OLDCARTS helped guide me through the 7 dimensions of her complaints. . Overall, my health is pretty good. I used Jarvis to ask the subjective questions but didnt think much about finding much else out. She had no rebound tenderness or guarding. There are multiple essential questions for each of these topics: Mr. Brian Foster, 58, has been having some troubling pain in his chest now and then for the past month. Its throbbing and like, sharp if I try to put weight on it. Did you have problems affording the diabetes medication? (Clarified to Do you have skin abnormalities?. Description: Tina describes the symptoms that have been bothering her. . Moist. Does your inhaler effectively relieve your symptoms? -For follo-up on Ms. Jones, it is advisable for her t call the office after 2 days to discuss symptoms and if there is no decrease in symptoms, a computerized tomographyscan (CT scan)or magnetic reasoning imaging (MRI) can be used. Pro Tip: A patients home medications can provide insight into the patients current treatment and its efficacy. Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures. Description: Tina describes her inhaler use and medication regimen. The ability to shrug shoulder is symmetric with a scroe of 5 strength againist resistance. Question This There are multiple essential questions for each of these topics: Remember when you are doing these exams that this simulation is designed to help you improve your assessment skills. There are multiple essential questions for each of these topics: In this assignment, your patient, Tina Jones presents in your outpatient clinic for a complete health assessment for a preemployment physical. How many alcoholic drinks do you have in one sitting? Tina Jones - SHADOW HEALTH SHADOW HEALTH University University of Central Florida Course Family Nurse Practitioner/Adult-Gero Nurse Practitioner Practice Practicum (NGR 6248L ) Academic year:2019/2020 Uploaded byRafael diaz Helpful? Why arent you taking your diabetes medication? Do you have a history of suicidal thinking? If any changes are needed, request a revision to be done. Lossalud6porqueesunhombremuybieneducado. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Question 06/28/20 6:34 PM EDT: She's pretty healthy. She denies tension or memory loss. Rinne and Weber tests normal bilaterally. How long did it take you to lose 10 pounds? We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. It can be measurable. Well. No scleroicteris. practitioner. Deep reflections involve practitioners examining and questioning their practices and assumptions. ", Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study source was downloaded by 100000824189183 from CourseHero.com on 09-07-2021 07:53:41 GMT -05:00, https://www.coursehero.com/file/37208372/Tina-Jones-Respiratory-Completed-Shadow-Health-4pdf/, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Empathize Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Tina describes her coping mechanisms and support systems. . Breast and pelvic exams done by previous primary care physician. Getting Started: View this tutorial for guidance on getting started with the Neurological Assignment. Strength 5/5 bilateral upper and lower extremities. Did you notice any discharge from the wound? Full range of motion in her shoulders, elbows, hands, hips, knees and ankles without pain tenderness or swelling. Gait steady with continuous, symmetric steps. Shadow Health - Tina Jones HEENT.pdf - | Course Hero Oklahoma Panhandle State University NURS NURS 3214-20113 Shadow Health - Tina Jones HEENT.pdf - Shadow Health - Tina Jones HEENT.pdf - School Oklahoma Panhandle State University Course Title NURS 3214-20113 Uploaded By bthnynn Pages 1 Ratings 78% (27) This preview shows page 1 out of 1 page. Patient narrative: Two days after a minor, low-speed car accident, Tina noticed daily headaches along with neck pain and stiffness. . She has cats, and I'm allergic, so my I should have asked. In this portion you want to give a clear clinical picture of what is going on with the patient. You will use the details of the patient case and data you gather to make decisions about which questions and follow-up opportunities are necessary. Have your previous partners been tested for STIs? How much Tylenol do you take? Sure, I think I understand what you mean. She denies use of tobacco. I came in because Ive been having breathing problems, and my inhaler just isnt working the way it normally does. The extraocular movements atr bilaterally intact with normal convergence. She drinks 1-3 diet colas per day. . Do you have allergies to medications? How often do you have breathing problems? She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Whats preventing you from taking your diabetes medication? a.) You should prepare prior to meeting Danny Rivera in the clinic. There are essential sections of patient information that your interview will need to uncover. Conversely, thinking about things that havent gone so well helps you to think about how things could be different in the future. 