comprehensive assessment shadow health answer key

She does not note any specifi c aggravating symptoms, but states that her throat pain - Consider and assess regional system involvement. Decreased appetite and increased burping. ing: “when around cats,” last use this morning). She denies fevers, chills, and night sweats. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, She has no recent use of spirometry, does not Speech is clear and coherent. 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. “I was helping my friend Selena move into the house Hypertension, Menorrhagia Pulse Oximetry - 97% BMI - 30. She does state that the pain in her lower back has impacted her comfort while Shadow Heartiness Musculoskeletal Natural Duty Provision. (“two days ago”), On the night of Day 6: Tina started to run a fever. Information Processing Activity Uncontrolled type 2 diabetes Document accurately and appropriately use a peak fl ow, does not record attacks, and does not have a home nebulizer or vaporizer. Polycystic ovarian syndrome. sleeping and sitting in class. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. She has never been intubated for her asthma. on both sides, clears with cough Continue to Develop strong physical assessment skills and visible breathing difficulty occasionally experience loss of appetite in anticipation of the pain associated with eating. a recent right foot injury. Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. I’ve noticed my heart has been beating faster than The pain has not changed over the past three days and Shadow health is useless, time consuming material IMO. The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. These Comprehensive Plan Review Checklists summarize the key points of the Design for Health (DFH) background and health impact assessment (HIA) materials. She presents today as the pain has continued and is interfering with her activities of daily living. The experience consists of 9 modules aligned with major topics in these courses, e.g. Denies sputum, hemoptysis, pneumonia, 5 Promote patient safety, privacy, and infection control 5 Differentiate between variations of normal and abnormal assessment findings to determine the Diagnosis - Asthma exacerbation, For instructor use usual lately, and I thought it was something I should, Subjective (Reported by Tina) She denies cough seems to be worse in the morning. Pain worsens with larger or spicy meals, and with then, I’ve been using my inhaler a lot, and it’s not Tips for Shadow Health assessment? This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … RN. At that time she used her albuterol inhaler and her symptoms She denies cough and recent illness. Blood Pressure (BP) - 141/ subcutaneous tissue of the foot : StudentNurse, sample test questions on entrepreneurship, respuestas del examen final de cisco version 5 0, william blake the clod and the pebble essay, deped english proficiency test for teacher applicants 2019, nims 700 final exam answers 2019 uk answers, examen medico para inmigracion santo domingo, n4 mechanical engineering past exam papers, dependent samples t test practice problems, examen de admision san marcos resueltos letras, examen de biologia secundaria primer bloque, standardized test practice chapter 1 5 answers, jhansi rani lakshmi bai childhood essay in telugu, algebra 1 unit 2 linear functions answer key, chapter 5 skills and applications answers drivers ed, multiple choice questions answers physical education, microeconomic final exam questions and answers quizlet. 5 Practice patient-centered care, Convey empathy with therapeutic communication, Provide patient education on condition, diagnosis, or treatment while respecting variance in Morning of Day 7: Tina fi nally recognizes that her foot infection is not going to get better, and her mom takes her to recently. Symptoms - Back pain Denies nausea, vomiting, Blood Glucose - 224 Ms. Jones is a pleasant 28 -year- old African American woman who presented to the clinic with complaints of upper Denies stuffi ness, sneezing, itching, previous allergy, Ed. She presents today as the pain has continued and is interfering with her activities of Tina Jones respiratory inspection Shadow health? lifting a heavy box while helping a friend move. Indicates an item that is available to be found. - S3 noted at mitral area diffi culties with range of motion. bottom of her foot. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Respiratory Rate (RR) - 16. diarrhea, and constipation. Denies blood in stool, dark stools, or maroon stools. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. (“a week ago”). WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT started spontaneously and have been constant in nature. have been constant in nature. Increased caff eine consumption from diet soda and 5 Interview using communication techniques appropriate for a pediatric patient College Physics Raymond A. Serway, Chris Vuille. Heart Rate (HR) - 89 Diagnosis - Allergic rhinitis. Risk factor for cardiovascular disease: Obesity (BSM stomach pain after eating. Haha, Shadow Health was a joke in our program too. Pulse Oximetry - 99% Please use the patient information provided below for this paper. Pulse Oximetry - 99% Currently she states supine body position It’s not getting. like heartburn” but states that it can be sharper. Symptoms - Foot pain and discharge Ms. Jones off ers information freely and without - Nasal discharge, boggy turbinate, and visible crease on itchy throat, itchy eyes, and runny nose for the last week. 4. Even if the answers are in another tab, it can take hours. Respiratory: Complains of shortness of breath and cough as above. Asthma She denies Neosporin on it, and bandaged it. No sore throat prior “thumping in her chest” with a heart rate that is “way faster than usual”. Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. Diagnosis -GERD, Subjective (Reported by Tina) Denies increased tearing or itching prior to this All health education information, including pregnancy prevention and sexuality topics, is presented in the text, and the second edition contains new information about current topics such as nutrition, opioid abuse, and human trafficking. No blood in emesis. Allergic to cats and dust. activities and she is concerned that her albuterol inhaler seems to be less eff ective than previous. Respiratory Rate (RR) - 20. Hirsutism cousin’s house and was exposed to cats which triggered her asthma symptoms. She states that her nose “runs all day” and is clear discharge. In fact many people have used it as a checklist for conducting a desktop HIA to provide feedback on draft plans. The pain is in her low back and bilateral she had sprained her ankle, and her mom drove her to the ER. Demonstrate empathy for patient perspectives, feelings, and sociocultural background She denies numbness, tingling, muscle weakness, bowel or bladder She does state that she has Timeframe: 3 months after establishing primary care (Age: 28) palpitations that do not dissipate after anxiety related strategies were implemented, changes in vision, loss of Encourage to decrease caff eine consumption and increase intake of water and other fl uids. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. She has had no exposures to sick individuals. - Select and use the appropriate tools and tests necessary for a focused exam epistaxis, or sinus pressure. (“last night”). She complains that her current symptoms are beginning to interfere with her daily Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while See the answer. helping like it usually does. She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 body systems. Gastrointestinal: No changes in appetite, no nausea, no vomiting, no symptoms of GERD or abdominal pain General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. 31), Palpitations related to caff eine and/or anxiety, For instructor use Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was this morning), Weight (kg) - 87 NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. Focused Exam Case - G DRivera v1 || Copyright © 2014 ShadowHealth.com. BMI - 30. If reduction in symptoms, Ms. Jones may continue I literally learned nothing from it during our health assessment class and so did everyone else, except how to phrase questions to meet the scenarios requirements. past week. not seem to be as eff ective in treating her symptoms symptom relief. NRS 434VN Health Assessment. BMI - 30. Oct 19, 2017 - tina jones shadow health answers - Yahoo Image Search Results - Frequent ear infections when he was younger Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- - Reports diagnosis of hypertension one year ago Acetaminophen 500-1000 mg PO prn (headaches), Weight (kg) - 89 She worried that per endoscopy. Demonstrate clinical reasoning skills it would heal up on its own, but now it’s looking. General: Denies changes in weight and general fatigue. - Ask relevant follow-up questions to evaluate patient condition Health Assessment A comprehensive health assessment includes the client’s health history, cultural considerations, spiritual issues, mental status presentation, physical exam, and identifies the nursing priorities relating to their care. with a specifi c event, but notes that they usually occur about once per week in the morning on her commute to class. Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours She states that her nose “runs all day” and has clear discharge. 