Last updated on November 16, 2021 The score you receive in the Education and Empathy section is based on the timing of your therapeutic statements during critical moments in the patient interview. Nana was 73 when she died of a stroke about five years ago. No! when do you go to bed 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. My muscles have felt great, especially since I started exercising more. Well, Im starting my new job in two weeks, and Im really excited about that. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. She has a history of hypertension which normalized when she initiated diet and exercise. 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. 10:22 PM EDT. With our premium writing service, you no longer have to spend days and nights meticulously working on your assignment, instead use that time to do other important things. No, Ive still never had problems with seizures, fortunately. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. AA 1. . 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. This button will Reopen your attempt. is a student at Shadowville Community College. Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been She uses her albuterol inhaler when she is around cats. Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. EKG with No peripheral edema. We want you to be in as little, pain as possible. . Course Hero is not sponsored or endorsed by any college or university. 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=499) Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. She does (Clarified to if I have ear drainage.). These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. 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. We'll do our best to get your foot healed, and have you back to your usual routine as soon, 3 Gaps in health literacy around diabetic diet. nursing papers (20) Florida State University. . It is also used as a tool for measuring nursing skills. Some of these items may not appear depending on the assignment and the options set by your instructor. examples of picot questions (12) Company Registration Number: 61965243 She was last hospitalized for asthma in high school. tetracycline, I think, back in high school. 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. what do you usually do before bed Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. maintains eye contact throughout interview and examination. Course Hero is not sponsored or endorsed by any college or university. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. The "fast heartbeat" is lo alized t the left When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Company Registration Number: 61965243 Question Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. faster than usual. during the night), how do you feel when you wake up in the morning Undergraduate Graduate Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. Has new male relationship, sexual contact not initiated. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. they also make her jittery. Nails free of ridges or abnormalities. Florida State University NURSING 362. Are you sure you do not want to provide feedback? Opportunities marked as Not Encountered are opportunities that were not elicited in the interview cm. nursing theory examples (41) She endorses that she feels no pain however the 'fast heartbeats" Experience Overview Page. specific changes in her diet recently, but notes that she has not b regular sinus rhythm, no ST changes. Terms and Conditions Privacy Policy Cookie Settings. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. S 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Yeah. Popular books. challenging time for you. The first number represents the amount of points you earned. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. are you taking any new medications I think were pretty special, the way we all get along. Family History has hypertension, hyperlipidemia, diabete melluitis, Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. pain. Once three months ago, and before that it had been months, too. My doctor told me when I was pretty little I think I was about two and a half? She is a good historian. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . What are the Benefits of a Shadow Health System? Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. 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. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. 10:23 PM EDT. Our, You will save time. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. I am glad you are having your period every month. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. You are scored on the accuracy of their reported findings from the physical assessments. Question I have a few friends Ive known since middle or high school, and were all pretty close. In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. Comprehensive Health History - Education & Empathy .pdf. . (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. Can I wait to provide all of my educational and empathetic statements at the end of the interview? between 5 and 10 minutes and resolve spontaneously. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Shadow Health cardiovascular completed shadow health cardiovascular results turned in advanced physical assessment may 2021, nur 634 return to assignment your Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Houston-Clear Lake Harvard University Miami Dade College To do this, first, ask the interview question again to the virtual patient. A combination of open and closed questions will yield better patient data. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Does your dads father have health issues? Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. meat and vegetable, snacks are French fries or pretzels. What is the name of the birth control pill you took? The second column shows the bulleted Patient Data that you can uncover about each scored item. I can give you some more information, on what a balanced diet looks like for someone with, diabetes. We're available through e-mail, live chat and Facebook. That is great. This section is where you can see your score for the Education and Empathy opportunities. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. That stuff can mess you up. What medical problems does your mum have? Help Desk for further information. To ensure you receive proper credit for these items, you must ensure that the entire physical assessment has been completed - if you do not complete all parts of the physical assessment, you will not receive credit for the scored item. How often do you monitor your blood glucose? Each assessment is worth up to one point. When did you most recently use the flovent inhaler? Pro Tip: Skin changes are common in patients with uncontrolled diabetes. ), No. 2021-22, Summary Give Me Liberty! (Clarified to if my younger sister has health problems. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Question What is the name of your diabetes medication? Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. Decreased sensation to monofilament in bilateral plantar surfaces. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. She started me on birth control, and it seems to be helping things. Tested negative for HIV/AIDS and STIs four months ago. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. When did you last use your rescue inhaler? Thorough examinations will yield better patient data. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. I think I have a little less body hair than I used to. Question Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. 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. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. To post social content, you must have a display name. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. I used my Flovent inhaler this morningI have to take it twice a day. Then a few weeks later I saw a gynecologist for a pap smear. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. MSN (19) how often do you awaken during the night (Clarified to: How often do you wake up during the night?) not since I came in with those allergies a while ago. Are you taking any form of birth control? OB/GYN: Menarche, age 11. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Ive maybe used it twice since I came in with those asthma problems. Asthma diagnosed at age 2 1/2. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Hematologic: She denies history of anemia, easy bruising or The pain sometimes radiates to his left leg. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. . 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 This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. I had two doctors appointments earlier this year. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Ms. Jones is a pleasant 28-year-old African American woman wh Here you will see a verbatim record of every interaction you had with the patient. Diagnosed with PCOS four months ago. nursing essays (22) Nursing Papers Examples (2) 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The following actions reveal the objective data of the patients case. Are you taking any medication for your allergies? when do you fall asleep Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. She has asthma too, but she almost never has attacks. CVS periodically. But that hasnt happened since I got my daily inhaler. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. solved essays (19) These are your achieved scores for the different activities in the assignment. I just always want to be learning new things and getting better at my job. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. . Over th Poppa died of a heart attack when he was 80. . Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Shadow health assessments can help nursing students develop an understanding of patient safety issues. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, Clicking on the diagnosis will expand that item, showing you the priority you selected, the evidence you selected, and your selection for Planning. NURSING 362. Shadow Health Physical Assessment Assignments (Weeks 1-7) . View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. To post social content, you must have a display name. What medical problems did your father have? She seems to be doing okay though. When asking interview questions to collect subjective data, there will be scored opportunities to provide either an educational or empathic statement in response to the patient. The page will refresh upon submission. She denies any why did you decide to seek treatment preparing for my exam. General, Tina Jones is a pleasant obese 28 ear old female. This section is where you can see your score for the Information Processing activity. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. Most people, with diabetes feel better when they limit all. he had some blood pressure and cholesterol issues when he was alive, too. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Additionally, you will see an example question that would unlock the finding. . Lag, nystagmus, and deviations may indicate neurologic conditions. Respiratory (75 mins) Respiratory education.pdf, Respiratory Assignment _ Completed _ Shadow Health 12.pdf, 1 Cardiac 2 Respiratory 3 Gastrointestinal 4 Genitourinary Answer 3 Explanation, 103 AZUMA HOEFFDING INEQUALTITY 331 new process e D e D n n 1 defined by e D n H, ling to check before trying to assign it to the temporary object Each of these, Biguanides MetforminGlucophage o Decrease glucose production by the liver o, Dividends are usually paid by mature companies that need further incentives for, C increases the NAIRU D decreases the official unemployment rate E decreases the, Always consider checking myUnisa for any communication from the lecturer or, 2021-09-27-180925Managerial_Communication.docx, Correct correlational non experimental quantitative descriptive non experimental, A14 Consider the K a values for the following acids Cyanic acid HOCN 35 10 4, 18 All of the following is true of the Critical Perspective except a It asserts, A 51 yo male has been diagnosed with chronic bronchitis after a long history of, ADN TEST 4 A-Notes for Metabolism & Nutrition (1).docx. Im glad you came in. s1 and s2 heard without murmurs or additional sounds. The pain sometimes radiates to his left leg. all the way asleep for another hour and a half, two hours, usually. Have you tried anything else to treat the scrape? That doesnt sound like it would be good. She generally dr This shows the Overall, Exam, and Post-Exam Timers. auscultation without wheezes, crackles, or cough. Tina Jones Subjective Data Comprehensive Assessment Shadow Health (4) $12.49 16x sold Tina Jones Subjective Data Comprehensive Assessment Shadow Health/Tina Jones Subjective Data Comprehensive Assessment Shadow Health TINA JONES OBJECTIVE HEENT EDUCATION AND EMPATHY COMPLETED (0) $12.49 Question I havent been having any gas lately. She denies Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. Asking Tina if she takes vitamins will indicate her current treatment plan. 10:25 PM EDT. ), Shes pretty healthy. sweats. This includes an assessment of all medication and supplements that may be affecting the body. 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 Experts selected these topics as essential components of a strong, thorough interview with this patient. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. How do you make up points in the Education and Empathy section upon reopening the assignment? Comprehensive assessment documentation. I guess I had anxiety back when I was having those sleep problems. Grand Canyon University Walden University (83) The Objective Data Collection page contains the physical assessments you could have performed during this assessment. 7. She does not associate the rapid heart rate w SOAP Note (14) No School. DNP (36) made The opportunities listed below are those identified by nursing experts to be of particular importance to this. I took something for my acne. Heart rate is is regular and normal. Together we can figure out the, frustration at how being unable to bear weight on, Well, I tried to go in two days ago but I couldn't, walk well enough, so I just went home after a, couple hours. location of pain. Ive had asthma a long time. We socialize before and after church, and I go to Bible study on Wednesdays, too. abnormalities present on chest wall. SOAP Note samples (14) Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. She has no medication side effects at this time. Any medical history for your paternal grandmother? Speech is clear and coherent. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. out, I'll even turn the light back on and read more until I feel more wound down. She denies shortness of breath. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. and I'm stressed and too foggy to study most of the time. For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. Question This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Tests of cerebellar function normal. College Physics Raymond A. Serway, Chris Vuille. On a scale of 1-10, how would you rate the pain? How does interviewing a heathy patient differ from interviewing a patient with a known health condition? You can click on the type of interaction to filter out that kind of interaction. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. . . Breakfast is usually a muf Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. Never intubated. illness? Do you take your pill at the same time every day? PICOT Question (12) Nursing Essay Examples (82) I will be conducting an interview and later perform a physical exam. Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Ms. Jones speech is clear and coherent. Transcript. ), No, I dont think so. Shadow health Heent education and empathy - HEENT Results | Turned In Advanced Health Assessment - - Studocu 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
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