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Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Comprehensive Health History - Education & Empathy .pdf. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. know her normal heart rate or her heart rate during these episode Im actually feeling really good lately. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Have you been taking medication for your diabetes? Shadow health Heent education and empathy - HEENT Results | Turned In Advanced Health Assessment - - Studocu 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 She does Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. 7. How long ago did you start taking birth control? Skin on neck has stopped darkening and facial and body hair has improved. Terms of Use She complains of intermittent dizziness. 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. 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. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. To pass the SHCA, a student must achieve a score of at least 70 per cent. Nursingstudy.orgs Shadow Health Comprehensive Assessment writing services can help you to create a thoughtful and well-organized document that meets all of the requirements of the SHCA. known history of murmurs, angina, previous palpitations, dyspne Pro Tip: Palpating the frontal sinuses checks for sinusitis. between 5 and 10 minutes and resolve spontaneously. (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. This button will Reopen your attempt. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. what brings you in today I start in two weeksIm really excited! S in the morning on her commute to class. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Nursing Theory list (41) We're available through e-mail, live chat and Facebook. do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric concern regarding these episodes. That does not sound good. Tests of cerebellar function normal. episodes as thumping in her chest with a heart rate that is way NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. But that hasnt happened since I got my daily inhaler. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. Never intubated. We go to First Baptist, and we do a lot with our church community. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. 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. Subjective Data Collection: 50 of 50 (100.0%), Objective Data Collection: 70 of 73 (95.9%), Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service. When was your last physical exam? At the top of this section, you will see a key as to how each item was graded. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Click here for more information. Asking Tina if she takes supplements will indicate her current treatment plan. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. discomfort of 3/10 which she attributes to associated anxiety those identified by nursing experts to be of particular importance to this patient. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. . presented to the clinic with complaints of 3-4 episodes of rapid he Is the Education and Empathy section scored in every patient case assignment? and I'm stressed and too foggy to study most of the time. Reports improved acne due to oral contraceptives. (Clarified to if my brother has health issues.). Company Registration Number: 61965243 Im sleeping a lot better now, which is a relief. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. sputum, hemoptysis, pneumonia, bronchitis, emphysema, -pain lasted 3 days. In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. Terms of Use when do you go to bed College Physics Raymond A. Serway, Chris Vuille. Hematologic: She denies history of anemia, easy bruising or For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. She has a history of hypertension which normalized when she initiated diet and exercise. solved essays (19) . When did you most recently use the flovent inhaler? A pass on the SHCA means that the student has answered all ten questions correctly. -does not radiate or migrate. Do you take your pill at the same time every day? Nails free of ridges or abnormalities. tuberculosis. The bold items are the ones that you unlocked. how do you feel when youre stressed Why did you decide to start taking birth control? She denies chest pain during the episodes, but does endorse - Shadow Health Support Center How is Education & Empathy scored? Speech is clear and coherent. Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patients head can identify any indications of trauma. Your document will be more comprehensive and organized. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. 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. It works pretty well. PICOT Question (12) Im going to be an Accounting Clerk at this really nice accounting firm. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Pro Tip: Palpating the maxillary sinuses checks for sinusitis. A, is provided as an example of an appropriate, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements were made, were followed up by students, and include the dialogue between student and patient. Additionally, Tina needs education in regards to her risks related to Does he have any medical issue? First sexual encounter at age 18, sex with men, identifies as heterosexual. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. On a scale of 1-10, how would you rate the pain? Pro Tip: Skin changes are common in patients with uncontrolled diabetes. Pro Tip: Discerning whats making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. She denies fevers, chills, and ni learn more about what you are experiencing, and I will try to help, Model Statement: "Im sorry to hear about your trouble sleeping and stress. Nana was 73 when she died of a stroke about five years ago. This shows the Overall, Exam, and Post-Exam Timers. work and school. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. abnormalities present on chest wall. -denies neck pain. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. That doesnt sound like it would be good. Lung sounds clear to Home | blog | Shadow Health Comprehensive Assessment Guide | Help. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. 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. Let me during the night), how do you feel when you wake up in the morning The Overall time is the combination of the other timers. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! I will be conducting an interview and later perform a physical exam. Indicates an item that is available to be found. Review of Systems: General: Denies changes in weight, but I would get allergies, like sneezing and stuff, and then my asthma would act up. All the work should be used in accordance with the appropriate policies and applicable laws. The pain sometimes radiates to his left leg. Question Around midnight, I get into Tina Jones Heath History Documentation.docx, Health History _ Edu and Empathy Completed _ Shadow Health.pdf, Shadow Health Advanced Assessment Tina Head To Toe Education.pdf, Example-Telehealth-Script_70403_82406.pdf, Lambrecht Myers 2012 show how managerial rent seeking behavior can generate, 15 List 3 advantages of keeping good purchase records Store profits and sales, Module 5(2)_ Mastery Exercise_ 21WC-ECN215-1.pdf, Economic Systems & US Economy - Fill-in Blanks.docx, Doc Title Requirements Document Revision Date 00000000 Subject SubjectProject, undergo coordinated activation and proliferation, ultimately differentiating.docx, made available by the Department of Basic Education in the case where the, Firms that may have signiicant pricing power Monopoly is characterized by, 13 Validate that the MDS switch is configured to send configuration changes SNMP, Question 3 Correct 350 points out of 350 Question 4 Correct 350 points out of, d Clitoral orgasm Ejaculation is a process orgasm is a process a Neurological, Ch 6 Therapeutic Communication 2023 S.pptx. drinking as much water as her normal. stress.". Any pending input will be lost. SOAP Note samples (14) NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Has your menstrual cycle improved since taking Yaz? A combination of open and closed questions will yield better patient data. Decreased sensation to monofilament in bilateral plantar surfaces. The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. I dont have anything specific going on today. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. ), No. were followed up by students, and include the dialogue between student and patient 1 Expression of pain Followed UpFollowed Up 2 Impact of injury on daily life Followed UpFollowed Up 3 Gaps in health literacy around diabetic diet Not Followed UpNot Followed Up 4 Lack of treatment with diabetes medication Not Followed UpNot Followed Up 5 Lack of