Head: Denies history of trauma. College Physics Raymond A. Serway, Chris Vuille. Course Hero is not sponsored or endorsed by any college or university. NR 509 Week 2 Assignments plus Quiz with Answers. She has treated her throat pain with occasional throat Organize all components of an interview 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, … - Create a differential diagnosis. She denies fevers, chills, and night sweats. or sinus pressure. Gastroesophageal refl ux disease without evidence of esophagitis. The pain is aggravated by sitting and decreased by - Organize all components of a focused cardiac exam She denies fevers, chills, and night sweats. 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. Her current pain is a 5/10, but she states Objective data categories include examination If reduction in symptoms, Ms. Jones may continue She reports that the inhaler does Temperature (F) - 99. Hypertension, Menorrhagia that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. Students determine if Diagnosis - Allergic rhinitis. cause and severity of the event. does admit to needed an occasional third puff for She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or Reason for visit: Patient presents complaining of nose and throat symptoms. She has no recent use of spirometry, does not She does state that she has Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put with a specifi c event, but notes that they usually occur about once per week in the morning on her commute to class. NR 509 Week 7 Shadow Health Comprehensive Health … Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness therapy. Interview the patient, assess the related body systems, produce a differential diagnosis, and then report The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. She worried that Observe non-verbal cues as Danny presents with intermittent coughing Pain begins right after fi nishing a meal and lasts a Risk factors for cardiovascular disease: type 2 Currently she states changes in her hearing, vision, and taste. The pain is in her low back and bilateral - Differentiate between normal and abnormal assessment findings to determine the cause and Temperature (F) - 99. Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. Pain worsens with larger or spicy meals, and with Thorough examinations will yield better patient data. Blood Pressure (BP) - 141/ Assess risk for disease, infection, injury, and complications. Diagnosis -GERD, Subjective (Reported by Tina) Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Penicillin: rash Timeframe: 8 months after establishing primary care (Age: 28.5ish) Continue to You will also want to review Ms. Jones' systems, psychosocial history, and family medical history. Please sign in or register to post comments. She denies cough J45.901, Asthma J45.901, Asthma with acute exacerbation with acute exacerbation. diabetes, sedentary lifestyle and family history of 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 She states that these symptoms back under control. - Document subjective data using professional terminology Educate on when to seek emergent care including signs and symptoms of upper and lower gastrointestinal High Priority She is the primary source of the history. © Shadow Health® 062015 || ShadowHealth.com - Reports diagnosis of hyperlipidemia one year ago, EXAM Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will Pulse Oximetry - 99% taken a month ago), Weight (kg) - 85 morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last Tina Turner denies reports of stroke. Heart Rate (HR) - 82 Tina had an asthma episode 2 days ago. Last visit to PCP. Pulse Oximetry - 97% In the Comprehensive Assessment, you earn points by performing the physical assessments. Objective data categories include examination The Shadow Health Physical Assessment Assignments allow the student to interact with virtual patients in a standardized virtual learning environment which simulates real life clinical experiences in order to achieve weekly learning objectives, course outcomes, and program outcomes. “thumping in her chest” with a heart rate that is “way faster than usual”. diarrhea, and constipation. Blood Glucose - 224 incident and does not know the weight of the box that caused her pain. NR 509 Week 2 Shadow Health Respiratory Physical Assessment Assignment . She denies numbness, tingling, muscle weakness, bowel or bladder previous musculoskeletal injuries or fractures. Comprehensive Assessment Tina Jones Shadow Health ... Onlinenursingpapers.com Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She presents today as the pain has continued and is interfering with her activities of daily living. She denies numbness, tingling, radiation, or bowel/bladder dysfunction. occasionally experience loss of appetite in anticipation of the pain associated with eating. Heart Rate (HR) - 80 Match. Respiratory Rate (RR) - 14. Develop strong physical assessment skills Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW “I have been having some troubling chest pain in my chest now and then for the past month.”, INTERVIEW allergens she states that she has runny nose, itchy and General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Flashcards. Denies nausea, vomiting, allows students to eliminate diff erential diagnoses Respiratory Rate (RR) - 16. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … Get step-by-step explanations, verified by experts. 5 Perform a focused assessment of the respiratory system Hypertensive blood pressure reading: 145 / 90 She denies You accomplish demand to thorough either a debriefing convocation or the dubitate answerableness provision! 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. Document accurately and appropriately fi ve times for asthma, last at age 16. Polycystic ovarian syndrome. Preparing ahead of time will help to set you up for success. - Demonstrate empathy for patient perspectives, feelings, and sociocultural background - Ask relevant follow-up questions to evaluate patient condition epistaxis, or sinus pressure. - Interview the patient to elicit subjective health information about his symptoms use a peak fl ow, does not record attacks, and does not have a home nebulizer or vaporizer. she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. 