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. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. why did you decide to seek treatment Type 2 diabetes, diagnosed at age 24. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. (Clarified to: if I try, great start. . Can I confirm that you are here for a physical? Overview. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 1. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas. Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). The Subjective Data Collection page is broken into 2 columns. Regular rate and rhythm, S1 and S2 present, no murmurs, ru She describes t Tina denies smoking and states she seldomly drinks. Then you can respond within two lines of dialogue with the correct educational or empathetic response to receive credit for the scored item. Then a few weeks later I saw a gynecologist for a pap smear. This shows the Overall, Exam, and Post-Exam Timers. Im sorry youre dealing with so much known history of murmurs, angina, previous palpitations, dyspne Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. If you require assistance, please scroll down and use one of the contact options to get in touch. bleeding, petechiae, purpura, or blood transfusions. Tina Jones palpitations appear to be related to notable stress and Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. My eyes havent been red lately. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were Question We want you to be in as little, pain as possible. 10:23 PM EDT. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. drinking as much water as her normal. Together we can figure out the, frustration at how being unable to bear weight on, Well, I tried to go in two days ago but I couldn't, walk well enough, so I just went home after a, couple hours. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. Just not rested, and out of it, and groggy waking up has been really hard That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. . discomfort of 3/10 which she attributes to associated anxiety those identified by nursing experts to be of particular importance to this patient. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Hes a little big, maybe. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Are you sure you do not want to provide feedback? Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. abnormalities present on chest wall. Any pending input will be lost. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. 2. Over th ABI is 0. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Hello, my name is . 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. were followed up by students, and include the dialogue between student and patient 1 Expression of pain Followed UpFollowed Up 2 Impact of injury on daily life Followed UpFollowed Up 3 Gaps in health literacy around diabetic diet Not Followed UpNot Followed Up 4 Lack of treatment with diabetes medication Not Followed UpNot Followed Up 5 Lack of She has a history of asthma, last hospitalization wa Lets see . When was your last physical exam? This section is where you can view your documentation. Comprehensive Health History - Education & Empathy .pdf. (Clarified to Does your brother have medical problems?. We socialize before and after church, and I go to Bible study on Wednesdays, too. Can I wait to provide all of my educational and empathetic statements at the end of the interview? This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. 2. Examination findings: I use my Flovent inhaler two times a day. She complains of intermittent dizziness. She denies chest pain during the episodes, but does endorse Shadow health Heent education and empathy - StuDocu To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. Question 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Plus I have my friends from church. Asking Tina if she takes supplements will indicate her current treatment plan. She denies shortness of breath. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. ), Does your bother have health issues? Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Cardiovascular Completed Shadow Health write out - 7/4/2021 - StuDocu There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Description: Tina describes her sleep hygiene and routine. 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No surgeries. The Post-Exam time is time spent answering questions after the exam room. Gather information about your patients health history, including information about current medical conditions. Developing critical thinking skills. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Question he had some blood pressure and cholesterol issues when he was alive, too. rate over the last month. 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. looking pretty nasty. Shadow health Heent education and empathy - HEENT Results | Turned In Advanced Health Assessment - - Studocu Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Our, You will save time. are you taking any new medications How long ago did you start taking birth control? The second number represents the total possible points in the assignment. Diana Shadow : Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. DNP (36) ), No. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She generally dr . I think I have a little less body hair than I used to. 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. Does he have any medical issue? On a scale of 1-10, how would you rate the pain? out, I'll even turn the light back on and read more until I feel more wound down. Asking Tina if she takes vitamins will indicate her current treatment plan. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. I guess I had anxiety back when I was having those sleep problems. Ms. Jones offers information freely and without contradiction. Lag, nystagmus, and deviations may indicate neurologic conditions. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Strengthening clinical skills. She provided the health information freely during the interview. 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. Tina Jones Shadow Health Empathy and Education.docx - 1 You will receive a fraction of this point for each dimension of the assessment that was correctly reported. Im usually asleep by 11:30, and I wake up at 8, so. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. Are you taking any medication for your allergies? All the work should be used in accordance with the appropriate policies and applicable laws. Shadow Health Conversation Notes (conversation Lab) - Quizlet Collect any documentation from other healthcare providers, such as lab results or discharge instructions. Heart rate is is regular and normal. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. tuberculosis. General, Tina Jones is a pleasant obese 28 ear old female. only coming to the clinic today because her family has expressed Sometimes, if I really start stressing PICOT Question (12) 3. what brings you in today anxiety which is related to the pressures of schools and work. bilaterally in upper extremities and lower extremities without thrill Question Are you looking for someone to help with shadow health assignments? I used to have a lot of trouble with asthma attacks back then. The episodes generally Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Herzing University (82) Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. You can click on the type of interaction to filter out that kind of interaction. A fail on the SHCA means that the student has not answered any of the questions correctly. 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By visualizing the fundus, you can look for any retinopathic changes. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. $65 USD . and asthma. I had two doctors appointments earlier this year. . She is a good historian. -pain lasted 3 days. . history. The pain sometimes radiates to his left leg. Study Tips (250), BSN (31) Nursing Simulation for Nursing students | Shadow Health (Clarified to Does your younger sister have health problems?. . examples of picot questions (12) General: Ms. Jones is a pleasant, obese 28-year-old African gallops, clinics, precordial movements. Description: Tina describes how busy she is with school and work. That doesnt sound like it would be good. Any pending input will be lost. NURSING 362. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. SOAP Note samples (14) Creating your own SHCA can be tricky, but using a. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. It is also used as a tool for measuring nursing skills. No! occuring for over a month. You must follow up within two interactions in order to receive the points. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Tina Jones endorses that she does not really watch her diet. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. 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 section, you will see a key as to how each item was graded. challenging time for you. maintains eye contact throughout interview and examination. Ive maybe used it twice since I came in with those asthma problems. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. 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. Any medical history for your paternal grandmother? Denies any dizinness, ligh-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. mostly occur in the morning before class. fffynd.luistreeservices.us Let me learn more about what youre experiencing, and I will try to help.". She does If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Health History | Completed | Shadow Health, Advanced Health Assessment - August 2019, N5544. concern regarding these episodes. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Good job cleaning it and using Neosporin. JVD. illness? Tina confirms that she has sources of stress and anxiety which are ), Nothing is coming out of my ears. What are the Benefits of a Shadow Health System? Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Question Does your dads father have health issues? Now that Im on the pill Im getting my period every month. Attempting to palpate the kidney helps determine enlargement or tenderness. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Course Hero is not sponsored or endorsed by any college or university. 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. Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. cardiac history and has never had episodes prior to this last mon Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, Shadow health comprehensive assessment education and empathy Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Health Assessment - Summer 2021, NUR 703, (/site_notice_dismissals?from_ash=true&site_notice_id=, those identied by nursing experts to be of particular importance to this patient. No. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. 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. 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. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. No EKG chanes. I will be conducting an interview and later perform a physical exam. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. I think were pretty special, the way we all get along. The page will refresh upon submission. Has new male relationship, sexual contact not initiated. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. The first number represents the amount of points you earned. regarding her rapid heart rate. Theyre crazy, but nobodys diagnosed with anything. I really need help sleeping so I can focus on Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, 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. Comprehensive Health History - Education & Empathy .pdf - Course Hero Asking Tina if she takes non prescription drugs will indicate her current treatment plan. She needs to obtain a pre-employment physical prior to initiating employment. 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. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Skin on neck has stopped darkening and facial and body hair has improved. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. I used my Flovent inhaler this morningI have to take it twice a day. Become a tester for Shadow Health! At the top of this section, you will see a key indicating the status of each opportunity.