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Course Hero is not sponsored or endorsed by any college or university. The bold items are the ones that you unlocked. What is your new job? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. tetracycline, I think, back in high school. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. All the work should be used in accordance with the appropriate policies and applicable laws. Reports improved acne due to oral contraceptives. but I dont do that anymore. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $24.99, 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, Shadow Health Focused Exam Abdominal Education Empathy, SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE, Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identifie. -located in low back and butt. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I How often do you monitor your blood glucose? occuring for over a month. That is great. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Tests of cerebellar function normal. . My discharge is normal, I think. Well, I used to smoke pot. NR 509 Week 7 Shadow Health Comprehensive Health Histor. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Help Desk for further information. S Nursing Theory list (41) 10:22 PM EDT. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. 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. She does $65 USD . For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. MSN (19) Additionally, Tina needs education in regards to her risks related to anxiety which is related to the pressures of schools and work. Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. Nursing Theories (45) Im glad you came in. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. Here you will see a verbatim record of every . There are three levels: Beginning, Developing, and Proficient. I took something for my acne. Tina denies smoking and states she seldomly drinks. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. You must follow up within two interactions in order to receive the points. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. No. During the patient interview, there are a number of opportunities to provide patient education and empathy. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. age 16 for asthma, last chest XR was age 16. nursing theory examples (41) Transcript. To pass the SHCA, a student must achieve a score of at least 70 per cent. She endorses that she feels no pain however the 'fast heartbeats" Capillary refill < 3 seconds. . Indicates an item that is available to be found. 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 tuberculosis. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. She denies fevers, chills, and ni Question NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Nursing Research Papers (2) This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. maintains eye contact throughout interview and examination. Lag, nystagmus, and deviations may indicate neurologic conditions. I understand your, frustration at having your life interrupted by foot. I r, learn more about what you are experiencing, and I will try to help, Let me learn more about what youre experiencing, and I will try to help. 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. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. nursing papers (20) they also make her jittery. drinking as much water as her normal. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. During the patient interview, there are a number of opportunities to provide patient education and empathy. EKG with Does your dads father have health issues? Terms and Conditions Privacy Policy Cookie Settings. 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. Add to Cart. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) Nails free of ridges or abnormalities. is a student at Shadowville Community College. During the patient interview, there are a number of opportunities to provide patient education and empathy. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. I guess I had anxiety back when I was having those sleep problems. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. General, Tina Jones is a pleasant obese 28 ear old female. episodes as thumping in her chest with a heart rate that is way Description: Tina describes how busy she is with school and work. My doctor told me when I was pretty little I think I was about two and a half? . Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . known history of murmurs, angina, previous palpitations, dyspne frequency and duration of pain. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Plus, he had high blood pressure, andIm pretty sure he had diabetes. 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. (Clarified to Do you have drainage from your ears?. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. The following details are facts of the patients case. 10:23 PM EDT. I start in two weeksIm really excited! I have a few friends Ive known since middle or high school, and were all pretty close. Are you taking any medication for your allergies? PICOT Question (12) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Advanced Health Assessment for the APN - Fall 2021, 625, /site_notice_dismissals?from_flash=true&site_notice_id=499, 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=283. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. I havent smoked pot since I was twenty or twenty-one. is provided as an example of an appropriate response to each opportunity. 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. She is well-nourished, well-developed, and dressed appropriately with good hygiene. That stuff can mess you up. Thank you for your feedback, it will help us serve you better. SOAP Note samples (14) Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. I made sure to clean it and just keep it bandaged. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. 10:25 PM EDT. That doesnt sound like it would be good. I am glad you are having your period every month. 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: Healthy kidneys are not usually palpable. When was your last physical exam? complains of end of day fatigue. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. Ms. Jones offers information freely and without contradiction. 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. I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. Tina Jones is alert and oriented x3 and she is a credible source of her This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Today she denies any acute concerns. Im actually feeling really good lately. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. And I didn't go in yesterday. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! My muscles have felt great, especially since I started exercising more. Shadow health assessments can help nursing students develop an understanding of patient safety issues. 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. SOAP Note Examples (14) I havent had any problems with diarrhea. Do you have any family history of mental illness? Opportunities marked as Not Encountered are opportunities that were not elicited in the interview bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. It works pretty well. pumpkin bread, lunch is a sandwich, dinner is a homemade mea 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. . history. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. -denies pain between shoulder blades. All pulsed with normal range. I have a little, and its kind of clear, sometimes white-ish. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Over th This button will open the Lab Pass for your attempt. SOAP Note Template (14) What medical problems did your father have? She does not associate the rapid heart rate w has never had an EKG. location of pain. Each assessment is worth up to one point. out, I'll even turn the light back on and read more until I feel more wound down. 2021-22, Summary Give Me Liberty! In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. cardivascular consitions and/or disease. she "tries to slow down". 3. No! 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. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Lets see . Thank you for your feedback, it will help us serve you better. Ive maybe used it twice since I came in with those asthma problems. A Model Statement is provided as an example of an Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Last updated on November 16, 2021 The score you receive in the Education and Empathy section is based on the timing of your therapeutic statements during critical moments in the patient interview. Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been Become a tester for Shadow Health! I think I have a little less body hair than I used to. Let me Mom has high cholesterol and blood pressure, I think. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. The episodes generally NURSING 362. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. It is important to stay away from triggers. Hes a little big, maybe. That does not sound good. Do you follow a diet to manage your diabetes? How many times a day do you take metformin? 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. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. The "fast heartbeat" is lo alized t the left Allergies include cats. Grand Canyon University Walden University (83) For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. These are your achieved scores for the different activities in the assignment. Question meat and vegetable, snacks are French fries or pretzels. 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. s1 and s2 heard without murmurs or additional sounds. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Some of these items may not appear depending on the assignment and the options set by your instructor. But my zits have gotten better, and I think its because Im on birth control now. My, boss was understanding, but I need to be able to, As I mentioned earlier, the diabetes can affect, scheduled with your endocrinologist soon to get. What medical problems does your mum have? Undergraduate Graduate She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. 2. Tina Jones palpitations appear to be related to notable stress and Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Im usually asleep by 11:30, and I wake up at 8, so. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. She has not attempted any treatment at home and states that sh Just not rested, and out of it, and groggy waking up has been really hard Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. lately. I just always want to be learning new things and getting better at my job. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. regular sinus rhythm, no ST changes. Tina Jones endorses that she does not really watch her diet. The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. I used my Flovent inhaler this morningI have to take it twice a day. presented to the clinic with complaints of 3-4 episodes of rapid he enter of her chest. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. Company Registration Number: 61965243 Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. Ms. Jones is a pleasant 28-year-old African American woman wh Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. Most people, with diabetes feel better when they limit all. Examination findings: It is also used as a tool for measuring nursing skills. In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. Let's talk about your wound a little further. Comprehensive assessment documentation. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. 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 JVD. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. I havent really had any stomach problems since I came in with them a while ago. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Shadow Health Physical Assessment Assignments (Weeks 1-7) . dust, and penicillin. You are scored on the accuracy of their reported findings from the physical assessments. We socialize before and after church, and I go to Bible study on Wednesdays, too. Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). Can I confirm that you are here for a physical? Type 2 diabetes, diagnosed at age 24. Are you sure you do not want to provide feedback? . She monitors her blood sugar once daily in the morning with average readings being around 90. 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 What is the name of the birth control pill you took? She reports a few moles but no other hair or nail changes. why did you decide to seek treatment Im going to be an Accounting Clerk at this really nice accounting firm. She was last hospitalized for asthma in high school. At the top of this section, you will see a key indicating the status of each opportunity. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. ), No, I dont think so. We're available through e-mail, live chat and Facebook. 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. This shows the Overall, Exam, and Post-Exam Timers. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. When did you most recently use the flovent inhaler? and I'm stressed and too foggy to study most of the time. She denies chest pain during the episodes, but does endorse So Ive been trying to address problems as they come when I can, and that helps. College Physics Raymond A. Serway, Chris Vuille. Im sleeping a lot better now, which is a relief. ), Shes pretty healthy. Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. . This will show an outline of your score. I am, sorry it is not getting better, but we will take a, pain is returning. No way, I have no interest in that. A fail on the SHCA means that the student has not answered any of the questions correctly. pico examples nursing (12) My mom has some issues, and I think some of my grandparents did, too. 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. preparing for my exam. 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 Ear drainage? during the night), how do you feel when you wake up in the morning How often do you use your rescue inhaler? Strengthening clinical skills. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. All you need to do isplace an orderwith us. Last menstrual period 2 weeks ago. Shadow health, Building nursing confidence. Gather information about your patients health history, including information about current medical conditions. the last time I was sick was when I was having those heartburn problems a while ago. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. examples of picot questions (12) Experience Overview Page. Description: Tina describes her sleep hygiene and routine. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were She uses her albuterol inhaler when she is around cats. 10:05 PM EDT. Course Hero is not sponsored or endorsed by any college or university. 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