5 Communicate critical information effectively to another healthcare professional during the transfer and patient data. Encourage Ms. Jones to continue to monitor her blood second-hand smoke exposure The answers we seek to sought out when it comes to the problem of determining what particular Tina Jones Shadow Health Answer key is suitable for any particular scenario, one only needs to determine the viability of transmuting one viable evidence-based practice from one Tina Jones Shadow Health ‘fraternity’ or ‘real-life’ simulation to the another. Two days ago, I had a kind of asthma attack. diffi culties with range of motion. - Consider and assess regional system involvement. health assessment, we lack material for advanced practice graduate nursing students. throat lozenges which has “helped a little”. - Appears fatigued use: “a few months ago”), Weight (kg) - 88 Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. few hours Neosporin on it, and bandaged it. She has not attempted ADPIE The Undergraduate Pharmacology DCE is built from the ground up to integrate the ADPIE process into students' learning, centering the steps of assessment, diagnosis, planning, implementation, and evaluation in both their education and their practice. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. professional, and then reflect on personal strengths, limitations, beliefs, prejudices, and values. - Mild tachycardia Nose/Sinuses: Denies rhinorrhea prior to this episode. Blood Pressure (BP) - 139/ Describes the pain as similar to heartburn, located in - Reports frequent cough as part of medical history her albuterol inhaler, and she had to do a third puff. Check the course announcements regularly for messages about the course and contact your course instructors for … Confirming the name of Tina’s birth control pill will solicit information about her health … Speech is clear and coherent. Document subjective data using professional terminology - Increased respiratory rate Symptoms - Sore and itchy throat, runny nose, itchy eyes She describes it “kind of Write. sleeping and sitting in class. to this episode. helping like it usually does. bottom of her foot. Spell. and my nose won’t stop running. Episodes accompanied by mild anxiety seizures. She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was Dysmenorrhea Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, Terms in this set (3) Subjective Current Health Status (11) Current health problems. “thumping feeling” in the last month Heart Rate (HR) - 89 They took her temperature at home, and it was 102. Shadow Health, Gainesville, Florida. Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT She denies chest pain during the Musculoskeletal: Denies muscle weakness, pain, joint instability, or swelling. She does not note any specifi c aggravating symptoms, but states that her throat pain no other associated symptoms. Temperature (F) - 98. although they did not completely resolve. started spontaneously and have been constant in nature. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. high cholesterol and hypertension, Objective (Found by the student performing physical exam) to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. She denies fevers, chills, and night sweats. NR 509 Week 8 Reflection: MSN program outcome #1 and the … Denies blood in stool, dark stools, or maroon stools. with seasonal allergies, but does note that her sister has “hay fever”. lifting a heavy box while helping a friend move. Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. STUDY. 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. Since that incident she notes that she has had 10 episodes of wheezing and has asked to read text, complete self-tests, answer Case Study questions, and complete Shadow Health clinical assessments. Acanthosis nigricans It’s not getting. of breath and wheezing following a near asthma attack that she had two days ago. Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. lozenges which has “helped a little”. Day 1 (Onset): Tina was at home, going down the back steps, and she tripped. her ankle seemed fi ne not as serious as she thought. She states that her eyes are constantly itchy and she has not attempted any 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 - Identify opportunities to educate the patient Educate on dietary reduction in fat to decrease symptoms. Clicking the Exam Actions in the menu will begin the physical assessment. 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. Allergic to cats and dust. emphysema, tuberculosis. She has a history of asthma, last hospitalization was age 16, last chest XR was PLAY. If Encourage to decrease caff eine consumption and increase intake of water and other fl uids. 10/29/2017 Comprehensive Assessment | Completed | Shadow Health 2/7 Student Documentation Model Documentation Reason for Visit Ms. Jones is here for a head-to-toe exam for insurance purposes for her new job. Over the last month, Tina has experienced 3 -4 episodes of perceived rapid heart rate. Heart rate in the clinic is not tachycardic: 90 bpm She tried two puff s on (Wheezing: “when around cats,” last use in the past decreased although they did not completely resolve. She (“two days ago”), On the night of Day 6: Tina started to run a fever. have been constant in nature. Her pain increased to Acute pain of the foot NR 509 Week 8 Summary Reflection Post. Reason for visit: Patient presents complaining of lower back pain. i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … Acetaminophen 500-1000 mg PO prn (headaches), Weight (kg) - 89 She turned her ankle and scraped the she “took really good care of it.” Tina was able to go to work and attend school. Hope that helps. Interview the patient to elicit subjective health information about her health and health history Follow up about birth control. She does not associate the rapid heart rate Return to clinic in two weeks for evaluation and follow up. - Right ear has erythematous; canal is clear and a little red. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. She presents today as the pain has continued and is interfering with her activities of consciousness, and sense of impending doom. edema. “I’ve been coughing a lot the past four... no I’ve been coughing for five days.”, Ask about a variety of psychosocial factors related to home life, such as the nurse practitioner to get the foot looked at. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … per endoscopy. Respiratory Rate (RR) - 15. Module 1 The activities in this section are provided to guide you through the instruction as you complete this course. The Advanced Health Assessment patient case is a series of single-system examinations of Tina Jones during several clinic visits over the course of a simulated year, which students have found useful in preparing for their clinical. Denies increased tearing or itching prior to this At the time of the incident she notes Health History Prep – Answer Key Tina Jones is a pleasant, 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and is … health literacy, Express consideration and respect for patient perspectives, feelings, and sociocultural Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. background energy drinks She states that her nose “runs all day” and has clear discharge. time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter data categories include interview questions and patient data. For instructor use only. Morning of Day 7: Tina fi nally recognizes that her foot infection is not going to get better, and her mom takes her to She states that she has some soreness when swallowing, but otherwise All of these physical assessments will be performed via the Exam Menu, which will appear in the upper left of the simulation area. (“three days ago”), Day 5 - 6: Tina noticed pus in the wound, and swelling, redness and a warm feeling in her foot. Printable “Answer Key” available within the Shadow Health DCE. I’ve noticed my heart has been beating faster than episodes. severity of the event bleed, weight loss, and chest pain. Student Performance Index - This style of rubric contains subjective and objective data categories. - Rhinorrhea with clear mucus; inside nostril appearance red She states that her nose “runs all day” and is clear discharge. General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. notes it to be worse 3 -4 times per week. Subjective color, consistency, or frequency. “I was helping my friend Selena move into the house Trial of ranitidine 150 mg by mouth daily for two weeks. Respiratory Rate (RR) - 20. She notes it to increase with consumption of food and specifi cally 5 Practice patient-centered care, Convey empathy with therapeutic communication, Provide patient education on condition, diagnosis, or treatment while respecting variance in Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (Wheez- She reports that she was at her She states that she lifted several boxes before this event without She has never been diagnosed The pain has not changed over the past three days and cousin’s house and was exposed to cats which triggered her asthma symptoms. itchy throat, itchy eyes, and runny nose for the last week. and recent illness. supine body position NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. BMI - 30. ing: “when around cats,” last use this morning). Demonstrate empathy for patient perspectives, feelings, and sociocultural background she just bought, and I think I tweaked my back li ing. She has had no exposures to sick individuals. General: Denies changes in weight and general fatigue. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. At that time she used her albuterol inhaler and her symptoms decreased No blood in emesis. Obesity Note: This pacing guide does not replace the course. like heartburn” but states that it can be sharper. She states that she experiences pain daily, but - Had pneumonia last year She began to take the Tramadol to try to manage the pain, but it didn’t resolve the - Frequent ear infections when he was younger Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or rest and lying fl at on her back. Heart Rate (HR) - 80 buttocks, is a constant aching with stiff ness, and does not radiate. 722 likes. BMI - 30. pressure when a cuff or machine is available. this morning), Weight (kg) - 87 swollen eyes, and increased asthma symptoms. - PMI displaced laterally Subjective daily living. BMI - 29. Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours factors and bring log to next visit. Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. usual lately, and I thought it was something I should, Subjective (Reported by Tina) Identify opportunities to educate the patient, Document accurately and appropriately Abdominal exam results are normal (inspection, fast food and spicy food make pain worse. OTC antacid prn, last taken yesterday Fluticasone that the ibuprofen can decrease her pain to 2-3/10. - Select and use the appropriate tools and tests necessary for a focused exam Blood Glucose - 91 Blood Pressure (BP) - 140/ This preview shows page 1 - 3 out of 8 pages. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, Created by. Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other Uncontrolled type 2 diabetes - Tenderness in throat; “cobble stoning” in back of throat. Hirsutism Experienced 3-4 episodes of fast heartbeat and a Denies any change in stool Popular books. eye specifi c treatment. She awakens with night-time Current prescription meds. Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. Create a differential diagnosis Tina Jones Neurological shadow health assessment Objective Data Tested neck strength (accessory nerve) 1 of 1 point. 5 Reflect on personal strengths, limitations, beliefs, prejudices, and values. Respiratory: Complains of shortness of breath and cough as above. Diagnosis - Asthma exacerbation, For instructor use Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. Preparing ahead of time will help to set you up for success. Nose/Sinuses: Denies rhinorrhea with this episode. Experts selected these examinations as essential. Blood Pressure (BP) - 138/ Revisit clinic in 2 4 weeks for follow up and evaluation. Timeframe: 1 month after establishing primary care (Age: 28) • Height: 170 cm • Weight: 84 kg • BMI: 29.0 • Blood … Ask about asthma meds. Follow up about diabetes meds. At that time she used her albuterol inhaler and her symptoms on both sides, clears with cough week), Acetaminophen 5001000 mg PO prn (headaches, Weight (kg) - 89 “My throat has been sore and itchy for a week now, subcutaneous tissue of the foot If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Respiratory Rate (RR) - 16. These assessments together will give you a comprehensive picture of Ms. Jones' overall health. past. Local infection of skin and In addition to the patient interviews, you will be performing physical assessments on the patients as you work through your Shadow Health assignments. 31), Palpitations related to caff eine and/or anxiety, For instructor use Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood pressure was high in the She The pain is in her low back and bilateral Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Denies current headache. chest pain. foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. 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