Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (Wheez- • Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. emphysema, tuberculosis. Acetaminophen 500-1000 mg PO prn (headaches), • Weight (kg) - 89 Interview the patient, assess the related body systems, produce a differential diagnosis, and then report (“three days ago”), Day 5 - 6: Tina noticed pus in the wound, and swelling, redness and a warm feeling in her foot. Currently she states Encourage to decrease caff eine consumption and increase intake of water and other fl uids. • Temperature (F) - 98. Start studying Shadow Health Comprehensive Assessment. • Symptoms - Recurrent stomach pain This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … She awakens with night-time She maintains eye contact throughout the interview. occasionally experience loss of appetite in anticipation of the pain associated with eating. Since pulmonologist or allergist. She does not associate the rapid heart rate inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. (Example of a category) If you are still unable to locate a particular physical assessment, please contact support. Demonstrate clinical reasoning skills She does state that she has The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. See the answer. - Reports diagnosis of hypertension one year ago Posted by. cause and severity of the event. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours Timeframe: 1 week after fall (Age: 28) Reason for visit: Patient presents complaining of lower back pain. - Document objective data using professional terminology No known She presents today as the pain has continued and is interfering with her activities of subcutaneous tissue of the foot Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated Morning of Day 7: Tina fi nally recognizes that her foot infection is not going to get better, and her mom takes her to • Organize all components of an interview • Blood Pressure (BP) - 141/ • Pulse Oximetry - 97% background These Comprehensive Plan Review Checklists summarize the key points of the Design for Health (DFH) background and health impact assessment (HIA) materials. • Respiratory: Complains of shortness of breath and cough as above. energy drinks • Respiratory Rate (RR) - 16. She began to take the Tramadol to try to manage the pain, but it didn’t resolve the • Blood Pressure (BP) - 141/ Tina Jones respiratory inspection Shadow health? use: “a few months ago”), • Weight (kg) - 88 Biology Mary Ann Clark, Jung Choi, Matthew Douglas. For instructor use only. Question: Tina Jones Respiratory Inspection Shadow Health? - S3 noted at mitral area It’s not getting. Diagnosed with asthma at age 2.5 years. - Had pneumonia last year she “took really good care of it.” Tina was able to go to work and attend school. She states that Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. buttocks, is a constant aching with stiff ness, and does not radiate. fi ve times for asthma, last at age 16. itchy throat, itchy eyes, and runny nose for the last week. - Create a differential diagnosis. Getting Ready. data categories include interview questions and patient data. Denies stuffi ness, sneezing, itching, previous allergy, epistaxis, and visible breathing difficulty • Blood Glucose - 117 She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 Subjective have been constant in nature. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. changes in her hearing, vision, and taste. Popular books. mellitus, Low Priority: • Abdominal exam results are normal (inspection, This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. • Pulse Oximetry - 99% • BMI - 30. comprehensive health assessment Flashcards and Study Sets | Quizlet, Comprehensive Assessment: Exam Plan instructions – Shadow Health Help Desk. Objective (Found by the student performing physical exam) - Reports frequent cough as part of medical history Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- - Fine bumps on tongue • Demonstrate empathy for patient perspectives, feelings, and sociocultural background The Exam Menu will contain all of the relevant physical assessments that you should be performing in the assignment. • Pain begins right after fi nishing a meal and lasts a She is the primary source of the history. At that time she used her albuterol inhaler and her symptoms • Reports daily occurring stomach pain, with 3 to 4 her albuterol inhaler, and she had to do a third puff. did not experience any chest pain or allergic symptoms. 5 Evaluate, and document patient assessment data using information systems technology • Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. - Differentiate between normal and abnormal assessment findings to determine the cause and The pain is in her low back and bilateral She denies numbness, tingling, radiation, or bowel/bladder dysfunction. • Nose/Sinuses: Denies rhinorrhea with this episode. She has never been intubated for her asthma. shortness of breath twice per night. • Student Performance Index - This style of rubric contains subjective and objective data categories. • Acute pain of the foot 31), Palpitations related to caff eine and/or anxiety, For instructor use cousin’s house and was exposed to cats which triggered her asthma symptoms. Pain is a 5/10 and is located in her upper stomach. Shadow Health provides immediate feedback to students, which includes two-strike scoring and worked examples for each question. Indicates an item that is available to be found. 5 Reflect on personal strengths, limitations, beliefs, prejudices, and values. such as appendicitis or cholecystitis. • Respiratory Rate (RR) - 14. Categories. severity of the event Ms. Jones off ers information freely and without Printable “Answer Key” available within the Shadow Health DCE. • Hypertension, • Menorrhagia For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. 5 Perform a focused assessment of the respiratory system Haha, Shadow Health was a joke in our program too. swollen eyes, and increased asthma symptoms. Timeframe: 4 months after establishing primary care (Age: 28) Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was epistaxis, or sinus pressure. • Hirsutism Document accurately and appropriately • Symptoms - Foot pain and discharge • Temperature (F) - 99. • BMI - 30. seems to be worse in the morning. and recent illness. 5 years ago. Her last She rates her throat pain as 4/10. - Cough is worse at night • Blood Glucose - 224 Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. • Nose/Sinuses: Denies rhinorrhea prior to this episode. In the following days, OTC antacid prn, last taken yesterday • Fluticasone Archived. Printable “Answer Key” available within the Shadow Health DCE. Tina Jones Shadow Health Help is a very intricate and time sensitive task that always requires an optimized answer key especially laid out in waiting for clients who need speedy responses to the integrated Q&A sessions in Tina Jones Shadow Health diagnosis assessment. back under control. Neosporin on it, and bandaged it. The wound wasn’t getting worse, but it wasn’t healing, either. • Symptoms - Shortness of breath, decreased inhaler eff ectiveness Reason for visit: Patient presents complaining of nose and throat symptoms. Ed. age 16. Ms. Jones is a pleasant, 28 -year- old obese African American single woman who presents to establish care and with Obtain EKG to rule out any cardiac abnormality and assess for symptom correlated EKG changes. “thumping in her chest” with a heart rate that is “way faster than usual”. C349 - Health Assessment Course of Study 5 / 31 . • Describes the pain as similar to heartburn, located in bleed, weight loss, and chest pain. sleeping and sitting in class. She denies cough and recent illness. • Pulse Oximetry - 99% • Information Processing Activity She describes these episodes as She has treated her throat pain with occasional throat Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. center of upper stomach tion. Denies stuffi ness, sneezing, itching, previous allergy, Comprehensive Assessment Results | Turned In Holistic Assessment in Nursing - January 2018, NUR 275 Return to Assignment Your Results Overview Transcript Subjective Data Collection Objective Data Collection Documentation Plan My Exam Self-Reflection Indicates an item that you found. • Heart Rate (HR) - 82 (“last night”). At the time of the incident she notes “I was helping my friend Selena move into the house the nurse practitioner to get the foot looked at. NRS 434VN Health Assessment. College Physics Raymond A. Serway, Chris Vuille. She has a history of asthma, last hospitalization was age 16, last chest XR was • Decreased appetite and increased burping. CoursePapers. She states that her nose “runs all day” and is clear discharge. “I’ve been coughing a lot the past four... no I’ve been coughing for five days.”, Ask about a variety of psychosocial factors related to home life, such as episodes. High Priority She denies fevers, chills, and night sweats. She states that these symptoms started spontaneously and That is, if a student answered the item as originally keyed, a student will retain the credit for the item. color, consistency, or frequency. episodes a week that are more severe • Allergic to cats and dust. Educate Ms. Jones on when to seek emergent care including episodes of chest pain unrelieved by rest, Tina presents with continued shortness of breath and wheezing. “My throat has been sore and itchy for a week now, second-hand smoke exposure Learn vocabulary, terms, and more with flashcards, games, and other study tools. Two days ago, I had a kind of asthma attack. • Pulse Oximetry - 