No EKG chanes. enter of her chest. s1 and s2 heard without murmurs or additional sounds. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The "fast heartbeat" is lo alized t the left Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. : 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. 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Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Nursing Research Papers (2) 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 gallops, clinics, precordial movements. No, Im actually feeling really good these days. Has your menstrual cycle improved since taking Yaz? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Overview. . Sometimes, if I really start stressing -located in low back and butt. flatulence is one of the side effect of metformin. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. No thrills are bruit. College Physics Raymond A. Serway, Chris Vuille. The second column shows the bulleted Patient Data that you can uncover about each scored item. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Im glad you came in. That doesnt sound like it would be good. made When did you most recently use the flovent inhaler? : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. I would get allergies, like sneezing and stuff, and then my asthma would act up. 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 Ask an ExpertNew My Library Discovery Institutions Grand Canyon University University of Massachusetts Lowell auscultation without wheezes, crackles, or cough. Nursing Theories (44) Nursing Essays Examples (81) Most people, with diabetes feel better when they limit all. . Just coming in and talking to someone here about it helped a little because I felt like I was doing something. She denies chest pain during the episodes, but does endorse Home | blog | Shadow Health Comprehensive Assessment Guide | Help. . You will receive a fraction of this point for each dimension of the assessment that was correctly reported. She started me on birth control, and it seems to be helping things. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Increasing patient safety awareness. In determining the cause of the back pain, based on your knowledge of anatomy, what. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. I made sure to clean it and just keep it bandaged. DNP (36) Have you been taking medication for your diabetes? Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. My doctor told me when I was pretty little I think I was about two and a half? I havent been having any gas lately. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. is provided as an example of an appropriate response to each opportunity. 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. discomfort of 3/10 which she attributes to associated anxiety NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. meat and vegetable, snacks are French fries or pretzels. Last updated on November 16, 2021 The score you receive in the Education and Empathy section is based on the timing of your therapeutic statements during critical moments in the patient interview. Have you noticed any side effects from the metformin? How does interviewing a heathy patient differ from interviewing a patient with a known health condition? My albuterol. 10:23 PM EDT. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Tina Jones endorses that she does not really watch her diet. Grand Canyon University Walden University (83) Popular books. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. During the patient interview, there are a number of opportunities to provide patient education and empathy. Let me . Shadow Health Physical Assessment Assignments (Weeks 1-7) . Developing critical thinking skills. and I'm stressed and too foggy to study most of the time. The Subjective Data Collection page is broken into 2 columns. Here you will be able to review your responses to three pre-written journaling prompts. She denies Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. No peripheral edema. I have this really important exam coming up, For example, many starchy foods break, down into glucose in the body, like pasta, and so, you can eat those in moderation, too. cardiac history and has never had episodes prior to this last mon She has not attempted any treatment at home and states that sh The page will refresh upon submission. She plans to use condoms with sexual activity. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Florida State University. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! 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Poppa died of a heart attack when he was 80. . what brings you in today You must follow up within two interactions in order to receive the points. Breakfast is usually a muf . No. . Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. How many times a day do you take metformin? General: Ms. Jones is a pleasant, obese 28-year-old African For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. I think were pretty special, the way we all get along. Capillary refill < 3 seconds. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. I just always want to be learning new things and getting better at my job. She reports a few moles but no other hair or nail changes. tetracycline, I think, back in high school. Im sleeping a lot better now, which is a relief. Im actually feeling really good lately. These are your achieved scores for the different activities in the assignment. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. 2. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. If you require assistance, please scroll down and use one of the contact options to get in touch. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. To do this, first, ask the interview question again to the virtual patient. We go to First Baptist, and we do a lot with our church community. Tina confirms that she has sources of stress and anxiety which are The page will refresh upon submission. