Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Have you missed any days of your birth control pill? Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. You are scored on the accuracy of their reported findings from the physical assessments. Ive had asthma a long time. You will earn a point for each opportunity that you encountered AND followed up on it during the interview. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. NR 509 Week 7 Shadow Health Comprehensive Health Histor. JVD. Good job cleaning it and using Neosporin. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Are you taking any medication for your allergies? (Clarified to Does your younger sister have health problems?. 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. 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. The Subjective Data Collection page is broken into 2 columns. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Thank you for your feedback, it will help us serve you better. challenging time for you. nursing theory examples (41) ), Shes pretty healthy. She has not attempted any treatment at home and states that sh Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. when do you fall asleep Pro Tip: Palpating the frontal sinuses checks for sinusitis. 10:22 PM EDT. Shadow. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. made Today she denies any acute concerns. need a distraction. EKG with So Ive been trying to address problems as they come when I can, and that helps. Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. Add to Cart. I havent had a full asthma attack in years, though. Respiratory: Chest is symmetrical with respirations; no physical . frequency and duration of pain. The bold items are the ones that you unlocked. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> I am glad you came in. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. She denies fevers, chills, and ni rate over the last month. pico examples nursing (12) DNP (36) I had two doctors appointments earlier this year. Course Hero is not sponsored or endorsed by any college or university. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. We socialize before and after church, and I go to Bible study on Wednesdays, too. No. ), Does your bother have health issues? Increasing knowledge and understanding of healthcare concepts. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. Company Registration Number: 61965243 You have access to an EHR during the patient exam in which you can record your findings. Question Additionally, you will see an example question that would unlock the finding. When was your last physical exam? 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. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Transcript. The episodes generally Reports improved acne due to oral contraceptives. . Experts selected these examinations as essential components of objective data collection for this patient. Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Grand Canyon University University of Massachusetts Lowell Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. I usually eat dinner, then I try to study for a few hours or do other schoolwork. -reports pain is same on both sides of back. . You must follow up within two interactions in order to receive the points. occuring for over a month. College Physics Raymond A. Serway, Chris Vuille. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. During the patient interview, there are a number of opportunities to provide patient education and empathy. Description: Tina describes how busy she is with school and work. Hematologic: She denies history of anemia, easy bruising or past month she has increased her consumption of diet soda and Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. -denies neck pain. No thrills are bruit. I'd say a 7. She needs to obtain a pre-employment physical prior to initiating employment. Question Biology Mary Ann Clark, Jung Choi, Matthew Douglas. How many times a day do you take metformin? She denies shortness of breath. 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 cardiac history and has never had episodes prior to this last mon This shows the Overall, Exam, and Post-Exam Timers. Do you have any family history of mental illness? Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. My muscles have felt great, especially since I started exercising more. 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) -pain lasted 3 days. What are the Benefits of a Shadow Health System? pain. Hello, my name is . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Tina Jones endorses that she does not really watch her diet. This will show an outline of your score. Ive maybe used it twice since I came in with those asthma problems. I mean, I still have asthma and diabetes, but both of those are under control. Course Hero is not sponsored or endorsed by any college or university. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. (Clarified to if my brother has health issues.). presented to the clinic with complaints of 3-4 episodes of rapid he I can give you some more information, on what a balanced diet looks like for someone with, diabetes. AA 1. . Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. She states that s Nursing Theories (44) There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Company Registration Number: 61965243 She denies since I was really little. I have a few friends Ive known since middle or high school, and were all pretty close. It is important to stay away from triggers. why did you decide to seek treatment It hurts a lot, and the pain pills haven't. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. NURSING 362. 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 Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. She denies any Asking Tina if she takes non prescription drugs will indicate her current treatment plan. ABI is 0. During the patient interview, there are a number of opportunities to provide patient education and empathy. Terms of Use Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Do you take your pill at the same time every day? during the night), how do you feel when you wake up in the morning those identified by nursing experts to be of particular importance to this patient. : 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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Question Terms and Conditions Privacy Policy Cookie Settings. . illness? Help Desk for further information. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 2021-22, Summary Give Me Liberty! The second column shows the bulleted Patient Data that you can uncover about each scored item. 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. nursing essays (22) No, Ive still never had problems with seizures, fortunately. So I'll actually turn of the light and close my eyes around 1 or so, and then I won't fall This is the raw score you achieved on your attempt. Well, I used to smoke pot. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. age 16 for asthma, last chest XR was age 16. I have a little, and its kind of clear, sometimes white-ish. Ms. Jones offers information freely and without contradiction. Have you noticed any side effects from the metformin? 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. work and school. Never intubated. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Last menstrual period 2 weeks ago. Any pending input will be lost. General, Tina Jones is a pleasant obese 28 ear old female. The assessment should also include the comparison of bilateral sides. Question 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 SOAP Note Template (14) Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. 1. . Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. I am glad you are having your period every month. stress.". Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. gallops, clinics, precordial movements. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. By visualizing the fundus, you can look for any retinopathic changes. Question No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. Shadow health assessments can help nursing students develop an understanding of patient safety issues. Some of these items may not appear depending on the assignment and the options set by your instructor. Yeah. 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.