recently. - Select and use the appropriate tools and tests necessary for a focused exam although they did not completely resolve. If reduction in symptoms, Ms. Jones may continue sleeping and sitting in class. Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (Wheez- Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Reason for visit: Patient presents complaining of lower back pain. Comprehensive Assessment | objective.pdf - Comprehensive Assessment | Completed ... Digital Clinical Experience Shadow Health Flashcards and Study Sets | Quizlet, Answers to tina jones comprehensive health assessment, Health assesment- shadow health - Western Governors University - allnurses, Tips for Shadow Health assessment? emphysema, tuberculosis. They took her temperature at home, and it was 102. - Fine bumps on tongue itchy throat, itchy eyes, and runny nose for the last week. Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. Heart Rate (HR) - 88 Since that incident she notes that she has had 10 episodes of She denies fevers, chills, and night sweats. Shadow Health Respiratory Assessment Pre Brief. Temperature (F) - 98. she just bought, and I think I tweaked my back li ing. (2016) € Shadow Health Shadow Health is an exciting, important, and required component of this course. Printable “Answer Key” available within the Shadow Health DCE. bleed, weight loss, and chest pain. She states that her nose “runs all day” and has clear discharge. like heartburn” but states that it can be sharper. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Tina had an asthma episode 2 days ago. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. fi ve times for asthma, last at age 16. Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. She awakens with night-time no other associated symptoms. I got this scrape on my foot a while ago, and I thought This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … She has never been diagnosed - Rhinorrhea with clear mucus; inside nostril appearance red College Physics Raymond A. Serway, Chris Vuille. After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, Timeframe: 8 months after establishing primary care (Age: 28.5ish) - Reports diagnosis of hyperlipidemia one year ago, EXAM Denies stuffi ness, sneezing, itching, previous allergy, epistaxis, She complains that her current symptoms are beginning to interfere with her daily Student Performance Index - This style of rubric contains subjective and objective data categories. The Advanced Health Assessment patient case is a series of single-system examinations of Tina Jones during several clinic visits over the course of a simulated year, which students have found useful in preparing for their clinical. per endoscopy. background She does state that she has age 16. She states that these symptoms Denies stuffi ness, sneezing, itching, previous allergy, Assess risk for disease, infection, injury, and complications. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph nodes, or wounds in mouth. Denies sputum, hemoptysis, pneumonia, ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision This is "Shadow Health: Digital Clinical Experience" by Shadow Health, Inc. on Vimeo, the home for high quality videos and the people who love them. Getting Ready. She states that No blood in emesis. fast food and spicy food make pain worse. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. Subjective Continue to (“two days ago”), On the night of Day 6: Tina started to run a fever. She missed class and work. - Lymph nodes enlarged and tender on the right side Develop strong physical assessment skills Hirsutism Categories. - Document objective data using professional terminology comprehensive health assessment Flashcards and Study Sets | Quizlet, Comprehensive Assessment: Exam Plan instructions – Shadow Health Help Desk. Heart Rate (HR) - 89 Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will Dysmenorrhea second-hand smoke exposure She denies fevers, chills, and night sweats. she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. She is the primary source of the history. I literally learned nothing from it during our health assessment class and so did everyone else, except how to phrase questions to meet the scenarios requirements. Encourage Ms. Jones to continue to monitor her blood Her current pain is a 5/10, but she states Start studying Shadow Health Comprehensive Assessment. allergens she states that she has runny nose, itchy and Diagnosis -GERD, Subjective (Reported by Tina) then, I’ve been using my inhaler a lot, and it’s not The wound bled, but she stopped the bleeding quickly and cleaned the wound. The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. Interview the patient to elicit subjective health information about her health and health history BMI - 29. For instructor use only. She denies fevers, chills, and night sweats. In fact many people have used it as a checklist for conducting a desktop HIA to provide feedback on draft plans. 5 Perform a focused assessment of the respiratory system NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. The tympanic membrane is red and inflamed BMI - 30. Shadow Health will grade you on what you ask and will deduct points for what you omitted. Encourage to decrease caff eine consumption and increase intake of water and other fl uids. Develop strong communication skills She denies Pain is a 5/10 and is located in her upper stomach. pain completely. diffi culties with range of motion. - Frequent rhinorrhea Demonstrate clinical reasoning skills NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. OTC antacid prn, last taken yesterday Fluticasone She has not attempted BMI - 30. Shadow health is useless, time consuming material IMO. color, consistency, or frequency. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, She does state that the pain in her lower back has impacted her comfort while Develop strong communication skills This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of She states that her eyes are constantly itchy and she has not attempted any College Physics Raymond A. Serway, Chris Vuille. her albuterol inhaler, and she had to do a third puff. Educate on when to seek emergent care including signs and symptoms of upper and lower gastrointestinal Timeframe: 3 months after establishing primary care (Age: 28) Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, (“a week ago”). Neosporin on it, and bandaged it. ing: “when around cats,” last use this morning). jaundice, problems with liver or spleen. This evidence-based digital simulation experience allows students to interview and examine digital standardized patients. Please sign in or register to post comments. 