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. I took something for my acne. This shows the Overall, Exam, and Post-Exam Timers. Description: Tina describes her sleep hygiene and routine. The assessment should also include the comparison of bilateral sides. (Clarified to if I have ear drainage.). Are you sure you do not want to provide feedback? : 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. 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. To post social content, you must have a display name. faster than usual. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. It works pretty well. It hurts a lot, and the pain pills haven't. I havent really had any stomach problems since I came in with them a while ago. Terms of Use She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. All the materials from our website should be used with proper references. they also make her jittery. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. SOAP Note Examples (14) Respiratory: She denies shortness of breath, wheezing, cough, Plus I have my friends from church. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Nursing Essay Examples (82) Can I confirm that you are here for a physical? (Clarified to Does your younger sister have health problems?. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. This section is where you can view your documentation. Tested negative for HIV/AIDS and STIs four months ago. Around midnight, I get into appropriate response to each opportunity. All pulsed with normal range. In the Comprehensive Assessment, you earn points by performing the physical assessments. Description: Tina describes how busy she is with school and work. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. 2 energy drinks before class to keep her focused but states tha During the patient interview, there are a number of opportunities to provide patient education and empathy. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. during the night), how do you feel when you wake up in the morning Can I wait to provide all of my educational and empathetic statements at the end of the interview? Here you will see a verbatim record of every interaction you had with the patient. Experience Overview Page. 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. Do you have any problem with your breasts? She generally dr Comprehensive assessment documentation. 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 need a distraction. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. What is the name of your diabetes medication? I used my Flovent inhaler this morningI have to take it twice a day. Never intubated. NR 509 Week 7 Shadow Health Comprehensive Health Histor. but I dont do that anymore. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Once three months ago, and before that it had been months, too. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. How to do a Shadow Health Comprehensive Assessment, Why You Need a Shadow Health Comprehensive Assessment Writing Service, Shadow Health Comprehensive Assessment Examples, Need Someone to Write Your paper We can Help, assessments provide opportunities for nursing students to practice their clinical, health assessments challenge nursing students to think critically about healthcare, Damien Brooks traumatic brain injury shadow health Transcript, Tina Jones Neurological Shadow Health Assessment Education and Empathy, HEENT shadow health assessment Tina Jones Subjective Data, Anita Douglas community-acquired pneumonia shadow health transcript, Asthma Exacerbation Shadow health Subjective data, Comprehensive Assessment Tina Jones Shadow Health, COPD Debbie OConnor shadow health transcript. Hes a little big, maybe. I am glad you are having your period every month. Our, You will save time. Review of Systems: General: Denies changes in weight, but Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Do you have any family history of mental illness? Theyre crazy, but nobodys diagnosed with anything. Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Health Assessment - Summer 2021, NUR 703, (/site_notice_dismissals?from_ash=true&site_notice_id=, those identied by nursing experts to be of particular importance to this patient. Skin on neck has stopped darkening and facial and body hair has improved. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. Are you looking for someone to help with shadow health assignments? 10:25 PM EDT. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. What are the Benefits of a Shadow Health System? Why did you decide to start taking birth control? NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health - NUR 325 (NUR325) - Stuvia US US Chamberlain College Of Nursing NUR 325 (NUR325) Other NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health Course NUR 325 (NUR325) Institution Chamberlain College Of Nursing I had two doctors appointments earlier this year. Ive had asthma a long time. $65 USD . anxiety which is related to the pressures of schools and work. Then a few weeks later I saw a gynecologist for a pap smear. Company Registration Number: 61965243 The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Hematologic: She denies history of anemia, easy bruising or Asthma diagnosed at age 2 1/2. But that hasnt happened since I got my daily inhaler. I think she had high blood pressure and cholesterol, too. A combination of open and closed questions will yield better patient data. what do you usually do before bed For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I At the top of this section, you will see a key indicating the status of each opportunity. 10:22 PM EDT. sweats. I'd say a 7. CVS periodically. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. I came in because Im required to have a recent physical exam for the health insurance at my new job. She is alert and oriented. NURSING 362. 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.