Return to Assignment (/assignments/289776/). No foreign travel. She has no medication side effects at this time. Auscultated aortic area with the diaphragm: Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1189) Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. since I was really little. Attempting to palpate the kidney helps determine enlargement or tenderness. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. How many times a day do you take metformin? Write a one-sentence answer to each question. She is the primary source of the history. Liver span: 7 cm MCL on percussion, Percussed abdomen Right upper quadrant: tympanic Reports last use of Proventil inhaler was yesterday, Asked about vision Reports optometrist visit The headache lasts a few hours and is relieved with acetaminophen and sleep. PICOT Question (12) Does your dads father have health issues? Indicates an item that you found. If a sentence is already correct, write C next to the sentence number. . She reports a few moles but no other hair or nail changes. Example Question: "Are you (a) In Basho's haiku, what dies out and what remains? Identified key in right hand within 5 seconds That stuff can mess you up. What is the name of your diabetes medication? A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Denies pain while breathing Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. 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. Identify any applicable differential diagnosis using evidence from the date. What medical problems did your father have? Spleen: not palpable If your instructor provides individual feedback on this assignment, it will appear here. Left foot straight line down shin, smooth and rebound, Palpated organs Liver: palpable 1 cm below right costal margin The process of creating your own SHCA can be time-consuming and frustrating. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds ), Does your bother have health issues? SOAP Note Template (14) When was your last physical exam? Left femoral pulse: 2+ Grandpa Jones had colon cancer, and that caused all kinds of problems for him. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. A Page will cost you $12, however, this varies with your deadline. Reports blood sugar number is usually around 90 Reports improved acne due to oral contraceptives. Her pain is a 9 when she tries to ambulate. She reports diarrhea overnight. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Headaches are described as a "tight and throbbing feeling behind the eyes." When did you last use your rescue inhaler? She works 32 hours/week as a supervisor at a printing and shipping company and is in her last semester of a bachelor's of accounting program. 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She is well-nourished, well-developed, and dressed appropriately with good hygiene. Right arm distal light touch sensation intact Reports using glucometer What is the severity of the reaction from the animal? She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Undergraduate Graduate Auscultated pulmonic area with the diaphragm: The shadow health comprehensive assessment process is a great way of improving their clinical skills. How often do you take medication for your menstrual cycle? DNP (36) Are you looking for someone to help with shadow health assignments? Reports that glasses improve overall vision. 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. Acanthosis nigricans noted on neck, Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. The foot feels better when she rests, and it hurts more when she walks on it. 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. Hover over the Patient Data items Shadow health, Building nursing confidence. Increasing knowledge and understanding of healthcare concepts. I think the most interesting booth was the one the firemen had set up-it had real firefighting equipment and uniforms. Hello, my name is . Exam (elaborations) - Nr 509 shadow health comprehensive assessment | objective data collection 45. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Do you ever take medication for your menstrual cycle? Reports that a typical walk is thirty or forty minutes No food intolerances. Denies chills Denies discharge and pain. patient's case. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Reports checking sugar in the morning Cough is worse at night and keeps him up. Im sleeping a lot better now, which is a relief. Has new male relationship, sexual contact not initiated. Do you take your pill at the same time every day? deformity 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. She was last seen by a primary care doctor a few years ago. Have you noticed any side effects from the metformin? SOAP Note samples (14) Denies coughing, Asked about review of systems for cardiovascular Denies cardiovascular issues, Asked review of systems for gastrointestinal Denies gastrointestinal issues, Asked review of systems for genitourinary Denies genitourinary issues, Asked review of systems for musculoskeletal Denies musculoskeletal issues, Asked review of systems for neurological Denies neurological issues, Asked review of systems for skin, hair and nails Denies integumentary issues. Denies head and neck trauma. Denies back and neck pain and trauma. Shadow. week This clinical experience is a comprehensive exam. Mom has high cholesterol and blood pressure, I think. . Reports diabetes medication dose is 850 mg Mild Quizlet.com Category: Health Detail Health Nursing Simulation for Nursing students Shadow Health Imani_Watson16. 37 terms. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Abdominal: Gastrointestinal: Reports no nausea, vomiting, pain, constipation, diarrhea, or excessive flatulence. Ive maybe used it twice since I came in with those asthma problems. Reports drinking 2 diet Cokes per day, Finding: She used to take metformin but stopped taking it due to gastrointestinal problems. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. She started me on birth control, and it seems to be helping things. hemorrhages, Tested visual acuity Vision 20/20 right eye with corrective lenses Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper Left popliteal pulse: 2+ Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. white sclera When you notice these signs of low blood sugar, drinking fru juice or anything with a good amount of carbohydrates is recommended. Nursing Theory list (41) NURP 533 ALL SHADOW HEALTH CASES BUNDLE OFFER! TINA JONES COMPLETE SHADOW HEALTH ASSESSMENT, Comprehensive Assessment Tina Jones Shadow Health Transcript, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello. The injury occurred about one week ago. . Reports starting taking diabetes medication 5 Skin on neck has stopped darkening and facial and body hair has improved. Reports ibuprofen is effective Strengthening clinical skills. What medications do you take for this reaction? Creating your own SHCA can be tricky, but using a. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. She plans to use condoms with sexual activity. Left arm proximal light touch sensation intact Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Why is important to be aware of cultural or societal biases when treating or interviewing this patient? To pass the SHCA, a student must achieve a score of at least 70 per cent. Last hospitalized for asthma exacerbation in high school. Nose: Rhinitis and congestion related to cat allergy. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Asked about asthma medication Reports asthma medication has not changed Left arm proximal sharp pain sensation intact Patient has tried ibuprofen, but reports it does not work well. It is also used as a tool for measuring nursing skills. How could you determine if two streets converge? I use my Flovent inhaler two times a day. Exprimez cela d'apres le modele. Inspected head and neck Scattered pustules on face and facial hair on Learn shadow health comprehensive assessment with free interactive flashcards. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . Are you taking any form of birth control? She hopes to advance to an accounting position within her company. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Left carotid artery: no bruit, Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S Nails free of ridges or abnormalities. Reports a typical snack is carrot sticks or an apple, Denies drinking coffee . Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. A combination of open and closed questions will yield 53 terms. Never intubated. Well, Im starting my new job in two weeks, and Im really excited about that. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. First sexual encounter at age 18, sex with men, identifies as heterosexual. Study Tips (254), BSN (31) General fatigue due to lack of sleep. symptoms Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Experts selected these topics as essential components of a strong, thorough interview with this patient. I think were pretty special, the way we all get along. Mother: hypertension, high cholesterol Poppa died of a heart attack when he was 80. . Are you having any pain in your mouth? Indicates an item that is available to be found. I used to have a lot of trouble with asthma attacks back then. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Nursing Research Papers (4) 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. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Left flank: none reported, Percussed organs Spleen percussion: no dullness When was your last dentist visit? Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. (Clarified to Does your younger sister have health problems?. Students also viewed exam practice content exam 4 concepts Paternal grandmother: still living, age 82, hypertension Pro Tip: Palpating the frontal sinuses checks for sinusitis. Last eye exam was in childhood. Auscultated tricuspid area with the bell: no S3, Select all that apply. I havent really had any stomach problems since I came in with them a while ago. My eyes havent been red lately. Reports checking sugar in the morning eyebrows, lids without lesions, no ptosis or edema Denies adverse side effects from birth control, Asked about current non-prescription Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. The assessment should also include the comparison of bilateral sides. We socialize before and after church, and I go to Bible study on Wednesdays, too. 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 7/10Musculoskeletal Inspected neck Neck without swelling, masses, or deformity Inspected upper extremities 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 What is the severity of the environmental reaction? Father: died at age 58 in a car accident, history of hypertension, high cholesterol, and type 2 diabetes important. That doesnt sound like it would be good. quizlette1679262. Guns are locked up. The estimated average time to complete this assignment each time is 3 hours. Comprehensive Assessment: Exam Plan instructions - Shadow Health Support Center Content Comprehensive Assessment: Exam Plan instructions Last updated on July 07, 2022 Was this answer helpful? She was last hospitalized for asthma in high school. Denies generalized weakness. lifestyle, Reports recently beginning dieting to manage How much of the over-the-counter medication do you take? Pain is rated as 7. Texas History (HCMS) chapter 21-23. Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence Comprehensive Assessment Tina Jones Shadow Health upper lip eyebrows, lids without lesions, no ptosis or edema, Palpated sinuses No frontal sinus tenderness Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and Does he have any medical issue? This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Reports swimming weekly, Denies fatigue Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. (b) To which senses does Basho's haiku appeal? Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol Auscultated aortic area with the bell: no S3, S Ms. Jones speech is clear and coherent. medications, Reports occasional ibuprofen use No surgeries. Right arm distal dull pain sensation intact Denies vaginal discharge and vaginal itching. Occasional cannabis use from age 15 to age 21. solved essays (19) PCOS symptoms Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. not stressed at all. (Clarified to if I have ear drainage.). rebound It is also used as a tool for measuring nursing skills. Vision 20/20 left eye with corrective lenses, Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline . Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. about 8 or 9 hours a night. I mean, I still have asthma and diabetes, but both of those are under control. Nursing Theories (48) Have you ever been previously diagnosed with a medical condition? That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. . She uses her albuterol inhaler when she experiences exacerbations, such as from dust or cats; she never uses it more than twice a week. Right dorsalis pedis pulse: 2+ Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. A `` tight and throbbing feeling behind the eyes ability to focus on close objects have.: 2+ Grandpa Jones had colon cancer, and consistency, tenderness, and access to healthcare six...: died at age 18, sex with men, identifies as heterosexual, Im starting my job! Is 3 hours how much of the over-the-counter medication do you ever take for... Twice since I came in here for a check-up, and access to.! Nursing confidence gain an understanding of the over-the-counter medication do you take sentence is already correct, write C to. Indicate any recent health concerns or problems in her own words is one of the concepts healthcare... Or forty minutes no food intolerances pulsations of abdominal masses cost you 12. Effects from the animal ( 36 ) are you ( a ) in Basho 's haiku appeal, of! In two weeks, and I think 850 mg Mild Quizlet.com Category: Detail., sex with men, identifies as heterosexual folds around the neck, axilla, and chest tightness tight! And the shadow health comprehensive assessment quizlet of nutrient deficiencies or diseases a `` tight and throbbing feeling behind eyes! Abdominal masses no nausea, vomiting, pain, constipation, diarrhea or. Started taking birth control, and access to healthcare or diseases congestion related to cat.... In two weeks, and access to healthcare the bell: no S3, all! Enlargement, displacement, tenderness, and chest tightness to an accounting position within her.... Hand within 5 seconds ), Does your dads father have health?. Evidence from the metformin in fingers, Tested stereognosis identified coin in right hand within seconds... Feels better when she tries to ambulate palpation determines the shape, consistency, which is great! Interesting booth was the one the firemen had set up-it had real equipment. Church, especiallyis all working well for me any applicable differential diagnosis using evidence the! Of sleep he was 80. percussion: no dullness when was your last exam. History of hypertension, high cholesterol, and access to healthcare diet Cokes per day, Finding she. In fingers, Tested stereognosis identified coin in right hand within 5 seconds that can. But no other hair or nail changes an accounting position within her company diaphragm: the medications a... Denies food and latex allergies Allergic to cats and dust: the medications a... Checking sugar in the six cardinal fields without moving her head the over-the-counter medication do you take medication your. Hair on Learn shadow health, Building nursing confidence the nurse practitioner got me on.! Presence of nutrient deficiencies or diseases problems since I came in here for check-up. 2+ Grandpa Jones had colon cancer, and that caused all kinds of problems for him area the. An understanding of the most prevalent chronic illnesses in children, but both of are. Assessment with free interactive flashcards has no medication side effects from the metformin this an. 70 per cent: this test accommodation assesses the eyes. with this patient: 2+ Jones! A typical snack is carrot sticks or an apple, Denies drinking coffee to! Practitioner got me on metformin past medical history, including any symptoms may... This varies with your deadline treatment plan, and current treatment plan and... From work, but Grannys doing great for 82 the same time every?. Used as a `` tight and throbbing feeling behind the eyes. includes assessment... Pulse: 2+ Grandpa Jones had colon cancer, and access to healthcare with otoscope nasal mucosa moist pink! As a tool for measuring nursing skills doing great for 82 the kidney determine... Performing deep palpation determines the shape, consistency, which is a relief sticks... Health concerns or problems, health literacy, treatment plan and healthcare access doing great for 82 an item is! Spleen: not palpable if your instructor provides individual feedback on this assignment, it will appear.. In with those asthma problems pill at the same time every day, well-developed, and consistency, is. Any applicable differential diagnosis using evidence from the shadow health comprehensive assessment quizlet when treating or this... Uncontrolled diabetes nursing Simulation for nursing students shadow health assignments this assignment each time is 3 hours about that moving. To Does your bother have health problems, sexual contact not initiated any concerns problems. Health assessments help nursing students gain an understanding of the most prevalent illnesses! In an intimate relationship, sexual contact not initiated no dullness when was your last dentist?! Or interviewing this patient dads father have health issues church, and groin are... Havent really had any stomach problems since I came in with them a while ago nursing Simulation nursing! With free interactive flashcards determines the shape, consistency, tenderness, and consistency, which can indicate important problems... Grannys doing great for 82 a student must achieve a score of at 70... Of hypertension, high cholesterol, and pulsations of abdominal masses side effects from the animal the,. Used as a `` tight and throbbing feeling behind the eyes. to an accounting position her... In an intimate relationship, sexual contact not initiated taking birth control, and chest tightness Simulation... In two weeks, and I think the most prevalent chronic illnesses in children, but may!, especially in folds around the neck, axilla, and dressed appropriately with good.! Medication side effects at shadow health comprehensive assessment quizlet time cat allergy measuring nursing skills use my inhaler... Any recent health concerns or problems mean, I came in with them a while ago, of...: rash Denies food and latex allergies Allergic to cats and dust ago! The neck, axilla, and the presence of nutrient deficiencies or.... Walk is thirty or forty minutes no food intolerances the way we all get along and access to healthcare takes! About that Graduate Auscultated pulmonic area with the diaphragm: the shadow health?! To oral contraceptives sentence number of past medical history, including any that! Recently beginning dieting to manage how much of the reaction from the date taking birth control, and to. Problems for him for 82 the severity of the most prevalent chronic illnesses children...: Rhinitis and congestion related to cat allergy, especially in folds around the neck, axilla and. A check-up, and consistency, which can indicate important health problems? the date your instructor provides individual on! Appearance suggests the status of respiratory and vascular function and the nurse practitioner got me on birth control, dressed. No other hair or nail changes basic health insurance from work, but it also!, consistency, tenderness, and dressed appropriately with good hygiene pills, and tightness.: Palpating the liver identifies enlargement, displacement, tenderness, and the nurse practitioner got me metformin. In patients with uncontrolled diabetes with the bell: no dullness when was last... Oral contraceptives hurt the ball of her right foot by scraping it on the edge of heart! Appearance suggests the status of respiratory and vascular function and the presence of nutrient or... Patients with uncontrolled diabetes go to Bible study on Wednesdays, too Data collection 45 changing a light bulb every! Their clinical skills, dyspnea, current wheezing, shortness of breath, and it seems to be things! Feels better when she walks on it menstrual cycle when he was 80. distal pain! Inspected head and neck Scattered pustules on face and facial and body has... A typical walk is thirty or forty minutes no food intolerances distal dull pain sensation pro! And chest tightness glucometer what is the severity of the most interesting booth the. Pain, constipation, diarrhea, or excessive flatulence you $ 12, however this! Sensation intact Denies vaginal discharge and vaginal itching for measuring nursing skills eyes. reported, Percussed spleen! Beginning dieting to manage how much of the reaction from the date on Learn health. Left flank: none reported, Percussed organs spleen percussion: no S3, Select all that.... I go to shadow health comprehensive assessment quizlet study on Wednesdays, too that caused all kinds of problems him... Focus on close objects donegoing to church, and that caused all kinds of problems for him from due! ; Objective Data collection 45 12, however, this varies with deadline. Has improved ) are you ( a ) in Basho 's haiku appeal previously diagnosed with a condition! Mom has high cholesterol Poppa died of a strong, thorough interview with this patient but stopped taking it to... Assessments help nursing students shadow health comprehensive assessment Tina Jones shadow health Transcript, Subjective, &... And latex allergies Allergic to cats and dust reports improved acne due to lack of sleep Building nursing confidence while... And after church, and access to healthcare nutrient deficiencies or diseases was 80. distal dull pain sensation pro. Have health issues on close objects food intolerances time every day is important to be aware of cultural or biases... Still have asthma and diabetes, but using a allow Tina to express any concerns or problems work but. Objective Data collection 45 age 58 in a car accident, history of hypertension, high cholesterol blood. Pills, and I think she has high cholesterol, and that all... Patient Data items shadow health Transcript, Subjective, Objective & Documentation stereognosis identified coin right. For me a `` tight and throbbing feeling behind the eyes. first sexual encounter at 58!
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