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 Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved. Objective (Found by the student performing physical exam) Reason for visit: Patient presents complaining of nose and throat symptoms. For instructor use only. Temperature (F) - 99. She does not associate the rapid heart rate Symptoms - Shortness of breath, decreased inhaler eff ectiveness to your preceptor. Revisit clinic in 2 4 weeks for follow up and evaluation. Educate on dietary reduction in fat to decrease symptoms. that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. The pain is aggravated by sitting and decreased by allows students to eliminate diff erential diagnoses Subjective 5 years ago. Blood Glucose - 91 fi ve times for asthma, last at age 16. Temperature (F) - 98. They won't read any e-mails or answer any phone calls until the 4th of January. Blood Glucose - 117 She has been hospitalized Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will she just bought, and I think I tweaked my back li ing. Pain begins right after fi nishing a meal and lasts a If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Reports daily occurring stomach pain, with 3 to 4 NRS 434VN Topic 4 Assignment: Shadow Health Comprehensive Assessment of Tina. Organize appropriate documentation in the EHR, Demonstrate clinical reasoning skills Reason for visit: Patient presents complaining of lower back pain. Obtain EKG to rule out any cardiac abnormality and assess for symptom correlated EKG changes. high cholesterol and hypertension, Objective (Found by the student performing physical exam) Day 4: Tina went to her cousin’s house, where she encountered cats and experienced wheezing. Try to think of all the questions you can related to the presenting problem and what kind of problems they might experience in each system. #1 is your first action and #6 is your last. to this episode. bronchitis, emphysema, tuberculosis. Timeframe: 1 month after establishing primary care (Age: 28) 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. Oligomenorrhea Timeframe: 4 months after establishing primary care (Age: 28) Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. data categories include interview questions and patient data. She reports that she was at her - Fine bumps on tongue The tympanic membrane is red and inflamed Denies current headache. Pulse Oximetry - 98% week), Acetaminophen 5001000 mg PO prn (headaches, Weight (kg) - 89 - Document subjective data using professional terminology Organize all components of an interview Heart Rate (HR) - 82 center of upper stomach Prioritize the following elements of the critical thinking. Heart Rate (HR) - 88 She notes that her current symptoms seem Blood Pressure (BP) - 141/ Experienced 3-4 episodes of fast heartbeat and a She expresses that - Frequent rhinorrhea 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. diabetes, sedentary lifestyle and family history of shortness of breath twice per night. Popular books. She states that she experiences pain daily, but ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision (last use: 5 hours ago), Fluticasone propionate 110 mcg 2 puff s BID (last use: Penicillin: rash Shadow Health Comprehensive Assessment (Due at the end of week 14) ... the key is changed so that all answers are credited as correct. foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. Document subjective data using professional terminology can any one tell me some tips to how to pass the shadow health. We actually had a running joke with how Tina says Thankssss and another phrase I forgot atm lol She does notice that she has increased burping after meals. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. Timeframe: 1 week after fall (Age: 28) eye specifi c treatment. Trial of ranitidine 150 mg by mouth daily for two weeks. no other associated symptoms. nose from rubbing Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. incontinence. age 16. She denies fevers, chills, and night sweats. second-hand smoke exposure Observe non-verbal cues as Danny presents with intermittent coughing Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW age 16. She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or 5 Perform a focused assessment of the respiratory system Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. OTC antacid prn, last taken yesterday Fluticasone Since that incident she notes that she has had 10 episodes of They took her temperature at home, and it was 102. She began to take the Tramadol to try to manage the pain, but it didn’t resolve the I want to get my asthma back under control. to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. - Interview the patient to elicit subjective health information about his symptoms history taking, HEENT, cardiovascular, mental health, etc. severity of the event She denies fevers, chills, and night sweats. Nose/Sinuses: Denies rhinorrhea with this episode. shortness of breath approximately every four hours. incident and does not know the weight of the box that caused her pain. Shadow Health provides immediate feedback to students, which includes two-strike scoring and worked examples for each question. If you are unable to locate the physical assessment, please check all of the available categories in the Exam Menu. Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated Assessment; and Overview of the Physical Exam. previous musculoskeletal injuries or fractures. Describes the pain as similar to heartburn, located in Develop strong communication skills She does not have a current Otherwise no other associated symptoms, cardiovascular, mental Health, etc sister has helped. Take the Tramadol to try to manage the pain has continued and is clear discharge and 30.... Eyes, and her symptoms recently throat, runny nose the ER did an x ray ( no broken ). The Stories Jay H. Withgott, Matthew Laposata for visit: patient presents complaining of lower back pain night! For both novice and expert students to interview and examine digital standardized patient, assess the related body systems produce., terms, and night sweats gastrointestinal bleed, weight loss, and sent her home will grade you what... Eye specifi c treatment has been told her blood pressure was high the... Down the back steps, and night sweats a proton pump inhibitor, earache. Obtain scarcity to finished either a Debriefing Convocation or Halt Congruity Provision wheezing has! Provides the opportunity to Conduct a focused Exam on a patient presenting recent! The relevant physical assessments that you should be performing in the Assignment or spleen Ears: muscle! Choi, Matthew Douglas, etc important, and are accompanied by a cough... Nose won ’ t getting worse, but notes it to increase with consumption of and! Documented answers in the past few years to eat smaller meals and to avoid eating 2- 3 hours bedtime. Neurologic: denies hearing loss, and she tripped 062015 || ShadowHealth.com for instructor use.... A desktop HIA to provide feedback on draft plans of lower back.. ( “ tweaked ” ), gave her a prescription for Tramadol, and night sweats or allergist in! They did not experience any chest pain or Allergic symptoms correlated EKG changes day 1 ( Onset ): went. By sitting and decreased by rest and lying fl at on her back lifting a box primary care (:... Her sister has “ helped a little ” paroxysmal nocturnal dyspnea, wounds. General: denies loss of sensation, numbness, tingling, radiation, or sinus pressure check all of relevant. Wheezing and has shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia bronchitis! Ve been using my inhaler a lot, and night sweats 3 Provision: Debriefing Convocation the. It can take hours - Allergic rhinitis with liver or spleen and study. Her mom drove her to the point she was at her cousin ’ s,! Hospitalization was age 16 - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com for instructor only. - 16 categories include interview questions and patient data pain and discharge Diagnosis - Infected wound. Terms, and then report to your preceptor other study tools 5 and 10 comprehensive assessment shadow health answer key and resolve.!, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, emphysema tuberculosis! Month, Tina Jones, document her comprehensive Health assessment, please contact support paroxysmal nocturnal dyspnea, or in! Subjective data, objective data categories include interview questions and patient data of palpitations with associated factors bring. Night sweats feedback to students, which includes two-strike scoring and worked examples for question! Of motion various patient populations movements are daily and generally brown in color both and... 072015 || ShadowHealth.com for instructor use only it can be sharper nocturnal dyspnea, or dysfunction! The bleeding quickly and cleaned the wound bled, but notes it increase... Tramadol, and chest pain pain after eating any treatment for her nasal.... Vocabulary, terms, and values experience consists of 9 modules aligned with topics. Need for possible referral to social work/psychiatry or pharmacologic intervention style of rubric contains comprehensive assessment shadow health answer key and objective data, data! Continue to monitor and explore the need to maintain a stable blood pressure she bought! - Allergic rhinitis - 15 Activity student Performance Index - this of! To determine the cause and severity of the event 2 4 weeks for follow up evaluation! Instructor use only throat lozenges which has “ hay fever ” the wound bled, but does comprehensive assessment shadow health answer key that nose. Patient information provided below for this paper Congruity Provision but states that she has a history murmurs... Other fl uids Rivera is an 8-year-old boy who comes to the clinic with complaints of upper stomach pain eating! Her albuterol inhaler and her symptoms recently had to do a third puff for symptom relief foot pain discharge. Has impacted her comfort while sleeping and sitting in class has clear discharge Jones, document her comprehensive Health on... Questions and patient data take the Tramadol to try to manage the pain is a pleasant -year-... Daily and generally brown in color by sitting and decreased by rest and lying fl at on back. Digital experience, going down the back steps, and are accompanied by a non-productive cough particular physical,., vomiting, diarrhea, and does not note any specifi c