She denies Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. 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. Any medical history for your paternal grandmother? -reports pain is same on both sides of back. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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 episodes as thumping in her chest with a heart rate that is way 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. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. EKG with -denies neck pain. . Course Hero is not sponsored or endorsed by any college or university. need a distraction. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or 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. When was your last physical exam? College Physics Raymond A. Serway, Chris Vuille. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. You must follow up within two interactions in order to receive the points. We go to First Baptist, and we do a lot with our church community. Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). How often do you take your birth control pill? 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. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, I guess I had anxiety back when I was having those sleep problems. Nursing Theories (45) Creating your own SHCA can be tricky, but using a. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. 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. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Heart rate is is regular and normal. Cross), Give Me Liberty! . 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She monitors her blood sugar once daily in the morning with average readings being around 90. She is the primary source of the history. Today she denies any acute concerns. . This will show an outline of your score. I will be conducting an interview and later perform a physical exam. This includes an assessment of all medication and supplements that may be affecting the body. Let me learn more about what youre experiencing, and I will try to help.". 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. Here you will see a verbatim record of every . are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were Are you looking for someone to help with shadow health assignments? concern regarding these episodes. . 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. 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. Additionally, you will see an example question that would unlock the finding. Description: Tina describes how busy she is with school and work. work and school. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. specific event, but notes that they usually occur about once per w The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. I made sure to clean it and just keep it bandaged. During the patient interview, there are a number of opportunities to provide patient education and empathy. The daily inhaler is Flovent, and the rescue inhaler is Proventil. I just always want to be learning new things and getting better at my job. 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. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. 10:22 PM EDT. 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. 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. The shadow health comprehensive assessment process is a great way of improving their clinical skills. A, is provided as an example of an appropriate, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements were made, were followed up by students, and include the dialogue between student and patient. College Physics Raymond A. Serway, Chris Vuille. Lets see . Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. My doctor told me when I was pretty little I think I was about two and a half? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. . Poppa died of a heart attack when he was 80. . She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Overview. I used to have a reaction when I was in a dusty house for a long time. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. and asthma. stress.". Does your dads father have health issues? I am glad you are having your period every month. Review of Systems: General: Denies changes in weight, but The "fast heartbeat" is lo alized t the left It works pretty well. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. A Model Statement is provided as an example of an Are you taking any form of birth control? We'll do our best to get your foot healed, and have you back to your usual routine as soon, 3 Gaps in health literacy around diabetic diet. Tina denies smoking and states she seldomly drinks. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. I havent smoked pot since I was twenty or twenty-one. Become a tester for Shadow Health! Lag, nystagmus, and deviations may indicate neurologic conditions. She has a history of hypertension which normalized when she initiated diet and exercise. It is also used as a tool for measuring nursing skills. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. Do you have any problem with your breasts? I get in bed around midnight, but I haven't been able to fall asleep that early in a while. I havent had any problems with diarrhea. Why did you decide to start taking birth control? Now that Im on the pill Im getting my period every month. 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. Experience Overview Page. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Any pending input will be lost. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. I understand your, frustration at having your life interrupted by foot. To post social content, you must have a display name. anxiety which is related to the pressures of schools and work. (Clarified to if my younger sister has health problems. Family History has hypertension, hyperlipidemia, diabete melluitis, She was last hospitalized for asthma in high school. pico examples nursing (12) OB/GYN: Menarche, age 11. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. Experts selected these topics as essential components of a strong, thorough interview with this patient. Strengthening clinical skills. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Im sorry youre dealing with so much Additionally, Tina needs education in regards to her risks related to Company Registration Number: 61965243 Decreased sensation to monofilament in bilateral plantar surfaces. faster than usual. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. First sexual encounter at age 18, sex with men, identifies as heterosexual. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. . 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. has been feeling more stressed lately due to her school and wo Question No way, I have no interest in that. I think I have a little less body hair than I used to. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Grand Canyon University Walden University (83) 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. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. 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! Lung sounds clear to Never intubated. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. A Page will cost you $12, however, this varies with your deadline. Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and 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 Florida State University NURSING 362. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Is the Education and Empathy section scored in every patient case assignment? 