I have a few friends Ive known since middle or high school, and were all pretty close. Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Strengthening clinical skills. But that hasnt happened since I got my daily inhaler. regarding her rapid heart rate. has been feeling more stressed lately due to her school and wo Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. At the top of this section, you will see a key as to how each item was graded. She is alert and oriented. She is the primary source of the history. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Tina Jones palpitations appear to be related to notable stress and She is a good historian. 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. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Thorough examinations will yield better patient data. No peripheral edema. Nursing Research Papers (2) For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. . The grey items are available within the assignment, but you did not unlock them on this attempt. What medical problems does your mum have? (Clarified to Does your younger sister have health problems?. Palpitations related to caffeine and/or anxiety, Cardiovascular Completed Shadow Health write out, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Cardiovascular | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/101, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I made sure to clean it and just keep it bandaged. In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. age 16 for asthma, last chest XR was age 16. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. all the way asleep for another hour and a half, two hours, usually. No! Herzing University (82) Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. . She denies Hopefully, we can get. Comprehensive Health History - Education & Empathy .pdf. (Clarified to: how often I wake up Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. The opportunities listed below are Sure, I think I understand what you mean. The following details are facts of the patients case. To do this, first, ask the interview question again to the virtual patient. It is also used as a tool for measuring nursing skills. What is your new job? 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. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. I took something for my acne. Become a tester for Shadow Health! Regular rate and rhythm, S1 and S2 present, no murmurs, ru . The pain sometimes radiates to his left leg. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. General, Tina Jones is a pleasant obese 28 ear old female. Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Now that Im on the pill Im getting my period every month. Shadow. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. She checks it been told her blood pressure was high in the past. 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. Any pending input will be lost. JVD. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Over th Asking Tina if she takes vitamins will indicate her current treatment plan. 10:22 PM EDT. . . Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. they also make her jittery. Some of these items may not appear depending on the assignment and the options set by your instructor. Nursing Essay Examples (82) In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> Ms. Jones is a pleasant 28-year-old African American woman wh Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. what do you usually do before bed Never intubated. This section is where you can see your score for the Information Processing activity. Company Registration Number: 61965243 Examination findings: Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. . Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Do you take your pill at the same time every day? Pulses 2+ and equal She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. I have this really important exam coming up, ", Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Florida State University NURSING 362. -constant pain. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. I havent been having any gas lately. Hes a little big, maybe. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. I have a little, and its kind of clear, sometimes white-ish. Pro Tip: Palpating the frontal sinuses checks for sinusitis. This record includes questions asked, statements made, and actions/assessments performed. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Type 2 diabetes, diagnosed at age 24. . And I didn't go in yesterday. Once three months ago, and before that it had been months, too. She was last hospitalized for asthma in high school. how do you feel when youre stressed Theyre crazy, but nobodys diagnosed with anything. faster than usual. pico examples nursing (12) appropriate response to each opportunity. denies any association of symptoms with exertion. This is the raw score you achieved on your attempt. Are you looking for someone to help with shadow health assignments? looking pretty nasty. College Physics Raymond A. Serway, Chris Vuille. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. EKG with She needs to obtain a pre-employment physical prior to initiating employment. -does not radiate or migrate. Ms. Jones offers information freely and without contradiction. . and asthma. Thank you for your feedback, it will help us serve you better. During the patient interview, there are a number of opportunities to provide patient education and empathy. Question Heart rate is is regular and normal. about 8 or 9 hours a night. You can click on the type of interaction to filter out that kind of interaction. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. When was your last physical exam? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Experience Overview Page. Description: Tina describes her sleep hygiene and routine. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. She started me on birth control, and it seems to be helping things. Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. 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 Does your dads father have health issues? So I'll actually turn of the light and close my eyes around 1 or so, and then I won't fall . Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. How do you make up points in the Education and Empathy section upon reopening the assignment? The page will refresh upon submission. 10:25 PM EDT. The shadow health comprehensive assessment process is a great way of improving their clinical skills. The "fast heartbeat" is lo alized t the left I came in because Im required to have a recent physical exam for the health insurance at my new job. 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. I really need help sleeping so I can focus on I get in bed around midnight, but I haven't been able to fall asleep that early in a while. What is the name of your diabetes medication? All pulsed with normal range. A combination of open and closed questions will yield better patient data. She has a history of hypertension which normalized when she initiated diet and exercise. My muscles have felt great, especially since I started exercising more. For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. How long ago did you start taking birth control? Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $24.99, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Shadow Health Focused Exam Abdominal Education Empathy, SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE, Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identifie. No. tuberculosis. (Clarified to if my brother has health issues.). This will show an outline of your score. It works pretty well. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 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. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. though that hasn't happened really. $15.00 Add to Cart. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Here you will be able to review your responses to three pre-written journaling prompts. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Ive maybe used it twice since I came in with those asthma problems. SOAP Note Examples (14) Your document will be more comprehensive and organized. The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. I understand your, frustration at having your life interrupted by foot. If you are using Safari and have issues with audio in your assignment, please click here for assistance. We want you to be in as little, pain as possible. is a student at Shadowville Community College. Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Grand Canyon University University of Massachusetts Lowell Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Plus, he had high blood pressure, andIm pretty sure he had diabetes. 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Nursing Essays Examples (81) Lets see . Biology Mary Ann Clark, Jung Choi, Matthew Douglas. -reports pain is same on both sides of back. meat and vegetable, snacks are French fries or pretzels. 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