When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. I have this really important exam coming up, Tina denies smoking and states she seldomly drinks. history. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. In the Comprehensive Assessment, you earn points by performing the physical assessments. 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. is a student at Shadowville Community College. 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 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. DTRs 2+ and equal bilaterally in upper and lower extremities. Company Registration Number: 61965243 -denies neck pain. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. Tina confirms that she has sources of stress and anxiety which are . and I'm stressed and too foggy to study most of the time. Nursing Essays Examples (81) Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were 3. . What are the Benefits of a Shadow Health System? Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. Does he have any medical issue? lately. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. I have a little, and its kind of clear, sometimes white-ish. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Asking Tina if she takes supplements will indicate her current treatment plan. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. To post social content, you must have a display name. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric appropriate response to each opportunity. Question Have you noticed any side effects from the metformin? Some of these items may not appear depending on the assignment and the options set by your instructor. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. If you are are experiencing audio issues while using Safari, please visit this article (support.shadowhealth/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our She has not attempted any treatment at home and states that sh Shadow Health Physical Assessment Assignments (Weeks 1-7) . Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Let me learn more about what youre experiencing, and I will try to help.". Asthma diagnosed at age 2 1/2. Any medical history for your paternal grandmother? Thorough examinations will yield better patient data. specific changes in her diet recently, but notes that she has not b . The grey items are available within the assignment, but you did not unlock them on this attempt. I dont have anything specific going on today. Your document will be more comprehensive and organized. 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. Most people, with diabetes feel better when they limit all. The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. Description: Tina describes how busy she is with school and work. Good job cleaning it and using Neosporin. This will show an outline of your score. Question . That is great. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. I took something for my acne. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. Just not rested, and out of it, and groggy waking up has been really hard She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Gather information about your patients health history, including information about current medical conditions. How often do you take your birth control pill? work and school. To do this, first, ask the interview question again to the virtual patient. It is also used as a tool for measuring nursing skills. -located in low back and butt. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Social History: Ms. Jones has a job at a copy and shipping store Nursing Research Papers (2) College Physics Raymond A. Serway, Chris Vuille. No, Im actually feeling really good these days. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. During the patient interview, there are a number of opportunities to provide patient education and empathy. Are you sure you do not want to provide feedback? Pulses 2+ and equal How many times a day do you take metformin? She is alert and oriented. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. (Clarified to: if I try, great start. Are you looking for someone to help with shadow health assignments? how do you feel when youre stressed maintains eye contact throughout interview and examination. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. pumpkin bread, lunch is a sandwich, dinner is a homemade mea Since then Ive just washed my face, I havent used anything special. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Here you will be able to review your responses to three pre-written journaling prompts. Comprehensive assessment documentation. Skin on neck has stopped darkening and facial and body hair has improved. The "fast heartbeat" is lo alized t the left Increasing patient safety awareness. She does not associate the rapid heart rate w Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Any pending input will be lost. Let's talk about your wound a little further. 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 and asthma. I use my Flovent inhaler two times a day. There are three levels: Beginning, Developing, and Proficient. Decreased sensation to monofilament in bilateral plantar surfaces. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? stress.". Nursing Theories (44) Increasing knowledge and understanding of healthcare concepts. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. Things are pretty good between all of uswere a tight knit family. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. pain. All pulsed with normal range. This section is where you can see your score for the Information Processing activity. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Help Desk for further information. 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. My eyes havent been red lately. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Question Mom has high cholesterol and blood pressure, I think. 3. No peripheral edema. 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. complains of end of day fatigue. dust, and penicillin. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. She reports a few moles but no other hair or nail changes. It hurts a lot, and the pain pills haven't. To post social content, you must have a display name. . I understand your, frustration at having your life interrupted by foot. This will show an outline of your score. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. episodes as thumping in her chest with a heart rate that is way in the morning on her commute to class. My muscles have felt great, especially since I started exercising more. past month she has increased her consumption of diet soda and I just always want to be learning new things and getting better at my job. Nursing Papers Examples (2) 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. 2. JVD. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. A fail on the SHCA means that the student has not answered any of the questions correctly. We want you to be in as little, pain as possible. Hes a little big, maybe. cardivascular consitions and/or disease. nursing theory examples (41) Lets see . . 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. No EKG chanes. Why did you decide to start taking birth control? he had some blood pressure and cholesterol issues when he was alive, too. When was your last physical exam? Company Registration Number: 61965243 (Clarified to if my brother has health issues.). Capillary refill < 3 seconds. since I was really little. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Any pending input will be lost. Walden University (16). Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. No surgeries. She is the primary source of the history. Thank you for your feedback, it will help us serve you better. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. Heart rate is is regular and normal. -does not radiate or migrate. Click here for more information. bilaterally in upper extremities and lower extremities without thrill Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. This record includes questions asked, statements made, and actions/assessments performed. The second number represents the total possible points in the assignment. examples of picot questions (12) Plus, he had high blood pressure, andIm pretty sure he had diabetes. This button will Reopen your attempt. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Terms of Use Pro Tip: Palpating the frontal sinuses checks for sinusitis. I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. Popular books. 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 School. . S : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. 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Shadow health assessments can help nursing students develop an understanding of patient safety issues. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I guess I had anxiety back when I was having those sleep problems. regular sinus rhythm, no ST changes. 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 My mom has some issues, and I think some of my grandparents did, too. Course Hero is not sponsored or endorsed by any college or university. 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. We socialize before and after church, and I go to Bible study on Wednesdays, too. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. The process of creating your own SHCA can be time-consuming and frustrating. Add to Cart. Ms. Jones offers information freely and without contradiction. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. The Post-Exam time is time spent answering questions after the exam room. This includes an assessment of all medication and supplements that may be affecting the body. Have you tried anything else to treat the scrape? Speech is clear and coherent. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Scattered pustules on face and facial hair on upper lip, Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white sclera, Lower eyelids: conjunctiva pink, no lesions, white sclera, Right pupil: equal, round, reactive to light, Left pupil: equal, round, reactive to light, Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope, Left fundus with sharp disc margins, no hemorrhages, Right upper quadrant: no masses, guarding or rebound, Right lower quadrant: no masses, guarding or rebound, Left upper quadrant: no masses, guarding or rebound, Left lower quadrant: no masses, guarding or rebound, Liver: palpable 1 cm below right costal margin, Neck without swelling, masses, or deformity, Right shoulder without swelling, masses, or deformity, Right arm without swelling, masses, or deformity, Right elbow without swelling, masses, or deformity, Right wrist and hand without swelling, masses, or deformity, Left shoulder without swelling, masses, or deformity, Left arm without swelling, masses, or deformity, Left elbow without swelling, masses, or deformity, Left wrist and hand without swelling, masses, or deformity, Fingernails: no ridges or abnormalities in nails, pink nailbeds, Hips without swelling, masses, or deformity, Right leg without swelling, masses, or deformity, Right knee without swelling, masses, or deformity, Right ankle without swelling, masses, deformity, or discoloration, Right foot without swelling, masses, or deformity, Left leg without swelling, masses, or deformity, Left knee without swelling, masses, or deformity, Left ankle without swelling, masses, or deformity, Left foot without swelling, masses, or deformity, Toenails: no ridges or abnormalities in nails, pink nailbeds, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, The patient is a 28-year-old female who presented for a pre-employment physical exam.