eye specifi c treatment. Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. The episodes generally last between 5 and 10 minutes and resolve spontaneously. Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- • Musculoskeletal: Denies muscle weakness, pain, joint instability, or swelling. • Experienced 3-4 episodes of fast heartbeat and a - Select and use the appropriate tools and tests necessary for a focused exam For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. • Temperature (F) - 99. throat lozenges which has “helped a little”. The pain is in her low back and bilateral • Risk factor for cardiovascular disease: Obesity (BSM The wound wasn’t getting worse, but it wasn’t healing, either. - Differentiate between normal and abnormal assessment findings to determine the cause and California State University, San Bernardino, Comprehensive Assessment _ Completed _ Shadow Health.pdf, Tina Comprehensive Assessment Shadow Health Objective Questions.pdf, Tina Comprehensive Assessment Shadow Health Transcript.pdf, University of Maryland, University College, Comprehensive Assessment _ Completed _ Shadow Health.pdf SUBJECTIVE.pdf, Tina Jones.Comprehensive Assessment _Subjective_ Shadow Health.pdf, Chamberlain College of Nursing • NR 509, California State University, San Bernardino • NURS 541, University of Maryland, University College • NURS 362, California State University, Long Beach • NURSING 305, NRS 434 Week 4_ Comprehensive Assessment _ Completed _ Shadow Health OBJECTIVE.pdf, Comprehensive Assessment | Completed | Shadow Health 2.pdf, Comprehensive Assessment | Completed | Shadow Health2.pdf. 5 Communicate critical information effectively to another healthcare professional during the transfer If She denies She states that she experiences pain daily, but • Height: 170 cm • Weight: 84 kg • BMI: 29.0 • Blood … • Organize appropriate documentation in the EHR, Demonstrate clinical reasoning skills with seasonal allergies, but does note that her sister has “hay fever”. All of these physical assessments will be performed via the Exam Menu, which will appear in the upper left of the simulation area. week), Acetaminophen 5001000 mg PO prn (headaches, • Weight (kg) - 89 • Symptoms - Sore and itchy throat, runny nose, itchy eyes Acetaminophen 500-1000 mg PO prn (headaches), • Weight (kg) - 89 Focused Exam Case - G BFoster v1 || Copyright © 2014 ShadowHealth.com. that her breathing is normal. this morning), • Weight (kg) - 87 incontinence. allergens she states that she has runny nose, itchy and emphysema, tuberculosis. cause and severity of the event. This is "Shadow Health: Digital Clinical Experience" by Shadow Health, Inc. on Vimeo, the home for high quality videos and the people who love them. pressure when a cuff or machine is available. • Blood Pressure (BP) - 141/ • Respiratory: Complains of shortness of breath and cough as above. High Priority few hours Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … Diana Shadow: A health history requires you to ask questions related to Ms. Jones' past and present health, from her current foot wound to her pre-existing conditions. No known T, following actions reveal the objective data of the patie, Scattered pustules on face and facial hair on upper, Right eye: equal hair distribution on lashes and, eyebrows, lids without lesions, no ptosis or edema, Left eye: equal hair distribution on lashes and, Thyroid smooth without nodules, no goiter, Upper eyelids: conjunctiva pink, no lesions, white, Lower eyelids: conjunctiva pink, no lesions, white, 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, Vision 20/20 right eye with corrective lenses, Vision 20/20 left eye with corrective lenses, Nasal mucosa moist and pink, septum midline on, Right TM intact and pearly gray, positive light reflex, Left TM intact and pearly gray, positive light reflex, Inspected mouth and throat with tongue blade. J45.901, Asthma J45.901, Asthma with acute exacerbation with acute exacerbation. • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Increased caff eine consumption from diet soda and • Hypertensive blood pressure reading: 145 / 90 The wound bled, but she stopped the bleeding quickly and cleaned the wound. Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other - Frequent rhinorrhea She reports that she was at her Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness In the Comprehensive Assessment, you earn points by performing the physical assessments. Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. The pain is aggravated by sitting and decreased by Educate on when to seek emergent care including signs and symptoms of upper and lower gastrointestinal • Student Performance Index - This style of rubric contains subjective and objective data categories. health literacy, Express consideration and respect for patient perspectives, feelings, and sociocultural - Document objective data using professional terminology • General: Denies changes in weight and general fatigue. data categories include interview questions and patient data. © Shadow Health® 062015 || ShadowHealth.com She is the primary source of the history. contradiction. • Heart Rate (HR) - 89 • BMI - 30. data categories include interview questions and patient data. • Hypertension, • Menorrhagia • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. of breath and wheezing following a near asthma attack that she had two days ago. therapy. - 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. Shadow Health Comprehensive Assessment. • Acanthosis nigricans • Document subjective data using professional terminology Introducing Textbook Solutions. bottom of her foot. She turned her ankle and scraped the Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of - Interview the patient to elicit subjective health information about his symptoms Bowel movements are daily and generally brown in color. She incident and does not know the weight of the box that caused her pain. ing: “when around cats,” last use this morning). background Tina had an asthma episode 2 days ago. Please continue to refer to the course for a comprehensive list of the resources and activities. I’ve noticed my heart has been beating faster than - Mild tachycardia • Diagnosis - Allergic rhinitis. She has had no exposures to sick individuals. • Heart Rate (HR) - 80 and recent illness. A new and innovative product was launched by Shadow Health™ in 2012. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Preparing ahead of time will help to set you up for success. it would heal up on its own, but now it’s looking. Create a differential diagnosis NR 509 Week 2 Shadow Health Respiratory Physical Assessment Assignment . Denies blood in stool, dark stools, or maroon stools. no other associated symptoms. Get step-by-step explanations, verified by experts. “My throat has been sore and itchy for a week now, • Heart Rate (HR) - 82 She notes it to increase with consumption of food and specifi cally on both sides, clears with cough monitor and explore the need for possible referral to social work/psychiatry or pharmacologic intervention. color, consistency, or frequency. usual lately, and I thought it was something I should, Subjective (Reported by Tina) She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or • Pulse Oximetry - 99% that the ibuprofen can decrease her pain to 2-3/10. to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. her ankle seemed fi ne not as serious as she thought. NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment | Assignments for Chamberlain nursing students in the United States | Free and Premium episode of shortness of breath was this morning before coming to clinic. any treatment for her nasal symptoms. Spell. • Blood Pressure (BP) - 139/ - PMI displaced laterally second-hand smoke exposure Terms in this set (3) Subjective Current Health Status (11) Current health problems. - Right ear has erythematous; canal is clear and a little red. - Assess risk for disease, infection, injury, and complications This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was back under control. • Symptoms - Foot pain and discharge She worried that - Gather subjective and objective data All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. Gastroesophageal refl ux disease without evidence of esophagitis. time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter - Starting to feel pain in his right ear, EXAM episodes. - Lymph nodes enlarged and tender on the right side Flashcards. NR 509 Week 8 Reflection: MSN program outcome #1 and the … NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. She states that factors and bring log to next visit. energy drinks age 16. At the time of the incident she notes • Student Performance Index - This style of rubric contains subjective and objective data categories. - Appears fatigued • BMI - 30. • Blood Pressure (BP) - 138/ • Blood Glucose - 199 buttocks, is a constant aching with stiff ness, and does not radiate. She shortness of breath twice per night. • Symptoms - Recurrent stomach pain auscultation, percussion, and palpation), which NR 509 Week 8 Summary Reflection Post. Shadow Health, Gainesville, Florida. Last visit to PCP. Identify how your performance could be improved and how you can apply “lessons; learned” within the assignment to your professional practice. After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. Ms. Jones is a pleasant, 28 -year- old obese African American single woman who presents to establish care and with episodes a week that are more severe although they did not completely resolve. epistaxis, or sinus pressure. Two days ago, I had a kind of asthma attack. her albuterol inhaler, and she had to do a third puff. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. 5 Perform a focused assessment of the respiratory system Printable “Answer Key” available within the Shadow Health DCE. Denies stuffi ness, sneezing, itching, previous allergy, - Identify opportunities to educate the patient the point she was unable to walk. Preparing ahead of time will help to set you up for success. When she is exposed to nicole_kurlyandchik. past week. Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Currently she states • Respiratory Rate (RR) - 16. propionate, 110 mcg 2 puff s BID (last use: this - Reports frequent cough as part of medical history • Episodes accompanied by mild anxiety Popular books. She denies cough - Audible coarse crackles in upper airway; bronchovesicular stomach pain after eating. lozenges which has “helped a little”. - Reports diagnosis of hypertension one year ago • Oligomenorrhea Shadow Health provides immediate feedback to students, which includes two-strike scoring and worked examples for each question. Document accurately and appropriately • BMI - 29. - Document subjective data using professional terminology inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. Ms. Jones off ers information freely and without Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Printable “Answer Key” available within the Shadow Health DCE. • Heart Rate (HR) - 80 • Obesity One week after sustaining the cut, Tina Jones develops an infection in the cut on the bottom of her foot; she seeks asked to read text, complete self-tests, answer Case Study questions, and complete Shadow Health clinical assessments. bleed, weight loss, and chest pain. - Had pneumonia last year buttocks, is a constant aching with stiff ness, and does not radiate. Denies sputum, hemoptysis, pneumonia, She tried two puff s on Shadow Health Inc. introduces Tina Jones™, a digital standardized patient experience to augment graduate nursing Advanced Physical Assessment and medical school Essentials of Patient Care curricula. Her current pain is a 5/10, but she states Tina presents with continued shortness of breath and wheezing. 12/8/2019 Comprehensive Assessment | Completed | Shadow Health 2/8 Respiratory Palpated thyroid Thyroid smooth without nodules, no goiter Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, white sclera Lower eyelids: conjunctiva pink, no lesions, white sclera Tested PERRL with penlight Right pupil: equal, round, reactive to light Left pupil: equal, round, … antacid with some relief. tina jones comprehensive assessment answers - Search Results. Popular books. treatment when the infection starts to swell and produce pus. Experts selected these examinations as essential. - Rhinorrhea with clear mucus; inside nostril appearance red wheezing, and has a nonproductive cough and episodes of shortness of breath approximately every four hours. Follow up about diabetes meds. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. • Reports daily occurring stomach pain, with 3 to 4 she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. At that time she used her albuterol inhaler and her symptoms decreased - Tenderness in throat; “cobble stoning” in back of throat. • Dysmenorrhea In addition to the patient interviews, you will be performing physical assessments on the patients as you work through your Shadow Health assignments. Tina Turner denies reports of stroke. Acetaminophen 500- 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps), Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (last College Physics Raymond A. Serway, Chris Vuille. then, I’ve been using my inhaler a lot, and it’s not Day 1 (Onset): Tina was at home, going down the back steps, and she tripped. • Gastrointestinal: No changes in appetite, no nausea, no vomiting, no symptoms of GERD or abdominal pain If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Develop strong communication skills and my nose won’t stop running. Module 1 The activities in this section are provided to guide you through the instruction as you complete this course. • Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com I got this scrape on my foot a while ago, and I thought morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last • Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or - Frequent ear infections when he was younger The pain is aggravated by sitting (rates a 7/10) and Objective data categories include examination She denies numbness, tingling, muscle weakness, bowel or bladder • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Diagnosis -GERD, Subjective (Reported by Tina) Timeframe: 1 week after fall (Age: 28) She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 • Blood Pressure (BP) - 141/ past. supine body position not seem to be as eff ective in treating her symptoms Trial of ranitidine 150 mg by mouth daily for two weeks. • Nose/Sinuses: Denies rhinorrhea with this episode. Test. She awakens with night-time (last use: 5 hours ago), Fluticasone propionate 110 mcg 2 puff s BID (last use: She has a history of asthma, last hospitalization was age 16, last chest XR was She does not note any specifi c aggravating symptoms, but states that her throat pain professional, and then reflect on personal strengths, limitations, beliefs, prejudices, and values. Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. high cholesterol and hypertension, Objective (Found by the student performing physical exam) Encourage Ms. Jones to continue to monitor her blood Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. She has not attempted Shadow Health will grade you on what you ask and will deduct points for what you omitted. 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