Click here for more information. Shadow. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Hes a little big, maybe. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. -reports pain is same on both sides of back. shadow health comprehensive assessment education and empathy I think I have a little less body hair than I used to. about 8 or 9 hours a night. Ugh, horrible, honestly. Ive had asthma a long time. Then a few weeks later I saw a gynecologist for a pap smear. I have a few friends Ive known since middle or high school, and were all pretty close. Comprehensive Health History - Education & Empathy .pdf. No. How many times a day do you take metformin? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. . Company Registration Number: 61965243 Nursing Essays Examples (81) A pass on the SHCA means that the student has answered all ten questions correctly. regulations. You can click on the type of interaction to filter out that kind of interaction. That stuff can mess you up. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Healthy kidneys are not usually palpable. nursing essays (22) Description: Tina describes her sleep hygiene and routine. This button will Reopen your attempt. But my zits have gotten better, and I think its because Im on birth control now. Shadow health comprehensive assessment education and empathy This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. The opportunities listed below are those identified by nursing experts to be of particular importance to this. is a student at Shadowville Community College. . The page will refresh upon submission. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. I havent had any problems with diarrhea. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. stress.". DNP (36) 3. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Any medical history for your paternal grandmother? Just not rested, and out of it, and groggy waking up has been really hard I took something for my acne. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. The daily inhaler is Flovent, and the rescue inhaler is Proventil. s1 and s2 heard without murmurs or additional sounds. Shadow Health cardiovascular completed shadow health cardiovascular results turned in advanced physical assessment may 2021, nur 634 return to assignment your Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Houston-Clear Lake Harvard University Miami Dade College Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. . Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Tina Jones Complete Combined Modules Shadow Health (Graded A) Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. No way, I have no interest in that. Im actually feeling really good lately. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Things are pretty good between all of uswere a tight knit family. Question need a distraction. I used my Flovent inhaler this morningI have to take it twice a day. only coming to the clinic today because her family has expressed She denies any Family History has hypertension, hyperlipidemia, diabete melluitis, Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. When did you last use your rescue inhaler? She said everything looked good, except that I had PCOS, which the nurse here had said was possible. they also make her jittery. And the pain is killing me! looking pretty nasty. discomfort of 3/10 which she attributes to associated anxiety Additionally, Tina needs education in regards to her risks related to -located in low back and butt. exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. . -denies neck pain. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. I'd say a 7. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. (Clarified to if my brother has health issues.). are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. Terms and Conditions Privacy Policy Cookie Settings. Clicking on the diagnosis will expand that item, showing you the priority you selected, the evidence you selected, and your selection for Planning. been told her blood pressure was high in the past. NR 509 Week 7 Shadow Health Comprehensive Health Histor. The second number represents the total possible points in the assignment. Terms and Conditions Privacy Policy Cookie Settings. Hopefully, we can get. I came in because Im required to have a recent physical exam for the health insurance at my new job. tiltrj.resistancegear.us Social History: Ms. Jones has a job at a copy and shipping store She generally dr Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. (Clarified to Does your younger sister have health problems?. rate over the last month. 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. What medical problems did your father have? I guess I had anxiety back when I was having those sleep problems. I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. During the patient interview, there are a number of opportunities to provide patient education and empathy. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Ms. Jones speech is clear and coherent. : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. know her normal heart rate or her heart rate during these episode temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Terms of Use Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. She states that s Examination findings: Are you taking any form of birth control? Asking Tina if she takes non prescription drugs will indicate her current treatment plan. How long ago did you start taking birth control? She does (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. not stressed at all. Ms. Jones is a pleasant 28-year-old African American woman wh Lets see . Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Tina Jones is alert and oriented x3 and she is a credible source of her Ms. Jones offers information freely and without contradiction. 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. Any pending input will be lost. What is the name of the birth control pill you took? She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. The pain sometimes radiates to his left leg. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Experience Overview Page. She checks it 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. episodes as thumping in her chest with a heart rate that is way Question she "tries to slow down". Have you noticed any side effects from the metformin? Additionally, you will see an example question that would unlock the finding. . Popular books. when do you go to bed Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow health assessments can help nursing students develop an understanding of patient safety issues. (Clarified to if I have ear drainage.). age 16 for asthma, last chest XR was age 16. Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. MSN (19) This shows the Overall, Exam, and Post-Exam Timers. Shadow Health Focused Exam Abdominal Education Empathy Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, 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. Company Registration Number: 61965243 We socialize before and after church, and I go to Bible study on Wednesdays, too. Shadow Health Physical Assessment Assignments (Weeks 1-7) . Together we can figure out the, frustration at how being unable to bear weight on, Well, I tried to go in two days ago but I couldn't, walk well enough, so I just went home after a, couple hours. Lag, nystagmus, and deviations may indicate neurologic conditions. pumpkin bread, lunch is a sandwich, dinner is a homemade mea No! For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. 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. Today she denies any acute concerns. -denies pain between shoulder blades. I usually eat dinner, then I try to study for a few hours or do other schoolwork. All the work should be used in accordance with the appropriate policies and applicable laws. S and asthma. all the way asleep for another hour and a half, two hours, usually. I am glad you came in. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. regarding her rapid heart rate. Medications include Flovent and rescue inhalers. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. sweats. What is your relationship like with your family? Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Sometimes, if I really start stressing Indicates an item that is available to be found. presented to the clinic with complaints of 3-4 episodes of rapid he No surgeries. Im glad you came in. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health You have access to an EHR during the patient exam in which you can record your findings. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. My doctor told me when I was pretty little I think I was about two and a half? Have you missed any days of your birth control pill? 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. dust, and penicillin. Most people, with diabetes feel better when they limit all. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. 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Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were At the top of this section, you will see a key indicating the status of each opportunity. Thorough examinations will yield better patient data. energy drinks due to her feelings of tiredness. Tina Jones palpitations appear to be related to notable stress and . Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. She describes t Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I dont have anything specific going on today. She endorses that she feels no pain however the 'fast heartbeats" Im sleeping a lot better now, which is a relief. not since I came in with those allergies a while ago. since I was really little. -constant pain. TIna states she does not drink coffee and alleviate her palpitations Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Speech is clear and coherent. Does he have any medical issue? Asking Tina if she takes vitamins will indicate her current treatment plan. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) pico examples nursing (12) Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. ShadowHealth Musculoskeletal Tina Jones Flashcards | Quizlet If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Let's talk about your wound a little further. Shadow Health Conversation Notes (conversation Lab) - Quizlet How do you make up points in the Education and Empathy section upon reopening the assignment? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Do you take your pill at the same time every day? She denies The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Some of these items may not appear depending on the assignment and the options set by your instructor. Add to Cart. . ), No. I am glad you are having your period every month. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . To post social content, you must have a display name. I havent had a full asthma attack in years, though. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. how do you feel when youre stressed Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). Good job cleaning it and using Neosporin. So I'll actually turn of the light and close my eyes around 1 or so, and then I won't fall Theyre crazy, but nobodys diagnosed with anything. Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. Some of these items may not appear depending on the assignment and the options set by your instructor. 2 energy drinks before class to keep her focused but states tha Decreased sensation to monofilament in bilateral plantar surfaces. shadow health with Tina Jones. in the morning on her commute to class. Heart rate is is regular and normal. My albuterol. Ive maybe used it twice since I came in with those asthma problems. The pain sometimes radiates to his left leg. . 10:05 PM EDT. 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. . Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Tested negative for HIV/AIDS and STIs four months ago. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, To pass the SHCA, a student must achieve a score of at least 70 per cent. 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. 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Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. 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 get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I By visualizing the fundus, you can look for any retinopathic changes. frequency and duration of pain. Well, I used to smoke pot. Question I understand your, frustration at having your life interrupted by foot. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. This button will open the Lab Pass for your attempt. 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=499) No peripheral edema. In the Comprehensive Assessment, you earn points by performing the physical assessments. You are scored on the accuracy of their reported findings from the physical assessments. : an American History, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1.