While the attempt is In Progress, you will not be able to see the Results page. regular sinus rhythm, no ST changes. those identified by nursing experts to be of particular importance to this patient. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. I use my Flovent inhaler two times a day. . Good job cleaning it and using Neosporin. This button will Reopen your attempt. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Last menstrual period 2 weeks ago. Hopefully, we can get. Do you have any family history of mental illness? Some of these items may not appear depending on the assignment and the options set by your instructor. Florida State University. Our, You will save time. I just always want to be learning new things and getting better at my job. It is also used as a tool for measuring nursing skills. I havent been having any gas lately. when do you go to bed She states that s Tina Jones is alert and oriented x3 and she is a credible source of her When did you most recently use the flovent inhaler? What medical problems did your father have? During the patient interview, there are a number of opportunities to provide patient education and empathy. This section is where you can view your documentation. (Clarified to Does your younger sister have health problems?. So I'll actually turn of the light and close my eyes around 1 or so, and then I won't fall Here you will be able to review your responses to three pre-written journaling prompts. Tina denies smoking and states she seldomly drinks. exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. I am glad you are having your period every month. She denies use of tobacco, alcohol, a 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. Have you noticed any side effects from the metformin? Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Reports improved acne due to oral contraceptives. Type 2 diabetes, diagnosed at age 24. The grey items are available within the assignment, but you did not unlock them on this attempt. Im usually asleep by 11:30, and I wake up at 8, so. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. nursing essays (22) Some of these items may not appear depending on the assignment and the options set by your instructor. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Tina Jones endorses that she does not really watch her diet. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. 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. By visualizing the fundus, you can look for any retinopathic changes. Grand Canyon University Walden University (83) what brings you in today maintains eye contact throughout interview and examination. enter of her chest. has never had an EKG. were followed up by students, and include the dialogue between student and patient 1 Expression of pain Followed UpFollowed Up 2 Impact of injury on daily life Followed UpFollowed Up 3 Gaps in health literacy around diabetic diet Not Followed UpNot Followed Up 4 Lack of treatment with diabetes medication Not Followed UpNot Followed Up 5 Lack of Shadow health, Building nursing confidence. She does not exercise. General: Ms. Jones is a pleasant, obese 28-year-old African She reports a few moles but no other hair or nail changes. The daily inhaler is Flovent, and the rescue inhaler is Proventil. : 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. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Nails free of ridges or abnormalities. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Transcript. Course Hero is not sponsored or endorsed by any college or university. Question If you are are experiencing audio issues while using Safari, please visit this article (support.shadowhealth/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Question Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. Tested negative for HIV/AIDS and STIs four months ago. Nursing Research Papers (2) Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. 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. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Thank you for your feedback, it will help us serve you better. cardivascular consitions and/or disease. 2. And I didn't go in yesterday. It works pretty well. The opportunities listed below are work and school. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric 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 Course Hero is not sponsored or endorsed by any college or university. Im sleeping a lot better now, which is a relief. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Terms of Use tuberculosis. College Physics Raymond A. Serway, Chris Vuille. 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. ), Does your bother have health issues? Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. My eyes havent been red lately. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. solved essays (19) Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. How often do you monitor your blood glucose? This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. pain. She was last hospitalized for asthma in high school. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 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Can I confirm that you are here for a physical? Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. Today she denies any acute concerns. The page will refresh upon submission. If you require assistance, please scroll down and use one of the contact options to get in touch. Well, I used to smoke pot. Click here for more information. . Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. . about 8 or 9 hours a night. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Thorough examinations will yield better patient data. Attempting to palpate the kidney helps determine enlargement or tenderness. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. ), No, I dont think so. What medical problems does your mum have? Yeah. Nursing Essays Examples (81) SOAP Note Examples (14) Are you taking any form of birth control? 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. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. sweats. -does not radiate or migrate. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. The Overall time is the combination of the other timers. Creating your own SHCA can be tricky, but using a. learn more about what you are experiencing, and I will try to help, Model Statement: "Im sorry to hear about your trouble sleeping and stress. Strengthening clinical skills. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Nursing Theory list (41) . 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. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Do you follow a diet to manage your diabetes? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. If you require assistance, please scroll down and use one of the contact options to get in touch. 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. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. 2. Ive been feeling much better lately, though. I am, sorry it is not getting better, but we will take a, pain is returning. Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1160) You will earn a point for each opportunity that you encountered AND followed up on it during the interview. : 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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Have you missed any days of your birth control pill? The pain sometimes radiates to his left leg. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. and I'm stressed and too foggy to study most of the time. She has not attempted any treatment at home and states that sh First sexual encounter at age 18, sex with men, identifies as heterosexual. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. She provided the health information freely during the interview. 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. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. To pass the SHCA, a student must achieve a score of at least 70 per cent. View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. During the patient interview, there are a number of opportunities to provide patient education and empathy. 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. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. presented to the clinic with complaints of 3-4 episodes of rapid he Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. why did you decide to seek treatment Family History has hypertension, hyperlipidemia, diabete melluitis, Additionally, you will see an example question that would unlock the finding. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Plus I have my friends from church. Has new male relationship, sexual contact not initiated. We go to First Baptist, and we do a lot with our church community. She has a history of asthma, last hospitalization wa 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. Any pending input will be lost. auscultation without wheezes, crackles, or cough. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. No peripheral edema. In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> 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. We socialize before and after church, and I go to Bible study on Wednesdays, too. She denies any Just coming in and talking to someone here about it helped a little because I felt like I was doing something. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. . Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Im going to be an Accounting Clerk at this really nice accounting firm. 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. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. This shows the Overall, Exam, and Post-Exam Timers. When was your last physical exam? The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Are you sure you do not want to provide feedback? -pain lasted 3 days. 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. This section is where you can see your score for the Information Processing activity. what do you usually do before bed Question Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. A, is provided as an example of an appropriate, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements were made, were followed up by students, and include the dialogue between student and patient. Does your dads father have health issues? That does not sound good. 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Medications include Flovent and rescue inhalers. Clicking on each opportunity will show a description of that opportunity, the lines in the transcript in which you encountered that opportunity, and a model educational or empathetic statement. No School. There are three levels: Beginning, Developing, and Proficient. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. We're available through e-mail, live chat and Facebook. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were This will show an outline of your score. Heart rate is is regular and normal. How many times a day do you take metformin? Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. 1. No way, I have no interest in that. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. . College Physics Raymond A. Serway, Chris Vuille. She maintains eye contact throughout the interview. Using a, Your document will be more credible. I can give you some more information, on what a balanced diet looks like for someone with, diabetes. That is great. Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate.
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