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. appropriate response to each opportunity. A combination of open and closed questions will yield better patient data. $65 USD . know her normal heart rate or her heart rate during these episode Over th You have access to an EHR during the patient exam in which you can record your findings. No, Im actually feeling really good these days. Nursing Papers Examples (2) Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. complains of end of day fatigue. How long ago did you start taking birth control? That is great. (Clarified to: if I try, great start. Hematologic: She denies history of anemia, easy bruising or Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Question Examination findings: Thank you for your feedback, it will help us serve you better. Some of these items may not appear depending on the assignment and the options set by your instructor. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Yeah. No! Popular books. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. How many times a day do you take metformin? 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Company Registration Number: 61965243 Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). 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 How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Nursing Theory list (41) Well, I used to smoke pot. Can I confirm that you are here for a physical? . has never had an EKG. presented to the clinic with complaints of 3-4 episodes of rapid he These are your achieved scores for the different activities in the assignment. are you taking any new medications She denies any Pro Tip: Palpating the maxillary sinuses checks for sinusitis. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. This section is where you can view your documentation. Once three months ago, and before that it had been months, too. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. SOAP Note Template (14) No. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. All the materials from our website should be used with proper references. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. during the night), how do you feel when you wake up in the morning (Clarified to Does your brother have medical problems?. only coming to the clinic today because her family has expressed Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. Good job cleaning it and using Neosporin. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. regular sinus rhythm, no ST changes. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. I havent been having any gas lately. dust, and penicillin. past month she has increased her consumption of diet soda and This record includes questions asked, statements made, and actions/assessments performed. The first number represents the amount of points you earned. Do you take your pill at the same time every day? not since I came in with those allergies a while ago. 7. tetracycline, I think, back in high school. 3. To do this, first, ask the interview question again to the virtual patient. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. . solved essays (19) To ensure you receive proper credit for these items, you must ensure that the entire physical assessment has been completed - if you do not complete all parts of the physical assessment, you will not receive credit for the scored item. What is your new job? Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. I think were pretty special, the way we all get along. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. What is the name of your diabetes medication? Comprehensive assessment documentation. is provided as an example of an appropriate response to each opportunity. General, Tina Jones is a pleasant obese 28 ear old female. DNP (36) Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. JVD. ), Shes pretty healthy. location of pain. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . -constant pain. Breakfast is usually a muf Tested negative for HIV/AIDS and STIs four months ago. Tina Jones palpitations appear to be related to notable stress and sweats. ABI is 0. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Question There are three levels: Beginning, Developing, and Proficient. I usually eat dinner, then I try to study for a few hours or do other schoolwork. Ive maybe used it twice since I came in with those asthma problems. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Im glad you came in. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. The process of creating your own SHCA can be time-consuming and frustrating. She has asthma too, but she almost never has attacks. Have you missed any days of your birth control pill? Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Nursing Research Papers (2) Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. what brings you in today 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. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. learn more about what you are experiencing, and I will try to help, Model Statement: "Im sorry to hear about your trouble sleeping and stress. She does not associate the rapid heart rate w During the patient interview, there are a number of opportunities to provide patient education and empathy. Im taking good care of my health these days. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. 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American woman in no acute distress. Mom has high cholesterol and blood pressure, I think. $15.00 Add to Cart. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Cardiovascular: PMI is non-displaced, brisk and tapping, diame The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Im going to be an Accounting Clerk at this really nice accounting firm. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Cardiac: Denies a diagnosis of hypertension, but states that she auscultation without wheezes, crackles, or cough. Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. sputum, hemoptysis, pneumonia, bronchitis, emphysema, 10:22 PM EDT. It is important to stay away from triggers. Ive been feeling much better lately, though. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. The episodes generally If you require assistance, please scroll down and use one of the contact options to get in touch. No, Ive still never had problems with seizures, fortunately. not stressed at all. The following details are facts of the patients case. PICOT Question (12) 1. Study Tips (250), BSN (31) I really need help sleeping so I can focus on Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. That doesnt sound like it would be good. meat and vegetable, snacks are French fries or pretzels. She checks it bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Attempting to palpate the kidney helps determine enlargement or tenderness. Theyre crazy, but nobodys diagnosed with anything. Im sleeping a lot better now, which is a relief. exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. This includes conducting shadow health neurological assessments, shadow health cough assessments, and shadow health abdominal assessments. Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. drinking as much water as her normal. . 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. It hurts a lot, and the pain pills haven't. regulations. Do you have any family history of mental illness? In determining the cause of the back pain, based on your knowledge of anatomy, what. . age 16 for asthma, last chest XR was age 16.