Florida State University NURSING 362. illness? We're available through e-mail, live chat and Facebook. . I have a little, and its kind of clear, sometimes white-ish. sweats. NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health - NUR 325 (NUR325) - Stuvia US US Chamberlain College Of Nursing NUR 325 (NUR325) Other NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health Course NUR 325 (NUR325) Institution Chamberlain College Of Nursing Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Biology Mary Ann Clark, Jung Choi, Matthew Douglas. I have this really important exam coming up, Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. She complains of intermittent dizziness. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. By visualizing the fundus, you can look for any retinopathic changes. The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. 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. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. How long ago did you start taking birth control? She denies chest pain during the episodes, but does endorse 2021-22, Summary Give Me Liberty! Respiratory: She denies shortness of breath, wheezing, cough, Nursing Theory list (41) My eyes havent been red lately. Terms and Conditions Privacy Policy Cookie Settings. She states that s exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. She provided the health information freely during the interview. College Physics Raymond A. Serway, Chris Vuille. 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. The bold items are the ones that you unlocked. 1. Question Opportunities marked as Not Encountered are opportunities that were not elicited in the interview American woman in no acute distress. Using a, Your document will be more credible. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Can I wait to provide all of my educational and empathetic statements at the end of the interview? How often do you take your birth control pill? The Objective Data Collection page contains the physical assessments you could have performed during this assessment. She uses her albuterol inhaler when she is around cats. Palpitations related to caffeine and/or anxiety, Cardiovascular Completed Shadow Health write out, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Cardiovascular | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/101, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Question My discharge is normal, I think. During the patient interview, there are a number of opportunities to provide patient education and empathy. rate over the last month. If you are using Safari and have issues with audio in your assignment, please click here for assistance. . I think I have a little less body hair than I used to. Ms. Jones is a pleasant 28-year-old African American woman wh The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Overview. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. Pro Tip: Healthy kidneys are not usually palpable. all the way asleep for another hour and a half, two hours, usually. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. College Physics Raymond A. Serway, Chris Vuille. TIna states she does not drink coffee and alleviate her palpitations DTRs 2+ and equal bilaterally in upper and lower extremities. Our, You will save time. Walden University (16). during the night), how do you feel when you wake up in the morning Are you looking for someone to help with shadow health assignments? Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. 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. work and school. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. She does At last check it was 140/80 or 90. (Clarified to: how often I wake up Has your menstrual cycle improved since taking Yaz? Do you have any family history of mental illness? regulations. The opportunities listed below are It works pretty well. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. I used my Flovent inhaler this morningI have to take it twice a day. Experience Overview Page. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Course Hero is not sponsored or endorsed by any college or university. maintains eye contact throughout interview and examination. Tina Jones endorses that she does not really watch her diet. sample picot questions (12) The second number represents the total possible points in the assignment. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. NURSING 362. She denies Sometimes, if I really start stressing 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! Question 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. . drinking as much water as her normal. Once three months ago, and before that it had been months, too. I get in bed around midnight, but I haven't been able to fall asleep that early in a while. Now that Im on the pill Im getting my period every month. Pro Tip: Palpating the frontal sinuses checks for sinusitis. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. Nursing Theories (45) I am glad you are having your period every month. I use my Flovent inhaler two times a day. . 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. when do you fall asleep To post social content, you must have a display name. sputum, hemoptysis, pneumonia, bronchitis, emphysema, My albuterol. past month she has increased her consumption of diet soda and Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. about 8 or 9 hours a night. To post social content, you must have a display name. OB/GYN: Menarche, age 11. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? She needs to obtain a pre-employment physical prior to initiating employment. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. My doctor told me when I was pretty little I think I was about two and a half? Heart rate is is regular and normal. Breakfast is usually a muf No, Ive still never had problems with seizures, fortunately. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. S 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. Transcript. 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. How often do you monitor your blood glucose? regarding her rapid heart rate. What medical problems did your father have? Question That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. those identified by nursing experts to be of particular importance to this patient. If you require assistance, please scroll down and use one of the contact options to get in touch. ), Nothing is coming out of my ears. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. click here for 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 Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. No EKG chanes. That doesnt sound like it would be good. Course Hero is not sponsored or endorsed by any college or university. She plans to use condoms with sexual activity. Some of these items may not appear depending on the assignment and the options set by your instructor. Creating your own SHCA can be tricky, but using a. when do you go to bed Strengthening clinical skills. Around midnight, I get into She denies use of tobacco, alcohol, a This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. . Type 2 diabetes, diagnosed at age 24. not stressed at all. The pain sometimes radiates to his left leg. preparing for my exam. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. out, I'll even turn the light back on and read more until I feel more wound down. She reports a few moles but no other hair or nail changes. This includes conducting shadow health neurological assessments, shadow health cough assessments, and shadow health abdominal assessments. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. No thrills are bruit. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. The process of creating your own SHCA can be time-consuming and frustrating. We go to First Baptist, and we do a lot with our church community. . I really need help sleeping so I can focus on history. I used to have a lot of trouble with asthma attacks back then. When did you last use your rescue inhaler? But that hasnt happened since I got my daily inhaler. Some of these items may not appear depending on the assignment and the options set by your instructor. We want you to be in as little, pain as possible. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Become a tester for Shadow Health! Experts selected these topics as essential components of a strong, thorough interview with this patient. Lets see . You are scored on the accuracy of their reported findings from the physical assessments. During the patient interview, there are a number of opportunities to provide patient education and empathy. but I dont do that anymore. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. All pulsed with normal range. During the patient interview, there are a number of opportunities to provide patient education and empathy. In determining the cause of the back pain, based on your knowledge of anatomy, what. She has a history of hypertension which normalized when she initiated diet and exercise. Allergies include cats. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. anxiety which is related to the pressures of schools and work. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. they also make her jittery. I understand your, frustration at having your life interrupted by foot. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. This section is where you can view your documentation. Description: Tina describes how busy she is with school and work. It is also used as a tool for measuring nursing skills. During the patient interview, there are a number of opportunities to provide patient education and empathy. She checks it Thank you for your feedback, it will help us serve you better. 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. Never pregnant. She has asthma too, but she almost never has attacks. I made sure to clean it and just keep it bandaged. faster than usual. Have you tried anything else to treat the scrape? complains of end of day fatigue. How do you make up points in the Education and Empathy section upon reopening the assignment? Medications include Flovent and rescue inhalers. 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. Tina denies smoking and states she seldomly drinks. meat and vegetable, snacks are French fries or pretzels. My mom has some issues, and I think some of my grandparents did, too. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. 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Tested negative for HIV/AIDS and STIs four months ago. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. This includes an assessment of all medication and supplements that may be affecting the body. solved essays (19) 10:22 PM EDT. Then you can respond within two lines of dialogue with the correct educational or empathetic response to receive credit for the scored item. I had two doctors appointments earlier this year. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. You have access to an EHR during the patient exam in which you can record your findings. I will be conducting an interview and later perform a physical exam. 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. 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 This will show an outline of your score. Ms. Jones speech is clear and coherent. 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. nursing papers (20) In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. Theyre crazy, but nobodys diagnosed with anything. 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. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. It is important to stay away from triggers. (Clarified to Does your brother have medical problems?. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. She is the primary source of the history. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. The grey items are available within the assignment, but you did not unlock them on this attempt. age 16 for asthma, last chest XR was age 16. . 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. . The first number represents the amount of points you earned. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. 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! First sexual encounter at age 18, sex with men, identifies as heterosexual. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Reports improved acne due to oral contraceptives. Plus I have my friends from church. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She was last hospitalized for asthma in high school. Undergraduate Graduate EKG with Regular rate and rhythm, S1 and S2 present, no murmurs, ru What is your new job? Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Additionally, Tina needs education in regards to her risks related to abnormalities present on chest wall. Popular books. (Clarified to: if I try, great start. This is the raw score you achieved on your attempt. Increasing patient safety awareness. For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Shadow. episodes as thumping in her chest with a heart rate that is way No School. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric 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.