Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Buy the Full Version Reward Your Curiosity Everything you want to read. Student: Do you currently take medicine for your diabetes? Scale: Compact, desiccated flakes of skin, dry or greasy, silvery or white, from shedding of dead excess keratin cells. Tina Jones: I dont think I have problems in that area. Pro Tip: Changes in body hair can indicate a change in hormone levels. This place was great! . Copyright 20042023 Yelp Inc. Yelp, , and related marks are registered trademarks of Yelp. Finding: Reports that family members are overweight (Found)Pro Tip: Asking about trends such as obesity can help you fill in holes in the history that your patient may have missed and can allow you insight into other inherited diseases that affect relatives outside of immediate family. She expresses gaps in health literacy about the risk of ceasing prescribed medication and blood glucose monitoring. Finding: Reports being barefoot at the time of injury (Available)Pro Tip: Asking about clothing, footwear, and other protective elements being worn at the time of injury helps you discover the totality of the circumstances. Finding: Denies other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can reveal more information about the circumstances that caused the presenting injury. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on If you find gaps in the patients literacy, that is your opportunity to provide education. Your questioning should cover a broad array of the symptoms characteristics. park answer key shadow health focused exam cough danny shadow health skin hair and nails shadow health tina jones shadow health tina jones heent, Exam (elaborations) Shadow health tina jones comprehensive assessment News: U. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. Finding: Reports waking up to urinate during the night (Available)Pro Tip: Frequent urination at night can be a sign of uncontrolled blood sugar or UTI. A history of flank pain could be a symptom of genitourinary problems. Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Superbowl Decor Ideas || Explore Detailed Information, Advanced Integrative Medicine Patient Portal. Finding: Asked about the effectiveness of pain medication at home. Finding: Reports confusion about what the numbers mean (Available)Pro Tip: Your patients blood sugar monitoring habits are an important part of her health literacy and home treatment. Example Question: Did you notice any discharge from the wound? Lack of blood glucose monitoring Not Followed Up, Description: Tina reveals that she does not check her blood sugar. Student: How effective was your pain medication at home? Linear: a scratch, streak, line or stripe Paronychia: Red, swollen tender inflammation of the nail folds. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of the People Maryville University Harvard University See all. Finding: Asked about diabetes management through lifestyle changes. Educate Disease Process: Educate the patient on diabetes pathophysiology, risks of morbidity and mortality, importance of self-care. Example Question: Have you had nosebleeds? Tina Jones: He had high blood pressure and cholesterol. Finding: Asked if patient has experienced abuse. Zosteriform: linear arrangement along a unilateral nerve route: herpes zoster, Macule Tina Jones: Its white or maybe off-white. Asking Tina if her skin has been dry solicits important health history information. All Lines (645) Interview Questions (210) Statements (41) Exam Actions (, Shadowhealth Tina Jones Skin, Hair and Nails Assignment and Post-Exam Jay H. Tina jones respiratory shadow health assessment Review Questions https://t. Example Question: Do you have flatulence? Planning Relevant: Planning Pro Tip: Because wound infections impact the patients overall health, its important to assess perfusion, hydration, and swelling. Example Question: Do you have any nose problems right now? Finding: Denies loss of sensation (Available)Pro Tip: Diabetic patients often experience numbness due to neuropathy, especially in the arms, legs, hands, and feet. Example Question: Does your maternal grandmother have health conditions? Example Question: Do you urinate frequently? Finding: Reports pain affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Finding: Asked review of systems for musculoskeletal. Besides Subjective Data Collection, and Education and Empathy, there are activities within the simulation that provide valuable practice for their real-world counterparts, but they are not automatically graded by the simulation. Asking Tina where her acne is located solicits important information Shadow Health Hair, Skin, Nails Tina Jones Shadow Health Hair, Skin, Nails Tina Jones objective data University University of Massachusetts Lowell Course Nursing Assessment and Skills (NURS.2110) Academic year2022/2023 Helpful? Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the Example Question: Do you ever notice blood in your urine? You will be able to see what has been effective and ineffective in the past, which will allow you to make a more informed decision about current treatment. Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patients risk factors for injury. Make sure that the patient feels comfortable asking for your assistance. Finding: Reports pain prevented her from being able to walk to class (Available)Pro Tip: For patients who are also students, you can find out what schoolwork they are missing, and help them make accommodations so they dont fall behind. Finding: Denies incontinence (Available)Pro Tip: As a currently presenting symptom, incontinence could result in a change to the patients care plan. Asking Tina if she has dry eyes solicits information about one particular symptom. Tina Jones: He was driving to work, and it was rainingand his car hydroplaned. Example Question: Have you ever had a urinary infection? Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Asked about review of systems for ears. Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. 2. Student: Do you monitor your blood glucose? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Student: How does this assignment prepare me for the real world? This exam may take longer than in real life, because in this safe simulation, students of all experience levels can take time to hone and review their skills. Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Press Release. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. Finding: Reports noticing pus 2 days ago (Available)Pro Tip: Pinpointing exactly when the patient noticed the arrival of pus gives you an important data point for when an active infection began. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Finding: Asked about review of systems for eyes and vision. NURS 325 Shadow Health Hair, Skin and Nails Assessment Assignment/NURS 325 Shadow Health Hair, Skin and Nails Assessment Assignment It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. "I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. Finding: Denies night sweats (Available)Pro Tip: Asking about additional symptoms, such as night sweats, is one possible component of a review of systems interview. Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Example Question: Do you have a family history of thyroid problems? Example Question: Was your weight loss intentional? "I have a monitor at home, but to be honest I dont really use it that often." Student: How effective was the Neosporin? Finding: Denies frequent coughing (Available)Pro Tip: Asking about coughing is one possible component of a review of systems interview. We want you to be in as little pain as possible. Finding: Reports no more than 1 or 2 nights a week drinking alcohol (Available)Pro Tip: Finding out how many nights a week your patient has alcohol gives insight into potential habits or abuse. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Finding: Asked about review of systems for mouth and jaw. most effectively treat her symptoms. Student: Have you had any musculoskeletal problems? Finding: Reports sister diagnosed with asthma (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports her religious affiliation is Baptist (Found)Pro Tip: An important part of a health history is developing rapport with the patient and fostering an atmosphere of respect. Student: Have you received a flu vaccine? Finding: Followed up on stopping diabetes regimen. Finding: Reports drinking diet coke instead of regular (Available)Pro Tip: Particularly for diabetic patients, asking about intake of drinks that contain sugar can reveal additional sources of carbohydrates that the patient may not consider. Example Question: Have you noticed an increase in appetite? Tina Jones: Im Baptist. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. ", 5. Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. Nodule Student: What food allergies do you have? Derma Magnetica resonates with first class luxury treatment for helping each and one of you in looking the best version of you, at the most affordable prices in the industry. Max twice a week. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Uticaria: wheals coalesce to form extensive reaction, intensely pruritic. Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. information. Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. Most patients find that using a daily inhaler is an easy way to reduce your asthma symptoms even more. Or like, hed make us rake the yard or wash his car or something. Unstable blood glucose levels could increase the patients risk for falls. Finding: Denies ear discharge (Available)Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmers ear. Example Question: Have you been coughing? Tina Jones: Whatever pain medication the ER gave me is helping. patient. Well done.". Finding: Followed up on cat allergy symptoms. Pigmentation: Caf au lait, mongolian spots You will also want to review Ms. Jones systems, psychosocial history, and family medical history. Finding: Asked review of systems for gastrointestinal. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. This can be achieved by asking for a 24-hour diet recall. Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patients pain has changed will give you insight into the acceleration of infection. It hurts a lot, but whatever pain med the ER gave me is helping a little bit. Example Question: Do you have a history of suicidal thinking? Finding: Denies mouth pain (Available)Pro Tip: Asking about symptoms, such as oral pain, is one possible component of a review of systems interview. Student: How did you cope with your fathers death? Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patients immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. Example Question: Are you feeling feverish right now? Student: How is your maternal grandmothers health? Other supporting data points are the presence of her foot wound and her general reports of pain. Finding: Reports asthma triggered by dust (Found)Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important. Educate Exercise: Educate the patient about the benefits of exercise. Finding: Denies odor from the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight into its severity and characteristics. Example Question: What color is the drainage from your wound? Ive never really had stomach or bowel problems. Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. 8. And keeping your sugar down will help your foot wound heal quickly, too. Student: Does your family have a history of headaches? Example Question: Does your maternal grandfather have health conditions? Tina Jones: UmIve smoked pot before. Learning about the patients religious beliefs will allow you to provide the appropriate support and resources. chivon101 91 Posts Specializes in ER. Example Question: When did you last have issues with asthma? Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature: 102.4 F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%. Pro Tip: Changes in body hair can indicate a change in hormone levels. You also want to identify any potential issues with substance abuse. Example Question: Have you experienced nipple discharge? Student: Any problems with your eyes and vision? Finding: Asked to rate current pain level on a scale. Finding: Reports specific age of diagnosis is 2.5 years old (Available)Pro Tip: Asthma can have a profound impact on health, and it is important to learn about the patients history of the condition, including the age of diagnosis. Tina Jones: No, I dont take anything for my diabetes anymore. Tina Jones: I was diagnosed when I was 24. Asking Tina when she last saw a doctor about her acne solicits important information about her health history and any treatment plan she was following. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Malignant melanoma, Primary contact dermatitis Reports last seeing a doctor for acne in high school. I've had multiple girls cut my hair and they do a great job every time!more. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Student: Have you ever smoked cigarettes? Higher levels of pain have been associated with thoughts of self-harm. Existing conditions can also inform your treatment and understanding of the patients current health issues. Tina Jones: Grannys doing good. Example Question: When did you notice the increase in your appetite? Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Finding: Denies latex allergy (Available)Pro Tip: Confirming absence or presence of a latex allergy is essential in a hospital setting, where some instruments have latex parts. Example Question: Have you noticed any changes in your vision? Patient reports dry skin on arms and legs, uses lotion with positive effect. Example Question: Can you please describe the pain? Example Question: Did you injure anything besides your foot? Shop No. Required fields are marked *. Finding: Reports taking ibuprofen (Advil) at home (Found)Pro Tip: Discovering how a patient has been medicating for pain is a crucial element of understanding and treating her condition or injury. 2023 MerchantCircle. Asking Tina if her paternal grandmother had high blood pressure can reveal generational patterns. Asking Tina about her history of acne solicits important information about her health history. I can give you some Advil at this time, and in a few hours, you can have more tramadol. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. Finding: Reports pain prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear weight on an injury is important to determine their risk for falls while in your care. Tina Jones: I havent smoked pot since I was twenty or twenty-one. Asking Tina if she has nail fungus solicits important health information. A history of irregular periods could indicate hormonal or endocrine problems. Finding: Denies current birth control (Available)Pro Tip: A patients use of birth control can impact the care plan, such as which medications are prescribed. Finding: Reports past hospitalizations (Found)Pro Tip: Finding out if the patient has any past hospitalizations is the first step in understanding any past serious medical issues. Example Question: Has your hearing changed? Planning Pro Tip: Assess how well the patient can bear weight and walk. As the underlying cause for delayed healing and infection, they must be addressed. Finding: Asked about blood glucose monitoring. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as oral infection or recent trauma. Tina Jones: Mom has high cholesterol and blood pressure, I think. Finding: Followed up on diabetes diagnosis. Example Question: Have you had chest tightness? Example Question: Can you tell me about your stress level? Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. Example Question: What is your highest level of education? The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. Asking Tina when she developed acne solicits important information Pro Tip: Monitoring moles is an important step in detecting skin cancer. need. Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. She seems happy. When was the last time you saw a doctor about acne? You can document your findings, including vital signs, in the Electronic Health Record. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Do you use condoms when you are sexually active?