Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. General: Ms. Jones is a pleasant, obese 28-year-old African specific changes in her diet recently, but notes that she has not b shadow health with Tina Jones. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Hes a little big, maybe. 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 tuberculosis. sample picot questions (12) Here you will see a verbatim record of every interaction you had with the patient. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Let me learn more about what youre experiencing, and I will try to help.". Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. 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) Is the Education and Empathy section scored in every patient case assignment? Sometimes, if I really start stressing Im actually feeling really good lately. She plans to use condoms with sexual activity. Cardiac: Denies a diagnosis of hypertension, but states that she 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. in the morning on her commute to class. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Theyre crazy, but nobodys diagnosed with anything. Examination findings: bleeding, petechiae, purpura, or blood transfusions. 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 woman wh Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 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. Increasing knowledge and understanding of healthcare concepts. (Clarified to if my younger sister has health problems. At the top of this section, you will see a key as to how each item was graded. Additionally, you will see an example question that would unlock the finding. The Overall time is the combination of the other timers. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Study Tips (250), BSN (31) Nails free of ridges or abnormalities. To post social content, you must have a display name. appropriate response to each opportunity. Any pending input will be lost. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. What is the name of the birth control pill you took? . Good job cleaning it and using Neosporin. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. If you require assistance, please scroll down and use one of the contact options to get in touch. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Does he have any medical issue? Can I confirm that you are here for a physical? The following actions reveal the objective data of the patients case. Comprehensive Health History - Education & Empathy .pdf. looking pretty nasty. Respiratory: Chest is symmetrical with respirations; no physical Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Ive maybe used it twice since I came in with those asthma problems. the last time I was sick was when I was having those heartburn problems a while ago. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. denies any association of symptoms with exertion. Strengthening clinical skills. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? She is well-nourished, well-developed, and dressed appropriately with good hygiene. when do you fall asleep . tetracycline, I think, back in high school. s1 and s2 heard without murmurs or additional sounds. A Page will cost you $12, however, this varies with your deadline. No way, I have no interest in that. I start in two weeksIm really excited! Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Help Desk for further information. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. challenging time for you. -constant pain. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. -denies pain between shoulder blades. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! She needs to obtain a pre-employment physical prior to initiating employment. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. though that hasn't happened really. If you require assistance, please scroll down and use one of the contact options to get in touch. Company Registration Number: 61965243 She generally dr I am, sorry it is not getting better, but we will take a, pain is returning. Undergraduate Graduate Company Registration Number: 61965243 Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Nana was 73 when she died of a stroke about five years ago. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $24.99, 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, Shadow Health Focused Exam Abdominal Education Empathy, SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE, Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identifie. She denies any examples of picot questions (12) College Physics Raymond A. Serway, Chris Vuille. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. She reports a few moles but no other hair or nail changes. 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. ABI is 0. Im usually asleep by 11:30, and I wake up at 8, so. 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. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. history. All the work should be used in accordance with the appropriate policies and applicable laws. faster than usual. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Nursing Essay Examples (82) I used to have a reaction when I was in a dusty house for a long time. Nursing Theories (44) Have you been taking medication for your diabetes? 2 energy drinks before class to keep her focused but states tha Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Question 7. Question The bold items are the ones that you unlocked. She has asthma too, but she almost never has attacks. Lung sounds clear to Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. My doctor told me when I was pretty little I think I was about two and a half? been told her blood pressure was high in the past. I think were pretty special, the way we all get along. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. gallops, clinics, precordial movements. How long ago did you start taking birth control? 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. he had some blood pressure and cholesterol issues when he was alive, too. What medical problems does your mum have? The daily inhaler is Flovent, and the rescue inhaler is Proventil. click here for 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 flatulence is one of the side effect of metformin. Florida State University. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. This shows the Overall, Exam, and Post-Exam Timers. how do you feel when youre stressed She denies use of tobacco, alcohol, a SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. Are you sure you do not want to provide feedback? 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. pico examples nursing (12) I havent had a full asthma attack in years, though. all the way asleep for another hour and a half, two hours, usually. Nursing Papers Examples (2) 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. You must follow up within two interactions in order to receive the points. Once three months ago, and before that it had been months, too. Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. Regular rate and rhythm, S1 and S2 present, no murmurs, ru To pass the SHCA, a student must achieve a score of at least 70 per cent. Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. 