In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> . Any medical history for your paternal grandmother? Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. the last time I was sick was when I was having those heartburn problems a while ago. Plus, he had high blood pressure, andIm pretty sure he had diabetes. How many times a day do you take metformin? Question Are you taking any form of birth control? You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Mom has high cholesterol and blood pressure, I think. What medical problems does your mum have? Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. I had two doctors appointments earlier this year. No! Question Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. they also make her jittery. The score you receive in the Education and Empathy section is based on the timing of your therapeutic statements during critical moments in the patient interview. To ensure you receive proper credit for these items, you must ensure that the entire physical assessment has been completed - if you do not complete all parts of the physical assessment, you will not receive credit for the scored item. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. dust, and penicillin. ), Shes pretty healthy. 10:22 PM EDT. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. This record includes questions asked, statements made, and actions/assessments performed. Social History: Ms. Jones has a job at a copy and shipping store Have you been taking medication for your diabetes? . . Increasing patient safety awareness. We socialize before and after church, and I go to Bible study on Wednesdays, too. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. The following actions reveal the objective data of the patients case. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. 10:25 PM EDT. No EKG chanes. 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. Gather information about your patients health history, including information about current medical conditions. 10:05 PM EDT. concern regarding these episodes. Do you follow a diet to manage your diabetes? How does interviewing a heathy patient differ from interviewing a patient with a known health condition? . This section is where you can view your documentation. She has no kn Plus I have my friends from church. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. If you require assistance, please scroll down and use one of the contact options to get in touch. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Tina Jones Subjective Data Comprehensive Assessment Shadow Health (4) $12.49 16x sold Tina Jones Subjective Data Comprehensive Assessment Shadow Health/Tina Jones Subjective Data Comprehensive Assessment Shadow Health TINA JONES OBJECTIVE HEENT EDUCATION AND EMPATHY COMPLETED (0) $12.49 To post social content, you must have a display name. It works pretty well. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Shadow. She endorses that she feels no pain however the 'fast heartbeats" in the morning on her commute to class. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. 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. I would get allergies, like sneezing and stuff, and then my asthma would act up. This button will Reopen your attempt. SOAP Note Template (14) Nana was 73 when she died of a stroke about five years ago. I used to have a lot of trouble with asthma attacks back then. Tests of cerebellar function normal. That doesnt sound like it would be good. We're available through e-mail, live chat and Facebook. need a distraction. How do you make up points in the Education and Empathy section upon reopening the assignment? Let's talk about your wound a little further. what brings you in today What are the Benefits of a Shadow Health System? Ive maybe used it twice since I came in with those asthma problems. I havent really had any stomach problems since I came in with them a while ago. looking pretty nasty. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Question between 5 and 10 minutes and resolve spontaneously. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 2. When asking interview questions to collect subjective data, there will be scored opportunities to provide either an educational or empathic statement in response to the patient. Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. This button will not appear after the due date of an assignment, or if your instructor has set the assignment so that only the first attempt is marked as turned in. not since I came in with those allergies a while ago. Advanced Health Assessment for the APN - Fall 2021, 625, /site_notice_dismissals?from_flash=true&site_notice_id=499, Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local, /site_notice_dismissals?from_flash=true&site_notice_id=283. Capillary refill < 3 seconds. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Tina denies smoking and states she seldomly drinks. cardiac history and has never had episodes prior to this last mon . exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. My albuterol. You must follow up within two interactions in order to receive the points. location of pain. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. This section is where you can see your score for the Education and Empathy opportunities. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. drinking as much water as her normal. Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The Subjective Data Collection page is broken into 2 columns. Course Hero is not sponsored or endorsed by any college or university. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Respiratory: She denies shortness of breath, wheezing, cough, do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric Thank you for your feedback, it will help us serve you better. A, I decided to come in because I'm tired all the time now, and I'm stressed and too foggy to study most of the time. 10:22 PM EDT. Hopefully, we can get. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. Breakfast is usually a muf Ive been feeling much better lately, though. This button will open the Lab Pass for your attempt. It is important to stay away from triggers. . She is the primary source of the history. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. has never had an EKG. and asthma. . Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. are you taking any new medications Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. is provided as an example of an appropriate response to each opportunity. Indicates an item that is available to be found. View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. My eyes havent been red lately. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. all the way asleep for another hour and a half, two hours, usually. Tina Jones is alert and oriented x3 and she is a credible source of her She seems to be doing okay though. To pass the SHCA, a student must achieve a score of at least 70 per cent. not stressed at all. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Walden University (16). . This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. I use my Flovent inhaler two times a day. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. What is your new job? Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. All the work should be used in accordance with the appropriate policies and applicable laws. Asthma diagnosed at age 2 1/2. Florida State University. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. A Model Statement is provided as an example of an episodes as thumping in her chest with a heart rate that is way 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. Im sleeping a lot better now, which is a relief. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. Here you will see a verbatim record of every interaction you had with the patient. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. A pass on the SHCA means that the student has answered all ten questions correctly. Shadow Health cardiovascular completed shadow health cardiovascular results turned in advanced physical assessment may 2021, nur 634 return to assignment your Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Houston-Clear Lake Harvard University Miami Dade College Shadow health assessments can help nursing students develop an understanding of patient safety issues. Today she denies any acute concerns. How long ago did you start taking birth control? She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Asking Tina if she takes supplements will indicate her current treatment plan. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Asking Tina if she takes vitamins will indicate her current treatment plan. She started me on birth control, and it seems to be helping things. Regular rate and rhythm, S1 and S2 present, no murmurs, ru This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. 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