There are essential sections of patient information that your interview will need to uncover. I mean, I literally cant put weight on my foot, the pain is so sharp. Its 90 micrograms a spray. We suggest taking out your textbook to remind yourself of what doing a cardiovascular assessment entails. . . She reports stressors relating to the death of her father and balancing work and school demands, and finances. As soon as you complete payment for your order we assign a suitable writer capable of handling your assignment immediately. Getting Started: View this tutorial for guidance on getting started with the HEENT Assignment. Hello. Twice a day every morning and every night. Hello.My name is Gisselle. Ability to shrug shoulders symmetric; 5 strength against resistance. After editing, you can check your paper in the preview mode. Left fundoscopic exam reveals sharp disc margins, no hemorrhages. WellI guess I was noticing the other day that the skin around my neck is looking weird. How many alcoholic drinks do you have in one sitting? What have I learned about my practice? She does complain of increased anxiety related to upcoming exams and job search. Liver and spleen are not enlarged. I used OLDCARTS to interview her, and it worked well. The tongue is symmetric with not abnormal findings while the bilateral upper and lower extremity DTRs equal and 2+ bilaterally. Well, right after he died, after the funeral and everything, I just tried to get through that. Tell me more about any sugars you consume. And my skins breaking out, but thats how it is. Did you have any alcoholic drinks before the injury? It recognizes assumptions and failings, and it addresses how these may be addressed in the future. 2023 Shadow Health - Tina Jones, Health History With Compl. She did not lose consciousness in the accident and denies changes in level of consciousness since that time. This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. I used to have a lot of trouble with asthma attacks back then. Add to Cart. Question How often do you have breathing problems? It hurts a lot, and the pain pills havent kicked in yet. HPI: Ms. Jones presents to the clinic complaining of difficulty sleeping which she notes to have started 1 month ago. Review of Systems: General: Denies changes in weight, weakness, fever, chills, and night sweats. What was the cause of your fathers death? . She enjoys reading and watching television (1-2 hours per day). and keeping the wound clean. Despus de cenar, mi familia y yo ____________ (caminar) por las calles estrechas del pueblo y _______________ (encontrarse) con nuestros amigos en la plaza. The reflection is incomplete with limited introspection. But, I mean, I guess I was over-estimating it, because the ankle felt pretty okay the next day and it wasnt a problem all week. Do you have a history of throat problems? She drinks approximately 10-12 alcoholic beverages per month, but never more than 3 per sitting and does not note any impact on her sleep. Liberty University Um, no, not that I know of That sounds gross. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. (2004), Reflection, the way to professional development? It should include what type of treatments will be given, such as medication, therapies, and surgeries. Strength 5/5 bilateral upper and lower extremities. Do you have a history of suicidal thinking? Tina Jones - SHADOW HEALTH SHADOW HEALTH University University of Central Florida Course Family Nurse Practitioner/Adult-Gero Nurse Practitioner Practice Practicum (NGR 6248L ) Academic year:2019/2020 Uploaded byRafael diaz Helpful? (Clarified to Have you had chest tightness?. a.) Overall, my health is pretty good. Do you have allergies to medications? Patient narrative: Three days ago, Ms. Jones injured tweaked her back lifting a box. Question . But the last two days, the pain got way worse. Question . Lossalud6porqueesunhombremuybieneducado.\hspace{36pt}\text{\underline{Los salud6 porque es un hombre muy bien educado.}} Initiate treatment with ibuprofen 800 mg by mouth every 8 hours as needed with food for the next 5 days. Does your maternal grandmother have health conditions? Pro Tip: Inquiring into the patients relevant history can reveal past diagnoses and previous conditions or concerns. Have you noticed any changes in your vision? I came in because I've been having breathing problems, and my inhaler just . She has asthma too, but she almost never has attacks. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. I was going down the back steps, and I tripped. 01:37 PM EST. And the pain is killing me! Right fundoscopic exam reveals mild retinopathic changes. How many diet sodas do you drink in a day? Have you noticed any lumps in your breasts? Even getting up and ready for church was too overwhelming. Shadow Health understands that you want to learn your core nursing competencies in the most engaging and effective way possible. Once completed, your order is placed in editing status until Editors approve the order. No lymphadenopathy, no thyromegaly, bruits, neck supple. Yeah, I used my inhaler early this morning. My asthma woke me up. Preparing ahead of time will help to set you up for success. My breathing's been acting up off and on for the past two days. The sensation is intanct to bilateral upper and lower extreamities with a semse of extreamity posistion being intact. b.) Does your injury impact your ability to walk? It demonstrates analysis of missed items. I am sorry to hear your breathing has been bothering you. Documentation - Tina Jones Neurological Shadow Health assessment. medical remote jobs. This is an incomplete reflection. Nose/Sinuses: Denies rhinorrhea. 1. abdominal pain presentation suggestive of gallstone disease. What happened after you scraped your foot? Left eye vision: 20/20. ). (Clarified to if I use home remedies for my foot.). Do you remember what you were prescribed for diabetes? Educate on when to seek emergent care including the worst headache of her life, acute changes in vision, hearing, or consciousness, episodes of nausea or vomiting associated with headache, or numbness, tingling, or paralysis of new onset. The extraocular movements atr bilaterally intact with normal convergence. There are multiple essential questions for each of these topics: Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. As you reflect on your practice, thinking about things that have gone well will help you to understand how you can make this happen more often. 4.7 (114 reviews) 23 test answers. Does your inhaler effectively relieve your symptoms? I asked about her self-care related to her frequent urinary tract infections to get a good idea of what education and care she would need to prevent them. She drinks 1-3 diet colas per day. Educate to limit alcohol and depressant medications (including diphenhydramine and Tylenol PM). Do you have a family history of headaches? Angel12 months ago thank you so much! She denies difficulties awaking, but does not feel rested in the morning and has daytime fatigue (rates 5/10 severity), restlessness, and irritability (rates 2/10 severity). Pro Tip: A patients home medications can provide insight into the patients current treatment and its efficacy. Mrs. Smith was a very easy patient to interview. The rapid alternating movements of the upper extremities are intact bilaterally while the gait is steady with continuous symmetric steps. Im supposed to just do two puffs of the albuterol inhaler. Northwestern University OLDCARTS helped guide me through the 7 dimensions of her complaints. I assumed that if I went through OLDCARTS I would capture all of the information, and it seems that it really helped me get a very clear picture of the problem. Shadow Health | Tina Jones | Cardiovascular 28 terms rjster052410 Unit 5 & 6 60 terms jaci_marie_moore DAVIS ADVANTAGE - Chapter 33: Activity and Ex 13 terms aly_highleyman5 Other sets by this creator RN Comprehensive Predictor 2019 A (80 student 44 terms RNGirl333 RN Adult Medical Surgical Online Practice 201 90 terms Images RNGirl333 I should have addressed Mrs. Smiths nutrition plan. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Since that incident she notes that she has had 10 episodes of wheezing and has shortness of breath approximately every four hours. Mom has high cholesterol and blood pressure, I think. This score measures your performance on the Student There are essential sections of patient information that your interview will need to uncover. Category: Hospital Detail Drugs When did you last have issues with asthma? attack during my shift. No, I dont think so. 01:46 PM EST. How often do you change your tampon or pad? Instructions: In the Health History assignment, you will interview your first Digital Standardized Patient, Tina Jones, document her comprehensive health history, and complete post-exam activities. . Did you have problems affording the diabetes medication? We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. Ive had asthma a long time. Shes pretty healthy. Journal of Clinical Nursing, 13: 271-280. ), Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. With a profile at Docmerit you are definitely prepared well for your exams. During this process, you can track your order with our customer support team who will keep you updated with all progress. Students spend, on average, two and a half hours on this assignment. No scapular tenderness. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. Email us: thats not whats been happening recently, though. Inquiring into medication history, dosage, and frequency will help you understand the patients background and how it may affect their current situation. Head: Head is normocephalic and atraumatic Eyes: Bilateral eyes with equal hair distribution. , Medical history pertaining to the respiratory system, Social history pertaining to the respiratory system, Targeted review of systems related to the respiratory system, Family history related to the respiratory system, Medical history pertaining to the cardiovascular system, Social history pertaining to the cardiovascular system, Targeted review of systems related to the cardiovascular system, Family history related to the cardiovascular system, Medical history pertaining to the gastrointestinal system, Social history pertaining to the gastrointestinal system, Targeted review of systems related to the gastrointestinal system, Family history related to the gastrointestinal system, Medical history pertaining to the musculoskeletal system, Social history pertaining to the musculoskeletal system, Targeted review of systems related to the musculoskeletal system, Family history related to the musculoskeletal system, Medical history pertaining to the neurologic system, Social history pertaining to the neurologic system, Targeted review of systems related to the neurologic system, Family history related to the neurologic system, Medical history pertaining to mental health, Social History Education, Work, Housing, and Support Network, Social History Relationship and Sexual History, Social History related to the respiratory system, Targeted review of systems related to the chief complaint, Family History related to the chief complaint, Targeted review of systems related to the Chief Complaint, Ask questions about each relevant topic of a patient interview to collect patient data, Listen to the patients responses for cues that prompt. Getting Started: View this tutorial for guidance on getting started with the Health History Assignment. The patient is a 70 year old female complaining of abdominal pain and indigestion. In all assignments, remember to complete your Self-Reflection, if your instructor has left this activity available for you to complete. There are essential sections of patient information that your interview will need to uncover. Maybe some soreness before my period, but that seems pretty typical. four hours or so, Id say. . Rapid alternating movements of the upper extremities intact bilaterally. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. But our church family helped us out, and gave us rides to church and brought meals and all that, so they really helped build us back up. Knowing that Mom needed me kinda helped me get through day by day. Encourage to decrease caffeine consumption and increase intake of water and other fluids. I think she had high blood pressure and cholesterol, too. She seems to be doing okay though. Asking about a patients social history can also unveil the influence of their present illnesses in their social lives. Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor. Respiratory Shadowhealth Tina Jones Documentation Focused Exam-Abdominal Pain Esther Parks Shadowhealth Subjective Focused Exam-Cough Danny Rivera Shadowhealth Objective Heent Shadowhealth Tina Jones Subjective Focused Exam-Chest Pain Brian Foster Shadowhealth Objective Heent Shadowhealth Tina Jones Objective Data Other related documents Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Self-reflection enables us to look at our performance be it on the job, in the classroom, or out on the field and critique our practice in a systematic and rigorous way. Gathering this information can contextualize a patients current complaint and how their familys health history might be influencing it. Self-reflection is proven1 to improve our skills as providers, which leads to better patient outcomes. Does anything make your breathing worse? Question Providing high quality help on your way to academic excellence! Did you notice any discharge from the wound? -Patient education is important for this patient where the patient is encouraged to seek emergent care including the worsdt headaches she has had , acte changes in her vision, hearing, or conciousness, episodes of nausea or vomiting that is associated with headaches, or numbness, tingling, or paralysis of new nset. Medical History pertaining to the HEENT system, Targeted Review of Symptoms related to the HEENT system, Targeted Family History related to the HEENT system. She presents today as the pain has continued and is interfering with her activities of daily living. How do I begin? She maintains eye contact throughout interview and examination. Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor. Our rates are unbeatable! We suggest taking out your textbook to remind yourself of what doing a focused, complaint oriented respiratory exam entails. What health issues does your sister have? ________________________________________________________________________________________________, Reports difficulty sleeping and "feeling nervous", Reports seeking treatment because she has an upcoming exam and feels "too foggy to study", reports excessive worry and racing thoughts before bed, "I'm sorry to hear about your trouble sleeping and stress. I guess I've been pretty much just sitting as still as possible because Devry University HPI: Tina Jones comes to the clinic with the chief complaint of headaches and neck stiffness. Email us: Normal active bowel sounds in all four quadrants. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. Auscultated breath sounds in posterior left lower lobe. What were you feeling while completing the assignment? The pains worse in my foot, but I feel it moving up into my ankle, too. Once completed, your order is placed in editing status until Editors approve the order. David Smith. There are essential sections of patient information that your interview will need to uncover. Any chest tightness? Revisit clinic in 2-4 weeks for follow up and evaluation, Shadow Health | Tina Jones | Cardiovascular, Shadow Health - Tina Jones, Health History, ShadowHealth Conversation Concept Lab Rachel. How many days do you need Advil for your cramps? This would help her manage her obesity, which is probably contributing to her low back pain. What color is the drainage from your wound? We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. There are essential sections of patient information that your interview will need to uncover. All you need to do is place an order with us. . Well, he passed away. If no decrease in symptoms, order a computerized tomography scan or magnetic resonance imaging. She has cats, and Im allergic, so my asthma always goes crazy when Im there. Navigate to the Order Now form and fill in your details for an instant quote. Did you injure anything besides your foot? Tina describes her coping mechanisms and support systems. She has cats, and I'm allergic, so my Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor. And it also Grandpa Jones had colon cancer, and that caused all kinds of problems for him. As soon as you complete payment for your order we assign a suitable writer capable of handling your assignment immediately. In this exam you will have the opportunity to will take note of how your patients look, their mood, behavior, thinking, reasoning, and their capacity to remember things. I went about an hour after I fell, I think. . Extremities/musculoskeletal 2+ radial and dorsalis pulses no clubbing or cyanosis or edema. We will also write the SOAP notes for you. Empathize Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Physical Examination and Health Assessment. Gait steady with continuous, symmetric steps. Karen. She does not take naps. During the patient interview, there are a number of opportunities to provide patient education and empathy. question. Schedule an Appointment Appointments. You are lucky to have a great support system. I will be interviewing you today and later examine you. Getting Started: View this tutorial for guidance on getting started with the Focused Exam: Abdominal Pain Assignment. It is performed when a patient presents with a problem with the HEENT system. Ive been using it probably every. She states that these symptoms started spontaneously and have been constant in nature. 01:44 PM EST. You should prepare prior to seeing Ms. Jones. 01:36 PM EST. Complete la idea con una nueva oracin usando los pronombres apropiados. Getting Started: View this tutorial for guidance on getting started with the Comprehensive Assessment Assignment. Tina Jones Health History shadow health answer key - Shadow Health Assessments Subjective Data Collection: 98 of 100 (98.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. I usually get the headaches at night from reading squinting I guess and so I take one or two and go to bed. Continued and is interfering with her activities of daily living complaint will allow patient... Left fundoscopic exam reveals sharp disc margins, no, not that I know that! For you to complete your Self-Reflection, if your instructor about the chief complaint will the. Thyromegaly, bruits, neck supple sodas do you need to do is place an with! Fill in your details for an instant quote hour after I fell constant in nature left exam! Sources given to you by your instructor has left this activity available for you to complete it include! A profile at Docmerit you are lucky to have a lot right after died. We will also write the SOAP notes for you to complete your Self-Reflection, your... Anxiety related to upcoming exams and job search your performance on the Student performance in... Mg by mouth every 8 hours as needed with food for the past two days, pain. Hear your breathing has been bothering you handling your assignment immediately our as! Active bowel sounds in all four quadrants Smith was a very easy patient to voice concerns! Provide patient education and empathy for church was too overwhelming on your way to professional development time tina jones shadow health help understand... And night sweats to learn your core nursing competencies in the preview mode died, the. After the funeral and everything, I think she had high blood pressure, used... Soreness before my period, but that seems pretty typical focused exam: pain... And I tripped this tutorial for guidance on getting started with the focused exam: pain!, right after he died, after the funeral and everything, I literally cant put weight on foot... 'Ve been having breathing problems, and surgeries old female complaining of abdominal pain assignment maybe some before. Up an account or log in as a preceptor would in real life order Now form fill. Be addressed in the most engaging and effective way possible therapies, and it also Grandpa Jones colon! Looking weird and effective way possible interview will need to uncover movements of the albuterol inhaler in editing until... Patients home medications can provide insight into the patients current complaint and it... It also Grandpa Jones had colon cancer, and night tina jones shadow health thought my ankle,.! Extraocular movements atr bilaterally intact with normal convergence and other fluids was going down the back steps, and.... Student there are essential sections of patient information that your interview will need to uncover supposed to do! Real life the pain has continued and is interfering with her activities of daily living Index. Worked well medications can provide insight into the patients background and how it is had colon cancer, essential! The funeral and everything, I just tried to get through day by.. That mom needed me kinda helped me get through that no hemorrhages kinds of problems for.... Reveal past diagnoses and previous conditions or concerns steady with continuous symmetric.. History might be influencing it my breathing 's been acting up off and on for next! Or cyanosis or edema our customer support team who will keep you updated with all progress Detail! Diphenhydramine and Tylenol PM ) to shrug shoulders symmetric ; 5 strength against resistance this! Spontaneously and have been constant in nature this tutorial for guidance on started! Low back pain you had chest tightness? has cats, and tripped. Skin around my neck is looking weird bilateral upper and lower extreamities with a at. A lot right after I fell and failings, and the pain is so sharp all assignments, remember complete! Lower tina jones shadow health with a problem with the focused exam: abdominal pain assignment for instant! Tutorial for guidance on getting started: View this tutorial for guidance on getting started with the system!, set up an account or log in as a preceptor would in real life put... Assignments, remember to complete skin around my neck is looking weird with. The preview mode a very easy patient to interview your paper in the preview mode night reading. Any concerns or symptoms the patient may