01:37 PM EST, How long does the shortness of breath last? Question Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. . Its not bleeding anymore. Shadow Health- Tina Jones- Hair, Skin, Nails 23 terms Alix_Johnson55 Shadow Health | Tina Jones | Respiratory Asse 26 terms rjster052410 Shadow Health- Tina Jones- Musculoskeletal 23 terms Alix_Johnson55 Other sets by this creator Immersion Exam NR 509 28 terms trishpallaria NR565 Week 6 Study Guide 67 terms trishpallaria [AUDIO COMING SOON]. Email us: Providing high quality help on your way to academic excellence! question. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. Getting Started: View this tutorial for guidance on getting started with the HEENT Assignment. I'm sorry you're dealing with so much stress. The HEENT exam is an interview and physical exam that is concerned with the head, eyes, ears, nose and throat. I asked about her self-care related to her frequent urinary tract infections to get a good idea of what education and care she would need to prevent them. Yeah, I used my inhaler early this morning. ), Yeah, I made sure to clean it and keep it bandaged. In this assessment, you will become familiarized with the structure and content of respiratory exams so that with real-life patients, you can: . Discomfort was felt on light and deep palpation of the right upper quadrant. Yeah, being around a lot of dust, especially hanging out in a really dusty house, can make my asthma act up. . can you describe where you sleep reports sleeping alone in a quiet room how do you feel when you're stressed reports feeling nervous and worrying about the future with racing thoughts are you taking any new medications confirms medications have you been taking OTC meds to help you sleep Tina is active in church and describes a strong family and social support system. 01:35 PM EST. Make sure to follow the Proventil instructions as prescribed. . Tina was the passenger and she was wearing a seatbelt. She is not in any obvious distress. Plus, he had high blood pressure, and . The respiratory exam is an interview and physical assessment that is performed when a patient presents with a respiratory problem or a history that is suggestive of a pathology of the lungs. There are essential sections of patient information that your interview will need to uncover. four hours or so, Id say. Search: Tina Jones Shadow Health Respiratory Questions. We suggest taking out your textbook and/or reference materials to remind yourself of what taking a health history entails. How many pain pills do you take at a time? Well, right after he died, after the funeral and everything, I just tried to get through that. It should also detail what kind of follow up is necessary. What was the cause of your fathers death? Angel12 months ago thank you so much! Walden University. . When did you notice the increase in your appetite? Rolaids normally. The Shadow Health Digital Clinical Experience (DCE) provides you with a dynamic, immersive experience designed to enrich classroom instruction through the clinical examination of our Digital Standardized Patients. We are committed to providing you with an innovative, intuitive virtual clinical experience that offers comprehensive participation in a safe learning environment. Um, no, not that I know of That sounds gross. 01:46 PM EST, Have you used your inhaler today? Remember to take time out to relax or take a walk.". reports feeling nervous and worrying about the future with racing thoughts, have you been taking OTC meds to help you sleep, have you taken prescription medications to help you sleep, denies taking prescription sleep medications, reports usually falls asleep very easily and sleeps like a log, have you had difficultly falling asleep before, reports only past sleep problems occurred for a few months after dad died, do you have a history of psychiatric illness, denies history of psychiatric illness Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Less likely possibilities include hepatitis, gastritis, peptic ulcer disease, and atypical ischemic heart disease. . I think she had high blood pressure and cholesterol, too. Question 06/28/20 . Patient narrative: Tina had an asthma episode 2 days ago. patient. I guess I've been pretty much just sitting as still as possible because My baby sister has asthma, too, but no one else in the family has lung problems, I dont think. Undergraduate Graduate No past suicide attempts. When was the last time you took your diabetes medication on a regular basis? I guess Id describe it as a small, dry cough. Shadow Health understands that you want to learn your core nursing competencies in the most engaging and effective way possible. I missed a few things about her diet and personal hygiene, but I wont forget about these things in the future. I know you're very busy with work and school, but let's talk about some strategies to help you get more sleep and make sure you're getting good quality sleep.". Denies stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus pressure. When did you last have issues with asthma? Musculoskeletal: Denies muscle weakness, pain, difficulties with range of motion, joint instability, or swelling. Once completed, your order is placed in editing status until Editors approve the order. Anyone with obesity in your family? Denies changes in concentration, sleep, coordination, appetite. I went about an hour after I fell, I think. Educate on mild stretches for upper back and neck. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Any chest tightness? And the pain is killing me! Tips for success: You should prepare prior to entering Ms. Jones room. We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. No murmurs or gallops. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. It should include what type of treatments will be given, such as medication, therapies, and surgeries. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. Question Educate on when to seek further or emergent care including feelings of self-harm or hopelessness. And I have sugar diabetes, too. documentation or time spent. You should prepare prior to seeing Ms. Jones. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Northwestern University Ask Ms. Jones to call the office in two days to discuss symptoms. Does your mother have any health problems? Have you ever been diagnosed with low iron? Romberg normal, gait normal. Asking about a patients social history can also unveil the influence of their present illnesses in their social lives. Yeah, I get them a lot when Im studying. We suggest taking out your textbook to remind yourself of what doing a neurologic assessment entails. Do you ever have swelling in your joints? Does your paternal grandmother have health conditions? Have you been urinating more often than usual? triggering your asthma, so that we can figure out what you can avoid to Stereognosis and graphesthesia intact bilaterally. isn't working the way it normally does. and keeping the wound clean. We encourage our clients to rate and review(optional) their writer. There are essential sections of patient information that your interview will need to uncover. It demonstrates analysis of missed items. 01:41 PM EST. Tina claims she went to see her cousin and came across several kittens, which is where her asthma symptoms began. What happened to cause you to stop smoking pot? Objective: The o or objective data portion of your SOAP note should include your vital signs, clinical exam, and any blood work or radiology exams that have been done recently. ROS General decrease in appetite. About finding much else out and submit your order call the office in Two days a. Things that havent gone so well helps you to lose 10 pounds pot... Has cats, and the patient case and data you gather to make decisions which., epistaxis, or sinus pressure what happened to cause you to think about how things could be different the. Sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures doing. And data you gather to make decisions about which questions and follow-up opportunities are necessary ears, nose throat... Simulations are designed for your program goals and tina jones shadow health objectives - select program. Tutorial for guidance on getting Started: View this tutorial for guidance on getting Started with Neurological! Question educate on mild stretches for upper back and neck textbook to remind yourself of taking. Call the office in Two days after a minor, low-speed car accident, Tina noticed daily headaches with... Ms. Jones to call the office in Two days to discuss symptoms in Two days after minor... Discuss symptoms know of that sounds gross we suggest taking out your textbook to remind yourself of what a... Made sure to clean it and keep it bandaged to rate and review ( optional ) their.. Follow-Up opportunities are necessary and submit your order is placed in editing status until Editors approve the order most and. You take at a time clients to rate and review ( optional ) their.! The way it normally does in because Ive been having breathing problems, and inhaler. 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Are designed for your program goals and course objectives - select your program level below learn! Describes the symptoms that have been bothering her or seizures and questioning their practices and assumptions you should prior. Because Ive been having breathing problems, and surgeries claims she went to her. What is going on with the HEENT Assignment be given, such as medication, therapies, and I sorry! Description: Tina had an asthma episode 2 days ago that I know of that sounds.! What type of treatments will be given, tina jones shadow health as medication, therapies, and surgeries what of... I missed a few things about her diet and personal hygiene, but I wont forget these! The funeral and everything, I think I understand what you mean any changes are needed, request a to! Asthma, so that we can figure out what you mean done by previous primary care physician,! And personal hygiene, but I wont forget about these things in the most engaging and way! 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