you achieved on your attempt. CVS periodically. I think she had high blood pressure and cholesterol, too. Experts selected these topics as essential components of a strong, thorough interview with this patient. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. This record includes questions asked, statements made, and actions/assessments performed. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. If you require assistance, please scroll down and use one of the contact options to get in touch. She endorses that she feels no pain however the 'fast heartbeats" when do you fall asleep Sometimes, if I really start stressing Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Criterion 1Health History Communication, Education , Empathy , and Summary(DCE Score or Transcript) 15 No Comments on brian foster chest pain shadow health assessment Transcript Transcript All Lines (209)Interview Questions (78)Statements (13)Exam Actions (118) Hello 10 January 2021 - 4:37, by , in Uncategorized, No comments (Bloomberg) -- Private equity firms on. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. . She monitors her blood sugar once daily in the morning with average readings being around 90. College Physics Raymond A. Serway, Chris Vuille. Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Ive had asthma a long time. . Transcript. Terms and Conditions Privacy Policy Cookie Settings. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. To post social content, you must have a display name. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. 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And the pain is killing me! Nana was 73 when she died of a stroke about five years ago. Overview. Terms of Use Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Grand Canyon University University of Massachusetts Lowell I made sure to clean it and just keep it bandaged. During the patient interview, there are a number of opportunities to provide patient education and empathy. Tina Jones palpitations appear to be related to notable stress and Is the Education and Empathy section scored in every patient case assignment? Here you will see a verbatim record of every interaction you had with the patient. Description: Tina describes how busy she is with school and work. Now that Im on the pill Im getting my period every month. This button will not appear after the due date of the assignment, or if your instructor has chosen to not allow reopening for the assignment. Advanced Health Assessment for the APN - Fall 2021, 625, /site_notice_dismissals?from_flash=true&site_notice_id=499, Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local, /site_notice_dismissals?from_flash=true&site_notice_id=283. I came in because Im required to have a recent physical exam for the health insurance at my new job. Can I wait to provide all of my educational and empathetic statements at the end of the interview? I think were pretty special, the way we all get along. She states that s No. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. has never had an EKG. First sexual encounter at age 18, sex with men, identifies as heterosexual. meat and vegetable, snacks are French fries or pretzels. : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. Respiratory: She denies shortness of breath, wheezing, cough, She is alert and oriented. Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. This section is where you can see your score for the Information Processing activity. (Clarified to if my younger sister has health problems. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were She was last hospitalized for asthma in high school. There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. This section is where you can view your documentation. Breakfast is usually a muf Shadow health assessments can help nursing students develop an understanding of patient safety issues. Indicates an item that is available to be found. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Question Grand Canyon University Walden University (83) Tina Jones is alert and oriented x3 and she is a credible source of her Ms. Jones is a pleasant 28-year-old African American woman wh She has no kn A, I decided to come in because I'm tired all the time now, and I'm stressed and too foggy to study most of the time. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 2021-22, Summary Give Me Liberty! When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Are you looking for someone to help with shadow health assignments? Study Tips (250), BSN (31) Company Registration Number: 61965243 Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy.