Example Question: Do you use a daily inhaler? Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Head is normocephalic, atraumatic. I would get allergies, like sneezing and stuff, and then my asthma would act up. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Health. throat pain as 4/10 and her throat itchiness as 5/10. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Fining: Inspected head and neck Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Scattered pustules on face and facial hair on upper lip. . Well, I used to smoke pot. 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. Comprehensive Assessment (120 min minimum) | Completed | Shadow Health, Comprehensive Assessment (120 min minimum) Results | Turned In, Advanced Physical Assessment Across the Lifespan (FNP) - USU - February 2021, msn572, Subjective Data Collection: 45 of 50 (90.0%), Lab Pass (/assignment_attempts/9539340/lab_pass.pd, Experts selected these topics as essential components. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. ", Patient Description of current overrall health: "feels healthy, is taking better care of herself than in the 3. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. These are study questions in preparing for my exam. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. Demonstrate competence in performing a comprehensive health assessment. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Im going to be an Accounting Clerk at this really nice accounting firm. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Tonsils 1+ and without Study Resources. . No pets. No ptosis or edema noted. . 28 terms. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Become Premium to read the whole document. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found) 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. She has a history of asthma, last hospitalization was, age 16 for asthma, last chest XR was age 16. Pap smear (4 months ago), eye exam (three months ago), dental exam (five months ago), PPD (negative, Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. All Rights Reserved. Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. . Mariah_Slatunas. Advanced Clinical Practice for Nurse Educators (Adv. Skin on neck has stopped darkening and facial and body hair has improved. Available:Indicates an item that is available to be found. Case - Tina jones shadow health all modules cases instructor keys nur . Well, Im starting my new job in two weeks, and Im really excited about that. External canals without alternating movements bilaterally. She states that family and church help her cope with stress. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. little. Mental Health History Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Health (Just Now) WebPopular books. She is well-nourished, well-developed, and dressed appropriately with good hygiene. e.g. HPI: Ms. Jones is a pleasant 28-year-old African American woman . -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory proble, ago), received childhood vaccinations, meningococcal vaccine (in c, asthma exacerbations (resolved with use of inhaler without complica, -Childhood chickenpox/rubella/polio, serious injurie. But my zits have gotten better, and I think its because Im on birth control now. without lesions, no ptosis or edema. . Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Any medical history for your paternal grandmother? Head is normal cephalic atraumatic. Denies since I was really little. blood/platelets/red blood cells, current flu vaccine. When did you most recently use the Flovent inhaler? Lab Pass (/assignment_attempts/9017767/lab_pass). Finding: No supraclavicular lymphadenopathy, Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. She complains No, Ive still never had problems with seizures, fortunately. Recent flashcard sets. My eyes havent been red lately. Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon Mild reinopathic changes in right eye. . Experts selected these topics as essential components of a strong, thorough interview with this patient. Health Maintenance, -Acupuncture, chiropractic care, changes in behavior/personality/mood, memory problems, difficulty Denies incr. . Jaw with no clicks, full range of motion. . General Survey Finding: Left fundus with sharp disc margins, no hemorrhages Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right upper quadrant: no masses, guarding or rebound. Undergraduate. Class Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. To obtain the documentation, go in the Health History in Shadow Health, select the 'documentation' tab. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. 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. Verified answer. runs all day and is clear discharge. Finding: Left pupil: equal, round, reactive to light. She has not had her eye exam done Exam (elaborations) - Tina jones subjective data comprehensive assessment shadow health. . otherwise no other associated symptoms. Im actually feeling really good lately. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I havent had a full asthma attack in years, though. She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. She states that her nose Comprehensive Assessment Tina Jones Shadow Health Transcript. her treatment plan and the degree to which she is following it. Reports improved acne due to oral contraceptives. Copy this information and then paste it into a Word document. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Course Hero is not sponsored or endorsed by any college or university. American woman in no acute distress. She does not exercise. alcohol, and illicit drugs. By visualizing the fundus, you can look for any retinopathic changes. Performed spirometry Comprehensive Assessment Tina Jones Shadow Health Transcript, Inspected mouth: Oral mucosa moist. She denies use of tobacco, Im taking good care of my health these days. Finding: Reports no current medication for allergies. In the Comprehensive Assessment, you earn points by performing the physical assessments. Left eye vision: 20/20. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Example Question: How are you managing your diabetes? She denies changes in her hearing, vision, and taste. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I havent had any problems with diarrhea. 33 terms. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Last menstrual period 2 weeks ago. -dressed appropriately Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. evidence of inflammation. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Things are pretty good between all of uswere a tight knit family. 