pico examples nursing (12) Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. EKG with I can give you some more information, on what a balanced diet looks like for someone with, diabetes. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Lung sounds clear to I havent smoked pot since I was twenty or twenty-one. TIna states she does not drink coffee and alleviate her palpitations nursing essays (22) It is important to stay away from triggers. Nails free of ridges or abnormalities. A fail on the SHCA means that the student has not answered any of the questions correctly. Diagnosed with PCOS four months ago. faster than usual. the last time I was sick was when I was having those heartburn problems a while ago. 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 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. Is the Education and Empathy section scored in every patient case assignment? This button will open the Lab Pass for your attempt. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Popular books. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. She maintains eye contact throughout the interview. . No, Im actually feeling really good these days. tetracycline, I think, back in high school. And I didn't go in yesterday. Experts selected these examinations as essential components of objective data collection for this patient. Question (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. While the attempt is In Progress, you will not be able to see the Results page. 10:25 PM EDT. Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1160) Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health How to structure a health interview Greeting and identifying data Are you looking for someone to help with shadow health assignments? I have a little, and its kind of clear, sometimes white-ish. Tina Jones endorses that she does not really watch her diet. Nursing Essays Examples (81) Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I used to have a lot of trouble with asthma attacks back then. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. The daily inhaler is Flovent, and the rescue inhaler is Proventil. She reports a few moles but no other hair or nail changes. shadow health with Tina Jones. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. SOAP Note samples (14) occuring for over a month. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Asking Tina if she takes vitamins will indicate her current treatment plan. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. sample picot questions (12) Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Nana was 73 when she died of a stroke about five years ago. Are you taking any form of birth control? The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. Ive maybe used it twice since I came in with those asthma problems. Hematologic: She denies history of anemia, easy bruising or Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. looking pretty nasty. past month she has increased her consumption of diet soda and out, I'll even turn the light back on and read more until I feel more wound down. No surgeries. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. She denies shortness of breath. Thank you for your feedback, it will help us serve you better. Hello, my name is . . You will receive a fraction of this point for each dimension of the assessment that was correctly reported. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. 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Overview. Can I wait to provide all of my educational and empathetic statements at the end of the interview? No School. is a student at Shadowville Community College. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. I used my Flovent inhaler this morningI have to take it twice a day. 10:22 PM EDT. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation The pain sometimes radiates to his left leg. CVS periodically. 2. denies any association of symptoms with exertion. bilaterally in upper extremities and lower extremities without thrill Do you take your pill at the same time every day? . This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. But that hasnt happened since I got my daily inhaler. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Cross), Give Me Liberty! She does not associate the rapid heart rate w It works pretty well. For example, if you ask the patient if they're experiencing any pain and they say "Yes", then that would be an ideal moment to respond with an empathetic statement. made Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Decreased sensation to monofilament in bilateral plantar surfaces. Tina denies smoking and states she seldomly drinks. She is a good historian. If you require assistance, please scroll down and use one of the contact options to get in touch. Question I havent had any problems with diarrhea. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. maintains eye contact throughout interview and examination. She has a history of hypertension which normalized when she initiated diet and exercise. cardiac history and has never had episodes prior to this last mon (Clarified to if my younger sister has health problems. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. She monitors her blood sugar once daily in the morning with average readings being around 90. dust, and penicillin. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Health Assessment - Summer 2021, NUR 703, (/site_notice_dismissals?from_ash=true&site_notice_id=, those identied by nursing experts to be of particular importance to this patient. These are your achieved scores for the different activities in the assignment. She denies use of tobacco, alcohol, a Ive had asthma a long time. 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. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. 10:25 PM EDT. . The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. A Model Statement is provided as an example of an Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. Im usually asleep by 11:30, and I wake up at 8, so. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. The pain sometimes radiates to his left leg. How long ago did you start taking birth control? The episodes generally Here you will be able to review your responses to three pre-written journaling prompts. Question all the way asleep for another hour and a half, two hours, usually. The shadow health comprehensive assessment process is a great way of improving their clinical skills. Each assessment is worth up to one point. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I understand your, frustration at having your life interrupted by foot. Please I need help with shadow health assessment week 9 with Tina . (Clarified to: if I try, great start. She states that s specific changes in her diet recently, but notes that she has not b Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. . Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. and I'm stressed and too foggy to study most of the time. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. I took something for my acne. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. Collect any documentation from other healthcare providers, such as lab results or discharge instructions. NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health - NUR 325 (NUR325) - Stuvia US US Chamberlain College Of Nursing NUR 325 (NUR325) Other NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health Course NUR 325 (NUR325) Institution Chamberlain College Of Nursing Increasing patient safety awareness. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. not since I came in with those allergies a while ago. General, Tina Jones is a pleasant obese 28 ear old female. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. 7. To post social content, you must have a display name. Can I confirm that you are here for a physical? how do you feel when youre stressed He had high blood pressure and cholesterol, and diabetes toothe same kind as me. I mean, I still have asthma and diabetes, but both of those are under control. Let's talk about your wound a little further. The process of creating your own SHCA can be time-consuming and frustrating. Terms of Use Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. Most people, with diabetes feel better when they limit all. During the patient interview, there are a number of opportunities to provide patient education and empathy. 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. -constant pain. stress.". 3. All you need to do isplace an orderwith us. Ear drainage? cm. At last check it was 140/80 or 90. Cardiovascular: PMI is non-displaced, brisk and tapping, diame Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. What medical problems did your father have? Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. Are you looking for someone to help with shadow health assignments? Course Hero is not sponsored or endorsed by any college or university. Terms and Conditions Privacy Policy Cookie Settings. Tests of cerebellar function normal. lately. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. tuberculosis. -pain lasted 3 days. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Examination findings: You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. 10:05 PM EDT. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. DTRs 2+ and equal bilaterally in upper and lower extremities. Question We deal with academic writing, creative writing, and non-word assignments. Respiratory: Chest is symmetrical with respirations; no physical mostly occur in the morning before class. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. complains of end of day fatigue. been told her blood pressure was high in the past. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Terms of Use She has asthma too, but she almost never has attacks. Are you sure you do not want to provide feedback? bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Nursing Theory list (41) What is your relationship like with your family? She describes t Asking Tina if she takes non prescription drugs will indicate her current treatment plan.
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