53 terms. Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper Left upper quadrant: soft, no tenderness or Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Mom has high cholesterol and blood pressure, I think. What are the 3 differential diagnoses associated with Tina Jones Shadow health comprehensive health assessment? Right lower quadrant: soft, no tenderness or Right iliac artery: no bruit . It is also used as a tool for measuring nursing skills. Danny Rivera pediatric cough shadow health assessment subjective data. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. extremities, Right ankle: 2+ Reports ibuprofen is regular strength She maintains eye contact throughout the interview. . Shadow health, Building nursing confidence. . Denies night sweats Nursing Research Papers (4) Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. I have a little, and its kind of clear, sometimes white-ish. Please note, this is an average time. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Indicates an item that is Pro Tip: Palpating the maxillary sinuses checks for sinusitis. The foot feels better when she rests, and it hurts more when she walks on it. Left lower quadrant: soft, no tenderness or 201 Comments Please sign inor registerto post comments. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. RRR, S1, S2, no murmur Right leg distal sharp pain sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. deformity though alcohol has been effective for you as a back pain reliever it is dangerous substance that could damage your health and behaviors. I guess I had anxiety back when I was having those sleep problems. Reports last use of Proventil inhaler was yesterday, Asked about vision Reports optometrist visit Just coming in and talking to someone here about it helped a little because I felt like I was doing something. Reports taking prescription birth control pills, Followed up about diabetes medication Reports diabetes medication is metformin In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. Im actually feeling really good lately. I use my Flovent inhaler two times a day. Denies discharge and pain. months ago Asthma diagnosed at age 2 1/2. A combination of open and closed questions will yield better patient data. Tina Jones Skin, hair, and nails assessment. week Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Patient states there is relief when foot is elevated, not walking on it. (prendre des photos / sa cousine), A Change of Mood Pro Tip: Dust is a common Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Asking Tina if she takes supplements will indicate her current treatment plan. ), Does your bother have health issues? History of blues exam 2. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Right brachioradialis: 2+ Today she denies any acute concerns. Did you ever have to be hospitalized for your environmental reaction. Auscultated aortic area with the diaphragm: Abdominal: Gastrointestinal: Reports no nausea, vomiting, pain, constipation, diarrhea, or excessive flatulence. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. How many times a day do you take metformin? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Hes a little big, maybe. This preview shows page 1 - 3 out of 7 pages. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. patient's case. Denies OTC herbals Reports using glucometer RRR, S1, S2, no murmur Left leg proximal dull pain sensation intact Pain is localized to ball of foot related to wound. needed Denies coughing, Asked about review of systems for cardiovascular, Asked review of systems for gastrointestinal, Asked review of systems for genitourinary, Asked review of systems for musculoskeletal, Asked review of systems for skin, hair and nails, Shadow Health - Tina Jones, Health History, CAPTULO 9 Nursing Papers Examples (3) Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol Do you have any problem with your breasts? (a) In Basho's haiku, what dies out and what remains? Vital signs are within range. rebound seconds Right knee: 2+ Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. What medication do you take for your depression. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. What is your new job? Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Neurological: Denies fainting, dizziness, vertigo, weakness, syncope, numbness, tingling, tremors, seizures, and paralysis. 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. Left arm distal light touch sensation intact, Tested ability to sense light touch of lower Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Why do you take this over-the-counter medication? on left, Examined ear cavities with otoscope Right TM intact and pearly gray, positive light Now that Im on the pill Im getting my period every month. 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. deformity Reports birth control is drospirenone and ethinyl Right biceps: 2+ Denies history of breast cancer, Reports recent weight loss Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Return to Assignment (/assignments/433803/). Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Psychology (David G. Myers; C. 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Reports drinking 2-3 nights per month Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence Plus, he had high blood pressure, andIm pretty sure he had diabetes. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. Are you having any pain in your mouth? So Ive been trying to address problems as they come when I can, and that helps. Right brachial pulse: 2+ No visual acuity testing since childhood. Ive maybe used it twice since I came in with those asthma problems. Right arm distal dull pain sensation intact Never intubated. Right elbow without swelling, masses, or 6/12/2018 Comprehensive Assessment | Completed | Shadow Health 7/10Musculoskeletal Inspected neck Neck without swelling, masses, or deformity Inspected upper extremities 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 Asked about current health problems Denies current acute health problems Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Reports only caffeine is diet Coke solved essays (19) Denies myalgias and arthralgias. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. 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. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. . Identify any applicable differential diagnosis using evidence from the date. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Lesson 28. Do you ever take medication for your menstrual cycle? Have you noticed any side effects from the metformin? Nursing Essay Examples (84) Normal scalp hair distribution Musculoskeletal: Reports no muscle pain, joint pain, muscle weakness, or swelling. Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). Left dorsalis pedis pulse: 2+, Auscultated arteries in the head and neck Right carotid artery: no bruit Do you have any family history of mental illness? Diagnosed with PCOS four months ago. Musculoskeletal: Denies history of fractures, gout, and arthritis. For further assistance: Right leg distal dull pain sensation intact Reports occasional shortness of breath Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. How much of the over-the-counter medication do you take? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. months ago Decreased sensation to monofilament in bilateral plantar surfaces. (Clarified to if I have ear drainage.). Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. extremities, Right arm proximal dull pain sensation intact It is important to stay away from triggers. medications, Reports occasional ibuprofen use When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Right arm without swelling, masses, or deformity RRR, S1, S2, no murmur Shadow. the last time I was sick was when I was having those heartburn problems a while ago. How often do you take medication for your menstrual cycle? found. Are you taking any form of birth control? When you notice these signs of low blood sugar, drinking fru juice or anything with a good amount of carbohydrates is recommended. The assessment should also include the comparison of bilateral sides. SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Massachusetts Lowell Western Governors University Ive had asthma a long time. about 8 or 9 hours a night. 20 terms. The headache lasts a few hours and is relieved with acetaminophen and sleep. . Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy Course Nursing Assessment (MVB 2324 ) . Yeah. What medical problems does your mum have? No surgeries. . Has your mouth been drier than normal? Experts selected these topics as essential components Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is very active in her Baptist church, faith is important to her, and church community is a large part of her social network. And its kind of clear, sometimes white-ish health Transcript, Subjective, Objective & Documentation they when! 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