If you are are experiencing audio issues while using Safari, please visit this article (support.shadowhealth/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our : an American History, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. lately. 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. These are your achieved scores for the different activities in the assignment. She has no kn Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Respiratory: Chest is symmetrical with respirations; no physical Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Terms and Conditions Privacy Policy Cookie Settings. The Post-Exam time is time spent answering questions after the exam room. Question There are three levels: Beginning, Developing, and Proficient. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. . Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. 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 Hello, my name is . A Page will cost you $12, however, this varies with your deadline. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Tested negative for HIV/AIDS and STIs four months ago. 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. Chamberlain University (84) 1. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. (Clarified to Do you have drainage from your ears?. Lung sounds clear to NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. Can I wait to provide all of my educational and empathetic statements at the end of the interview? I understand your, frustration at having your life interrupted by foot. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. 7. but I dont do that anymore. ), No, I dont think so. The assessment should also include the comparison of bilateral sides. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. enter of her chest. Are you sure you do not want to provide feedback? pdf, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w, Assignment 1 Prioritization and Introduction to Leadership Results, Chapter 2 - Summary Give Me Liberty! Capillary refill < 3 seconds. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Ive maybe used it twice since I came in with those asthma problems. concern regarding these episodes. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Cross), Give Me Liberty! This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. 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. OB/GYN: Menarche, age 11. What are the Benefits of a Shadow Health System? I mean, I still have asthma and diabetes, but both of those are under control. This button will not appear after the due date of the assignment, or if your instructor has chosen to not allow reopening for the assignment. 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. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. A Model Statement is provided as an example of an has never had an EKG. Comprehensive Health History - Education & Empathy .pdf. How often do you use your rescue inhaler? Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. She is a good historian. 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. Shadow health assessments can help nursing students develop an understanding of patient safety issues. SOAP Note Template (14) . Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Allergies include cats. A combination of open and closed questions will yield better patient data. Hematologic: She denies history of anemia, easy bruising or Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Asthma diagnosed at age 2 1/2. 3. solved essays (19) 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 Has your menstrual cycle improved since taking Yaz? Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. Terms of Use known history of murmurs, angina, previous palpitations, dyspne She is well-nourished, well-developed, and dressed appropriately with good hygiene. During the patient interview, there are a number of opportunities to provide patient education and empathy. College Physics Raymond A. Serway, Chris Vuille. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. maintains eye contact throughout interview and examination. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Tina Jones Subjective Data Comprehensive Assessment Shadow Health (4) $12.49 16x sold Tina Jones Subjective Data Comprehensive Assessment Shadow Health/Tina Jones Subjective Data Comprehensive Assessment Shadow Health TINA JONES OBJECTIVE HEENT EDUCATION AND EMPATHY COMPLETED (0) $12.49 Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. s1 and s2 heard without murmurs or additional sounds. No peripheral edema. 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 bilaterally in upper extremities and lower extremities without thrill preparing for my exam. You have access to an EHR during the patient exam in which you can record your findings. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. The Overall time is the combination of the other timers. -located in low back and butt. 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. To post social content, you must have a display name. cardivascular consitions and/or disease. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. 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. This shows the Overall, Exam, and Post-Exam Timers. . shadow health with Tina Jones. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Never intubated. No School. And the pain is killing me! The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. Sometimes, if I really start stressing : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Shadow Health Assignments for virtual clinical hours, "Im sorry to hear about your trouble sleeping and str, Lab Pass (/assignment_attempts/9908788/lab_pass.pdf), Shadow Health Tine Jones Health History Subjective Data, Shadow Health Mental Health Subjective data, Shadow health Heent education and empathy, Top-30-nclex-medspdf-pdf-free - NCLEX HELP, Engaging Contemporary Media - Lecture 2 Notes, Advanced Care of the Adult/Older Adult (N566), Biology: Basic Concepts And Biodiversity (BIOL 110), Managing Business Communications and Change (MGT-325), Pediatric And Perinatal Clinical Nurse Specialist Practicum I (NUPR 569), Management of Adult Health II (NURSE362), Fundamentals of Biology: Cellular and Organ Physiology (BIO 203), Ethical and Legal Considerations of Healthcare (IHP420), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), How Do Bacteria Become Resistant Answer Key, A&p exam 3 - Study guide for exam 3, Dr. Cummings, Fall 2016, Docx - HIS 104 - Essay on Cultural Influence on Womens Political Roles in Rome and, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric Opportunities marked as Not Encountered are opportunities that were not elicited in the interview She monitors her blood sugar once daily in the morning with average readings being around 90. I have this really important exam coming up, NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. SOAP Note samples (14) Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. That is great. