those identified by nursing experts to be of particular importance to this patient. Im going to be an Accounting Clerk at this really nice accounting firm. how do you feel when youre stressed Tina Jones is alert and oriented x3 and she is a credible source of her Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. has never had an EKG. -located in low back and butt. Tina Jones Neurological shadow health assessment Education & Empathy Question 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. Are you taking any medication for your allergies? I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. Question Tests of cerebellar function normal. Now that Im on the pill Im getting my period every month. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. Im taking good care of my health these days. anxiety which is related to the pressures of schools and work. Tina Jones Shadow Health Empathy and Education.docx - 1 Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. 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 This shows the Overall, Exam, and Post-Exam Timers. She maintains eye contact throughout the interview. 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Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. sweats. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. -constant pain. I get in bed around midnight, but I haven't been able to fall asleep that early in a while. what do you usually do before bed She denies use of tobacco, alcohol, a bilaterally in upper extremities and lower extremities without thrill It is also used as a tool for measuring nursing skills. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. Hello, my name is . I use my Flovent inhaler two times a day. Experts selected these topics as essential components of a strong, thorough interview with this patient. Thorough examinations will yield better patient data. $65 USD . 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. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Allergies include cats. ", Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. NURSING 362. For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. I havent really had any stomach problems since I came in with them a while ago. (Clarified to if I have ear drainage.). To pass the SHCA, a student must achieve a score of at least 70 per cent. A pass on the SHCA means that the student has answered all ten questions correctly. The second column shows the bulleted Patient Data that you can uncover about each scored item. 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. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. How is Education & Empathy scored? - Shadow Health Support Center Developing critical thinking skills. Heart rate is is regular and normal. Plus, he had high blood pressure, andIm pretty sure he had diabetes. The "fast heartbeat" is lo alized t the left during the night), how do you feel when you wake up in the morning sample picot questions (12) How to do a Shadow Health Comprehensive Assessment, Why You Need a Shadow Health Comprehensive Assessment Writing Service, Shadow Health Comprehensive Assessment Examples, Need Someone to Write Your paper We can Help, assessments provide opportunities for nursing students to practice their clinical, health assessments challenge nursing students to think critically about healthcare, Damien Brooks traumatic brain injury shadow health Transcript, Tina Jones Neurological Shadow Health Assessment Education and Empathy, HEENT shadow health assessment Tina Jones Subjective Data, Anita Douglas community-acquired pneumonia shadow health transcript, Asthma Exacerbation Shadow health Subjective data, Comprehensive Assessment Tina Jones Shadow Health, COPD Debbie OConnor shadow health transcript. 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: Skin changes are common in patients with uncontrolled diabetes. 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. gallops, clinics, precordial movements. I think she had high blood pressure and cholesterol, too. I havent had any problems with diarrhea. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, No, Im actually feeling really good these days. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. A Model Statement is provided as an example of an I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I I think I have a little less body hair than I used to. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. She plans to use condoms with sexual activity. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. She has been feeling tired at the end of the day. Can I wait to provide all of my educational and empathetic statements at the end of the interview? 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 examples of picot questions (12) 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. Let me Im usually asleep by 11:30, and I wake up at 8, so. complains of end of day fatigue. Examination findings: Poppa died of a heart attack when he was 80. . 3. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. s1 and s2 heard without murmurs or additional sounds. No surgeries. She monitors her blood sugar once daily in the morning with average readings being around 90. These are your achieved scores for the different activities in the assignment. She does not associate the rapid heart rate w looking pretty nasty. 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. when do you fall asleep He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. General, Tina Jones is a pleasant obese 28 ear old female. pumpkin bread, lunch is a sandwich, dinner is a homemade mea Does your dads father have health issues? The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. If you are using Safari and have issues with audio in your assignment, please click here for assistance. not since I came in with those allergies a while ago. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. 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. I used my Flovent inhaler this morningI have to take it twice a day. 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. regarding her rapid heart rate. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. 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. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. EKG with 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. What are the Benefits of a Shadow Health System? The page will refresh upon submission. Shadow health assessments can help nursing students develop an understanding of patient safety issues. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. 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 has no medication side effects at this time. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. She seems to be doing okay though. Diana Shadow : Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Click here for more information. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. are you taking any new medications 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. Increasing patient safety awareness. We go to First Baptist, and we do a lot with our church community. All the materials from our website should be used with proper references. I mean, I still have asthma and diabetes, but both of those are under control. DNP (36) The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. But that hasnt happened since I got my daily inhaler. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. At the top of this section, you will see a key indicating the status of each opportunity. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. If you require assistance, please scroll down and use one of the contact options to get in touch. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. What is the name of your diabetes medication? Thank you for your feedback, it will help us serve you better. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Ive been feeling much better lately, though. I would get allergies, like sneezing and stuff, and then my asthma would act up. I usually eat dinner, then I try to study for a few hours or do other schoolwork. She is alert and oriented. The Post-Exam time is time spent answering questions after the exam room. No! Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Nursing Theories (45) The grey items are available within the assignment, but you did not unlock them on this attempt. discomfort of 3/10 which she attributes to associated anxiety Company Registration Number: 61965243 Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 10:22 PM EDT. : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. That is great. Transcript. Ms. Jones offers information freely and without contradiction. I took something for my acne. Nana was 73 when she died of a stroke about five years ago. Become a tester for Shadow Health! Capillary refill < 3 seconds. But my zits have gotten better, and I think its because Im on birth control now. energy drinks due to her feelings of tiredness. I just always want to be learning new things and getting better at my job. . pico examples nursing (12) Danny Rivera pediatric cough shadow health assessment subjective data. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. It is important to stay away from triggers. Course Hero is not sponsored or endorsed by any college or university. mostly occur in the morning before class. Nails free of ridges or abnormalities. ), No, I dont think so. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Course Hero is not sponsored or endorsed by any college or university. Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. College Physics Raymond A. Serway, Chris Vuille. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. She states that s Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. Im actually feeling really good lately. Chamberlain University (84) Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas. If you require assistance, please scroll down and use one of the contact options to get in touch. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Ear drainage? Cardiovascular: PMI is non-displaced, brisk and tapping, diame Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Things are pretty good between all of uswere a tight knit family. 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Any pending input will be lost. but I dont do that anymore. Type 2 diabetes, diagnosed at age 24. illness? This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. since I was really little. When did you most recently use the flovent inhaler? specific event, but notes that they usually occur about once per w need a distraction. Hopefully, we can get. She provided the health information freely during the interview. the last time I was sick was when I was having those heartburn problems a while ago. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. Have you been taking medication for your diabetes? Skin on neck has stopped darkening and facial and body hair has improved. 2. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Does he have any medical issue? Tina confirms that she has sources of stress and anxiety which are Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. ABI is 0. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 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. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. We socialize before and after church, and I go to Bible study on Wednesdays, too. Medications include Flovent and rescue inhalers. The pain sometimes radiates to his left leg. Lung sounds clear to
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