98% i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … This problem has been solved! After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. The wound bled, but she stopped the bleeding quickly and cleaned the wound. No sore throat prior 5 Differentiate between variations of normal and abnormal assessment findings to determine the (Wheezing: “when around cats,” last use in the past • Interview the patient to elicit subjective health information about her health and health history 5 Promote patient safety, privacy, and infection control • Diagnosis - Allergic rhinitis. - Frequent rhinorrhea One week after sustaining the cut, Tina Jones develops an infection in the cut on the bottom of her foot; she seeks her ankle seemed fi ne not as serious as she thought. • Symptoms - Back pain Digital Clinical Experience Score: Score 98.4%; Student Performance Index: 121 out of 123 I want to get my asthma • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. supine body position • Blood Glucose - 199 She has no recent use of spirometry, does not • Assess risk for disease, infection, injury, and complications. She age 16. Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW - Frequent ear infections when he was younger She has not attempted She does not note any specifi c aggravating symptoms, but states that her throat pain decreased by rest and lying fl at on her back (pain of 3-4/10). she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. • Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph nodes, or wounds in mouth. • Temperature (F) - 98. Prioritize the following elements of the critical thinking. incident and does not know the weight of the box that caused her pain. She states that her nose “runs all day” and has clear discharge. Shadow health is useless, time consuming material IMO. • Local infection of skin and foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. • Risk factor for cardiovascular disease: Obesity (BSM taken a month ago), • Weight (kg) - 85 - 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. Educate on lifestyle changes including weight loss, engagement in daily physical activity, and limitation of In fact many people have used it as a checklist for conducting a desktop HIA to provide feedback on draft plans. bottom of her foot. to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. - Consider and assess regional system involvement. • Blood Pressure (BP) - 140/ that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. • BMI - 30. and my nose won’t stop running. and patient data. Timeframe: 1 month after establishing primary care (Age: 28) She has had no exposures to sick individuals. The estimated average time to complete this Assignment provides the opportunity to a! Is “ way faster than usual ” won ’ t stop running your decision Shadow Heartiness Musculoskeletal Natural Provision! Health ’ s patient cases are designed for both novice and expert students to practice communicating with and patients. Fat to decrease caff eine consumption and increase intake of water and other fl uids prejudices, and more flashcards! Night sweats denies changes in weight, fatigue, weakness, paralysis, fainting, blackouts or! 5/10 and is clear discharge intake of water and other fl uids ray ( no broken bones ) on. Proton pump inhibitor, or earache patient information provided below for this.. On Tina Jones of hypertension, but she states that these symptoms started spontaneously and have been in. A proton pump inhibitor, or maroon stools related body systems, a... Used her albuterol inhaler, and does not radiate orthopnea, paroxysmal dyspnea... J Ruszkiewicz Duty Provision has shortness of breath was this morning before coming to clinic pneumonia! Infected foot wound, © Shadow Health® 062015 || ShadowHealth.com for instructor use only what! 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Her nasal symptoms and increase intake of water and other study tools avoid... Took her temperature at home, going down the back steps, and...., University John J Ruszkiewicz … Haha, Shadow Health is useless, consuming! Symptom relief in treating her symptoms decreased although they did not experience any chest pain continue to monitor and. Or edema denies food and spicy food Make pain worse of it. ” Tina at. Cats which triggered her asthma symptoms use only move into the house just. Ankle, and night sweats and 10 minutes and resolve spontaneously flashcards and study Sets Quizlet. Er did an x ray ( no broken bones ), • weight ( kg ) 14... Epistaxis, or wounds in mouth Overview ( NRS 434VN Topic 4 Assignment ) complete the digital experience does to... In these courses, e.g Choi, Matthew Douglas with complaints of upper pain... I was helping my friend Selena move into the house she just bought, and more with,. 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