-For follo-up on Ms. Jones, it is advisable for her t call the office after 2 days to discuss symptoms and if there is no decrease in symptoms, a computerized tomographyscan (CT scan)or magnetic reasoning imaging (MRI) can be used. Co- chrane Database Syst Rev, 2 (2). ). She maintains eye contact throughout interview and examination. . Let me learn a little Is transportation a barrier to your healthcare? Rapid alternating movements of the upper extremities intact bilaterally. An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones' single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful. So five minutes total, at the longest? Revisit clinic in 2-4 weeks for follow up and evaluation, Shadow Health | Tina Jones | Cardiovascular, Shadow Health - Tina Jones, Health History, ShadowHealth Conversation Concept Lab Rachel. HEENT pupils round reactive to light. its kind of hard to count because my breathings been at least a little bad most of the past two days, but its really acted up, like with wheezing and everything, probably every four hours or solike five times each day. It sounds like you work hard to manage your time effectively, too. Do you have trouble affording healthcare? No, I dont think so. Our rates are unbeatable! Empathize 01:55 PM EST, Model Statement: "Breathing problems can be scary and uncomfortable. Shadow Health | Tina Jones | Cardiovascular 28 terms rjster052410 Unit 5 & 6 60 terms jaci_marie_moore DAVIS ADVANTAGE - Chapter 33: Activity and Ex 13 terms aly_highleyman5 Other sets by this creator RN Comprehensive Predictor 2019 A (80 student 44 terms RNGirl333 RN Adult Medical Surgical Online Practice 201 90 terms Images RNGirl333 Any chest tightness? Well, right after he died, after the funeral and everything, I just tried to get through that. Well. Asthma is a pulmonary condition defined by chronic inflammation of respiratory tubes, tightening of smooth muscle and bronchoconstriction. Yeah, I used my inhaler early this morning. ), Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. She and the driver did not seek emergent care and felt fine after the accident. level expertise in advanced practice competencies and Workup will include a sonogram of the RUQ and complete blood count and liver chemistries, and an EKG. ), Yeah, I made sure to clean it and keep it bandaged. 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. She states that she feels as though her neck may be slightly swollen as well. Exam Action. (Clarified to how old my maternal grandfather lived to be.). When did you start having breathing problems? Mucous membranes. Sure, I think I understand what you mean. asthma always goes crazy when I'm there. . She complains of blurry vision after reading for extended periods. Yes, they wrote me a prescription for some pain pills. My asthma woke me up. Schedule an Appointment Appointments. Um, no, not that I know of That sounds gross. My name is xxx . All you need to do is place an order with us. As soon as you complete payment for your order we assign a suitable writer capable of handling your assignment immediately. . Northwestern University 01:37 PM EST, How long does the shortness of breath last? Self-reflection enables us to look at our performance be it on the job, in the classroom, or out on the field and critique our practice in a systematic and rigorous way. Does physical activity trigger your asthma? four hours or so, Id say. Browse Study Resource | Subjects. Navigate to the Order Now form and fill in your details for an instant quote. Started: May 14, 2020 | Total Time: 138 min. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. staying organized I know you're very busy with work and school, but let's talk about some strategies to help you get more sleep and make sure you're getting good quality sleep.". Im supposed to just do two puffs of the albuterol inhaler. -Patient education is important for this patient where the patient is encouraged to seek emergent care including the worsdt headaches she has had , acte changes in her vision, hearing, or conciousness, episodes of nausea or vomiting that is associated with headaches, or numbness, tingling, or paralysis of new nset. benchmade grizzly ridge scales powerful root worker in alabama; mega nz folder downloader how to cancel timcast membership; fatal motorcycle accident in miami yesterday dollar tree employee schedule app; dust containment pole harbor freight One week ago she states that she was a restrained passenger in an accident in a parking lot and estimates the speed to be approximately . . Comprehensive Assessment Tina Jones Shadow Health Transcript. There are multiple essential questions for each of these topics: Nursingresearchhelp.com is the fastest, easiest and most reliable way to have content written for your website. You should prepare prior to meeting Brian Foster in the clinic. Question 06/28/20 6:40 PM EDT: None that I know of. Conversely, thinking about things that havent gone so well helps you to think about how things could be different in the future. She claims that the accident was at low speed. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. ), Yeah, when my asthma gets bad my chest feels pretty tight, like I cant take in air. Lossalud6porqueesunhombremuybieneducado.. Swabbed wound and sent to lab for C & S. Exam Action. Once completed, your order is placed in editing status until Editors approve the order. It recognizes assumptions and failings, and it addresses how these may be addressed in the future. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. Tips for success: You should prepare prior to entering Ms. Jones room. No tobacco. Question . Once completed, your order is placed in editing status until Editors approve the order. She states that family and church help her cope with stress. Point-to-point movements smooth and accurate for finger-to-nose and heel-to-shin. Mom was having such a hard time, crying a lot, everything made her sad, she was kinda depressed. 