- S3 noted at mitral area She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 background subcutaneous tissue of the foot - Reports diagnosis of hyperlipidemia one year ago, EXAM past week. Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. • Episodes accompanied by mild anxiety Shadow Health Comprehensive Assessment. Follow up about birth control. Denies stuffi ness, sneezing, itching, previous allergy, Shadow Health provides immediate feedback to students, which includes two-strike scoring and worked examples for each question. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. use: “a few months ago”), • Weight (kg) - 88 incident and does not know the weight of the box that caused her pain. Over the last month, Tina has experienced 3 -4 episodes of perceived rapid heart rate. To demonstrate competency you will complete an objective assessment and perform a comprehensive clinical assessment using Shadow Health. • Denies food and latex allergies NR 509 Week 8 Summary Reflection Post. Terms in this set (3) Subjective Current Health Status (11) Current health problems. Note: This pacing guide does not replace the course. This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of • Penicillin: rash NR 509 Week 2 Assignments plus Quiz with Answers. NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. use a peak fl ow, does not record attacks, and does not have a home nebulizer or vaporizer. rest and lying fl at on her back. consciousness, and sense of impending doom. The experience consists of 9 modules aligned with major topics in these courses, e.g. tina jones comprehensive assessment answers - Search Results. If back under control. Shadow Vigor Musculoskeletal Substantial Imsupport Provision. of breath and wheezing following a near asthma attack that she had two days ago. 722 likes. • Nose/Sinuses: Denies rhinorrhea with this episode. recently. Currently she states • Blood Pressure (BP) - 138/ • Pulse Oximetry - 99% contradiction. • Polycystic ovarian syndrome. Observe non-verbal cues as Danny presents with intermittent coughing She denies fevers, chills, and night sweats. She expresses that occasionally experience loss of appetite in anticipation of the pain associated with eating. data categories include interview questions and patient data. • Increased stress related to work and school Trial of ranitidine 150 mg by mouth daily for two weeks. Please continue to refer to the course for a comprehensive list of the resources and activities. She complains of blurry vision after reading for extended periods. epistaxis, or sinus pressure. For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. - Nasal discharge, boggy turbinate, and visible crease on Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. “I have been having some troubling chest pain in my chest now and then for the past month.”, INTERVIEW nose from rubbing Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other Speech is clear and coherent. data categories include interview questions and patient data. • Experienced 3-4 episodes of fast heartbeat and a inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. Preparing ahead of time will help to set you up for success. stomach pain after eating. College Physics Raymond A. Serway, Chris Vuille. the nurse practitioner to get the foot looked at. Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. She does not have a current Match. • Symptoms - Sore and itchy throat, runny nose, itchy eyes did not experience any chest pain or allergic symptoms. High Priority (“last night”). center of upper stomach • Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will • Symptoms - Foot pain and discharge No known second-hand smoke exposure • Reports daily occurring stomach pain, with 3 to 4 Gravity. - Reports diagnosis of hypertension one year ago She missed class and work. • Describes the pain as similar to heartburn, located in Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, diffi culties with range of motion. - Cough is worse at night • Temperature (F) - 99. time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter Current prescription meds. your health assessment skills. • Hypertension, • Menorrhagia • Nose/Sinuses: Denies rhinorrhea prior to this episode. I want to get my asthma • Ask relevant follow-up questions to evaluate patient condition Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. Encourage to decrease caff eine consumption and increase intake of water and other fl uids. throat lozenges which has “helped a little”. professional, and then reflect on personal strengths, limitations, beliefs, prejudices, and values. • Decreased appetite and increased burping. Objective (Found by the student performing physical exam) If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- - Right side carotid bruit she “took really good care of it.” Tina was able to go to work and attend school. • Allergic to cats and dust. • Diagnosis -GERD, Subjective (Reported by Tina) She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or Popular books. • Demonstrate empathy for patient perspectives, feelings, and sociocultural background Her current pain is a 5/10, but she states Objective data categories include examination notes it to be worse 3 -4 times per week. Printable “Answer Key” available within the Shadow Health DCE. • Respiratory Rate (RR) - 16. • Document subjective data using professional terminology • General: Denies changes in weight and general fatigue. previous musculoskeletal injuries or fractures. • Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood pressure was high in the - Assess risk for disease, infection, injury, and complications 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. Tina Jones Neurological shadow health assessment Objective Data Tested neck strength (accessory nerve) 1 of 1 point. In the following days, • Heart Rate (HR) - 80 Continue to ing: “when around cats,” last use this morning). Tina had an asthma episode 2 days ago. “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 Spell. that her breathing is normal. Reason for visit: Patient presents complaining of nose and throat symptoms. Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours She states that helping like it usually does. of patient care. The wound bled, but she stopped the bleeding quickly and cleaned the wound. and patient data. factors and bring log to next visit. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. seizures. She has never been intubated for her asthma. i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … can any one tell me some tips to how to pass the shadow health. - Document subjective data using professional terminology • Symptoms - Recurrent stomach pain Two days ago, I had a kind of asthma attack. They took her temperature at home, and it was 102. NR 509 Week 3 Provision: Debriefing Convocation or Dubitate Answerableness Provision. • Identify opportunities to educate the patient, Document accurately and appropriately • Blood Glucose - 224 In the Comprehensive Assessment, you earn points by performing the physical assessments. a recent right foot injury. Day 4: Tina went to her cousin’s house, where she encountered cats and experienced wheezing. - Mild tachycardia Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated sleeping and sitting in class. • Dysmenorrhea Gastroesophageal refl ux disease without evidence of esophagitis. She complains that her current symptoms are beginning to interfere with her daily lifting a heavy box while helping a friend move. like heartburn” but states that it can be sharper. Diagnosed with asthma at age 2.5 years. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, Shadow Health will grade you on what you ask and will deduct points for what you omitted. - 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. few hours She states that her eyes are constantly itchy and she has not attempted any any treatment for her nasal symptoms. STUDY. 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 - Demonstrate empathy for patient perspectives, feelings, and sociocultural background NR 509: Comprehensive Assessment Results: Self-Reflection. The tympanic membrane is red and inflamed She does state that she has (Wheezing: “when around cats,” last use in the past the point she was unable to walk. 31), Palpitations related to caff eine and/or anxiety, For instructor use itchy throat, itchy eyes, and runny nose for the last week. She maintains eye contact throughout the interview. • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Focused Exam Case - G BFoster v1 || Copyright © 2014 ShadowHealth.com. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Objective data categories include examination Hope that helps. and patient data. buttocks, is a constant aching with stiff ness, and does not radiate. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, NR 509 Week 7 Quiz: Questions and Answers. shortness of breath approximately every four hours. She does not associate the rapid heart rate no other associated symptoms. Subjective WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT The pain is aggravated by sitting (rates a 7/10) and She denies chest pain during the Timeframe: 8 months after establishing primary care (Age: 28.5ish) Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put 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. that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. • Pulse Oximetry - 98% emphysema, tuberculosis. pressure when a cuff or machine is available. emphysema, tuberculosis. • Respiratory: Complains of shortness of breath and cough as above. chest pain. She Explain the clinical reasoning behind your decisions and tasks. nicole_kurlyandchik. • Height: 170 cm • Weight: 84 kg • BMI: 29.0 • Blood … • BMI - 30. She states that these symptoms started spontaneously and cousin’s house and was exposed to cats which triggered her asthma symptoms. her albuterol inhaler, and she had to do a third puff. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … - Create a differential diagnosis. NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. She has treated her throat pain with occasional She reports that the inhaler does (“three days ago”), Day 5 - 6: Tina noticed pus in the wound, and swelling, redness and a warm feeling in her foot. She states that she lifted several boxes before this event without episode of shortness of breath was this morning before coming to clinic. Since that incident she notes that she has had 10 episodes of Educate on when to seek emergent care including signs and symptoms of upper and lower gastrointestinal In addition to the patient interviews, you will be performing physical assessments on the patients as you work through your Shadow Health assignments. - Document objective data using professional terminology Module 1 The activities in this section are provided to guide you through the instruction as you complete this course. Neosporin on it, and bandaged it. buttocks, is a constant aching with stiff ness, and does not radiate. 5 Differentiate between variations of normal and abnormal assessment findings to determine the Albuterol 90 mcg/spray MDI 2 puff s Q4H prn auscultation, percussion, and palpation), which Denies current headache. and recent illness. © Shadow Health® 062015 || ShadowHealth.com (last use: 5 hours ago), Fluticasone propionate 110 mcg 2 puff s BID (last use: lozenges which has “helped a little”. Her last 5 Interview using communication techniques appropriate for a pediatric patient She has never been diagnosed episodes a week that are more severe week), Acetaminophen 5001000 mg PO prn (headaches, • Weight (kg) - 89 although they did not completely resolve. - Had pneumonia last year Develop strong physical assessment skills morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last • Blood Pressure (BP) - 140/ The pain is in her low back and bilateral Ms. Jones is a pleasant, 28 -year- old obese African American single woman who presents to establish care and with She states that her nose “runs all day” and is clear discharge. • BMI - 30. • Obesity 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. 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