112 Comments Please sign inor registerto post comments. What medications do you take for your environmental allergy? gynecological exam My discharge is normal, I think. She is prescribed 1-3 puffs as needed; she reports having to use 3 puffs occasionally, but usually 1-2. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. How much of the over-the-counter medication do you take? Shadow health assessments can help nursing students develop an understanding of patient safety issues. . No way, I have no interest in that. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Please I need help with interview questions/answers for shadow health for week 4 (health history Tina, Jones). Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. She started me on birth control, and it seems to be helping things. She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. She reports a few moles but no other hair or nail changes. She provided the health information freely during the interview. masses Reports that a typical walk is thirty or forty minutes View more University Rush University Course Health Assessment (NSG 525) Academic year:2021/2022 Uploaded bymadison yawger Helpful? (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://www.coursehero.com/file/56834862/Tina-JonesComprehensive-Assessment-Subjective-Shadow-Healthpdf/, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Ear drainage? Reports drinking 2 diet Cokes per day, Finding: Left leg proximal light touch sensation intact Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Food with a low fiber content Four to five cups of coffee per day, Which is a . Nurs 6512 WK 4 Assignment. EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right examples of picot questions for nursing (12) S Exprimez cela d'apres le modele. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Hello my name is ___ and I will be your healthcare provider today. RRR, S1, S2, no murmur Thorough examinations will yield better patient data. Were you ever hospitalized for this allergy to the animal? Attempting to palpate the kidney helps determine enlargement or tenderness. ), Shes pretty healthy. When was your last physical exam? 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. Question. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Texas History (HCMS) chapter 21-23. 1296 Comments Please sign inor registerto post comments. below to reveal important Denies changes to breasts Right tibial pulse: 2+ Asking Tina if she takes herbal products will indicate her current treatment plan. A combination of open and closed questions will yield This preview shows page 1 - 3 out of 7 pages. Left iliac artery: no bruit Does your dads father have health issues? I am glad you are having your period every month. Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S How frequent do you take this over-the-counter medication? She needs to obtain a pre-employment physical prior to initiating employment. I havent really had any stomach problems since I came in with them a while ago. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Denies current asthma symptoms She is a good historian. Why do you take this over-the-counter medication? Cough is worse at night and keeps him up. She hopes to advance to an accounting position within her company. She took her temperature at home and reports it was 102. All you need to do isplace an orderwith us. (Clarified to Does your brother have medical problems?. deformity below to reveal important information, Left eye: equal hair distribution on lashes and Why did you decide to start taking birth control? For further assistance: Patient states there is relief when foot is elevated, not walking on it. months ago . masses SOAP Note Writing (45) Mi familia y yo ____ (ir) al parque para recoger la basura que dej la gente. Revise the following sentence that contains a double negative or sexist language. medications, Reports occasional ibuprofen use Write a one-sentence answer to each question. Last eye exam was in childhood. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy marty569. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. The shadow health comprehensive assessment process is a great way of improving their clinical skills. She monitors her blood sugar once daily in the morning with average readings being around 90. A combination of open and closed questions will yield better patient data. Reports swimming weekly, Denies fatigue Now that Im on the pill Im getting my period every month. Company Registration Number: 61965243 A pass on the SHCA means that the student has answered all ten questions correctly. Reports weight loss of about 10 pounds, Reports a typical breakfast is smoothie with probiotic yogurt or egg on wheat toast with probiotic yogurt She wears her seat belt, drives frequently. Denies OTC supplements, Followed up on ibuprofen (Advil) Reports taking ibuprofen for cramps Right lower quadrant: tympanic That doesnt sound like it would be good. I havent been having any gas lately. Some students may need longer. Danny Rivera pediatric cough shadow health assessment subjective data. Reports recently beginning exercising to manage (Clarified to if I have ear drainage.). 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. Reports asthma, Asked about last visit to a healthcare provider Reports last visit to a healthcare provider was 4 deformity Occasional alcohol (10 - 12 drinks/month). (Clarified to if my brother has health issues.). Pro Tip: Healthy kidneys are not usually palpable. Auscultated aortic area with the diaphragm: 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. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. To pass the SHCA, a student must achieve a score of at least 70 per cent. Can I confirm that you are here for a physical? extremities, Right arm proximal light touch sensation intact eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Are you looking for someone to help with shadow health assignments? though alcohol has been effective for you as a back pain reliever it is dangerous substance that could damage your health and behaviors. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Within the Shadow Health platform, complete the Comprehensive Assessment. 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. How long ago did you start taking birth control? seconds patient's case. Students also viewed exam practice content exam 4 concepts 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. Father: died at age 58 in a car accident, history of hypertension, high cholesterol, and type 2 diabetes What is the strength of the over-the-counter medication? Speech is clear and coherent. Reports taking diabetes medication twice daily Walden University (16), Get a 20% on your first order +1 (628) 261-0844 We socialize before and after church, and I go to Bible study on Wednesdays, too. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and She drinks four caffeinated drinks/day (diet soda). the last time I was sick was when I was having those heartburn problems a while ago. Reports a typical dinner is vegetables with a protein and brown rice or quinoa Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. (b) To which senses does Basho's haiku appeal? She has asthma too, but she almost never has attacks. . Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Do you take any over the counter medications for pain? or deformity I have a little, and its kind of clear, sometimes white-ish. Standards Base assessment (d187) Health Psychology (PSY-352) Maternity and Pediatric Nursing (NUR 204) Sociology of Social Problems (SOC213) . Denies recent flu shot. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Do you floss Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. symptoms Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. SOAP Note Examples (45) Head is normocephalic, atraumatic Reports occasional wheezing Reports occasional chest tightness This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Case - Tina jones shadow . Reports having adequate supplies, Denies change in asthma symptoms She uses her albuterol inhaler when she is around cats. General fatigue due to lack of sleep. The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. information, including Pro Tips and I used to have a lot of trouble with asthma attacks back then. of a strong, thorough interview with this patient. She was last seen by a primary care doctor a few years ago. If your instructor provides individual feedback on this assignment, it will appear here. ), Nothing is coming out of my ears. Left flank: none reported, Percussed organs Spleen percussion: no dullness components of objective data collection for this . Reports occasional shortness of breath Reports that glasses improve overall vision, Reports last menstrual period was 2 weeks ago If your instructor provides individual feedback on this assignment, it will appear here. masses or lesions, coarse hair from pubis to Right iliac artery: no bruit This includes conducting shadow health neurological assessments, shadow health cough assessments, and shadow health abdominal assessments. Albuterol 90 mcg/spray MDI, 1-3 puffs, as needed for wheezing. Identified coin in left hand within 5 seconds Plus, he had high blood pressure, andIm pretty sure he had diabetes. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. Denies coughing, Asked about review of systems for cardiovascular Denies cardiovascular issues, Asked review of systems for gastrointestinal Denies gastrointestinal issues, Asked review of systems for genitourinary Denies genitourinary issues, Asked review of systems for musculoskeletal Denies musculoskeletal issues, Asked review of systems for neurological Denies neurological issues, Asked review of systems for skin, hair and nails Denies integumentary issues. Mom has high cholesterol and blood pressure, I think. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000835600516 from CourseHero.com on 05-21-2022 05:52:44 GMT -05:00, https://www.coursehero.com/file/91281500/Comprehensive-Assessment-Objective-Shadow-Healthpdf/, Civilization and its Discontents (Sigmund Freud), 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), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! She said everything looked good, except that I had PCOS, which the nurse here had said was possible. diabetes, Asked about blood glucose monitoring Reports checking blood sugar once a day Are you taking any medication for your allergies? Do you use mouthwash? Reports rare cramping, Reports doing occasional breast exams goatnurse. better patient data. I just always want to be learning new things and getting better at my job. Are you having any pain in your mouth? Herzing University (83) Reports that glasses improve overall vision. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Left triceps: 2+ Today she denies any acute concerns. No visual acuity testing since childhood. extremities, Right leg proximal light touch sensation intact About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Right brachioradialis: 2+ Any medical history for your paternal grandmother? . Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a diet plan for a pregnant client with preeclampsia. 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No pets. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. The process of creating your own SHCA can be time-consuming and frustrating. including Pro Tips. She reports a few moles but no other hair or nail changes. Denies generalized weakness. since I was really little. When was your last dentist visit? Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. 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. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Reports having adequate supplies, Asked about asthma symptoms Denies change in asthma symptoms lesions, uvula midline Pro Tip: Palpating the frontal sinuses checks for sinusitis. Never intubated. How could you determine if two streets converge? Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Have you ever went without a menstrual cycle for a month? Denies fever Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Chamberlain University (85) Mild Quizlet.com Category: Health Detail Health Nursing Simulation for Nursing students Shadow Health Hover over the Patient Data items Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. I think were pretty special, the way we all get along. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit Left TM intact and pearly gray, positive light Tina Jones Skin, hair, and nails assessment. Have you noticed any increased drooling? She is well-nourished, well-developed, and dressed appropriately with good hygiene. . When did you most recently use the flovent inhaler? Left fundus with sharp disc margins, no Left arm without swelling, masses, or deformity How does interviewing a heathy patient differ from interviewing a patient with a known health condition? (Clarified to if my younger sister has health problems. . Hello, my name is . Reports menstrual cycle is normal Reports last general physical examination was 5 I have a few friends Ive known since middle or high school, and were all pretty close. Reports having an inhaler Students also viewed Tanner Bailey Documentation Electronic Health Record Reports taking birth control pill at the same time . Do you have any family history of mental illness? Diagnosed with PCOS four months ago. These symptoms can occur rapidly, thus detecting them early is favorable. every day Developing critical thinking skills. Right arm distal sharp pain sensation intact not stressed at all. Reports dust allergy, Asked about diabetes management through Have you noticed any side effects from the metformin? No exercise. . reflex PCOS symptoms That stuff can mess you up. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Does not wear corrective lenses. No tobacco. She has a history of hypertension which normalized when she initiated diet and exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Circle each prepositional phrase in the sentences below and draw an arrow to the word or words it modifies. Once three months ago, and before that it had been months, too. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. . Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Right femoral artery: no bruit No surgeries. She reports diarrhea overnight. Left popliteal pulse: 2+ Shadow Health Comprehensive Assessment Guide Help Health (Just Now) WebThe Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/ Category: Health Show Health 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. Nursing Theories (48) I get it, but just so you know, you're asking a lot of me. Reports inhaler is albuterol (Proventil) No, Ive still never had problems with seizures, fortunately. Hover over the Patient Data items No history of sexually transmitted infections. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Return to Assignment (/assignments/289776/). Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. RRR, S1, S2, no murmur . Reports reason for birth control was to manage Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Right leg: no edema, Inspected abdomen Abdomen protuberant, symmetric, no visible We're available through e-mail, live chat and Facebook. Identified key in right hand within 5 seconds (prendre des photos / sa cousine), A Change of Mood patient. She was exposed to cats a few days ago and had to use her inhaler once. Denies back and neck pain and trauma. Left leg proximal sharp pain sensation intact Denies night sweats Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Shadow Health- Tina Jones- Musculoskeletal. COMPREHENSIVE ASSESSMENT__TINA JONES__SH.docx, Shadow Health Tina Jones Health history.docx, NU 610 TINA JONES HEENT and MORE HEALTH ADVANCED HEALTH ASSESSMENT SHADOW HEALTH (THESE ARE THE CHE, Indiana Wesleyan University, Marion NURSING 297, Arkansas State University, Main Campus NURS 6023, Wayland Baptist University, Plainview NURS NU610, University of North Carolina, Wilmington NSG 323, Shadow Health Comprehensive Health History Questions 2021.docx, Chamberlain College of Nursing ADVANCED P NR509, Cavite State University Main Campus (Don Severino de las Alas) Indang, Wk-5-Inteview-Guide-for-Subjective-Assessment-Handout-S.-ferrera.docx, Southern Adventist University NRSG NRSG 355, St. Scholastica's College Manila PSYCH 2A, Cavite State University Main Campus (Don Severino de las Alas) Indang CON 02, 4. Decreased sensation to monofilament in bilateral plantar surfaces. Denies goiter, hyper/hypothyroidism. margaret_lagrand. Well, I used to smoke pot. Lived independently since age 19, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Lets see . Denies vaginal discharge and vaginal itching. Tested negative for HIV/AIDS and STIs four months ago. We go to First Baptist, and we do a lot with our church community.