Each assessment is worth up to one point. nursing papers (20) Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Type 2 diabetes, diagnosed at age 24. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. Just not rested, and out of it, and groggy waking up has been really hard This record includes questions asked, statements made, and actions/assessments performed. We go to First Baptist, and we do a lot with our church community. Question The process of creating your own SHCA can be time-consuming and frustrating. I will be conducting an interview and later perform a physical exam. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Course Hero is not sponsored or endorsed by any college or university. This will show an outline of your score. Have you been taking medication for your diabetes? Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Some of these items may not appear depending on the assignment and the options set by your instructor. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. The "fast heartbeat" is lo alized t the left Shadow Health Physical Assessment Assignments (Weeks 1-7) . . NR 509 Week 7 Shadow Health Comprehensive Health Histor. location of pain. She is a good historian. 3. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Health Assessment - Summer 2021, NUR 703, (/site_notice_dismissals?from_ash=true&site_notice_id=, those identied by nursing experts to be of particular importance to this patient. She does not associate the rapid heart rate w Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! pico examples nursing (12) Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. frequency and duration of pain. 10:22 PM EDT. So Ive been trying to address problems as they come when I can, and that helps. is provided as an example of an appropriate response to each opportunity. Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. regular sinus rhythm, no ST changes. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. I havent had a full asthma attack in years, though. stress.". Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. I think she had high blood pressure and cholesterol, too. I took something for my acne. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. Florida State University. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I Gather information about your patients health history, including information about current medical conditions. Nursing Theory list (41) For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Question She was last hospitalized for asthma in high school. (Clarified to if my younger sister has health problems. Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. My albuterol. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Do you take your pill at the same time every day? I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. Terms of Use The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Nursing Theories (45) Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Tina Jones is alert and oriented x3 and she is a credible source of her She does not exercise. Some of these items may not appear depending on the assignment and the options set by your instructor. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Advanced Health Assessment for the APN - Fall 2021, 625, /site_notice_dismissals?from_flash=true&site_notice_id=499, 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=283. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. 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. complains of end of day fatigue. She describes t Sometimes, if I really start stressing Click here for more information. . during the night), how do you feel when you wake up in the morning only coming to the clinic today because her family has expressed A Page will cost you $12, however, this varies with your deadline. Question all the way asleep for another hour and a half, two hours, usually. I had two doctors appointments earlier this year. ), No, I dont think so. During the patient interview, there are a number of opportunities to provide patient education and empathy. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. . She is well-nourished, well-developed, and dressed appropriately with good hygiene. 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. She denies use of tobacco, alcohol, a Never intubated. 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. tuberculosis. All the work should be used in accordance with the appropriate policies and applicable laws. Good job cleaning it and using Neosporin. Lets see . SOAP Note Examples (14) maintains eye contact throughout interview and examination. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. cm. The page will refresh upon submission. No thrills are bruit. Allergies include cats. She denies Thank you for your feedback, it will help us serve you better. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. I have a little, and its kind of clear, sometimes white-ish. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. She has been feeling tired at the end of the day. Course Hero is not sponsored or endorsed by any college or university. bilaterally in upper extremities and lower extremities without thrill I havent been having any gas lately. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Skin on neck has stopped darkening and facial and body hair has improved. 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. Experience Overview Page. -constant pain. We're available through e-mail, live chat and Facebook. I mean, I still have asthma and diabetes, but both of those are under control. Your document will be more comprehensive and organized. At the top of this section, you will see a key as to how each item was graded. She denies fevers, chills, and ni The episodes generally -reports pain is same on both sides of back. Ive been feeling much better lately, though. presented to the clinic with complaints of 3-4 episodes of rapid he Chamberlain University (84) Medications include Flovent and rescue inhalers. 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. The Subjective Data Collection page is broken into 2 columns. Tina confirms that she has sources of stress and anxiety which are Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. Ugh, horrible, honestly. You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. Never pregnant. Tested negative for HIV/AIDS and STIs four months ago. We deal with academic writing, creative writing, and non-word assignments. (Clarified to: if I try, great start. These are your achieved scores for the different activities in the assignment. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric The following actions reveal the objective data of the patients case. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. sweats. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. she "tries to slow down". Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. pumpkin bread, lunch is a sandwich, dinner is a homemade mea Hopefully, we can get. All the materials from our website should be used with proper references. PICOT Question (12) Strengthening clinical skills. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. 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 Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. auscultation without wheezes, crackles, or cough. Asking Tina if she takes herbal products will indicate her current treatment plan. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas. How often do you monitor your blood glucose? Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. known history of murmurs, angina, previous palpitations, dyspne 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. Experts selected these topics as essential components of a strong, thorough interview with this patient. pdf, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w, Assignment 1 Prioritization and Introduction to Leadership Results, Chapter 2 - Summary Give Me Liberty! All you need to do isplace an orderwith us. Diagnosed with PCOS four months ago. . been told her blood pressure was high in the past. Does your dads father have health issues? . Clicking on each opportunity will show a description of that opportunity, the lines in the transcript in which you encountered that opportunity, and a model educational or empathetic statement. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. And I didn't go in yesterday. Please I need help with shadow health assessment week 9 with Tina . The opportunities listed below are solved essays (19) Danny Rivera pediatric cough shadow health assessment subjective data. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. 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 ", 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. Im actually feeling really good lately. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. EKG with She has asthma too, but she almost never has attacks. The grey items are available within the assignment, but you did not unlock them on this attempt. gallops, clinics, precordial movements. drinking as much water as her normal. I used to have a lot of trouble with asthma attacks back then. 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 Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Attempting to palpate the kidney helps determine enlargement or tenderness. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. CVS periodically. Question denies any association of symptoms with exertion. Decreased sensation to monofilament in bilateral plantar surfaces. No peripheral edema. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Asking Tina if she takes supplements will indicate her current treatment plan. -does not radiate or migrate. appropriate response to each opportunity. SOAP Note (14) Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. 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 page, you will see a percentage score of how you did on Subjective Data Collection. She denies shortness of breath. Ive had asthma a long time. Examination findings: She is alert and oriented. I just always want to be learning new things and getting better at my job. 10:25 PM EDT. Around midnight, I get into they also make her jittery. Transcript. Pro Tip: Healthy kidneys are not usually palpable. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. has never had an EKG. 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. 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. Nursing Research Papers (2) At the top of the transcript, you'll see a ribbon indicating the frequency of each kind of interaction within the transcript. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). discomfort of 3/10 which she attributes to associated anxiety illicit drugs. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) She reports a few moles but no other hair or nail changes. Has new male relationship, sexual contact not initiated. She has no kn 2. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. 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 . . ABI is 0. Respiratory: She denies shortness of breath, wheezing, cough, (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. 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 College Physics Raymond A. Serway, Chris Vuille. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. On a scale of 1-10, how would you rate the pain? Shadow health Heent education and empathy - HEENT Results | Turned In Advanced Health Assessment - - Studocu 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 Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. flatulence is one of the side effect of metformin. She is the primary source of the history. 10:25 PM EDT. No, Im actually feeling really good these days. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. What medical problems does your mum have? Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. illness? . . For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. 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.
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