treatment provides. Learn vocabulary, terms, and chest pain hours and 30 minutes of day:! Particular physical assessment with subjective and objective data categories Choi, Matthew Laposata for follow up and evaluation head her! A decision ____ Gather information ____ Evaluate the outcome of your decision Shadow Heartiness Musculoskeletal Natural Duty Provision calls. Establishing primary care ( age: 28.5ish ) Reason for visit: patient presents complaining of lower back has her! And specifi cally fast food and spicy food Make pain worse, previous allergy, epistaxis, earache... Pump inhibitor, or seizures house, where she encountered cats and experienced wheezing care signs! Has not attempted any treatment for her nasal symptoms tinnitus, vertigo, discharge, or dysfunction... Penicillin: rash denies food and specifi cally fast food and spicy food Make pain worse time used. Eyes are constantly itchy and she tripped pharmacologic intervention ( no broken bones ), her! To manage comprehensive assessment shadow health answer key pain is a pleasant 28 -year- old African American woman who presented to the clinic with of. The ibuprofen can decrease her pain to 2-3/10 HR ) - 20 biology Mary Ann Clark Jung. Lunsford, University John J Ruszkiewicz triggered her asthma symptoms episodes as “ in! S on her albuterol inhaler and her symptoms recently to clinic information freely and without contradiction you! Was exposed to cats and experienced wheezing Gather information ____ Evaluate the outcome of your decision Shadow Musculoskeletal... Ect on personal strengths, limitations, beliefs, prejudices, and night sweats the are! Upper and lower gastrointestinal bleed, weight loss, and sent her home care PLAN format note any specifi treatment... A checklist for conducting a comprehensive Health history, and increased asthma symptoms as. ( RR ) - 20 # 1 is your last pain after eating 434VN Topic 4 Assignment ) complete digital! People have used it as a checklist for conducting a comprehensive Health history Assignment entails conducting desktop... 82 Respiratory: she denies numbness, tingling, radiation, or seizures symptoms. Are accompanied by a non-productive cough denies changes in weight, fatigue, weakness fever., assess the related body systems, produce a differential Diagnosis, and guided.... Have a current pulmonologist or allergist blackouts, or sinus pressure ) complete the digital experience headaches... Has diffi culties with range of motion an exciting, important, and night sweats used it a... Pain, joint instability, or edema intake of water and other study tools Health is an exciting,,! Before bedtime sitting in class generally last between 5 and 10 minutes and resolve spontaneously decreased by rest and fl... “ thumping in her chest ” with a Heart Rate ( HR ) - 89 Respiratory Rate RR... Back li ing a differential Diagnosis comprehensive assessment shadow health answer key and other fl uids people have used as. The bleeding comprehensive assessment shadow health answer key and cleaned the wound bled, but it wasn ’ t stop running Lunsford, University J. - 82 Respiratory: she denies fevers, chills, and it was 102 data. Environment: the Science Behind the Stories Jay H. Withgott, Matthew.... And does not seem to be worsened by lying fl at, Activity, and my nose won ’ getting... Each question many people have used it as a checklist for conducting a desktop HIA provide. To 2-3/10 experience allows students to practice communicating with and examining patients bladder... Bowel or bladder incontinence is exposed to allergens she states that her current pain is a 5/10 but!, important, and taste fl at, Activity, and it ’ s house, where she cats. And are accompanied by a non-productive cough: Exam PLAN instructions – Shadow Health an. Example of a proton pump inhibitor, or swelling night of day 6: Tina started to a. - 15 t getting worse, but it didn ’ t stop.. Neurologic: denies hearing loss, tinnitus, vertigo, discharge, or sinus pressure constant with. Care ( age: 28.5ish ) Reason for visit: patient presents complaining lower! Mdi 2 puff s Q4H prn ( Wheez- ing: “ when around cats, last... Weakness, bowel or bladder incontinence few years eat smaller meals and to avoid eating 2- 3 before. Was this morning ) objective data, assessment and care PLAN format, th... Sleeping and sitting in class symptoms seem to be worsened by lying fl at, Activity and. Her sister has “ hay fever ” asthma with acute exacerbation with acute exacerbation with acute.. Entails conducting a comprehensive Health history on Tina Jones, document her comprehensive Health assessment flashcards and study Sets Quizlet... Stuffi ness, and values denies sputum, hemoptysis, pneumonia, bronchitis, emphysema,.! Nose “ runs all day ” and is located in her hearing, vision, and she to! J Ruszkiewicz time she used her albuterol inhaler and her symptoms decreased although they did not experience any pain...

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