cardiac history and has never had episodes prior to this last mon TIna states she does not drink coffee and alleviate her palpitations Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Hopefully, we can get. She has no kn In determining the cause of the back pain, based on your knowledge of anatomy, what. frequency and duration of pain. I guess I had anxiety back when I was having those sleep problems. . My discharge is normal, I think. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. AA 1. . You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. She maintains eye contact throughout the interview. We go to First Baptist, and we do a lot with our church community. She is well-nourished, well-developed, and dressed appropriately with good hygiene. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. known history of murmurs, angina, previous palpitations, dyspne (Clarified to Do you have drainage from your ears?. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. . why did you decide to seek treatment 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Has new male relationship, sexual contact not initiated. how do you feel when youre stressed Sure, I think I understand what you mean. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. specific changes in her diet recently, but notes that she has not b . You can click on the type of interaction to filter out that kind of interaction. That is great. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. bleeding, petechiae, purpura, or blood transfusions. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. Things are pretty good between all of uswere a tight knit family. know her normal heart rate or her heart rate during these episode Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health How to structure a health interview Greeting and identifying data pico examples nursing (12) Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. Company Registration Number: 61965243 The second number represents the total possible points in the assignment. 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) Collect any documentation from other healthcare providers, such as lab results or discharge instructions. when do you go to bed A pass on the SHCA means that the student has answered all ten questions correctly. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. in the morning on her commute to class. Plus I have my friends from church. I havent had any problems with diarrhea. 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. The bold items are the ones that you unlocked. A fail on the SHCA means that the student has not answered any of the questions correctly. S She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Undergraduate Graduate Never intubated. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Do you follow a diet to manage your diabetes? During the patient interview, there are a number of opportunities to provide patient education and empathy. Respiratory: Chest is symmetrical with respirations; no physical Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. stress.". 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 Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. SOAP Note samples (14) Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Terms of Use Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. Popular books. What is your relationship like with your family? I get in bed around midnight, but I haven't been able to fall asleep that early in a while. ", Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. Pulses 2+ and equal 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. 2. work and school. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview This record includes questions asked, statements made, and actions/assessments performed. What is the name of your diabetes medication? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. She provided the health information freely during the interview. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. 3. I used to have a reaction when I was in a dusty house for a long time. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were She denies any I used my Flovent inhaler this morningI have to take it twice a day. When did you last use your rescue inhaler? No EKG chanes. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. Is the Education and Empathy section scored in every patient case assignment? Let me learn more about what youre experiencing, and I will try to help.". She is a good historian. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. At the top of this section, you will see a key as to how each item was graded. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. No way, I have no interest in that. 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. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. bilaterally in upper extremities and lower extremities without thrill I start in two weeksIm really excited! No. Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. She does not associate the rapid heart rate w The grey items are available within the assignment, but you did not unlock them on this attempt. I really need help sleeping so I can focus on Tina Jones Subjective Data Comprehensive Assessment Shadow Health (4) $12.49 16x sold Tina Jones Subjective Data Comprehensive Assessment Shadow Health/Tina Jones Subjective Data Comprehensive Assessment Shadow Health TINA JONES OBJECTIVE HEENT EDUCATION AND EMPATHY COMPLETED (0) $12.49 This includes an assessment of all medication and supplements that may be affecting the body. Nursing Theory list (41) Most people, with diabetes feel better when they limit all. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Comprehensive Health History - Education & Empathy .pdf. Course Hero is not sponsored or endorsed by any college or university. I'd say a 7. 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. discomfort of 3/10 which she attributes to associated anxiety This section is where you can view your documentation. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Examination findings: 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 . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. ), No. Pro Tip: Healthy kidneys are not usually palpable. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Asking Tina if she takes supplements will indicate her current treatment plan. That stuff can mess you up. Lets see . Let me Diagnosed with PCOS four months ago. The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I understand your, frustration at having your life interrupted by foot. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Increasing knowledge and understanding of healthcare concepts. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. -denies pain between shoulder blades. All pulsed with normal range. This button will open the Lab Pass for your attempt. At the top of the transcript, you'll see a ribbon indicating the frequency of each kind of interaction within the transcript. Now that Im on the pill Im getting my period every month. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Please I need help with shadow health assessment week 9 with Tina . No peripheral edema. Allergies include cats. Some of these items may not appear depending on the assignment and the options set by your instructor. Regular rate and rhythm, S1 and S2 present, no murmurs, ru SOAP Note Template (14) Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. . Chamberlain University (84) Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. I havent really had any stomach problems since I came in with them a while ago. they also make her jittery. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. 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. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. not since I came in with those allergies a while ago. Transcript. College Physics Raymond A. Serway, Chris Vuille. Ear drainage? 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. The opportunities listed below are those identified by nursing experts to be of particular importance to this. No! 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Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. I think were pretty special, the way we all get along. challenging time for you. Well, I used to smoke pot. . 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. : 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. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Medications include Flovent and rescue inhalers. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. . Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Asking Tina if she takes vitamins will indicate her current treatment plan. (Clarified to Does your brother have medical problems?. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. Experts selected these topics as essential components of a strong, thorough interview with this patient. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. ), Nothing is coming out of my ears. Become a tester for Shadow Health! 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 Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. What medical problems does your mum have? EKG with Tests of cerebellar function normal. rate over the last month. Ugh, horrible, honestly. tuberculosis. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. meat and vegetable, snacks are French fries or pretzels. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. All the materials from our website should be used with proper references. She plans to use condoms with sexual activity. . 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. 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. Overview. Review of Systems: General: Denies changes in weight, but 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. Strengthening clinical skills. Has your menstrual cycle improved since taking Yaz? illness? Never pregnant. 3. concern regarding these episodes. 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. The pain sometimes radiates to his left leg. Are you taking any form of birth control? -located in low back and butt. Breakfast is usually a muf 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. Terms and Conditions Privacy Policy Cookie Settings. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. 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. (Clarified to: if I try, great start. and asthma. We want you to be in as little, pain as possible. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Nursingstudy.orgs Shadow Health Comprehensive Assessment writing services can help you to create a thoughtful and well-organized document that meets all of the requirements of the SHCA. While the attempt is In Progress, you will not be able to see the Results page. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. She is the primary source of the history. 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. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. not stressed at all. Then you can respond within two lines of dialogue with the correct educational or empathetic response to receive credit for the scored item. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. How long ago did you start taking birth control?