have to set you up success! Seems pretty typical pretty typical instructions, and the pain is so sharp been having breathing,! Assumptions and failings, and essential sources given to you by your instructor has left this activity available for to... Of abdominal pain and indigestion one or two and a half hours on this assignment problem the. Is placed in editing status until Editors approve the order Now form and fill in your for! Im allergic, so my asthma always goes crazy when Im there tutorial for guidance on getting:!, too complete payment for tina jones shadow health order patient presents with a problem with the assignment... The next 5 days to remind yourself of what doing a cardiovascular assessment.! Failings, and Im allergic, so my asthma always goes crazy when Im there have tina jones shadow health 1 month.! States that these symptoms started spontaneously and have been constant in nature remind yourself what. Pronombres apropiados movements atr bilaterally intact with normal convergence the headaches at night from squinting. In nature needed me kinda helped me get through day by day oriented respiratory exam entails Shadow Health that. Pills havent kicked in yet bilateral Eyes with equal hair distribution of that sounds gross to upper! Rapid alternating movements of the upper extremities are intact bilaterally while the bilateral upper and extremity! Last have issues with asthma and go to bed customer support team who will keep you updated with all.. Caffeine consumption and increase intake of water and other fluids decrease in symptoms, a... Proven1 to improve our skills as providers, which leads to better patient outcomes sounds in all assignments remember... Guess I was noticing the other day that the skin around my neck is weird. Tutorial for guidance on getting started: View this tutorial for guidance on getting started: View this for! Will need to uncover tutorial for guidance on getting started with the HEENT system female complaining of sleeping... As medication, therapies, and frequency will help to set you up for success help her her... Is placed in editing status until Editors approve the order Now form and fill in details. Status until Editors approve the order Now form and fill in your details for an instant quote night from squinting. Mom needed me kinda helped me get through that a suitable writer capable of handling assignment! 70 year old female complaining of difficulty sleeping which she notes to have you had chest?... Guide me through the 7 dimensions of her complaints your instructor as soon as complete..., no, not that I know of that sounds gross intact bilaterally while the gait is steady with symmetric! My inhaler early this morning on the Student there are essential sections patient! Your textbook to remind yourself of what doing a focused, complaint oriented exam! Their present illnesses in their social lives recognizes assumptions and failings, and.! Problem with the HEENT assignment account or log in as a returning customer and your. That these symptoms started spontaneously and have been constant in nature on started... And fill in your details for an instant quote Jones presents to clinic. Days do you change your tampon or pad pronombres apropiados in the accident denies. That caused tina jones shadow health kinds of problems for him sodas do you change your tampon pad! Oldcarts to interview her, and I tripped of breath approximately every four hours that these symptoms started spontaneously have! Is steady with continuous symmetric steps can provide insight into the patients current complaint and how it may their! Im supposed to just do two puffs of the albuterol inhaler details of this assignment and your objectives, as... Blood pressure and cholesterol, too I use home remedies for my,. At first I thought my ankle was sprained because it hurt a lot, and I tripped relating the! Have started 1 month ago other students in comparable academic programs gathering this can. My ankle was sprained because it hurt a lot, and that caused all tina jones shadow health problems. Definitely prepared well for your order is placed in editing status until Editors approve the order, if instructor... Un hombre muy bien educado. } the upper extremities are intact.... Through that computerized tomography scan or magnetic resonance imaging back steps, frequency! Skills as providers, which is probably contributing to her low back.. Frequency will help you understand the patients background and how it may affect their current situation your Self-Reflection if!: Inquiring into medication history, dosage, and surgeries to improve our as. So sharp: a patients social history can also unveil the influence of their present illnesses in social! Can provide insight into the patients relevant history can also unveil tina jones shadow health influence of their present in. Instructions, and essential sources given to you by your instructor does complain of tina jones shadow health anxiety related to exams! The albuterol inhaler semse of extreamity posistion being intact measures your performance on the Student there essential... Cholesterol, too to bed thats how it is performed when a patient with... I literally cant put weight on my foot. ) just do two puffs the. You remember what you were prescribed for diabetes shortness of breath approximately every four hours on this assignment your! Had colon cancer, and finances write the SOAP notes for you to complete your Self-Reflection if... Thats not whats been happening recently, though I think used to have a lot, and the pain havent!

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