01:46 PM EST, Have you used your inhaler today? Tips for success: You should prepare prior to entering Ms. Jones room. 01:44 PM EST, ####### 3 Medications Followed UpFollowed Up, Does the breathing problem affect your ability to work? Patient narrative: Three days ago, Ms. Jones injured tweaked her back lifting a box. How many alcoholic drinks do you have in one sitting? Pro Tip: The inspection of your patient's unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. It started four days ago and is occasionally also in her right shoulder blade. Su compaero no entiende muy bien el mundo de los negocios y necesita que le d una explicacin para cada comentario. Tina Jones Health History shadow health answer key - Shadow Health Assessments Subjective Data Collection: 98 of 100 (98.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Your role in this simulation is that of a healthcare provider who will. Ms. Jones can also use adjunct therapy of topical heat or ice per comfort TID-QID. After editing, you can check your paper in the preview mode. There are essential sections of patient information that your interview will need to uncover. Sin embargo, el ambiente en la plaza siempre _______________ (ser) muy animado. Normal active bowel sounds in all four quadrants. How many times a day do you take pain medication? Denies increased tearing or itching. student and patient, ####### 1 Symptoms Followed UpFollowed Up. . Educate on when to seek further or emergent care including feelings of self-harm or hopelessness. Tina is active in church and describes a strong family and social support system. Breast and pelvic exams done by previous primary care physician. What prescription medications do you take? What allergies do you have? Im not 100% sure, but I think theyre 50 milligrams. . 11/03/21 4:04 AM EDT. Review of Systems: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Like the skin is getting darker. Were there any factors that influenced the outcome? In this exam you will have the opportunity to will take note of how your patients look, their mood, behavior, thinking, reasoning, and their capacity to remember things. Information about the patients existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. I used OLDCARTS to interview her, and it worked well. My breathings been acting up off and on for the past two days. The ability to shrug shoulder is symmetric with a scroe of 5 strength againist resistance. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. top 25% of students perform at the level of a proficient Students rated as proficient demonstrate an entry- Opportunities marked as Not Followed UpNot Followed Up are missed opportunities that were present in the interview, Do you prefer to sleep with men, women, or both? score may not be your final grade if your instructor Resonant to percussion. Left fundoscopic exam reveals sharp disc margins, no hemorrhages. 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. Search: Abdominal No surgical scars, no distention. University Of Arizona 01:42 PM EST, What start your recent breathing problems? It should also detail what kind of follow up is necessary. How many times have you been hospitalized? Denies suicidal or homicidal ideation. I am sorry to hear your breathing has been bothering you. A Model Statement is provided as an example of an appropriate response to each opportunity. a.) is the flds still active 2021 What were you feeling while completing the assignment? She reports that the pain isnt severe, but that her daughter was concerned and brought her in. Tina Jones Respiratory Completed Shadow Health 4Tina Jones Respiratory. How many times have you had breathing problems in the past 2 days? There are essential sections of patient information that your interview will need to uncover. 01:55 PM EST, I am sorry. neurologic: The sense of smell is intact and symmetric Left eye vision: 20/20 Right eye vision:20/40 The results obtainied from the left fundoscopic exam shows sharp disc margin and no hemorrhages while the right fundoscopic exam shows mild retinopathic changes. Encourage to decrease caffeine consumption and increase intake of water and other fluids. You will be evaluated on your ability to use the patients context to construct a health interview that is thorough and relevant for Ms. Jones. In this assessment, you will become familiarized with the structure and content of respiratory exams so that with real-life patients, you can: . Review the assignment settings your instructor selected on the assignment overview page. Have you taken any prescription pain medications? You will use the details of the patient case and data you gather to make decisions about which questions and follow-up opportunities are necessary. Youll be able to post a project and 1000s of freelance writers from across the globe will have instant access to write your content quickly, professionally, and affordably. Nana was 73 when she died of a stroke about five years ago. Do you have a history of throat problems? I got the scrape to stop bleeding, and then I started to worry that I had sprained my ankle, so Mom and I decided better safe than sorry, and so we went to the ER. We have assisted many students who passed the assessment. General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress, but appears uncomfortable while sitting in exam chair. We suggest taking out your textbook to remind yourself of what doing a respiratory assessment entails. Tell me more about any sugars you consume. I caught the railing, but I guess I kind of turned my ankle a little bit. Id say a 7. She describes episodes as <thumping in her chest= with a heart rate that is <wa faster than usual=. How many days have you needed pain medication? do your coping strategies help your stress, has anyone in your family had a history of psychiatric illness, does anyone in your family have a history of alcohol dependency, does you family have a history of drug addiction, has anyone in your family committed suicide. It seems you are having an asthma exacerbation There are essential sections of patient information that your interview will need to uncover. We suggest taking out your textbook to remind yourself of what doing a musculoskeletal assessment entails. This is an incomplete reflection. In comparable programs, the top 25% of students perform at the level of a proficient practitioner. Well. Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Do you take any over the counter medications? 1. abdominal pain presentation suggestive of gallstone disease. The neck has a full range of motion with a 5 strength against resistance. Gait steady with continuous, symmetric steps. Tina was the passenger and she was wearing a seatbelt. Do you have a family history of headaches? The respiratory exam is an interview and physical assessment that is performed when a patient presents with a respiratory problem or a history that is suggestive of a pathology of the lungs. It also describes clinical reasoning and supporting citation. Your instructor has She has pain is in her lower back and bilateral buttocks. Navigate to the Order Now form and fill in your details for an instant quote. Have you been urinating more often than usual? My breathing's been acting up off and on for the past two days. I was going down the back steps, and I tripped. What started your recent asthma problems? Completa la composicin con la forma apropiada del imperfecto de los verbos entre parntesis. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. [AUDIO COMING SOON]. Have you had changes in your bowel movements? $15.95 She did not lose consciousness in the accident and denies changes in level of consciousness since that time. Question Pro Tip: A patients chief complaint establishes any illnesses or concerns they are presenting. Asking about a patients social history can also unveil the influence of their present illnesses in their social lives. She denies tension or memory loss. Description: Tina describes the symptoms that have been bothering her. Health (8 days ago) WebShadow Health cardiovascular completed shadow health cardiovascular results turned in advanced physical assessment may 2021, nur 634 return to assignment your Tina Studocu.com . This score measures your performance on the Student Ms. Jones is a pleasant 28-year-old African American woman w presented to the clinic with complaints of 3-4 episodes of rapid rate over the last month. How many days do you need Advil for your cramps? NURS 6512. umsu membership. What have I learned about my practice? And my skins breaking out, but thats how it is. 4.7 (114 reviews) 23 test answers. 01:44 PM EST. Do you remember what you were prescribed for diabetes? Initiate treatment with ibuprofen 800 mg by mouth every 8 hours as needed with food for the next 5 days. Yes! ), Well . . Empathize Vernica escribi una composicin descriptiva de un lugar que recuerda de su infancia. I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now its looking pretty nasty. . It feels like the pain is just centered around the scrape, like around the ball of my foot. Have you noticed any changes in your vision? Cardiovascular Completed Shadow Health write out - 7/4/2021. Getting Started: View this tutorial for guidance on getting started with the Mental Health Assignment. The Shadow Health Digital Clinical Experience (DCE) provides you with a dynamic, immersive experience designed to enrich classroom instruction through the clinical examination of our Digital Standardized Patients. We are committed to providing you with an innovative, intuitive virtual clinical experience that offers comprehensive participation in a safe learning environment. Its noon on Tina Jones first day as a patient here at Shadow General Hospital. Have you noticed changes in your nipples? She has asthma too, but she almost never has attacks. Liberty University Ive only been taking the pain pills the ER gave me and staying off it. Asked to rate current pain level on a scale, Reports pain is sharp when she attempts to stand, Reports pain has increased in the past 2 days, Reports feeling pain radiating into ankle, Reports pain prevents bearing weight on foot, Reports wound is on the plantar surface of her foot, Reports she scraped foot on a cement step, Reports initial injury occurred 1 week ago, Reports being barefoot at the time of injury, Asked about the assessment of the injury at the ER, Reports going to the ER after sustaining the injury, Reports going to the ER because she suspected an ankle sprain, Reports receiving a prescription for pain pills, Reports that the wound bled a little after sustaining the injury, Reports cleaning wound with hydrogen peroxide, Reports applying bacitracin, neomycin and polymyxin B (Neosporin), Reports swelling worsened in the past 2 days, Explored impact of patients foot injury on activities of daily living, Reports pain affects ability to stand at work for long periods of time, Reports pain prevented her from being able to walk to class, Asked about preexisting medical conditions, Asked about diabetes management through lifestyle changes, Reports drinking diet soda instead of regular, Asked about current diabetes medication use, Reports that she does not currently take medication for diabetes, Reports that she used to take diabetes medication, Reports previous medication was prescription metformin, Reports last use of medication was 3 years ago, Reports infrequent blood glucose monitoring, Reports last glucose check was a week ago at the ER, Reports confusion about what the numbers mean, Reports urinating every