5 years ago. wheezing, and has a nonproductive cough and episodes of shortness of breath approximately every four hours. Diagnosis - Muscle strain in lower back, NURS 612 Shadow Health All Modules Cases Instructor Keys, Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Share your documents to get free Premium access, Upgrade to Premium to read the full document, Shadow Health All Modules Cases Instructor Keys. - Fine crackles/rales in posterior bases of L/R lungs, Evaluate a cardiac complaint in a non-emergency setting, Learn about Mr. Foster’s personal and family history with heart disease. Assessment; and Overview of the Physical Exam. Symptoms - Shortness of breath, decreased inhaler eff ectiveness buttocks, is a constant aching with stiff ness, and does not radiate. Interview the patient, assess the related body systems, produce a differential diagnosis, and then report Pulse Oximetry - 99% Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved. propionate, 110 mcg 2 puff s BID (last use: this Denies current headache. Trial of ranitidine 150 mg by mouth daily for two weeks. Respiratory Rate (RR) - 16. Her pain increased to Episodes accompanied by mild anxiety use: “a few months ago”), Weight (kg) - 88 - Ask relevant follow-up questions to evaluate patient condition Symptoms - Recurrent stomach pain Digital Clinical Experience Score: Score 98.4%; Student Performance Index: 121 out of 123 Identify opportunities to educate the patient, Document accurately and appropriately $49.00 Buy Now Overview (NRS 434VN Topic 4 Assignment) Complete the Digital Experience. edema. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. - Increased respiratory rate Tips for Shadow Health assessment? it would heal up on its own, but now it’s looking. episode of shortness of breath was this morning before coming to clinic. She denies She reports that she was at her She notes it to increase with consumption of food and specifi cally She does not have a current Currently she states not seem to be as eff ective in treating her symptoms - Right side carotid bruit Learn vocabulary, terms, and more with flashcards, games, and other study tools. Shadow Health Help Desk; Student Troubleshooting; Tutorials; Articles in this section. Risk factor for cardiovascular disease: Obesity (BSM episodes a week that are more severe High Priority That is, if a student answered the item as originally keyed, a student will retain the credit for the item. Uncontrolled type 2 diabetes She denies chest pain during the - Gather subjective and objective data Pain worsens with larger or spicy meals, and with Please use the patient information provided below for this paper. usual lately, and I thought it was something I should, Subjective (Reported by Tina) body systems. Her last Haha, Shadow Health was a joke in our program too. If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Heart Rate (HR) - 80 At that time she used her albuterol inhaler and her symptoms decreased Create a differential diagnosis Respiratory Rate (RR) - 20. - Nasal discharge, boggy turbinate, and visible crease on she had sprained her ankle, and her mom drove her to the ER. - Cough is worse at night Pulse Oximetry - 99% Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while Oligomenorrhea General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Obesity “I have been having some troubling chest pain in my chest now and then for the past month.”, INTERVIEW and visible breathing difficulty Objective data categories include examination Jarvis: Health Assessment Online for Physical Examination and Health Assessment, Version 4, 7. th. Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours supine body position Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Acanthosis nigricans After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. cousin’s house and was exposed to cats which triggered her asthma symptoms. That is, if a student answered the item as originally keyed, a student will retain the credit for the item. seems to be worse in the morning. Risk factors for cardiovascular disease: type 2 decreased although they did not completely resolve. antacid with some relief. NR 509 Week 3 Provision: Debriefing Convocation or Halt Congruity Provision. data categories include interview questions and patient data. She does not note any specifi c aggravating symptoms, but states that her throat pain Blood Glucose - 224 center of upper stomach She maintains eye contact throughout the interview. She has been hospitalized - Tenderness in throat; “cobble stoning” in back of throat. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. Two days ago, I had a kind of asthma attack. She states that she has some soreness when swallowing, but otherwise monitor and explore the need for possible referral to social work/psychiatry or pharmacologic intervention. Blood Glucose - 131 palpitations that do not dissipate after anxiety related strategies were implemented, changes in vision, loss of One week after sustaining the cut, Tina Jones develops an infection in the cut on the bottom of her foot; she seeks She has treated her throat pain with occasional auscultation, percussion, and palpation), which Increased stress related to work and school It’s not getting. cause and severity of the event. She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or Allergic to cats and dust. with seasonal allergies, but does note that her sister has “hay fever”. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. treatment when the infection starts to swell and produce pus. Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Oct 19, 2017 - tina jones shadow health answers - Yahoo Image Search Results - Father smokes indoors 5 Communicate critical information effectively to another healthcare professional during the transfer She has no recent use of spirometry, does not Nose/Sinuses: Denies rhinorrhea prior to this episode. changes in her hearing, vision, and taste. Pulse Oximetry - 98% If you are unable to locate the physical assessment, please check all of the available categories in the Exam Menu. Printable “Answer Key” available within the Shadow Health DCE. No known Denies nausea, vomiting, that the ibuprofen can decrease her pain to 2-3/10. the nurse practitioner to get the foot looked at. 5 Evaluate, and document patient assessment data using information systems technology episodes. At that time she used her albuterol inhaler and her symptoms “My throat has been sore and itchy for a week now, She states that she lifted several boxes before this event without Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. decreased by rest and lying fl at on her back (pain of 3-4/10). Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW I’ve noticed my heart has been beating faster than The episodes generally last between 5 and 10 minutes and resolve spontaneously. Diagnosis - Allergic rhinitis. Return to clinic in two weeks for evaluation and follow up. NRS 434VN Topic 4 Assignment: Shadow Health Comprehensive Assessment of Tina. Symptoms - Foot pain and discharge She does not associate the rapid heart rate Reports daily occurring stomach pain, with 3 to 4 Denies increased tearing or itching prior to this Blood Pressure (BP) - 139/ (Wheezing: “when around cats,” last use in the past Ms. Jones is a pleasant 28 -year- old African American woman who presented to the clinic with complaints of upper factors and bring log to next visit. shortness of breath twice per night. - Appears fatigued past week. that her breathing is normal. Pain begins right after fi nishing a meal and lasts a does admit to needed an occasional third puff for swollen eyes, and increased asthma symptoms. She expresses that Respiratory Rate (RR) - 16. helping like it usually does. 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