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. How often do you monitor your blood glucose? In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. she "tries to slow down". Description: Tina describes her sleep hygiene and routine. Now that Im on the pill Im getting my period every month. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) This will show an outline of your score. Around midnight, I get into Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. dust, and penicillin. Hopefully, we can get. Our, You will save time. 10:25 PM EDT. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Question I just always want to be learning new things and getting better at my job. : an American History, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Are you looking for someone to help with shadow health assignments? maintains eye contact throughout interview and examination. The "fast heartbeat" is lo alized t the left . . Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. Skin on neck has stopped darkening and facial and body hair has improved. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. I'd say a 7. 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Ive had asthma a long time. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Ear drainage? No thrills are bruit. I made sure to clean it and just keep it bandaged. I havent had any problems with diarrhea. Review of Systems: General: Denies changes in weight, but Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. auscultation without wheezes, crackles, or cough. Shadow. I would get allergies, like sneezing and stuff, and then my asthma would act up. No School. A Model Statement is provided as an example of an That does not sound good. NURSING 362. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. -reports pain is same on both sides of back. Decreased sensation to monofilament in bilateral plantar surfaces. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. This button will open the Lab Pass for your attempt. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric Collect any documentation from other healthcare providers, such as lab results or discharge instructions. The following details are facts of the patients case. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. drinking as much water as her normal. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. So Ive been trying to address problems as they come when I can, and that helps. 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. Can I wait to provide all of my educational and empathetic statements at the end of the interview? The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Heart rate is is regular and normal. Cross), Give Me Liberty! I will be conducting an interview and later perform a physical exam. How many times a day do you take metformin? Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. 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. 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. 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. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. The first number represents the amount of points you earned. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. 3. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. Do you have any family history of mental illness? 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. . Your document will be more comprehensive and organized. Gather information about your patients health history, including information about current medical conditions. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. This button will not appear after the due date of an assignment, or if your instructor has set the assignment so that only the first attempt is marked as turned in. solved essays (19) All the materials from our website should be used with proper references. 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. 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 Im sorry youre dealing with so much 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. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. We deal with academic writing, creative writing, and non-word assignments. Experts selected these topics as essential components of a strong, thorough interview with this patient. Let me She monitors her blood sugar once daily in the morning with average readings being around 90. EKG with Overview. In determining the cause of the back pain, based on your knowledge of anatomy, what. DTRs 2+ and equal bilaterally in upper and lower extremities. These are your achieved scores for the different activities in the assignment. pumpkin bread, lunch is a sandwich, dinner is a homemade mea Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. I really need help sleeping so I can focus on . To do this, first, ask the interview question again to the virtual patient. Since then Ive just washed my face, I havent used anything special. And the pain is killing me! regulations. (Clarified to: if I try, great start. (Clarified to if I have ear drainage.). . Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. I think she had high blood pressure and cholesterol, too. She is the primary source of the history. Cardiovascular: PMI is non-displaced, brisk and tapping, diame That stuff can mess you up. She denies chest pain during the episodes, but does endorse 10:23 PM EDT. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. It is important to stay away from triggers. . 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. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Course Hero is not sponsored or endorsed by any college or university. stress.". That doesnt sound like it would be good. 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. She seems to be doing okay though. The pain sometimes radiates to his left leg. At last check it was 140/80 or 90. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. How often do you use your rescue inhaler? Type 2 diabetes, diagnosed at age 24. about 8 or 9 hours a night. presented to the clinic with complaints of 3-4 episodes of rapid he Hello, my name is . Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners How do you make up points in the Education and Empathy section upon reopening the assignment? NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. My discharge is normal, I think. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 1. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. At the top of this section, you will see a key indicating the status of each opportunity. Here you will see a verbatim record of every . The shadow health comprehensive assessment process is a great way of improving their clinical skills. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Im going to be an Accounting Clerk at this really nice accounting firm. Increasing patient safety awareness. College Physics Raymond A. Serway, Chris Vuille. Are you sure you do not want to provide feedback? Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Reports improved acne due to oral contraceptives. . She checks it Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been Plus I have my friends from church. Course Hero is not sponsored or endorsed by any college or university. Shadow health, Building nursing confidence. For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. Question The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. You are scored on the accuracy of their reported findings from the physical assessments.