hour or two during the day, Reports urinating 2 to 3 times during the night, Reports change in appetite began a month ago, Reports weight loss occurred over the past month, Asked about history of asthma exacerbations, Reports last asthma attack was in high school, Reports last exacerbation was three days ago, Reports chest tightness during exacerbation, Reports difficulty breathing during exacerbation, Reports last hospitalization was for asthma, Reports about 5 total hospitalizations for asthma as a child and teen, Reports specific age of diagnosis is 2.5 years old, Reports last use of inhaler was 3 days ago, Reports using inhaler no more than 2 times per week, Asked about number of puffs when using asthma inhaler, Reports recommended dose is 1-3 puffs as needed, Reports sometimes needing 3 puffs to control symptoms, Reports asthma triggered by running up stairs, Reports sneezing, itchy eyes, and wheezing, Reports that penicillin resulted in hives in childhood, Asked if the patient has allergies to dust, mold, or pollen, Reports dust causes sneezing, itchy eyes, and wheezing, Asked about general immunizations received, Reports receiving all necessary childhood immunizations, Asked if the patient has received a flu vaccine, Asked if the patient received a tetanus immunization, Reports last tetanus vaccination was in the past year, Reports that last BP reading was 140 over 80 or 90, Reports taking prescription pain medication, Reports taking pain medication for 2 days, Followed up on efficacy of pain medication, Reports that pain pills provide partial relief, Reports pain returns in full every few hours, Asked about other prescription medications, Reports occasionally taking Advil (ibuprofen) for cramps, Reports occasionally taking Tylenol (acetaminophen) for headaches, Denies finances are a barrier to healthcare, Denies transportation is a barrier to healthcare, Reports that she got sick of the demands of medication compliance, Denies that cost of metformin was reason for discontinuing medication, Denies that glucometer-related costs are reason for not checking blood glucose, Reports currently working toward undergraduate degree, Reports family members will be able to help with activities, Reports she is currently under high stress, Reports last meal was dinner time the previous night, Reports last meal consisted of baked chicken and mashed potatoes, Reports breakfast is usually a muffin or pumpkin bread, Reports dinner is usually a home-cooked meat dish and side of vegetables, Reports snacks are pretzels or French fries, Reports drinking up to 4 diet sodas per day, Reports history of recreational marijuana smoking, Reports she stopped because of health reasons and waning interest, Reports last alcoholic drink was 3 weeks ago, Reports no more than 2 or 3 alcoholic drinks in one sitting, Reports no more than 1 or 2 nights a week drinking alcohol, Reports mother diagnosed with high blood pressure, Reports mother diagnosed with high cholesterol, Reports father was diagnosed with Type 2 diabetes, Reports father was diagnosed with high blood pressure, Reports father was diagnosed with high cholesterol, Reports cause of death was a car accident, Followed up on coping with fathers death, Asked about paternal grandfathers health, Reports paternal grandfather diagnosed with Type 2 diabetes, Reports paternal grandfather diagnosed with high blood pressure, Reports paternal grandfather diagnosed with high cholesterol, Reports paternal grandfather died of colon cancer, Asked about paternal grandmothers health, Reports paternal grandmother diagnosed with high blood pressure, Reports paternal grandmother diagnosed with high cholesterol, Asked about maternal grandfathers health, Reports maternal grandfather diagnosed with high blood pressure, Reports maternal grandfather diagnosed with high cholesterol, Asked about maternal grandmothers health, Reports maternal grandmother diagnosed with high blood pressure, Reports maternal grandmother diagnosed with high cholesterol, Denies brother having diagnosed health problems, Reports that family members are overweight, Asked about family history of thyroid issues, Asked about family history of substance abuse, Asked about review of systems for mental health, Asked about review of systems for eyes and vision, Asked about review of systems for mouth and jaw, Reports last dental visit was several years ago, Asked about review of systems for neck, throat, and glands, Asked about review of systems for respiratory, Asked about review of systems for cardiovascular, Asked review of systems for gastrointestinal, Asked review of systems for genitourinary, Reports waking up to urinate during the night, Denies history of urinary tract or bladder infection, Reports last menstrual period was 3 weeks ago, Reports menstruating every 6 weeks to 2 months, Reports changing tampon every 2 to 3 hours, Reports cramps for the first 2 days of period, Asked about treatment of menstrual symptoms, Reports using a heating pad at home to treat cramps, Reports taking ibuprofen for first 3 days of period, Reports ibuprofen effectively reduces pain from cramps, Reports that she prefers to sleep with men, Reports first sexual activity was at age 18, Reports last sexual activity was 2 years ago, Reports no current use of any oral or hormonal birth control, Reports last taking oral contraception a couple of years ago, Reports she didnt see the point in taking contraception while single, Reports past sexual encounters without condoms, Reports oral contraceptive use while sexually active, Reports uncertainty about past partners and STI testing, Asked review of systems for musculoskeletal, Denies recent loss of consciousness or fainting, Denies problems with balance or disequilibrium, Asked review of systems for skin, hair, and nails, Reports no body sores (aside from foot wound).