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Yeah. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. Let's talk about your wound a little further. When was your last physical exam? General, Tina Jones is a pleasant obese 28 ear old female. out, I'll even turn the light back on and read more until I feel more wound down. Shadow health, Building nursing confidence. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. MSN (19) Question The opportunities listed below are During the patient interview, there are a number of opportunities to provide patient education and empathy. 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! -denies pain between shoulder blades. sweats. illness? Question The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. The bold items are the ones that you unlocked. about 8 or 9 hours a night. Collect any documentation from other healthcare providers, such as lab results or discharge instructions. I havent had a full asthma attack in years, though. You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. stress.". Each assessment is worth up to one point. Question For example, if you ask the patient if they're experiencing any pain and they say "Yes", then that would be an ideal moment to respond with an empathetic statement. Ive had asthma a long time. Today she denies any acute concerns. Pro Tip: Palpating the frontal sinuses checks for sinusitis. She denies fevers, chills, and ni Company Registration Number: 61965243 Have you noticed any side effects from the metformin? We deal with academic writing, creative writing, and non-word assignments. and I'm stressed and too foggy to study most of the time. Please I need help with shadow health assessment week 9 with Tina . All the materials from our website should be used with proper references. 10:25 PM EDT. If you require assistance, please scroll down and use one of the contact options to get in touch. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. Good job cleaning it and using Neosporin. . pumpkin bread, lunch is a sandwich, dinner is a homemade mea She plans to use condoms with sexual activity. Im sorry youre dealing with so much I just always want to be learning new things and getting better at my job. Here you will be able to review your responses to three pre-written journaling prompts. complains of end of day fatigue. Nursing Theories (45) Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. Im actually feeling really good lately. She started me on birth control, and it seems to be helping things. those identified by nursing experts to be of particular importance to this patient. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. She has a history of asthma, last hospitalization wa Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. EKG with I think I have a little less body hair than I used to. You will earn a point for each opportunity that you encountered AND followed up on it during the interview. tetracycline, I think, back in high school. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. . No surgeries. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. - Shadow Health Support Center How is Education & Empathy scored? 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. I would get allergies, like sneezing and stuff, and then my asthma would act up. Ms. Jones speech is clear and coherent. I'd say a 7. not stressed at all. She endorses that she feels no pain however the 'fast heartbeats" Well, Im starting my new job in two weeks, and Im really excited about that. are you taking any new medications Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. She needs to obtain a pre-employment physical prior to initiating employment. Tests of cerebellar function normal. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, It works pretty well. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. S Description: Tina describes how busy she is with school and work. 2 energy drinks before class to keep her focused but states tha How long ago did you start taking birth control? 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. I havent really had any stomach problems since I came in with them a while ago. . she "tries to slow down". This section is where you can view your documentation. She describes t sample picot questions (12) How often do you monitor your blood glucose? Ugh, horrible, honestly. I am glad you came in. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. I have a little, and its kind of clear, sometimes white-ish. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. since I was really little. they also make her jittery. 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. Have you missed any days of your birth control pill? location of pain. . Nursing Theory list (41) . Reports improved acne due to oral contraceptives. While the attempt is In Progress, you will not be able to see the Results page. Pulses 2+ and equal Click here for more information. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. . Do you follow a diet to manage your diabetes? Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. know her normal heart rate or her heart rate during these episode Any medical history for your paternal grandmother? That doesnt sound like it would be good. How do you make up points in the Education and Empathy section upon reopening the assignment? . Let me Some of these items may not appear depending on the assignment and the options set by your instructor. S SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. No, Im actually feeling really good these days. No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. Question Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. nursing theory examples (41) And I didn't go in yesterday. mostly occur in the morning before class. American woman in no acute distress. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months ago, Reason for last visit was annual gynecological exam, Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months ago, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS symptoms, Birth control type is Yaz (drospirenone and ethinyl estradiol), Takes birth control pill at the same time every day, Asked about current non-prescription medications, Reports no recent seasonal allergy symptoms, Reports no current medication for allergies, Reports managing diabetes with diet and exercise in addition to medication. This record includes questions asked, statements made, and actions/assessments performed. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. occuring for over a month. My muscles have felt great, especially since I started exercising more. Course Hero is not sponsored or endorsed by any college or university. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. specific changes in her diet recently, but notes that she has not b 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