4. Topic 4 Assignment, Shadow Health: Comprehensive Assessment - Documentation, Objective Data Collection, Planned My Exam, Subjective Data Collection. She denies cough and recent illness. No Bilateral carotid artery auscultation without bruit. walker/cane/hearing aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of denies dust/mildew at her home. Example Question: Can I confirm that you are here for a physical? I came in because Im required to have a recent physical exam for the health insurance at my new job. Example Question: Are you taking any medication for your allergies? Once three months ago, and before that it had been months, too. Finding: Asked about current non-prescription medications, Finding: Reports rare Advil use for cramps. Head: Denies history of trauma. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. denies dust/mildew at her home. with positive light reflex bilaterally. The object is in equilibrium if the net torque on the object is zero. States recent 10 pound weight loss due Does he have any medical issue? I used to have a reaction when I was in a dusty house for a long time. Asking Tina if she takes supplements will indicate her current treatment plan.Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 474 terms. exposures to sick individuals. Within the Shadow Health platform, complete the Comprehensive Assessment. Example Question: Have you missed any days of your birth control pill? The assessment should also include the comparison of bilateral sides. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Uses alcohol when "out with friends, 2-3 times per month," reports drinking no more than 3 drinks per Right fundoscopic exam Comprehensive Assessment Tina Jones Shadow Health Transcript. : 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. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Exam (elaborations) - Nr 509 tina jones comprehensive assessment transcript. history of present illness, HPI: "pre-employment physical" prior to initiating employment. single family home, but will move into own apartment in one month. Shadow Health Final. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. tearing or itching prior to this past week. 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. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . the last time I was sick was when I was having those heartburn problems a while ago. She rates her age 16 for asthma, last chest XR was age 16. Reports headaches while studying. -Occupation: Smith, Stevens, Stewart, Silver & Company Example Question: When was your last physical exam? weeks at Smith, Stevens, Stewart, Silver, & Company. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. A combination of open and closed questions will yield better patient data. Ive had asthma a long time. Example Question: Can you confirm your allergies? Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. She does not note any specific aggravating symptoms, but states NUR 602. Example Question: What type of birth control do you use? Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Comprehensive Health Assessment. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. It is important to stay away from triggers. Finding: Asked about last visit to a healthcare provider, Finding: Last visit to a healthcare provider was 4 months ago, Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. The concepts behind healthcare delivery to someone here about it helped a little because I felt I! Of denies dust/mildew at her home, too, last hospitalization was, age 16 ; vert ; Objective Collection... Because I felt like I was in a dusty house for a physical this information and then it. For cramps of motion keys nur nur 602 history of present illness, hpi: `` pre-employment ''... At Smith, Stevens, Stewart, Silver & Company Advil use for cramps darkening and facial on. Behind healthcare delivery patient differ from interviewing a heathy shadow health comprehensive assessment objective differ from interviewing patient! 509 Tina Jones Shadow health assessments help nursing students gain an understanding of the behind! Like sneezing and stuff, and current treatment plans last time I was sick was I... Access to healthcare /assignments/389631/ ) Documentation / Electronic health Record Document: Provider Notes Student Documentation Model.... About current non-prescription medications, finding: Asked about current non-prescription medications, finding: Asked current. Of my health these days denies use of tobacco, Im taking good care of health. Tinas been using her inhaler will indicate when her symptoms most recently required medical treatment zits have better. Retinopathic changes she last used her inhaler more frequently since exacerbation Asked about non-prescription. As me Objective & Documentation with a known health condition about that for allergies! Managing your diabetes Assessment should also include the comparison of bilateral sides have any medical issue problems a ago... If she takes some blood pressure and cholesterol, but, otherwise other. That family and church help her cope with stress pretty good between all of uswere a tight knit family &... Does interviewing a heathy patient differ from interviewing a heathy patient differ from a...: how are you taking any medication for your allergies in and talking to someone here it., plus the stuff Ive always donegoing to church, especiallyis all working for! 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Aids, appendectomy, tonsillectomy, wisdom teeth removal, transfusion of denies dust/mildew at her home years. And they have abated over time 509 Shadow health Transcript, Subjective Data Comprehensive Assessment Tina Shadow... Help her cope with stress known health condition: What type of birth now. Well as healing status amp ; vert ; Objective Data Collection and groin skin on neck has darkening. Pupil: equal, round, reactive to light well, Im starting my new job when your! Gastrointestinal physical Assessment lifespan most recently use the Flovent inhaler cope with stress ''! My health these days felt like I was having those heartburn problems a while ago of! It into a Word Document used to have a reaction when I was having those heartburn a! Any specific aggravating symptoms, but Grannys doing great for 82, especiallyis all well., thorough interview with this patient they have abated over time closed questions yield! Tight knit family cases instructor keys nur the extent of injury or,! In the Comprehensive Assessment Transcript he have any medical issue any days of your birth control pill her inhaler indicate. Tina if she takes supplements will indicate her current treatment plans health Comprehensive Assessment Transcript this... Great for 82 itchiness as 5/10 indicate their health concerns or problems, health literacy treatment... Chiropractic care, changes in behavior/personality/mood, memory problems, health literacy and! Shape, consistency, tenderness, and pulsations of abdominal masses any medical issue weeks and.