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 you noticed bruising more than usual? I used to go to Dr. Dewitt, but she moved her practice recently. ), Yeah, when my asthma gets bad my chest feels pretty tight, like I cant take in air. Cardiovascular Completed Shadow Health write out - 7/4/2021. Tips for success: You should prepare prior to entering Ms. Jones room. Question I havent had a full attack in years, and if you had asked me before this I would have said my asthma wasnt that bad anymore, but the last couple days Ive had a lot of trouble breathing. She is not in any obvious distress. Finding: Left ankle without swelling, masses, or deformity. No. Our rates are unbeatable! Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. Email us: a.) She describes these episodes as thumping in her chest with a heart rate that is way faster than usual. How many puffs of your inhaler are you prescribed? . coursehero/file/37208372/Tina-Jones-Respiratory-Completed-Shadow-Health-4pdf/. How often do you wake up at night to urinate? 01:42 PM EST, What start your recent breathing problems? There are multiple essential questions for each of these topics: The abdominal exam is an interview and physical assessment that aims to pick up on any gastrointestinal pathology that may be causing symptoms such as abdominal pain, distention, or altered bowel habits. This is an incomplete reflection. ), I take three 200 mg pills at a time. Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor. Do you remember what you were prescribed for diabetes? No, I dont think so. When I reviewed my transcript,it became apparent that I kept it purely medical and rarely asked any social or cultural questions. Mucous membranes. Revisit clinic in 2-4 weeks for follow up and evaluation, Shadow Health | Tina Jones | Cardiovascular, Shadow Health - Tina Jones, Health History, ShadowHealth Conversation Concept Lab Rachel. The extraocular movements atr bilaterally intact with normal convergence. . How much Tylenol do you take? Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures. Its important for me to know how youre using all of your Question 06/28/20 . She does not exercise regularly, but states that her job is somewhat active and she walks 5-15 minutes daily. It is performed when a patient presents with a problem with the HEENT system. Self-reflection enables us to look at our performance be it on the job, in the classroom, or out on the field and critique our practice in a systematic and rigorous way. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. Normal convergence. There are multiple essential questions for each of these topics: The musculoskeletal exam is an interview and physical assessment that assesses the overall functionality of the muscles and bones. Rolaids normally. We have assisted many students who passed the assessment. This visit takes place approximated 18 months after Ms. Jones first established primary care in your clinic. It seems you are having an asthma exacerbation Instructions: In the Health History assignment, you will interview your first Digital Standardized Patient, Tina Jones, document her comprehensive health history, and complete post-exam activities. a.) Journal of Clinical Nursing, 13: 271-280. Hire us to do your Tina Jones shadow health comprehensive assessment. It helped me a lot to clear my final semester exams. Opportunities marked as Not Followed UpNot Followed Up are missed opportunities that were present in the interview, ), Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. Is transportation a barrier to your healthcare? Bilateral upper and lower extremity DTRs equal and 2+ bilaterally. . Breast and pelvic exams done by previous primary care physician. (Clarified to if I have had chest tightness.). . Any temperature change around the scrape? What happened to cause you to stop smoking pot? Did you notice any discharge from the wound? Tell me more about any sugars you consume. One week ago she states that she was a restrained passenger in an accident in a parking lot and estimates the speed to be approximately . Deep reflections involve practitioners examining and questioning their practices and assumptions. She states that family and church help her cope with stress. We suggest taking out your textbook to remind yourself of what doing a focused, complaint oriented abdominal exam assessment entails. Denies changes or difficulties in coordination. She walks 3 times a week for 30 minutes. It may also list long-term treatment plans and recommended changes to lifestyle, as well as short and long term goals for the patient. Rasmussen University. If any changes are needed, request a revision to be done. Well, right after he died, after the funeral and everything, I just tried to get through that. Information about the patients existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Question Category: Hospital Detail Drugs And I scraped up my foot on the edge of the step. She states that she copes with stress by staying organized. Gustafsson, C., and Fagerberg, I. Getting Started: View this tutorial for guidance on getting started with the Focused Exam: Abdominal Pain Assignment. I havent taken medicine for it or anything. Do you take any over the counter medications? Did you have any alcoholic drinks before the injury? HEENT pupils round reactive to light. Additionally, the rinne and weber test are bilaterally normal as the gag reflux is intact. I'm glad you came in. ), Well . Twice a day every morning and every night. Im Preceptor Diana. Sure, I think I understand what you mean. You must feel very tired as a result of poor sleeping! Id say a 7. Hi. How do subordinating conjunctions identify the subordinating conjunction in the sentence and select the type of relationship it demonstrates in the sentence We cannot order the banner for the gym unless everyone contributes. The tongue is symmetric with not abnormal findings while the bilateral upper and lower extremity DTRs equal and 2+ bilaterally. Drinking some water helps a little, as long as the water isnt too cold. The neck has a full range of motion with a 5 strength against resistance. Cross), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! -Encouraging Ms. Jones to continue monitoring her symptoms and report any increase in frequency or severity of her headache is essential. Plan: In the p, or plan section of your SOAP note, you are going to discuss how you would like to treat your patient. She has used marijuana in the past, but no current use and denies other illicit drugs. These factors can influence their current health and wellness. She states that these symptoms started spontaneously and have been constant in nature. Have you had changes in your bowel movements? 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation As you continue StudyCorp.com has the top and most qualified writers to help with any of your assignments. There are essential sections of patient information that your interview will need to uncover. How often do you check your blood pressure? She complains of blurry vision after reading for extended periods. I guess I've been pretty much just sitting as still as possible because Do you take any over the counter medications? ), I just take one or two of the 500 mg acetaminophen. isn't working the way it normally does. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. (Clarified to Did you hurt anything else during the fall?. Mrs. Smith was a very easy patient to interview. Tina Jones, a 28-year-old African-American woman, came to our clinic complaining of breathing difficulties and windedness following asthma attacks. c.) What did I do that was unsuccessful that I will discontinue? A deep reflection should explain what about the experience was found to be meaningful and how it can help one become a better nurse. No past suicide attempts. Romberg normal, gait normal. Patient narrative: For at least a month, Tina has been experiencing burping after she eats and pain in her upper stomach after eating, which she describes as kind of like heartburn, but sharper. Plan your time: Getting Started: View this tutorial for guidance on getting started with the Abdominal Assignment. Hello. The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, ALS,Demyelinating Disorders, Peripheral Neuro, ST for the ST Chapter 22: Cardiothoracic Surg. What brings you in? Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures. Were you on oral contraception when you did not use a condom? What happened after you scraped your foot? . Ive been using it probably every. 01:44 PM EST, ####### 3 Medications Followed UpFollowed Up, Does the breathing problem affect your ability to work? What was the cause of your fathers death? We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. Shadow health Tina Jones-Guide to Comprehensive Assessment, https://nursingresearchhelp.com/wp-content/uploads/2022/07/nrhlogo.png, Copyright - 2022 nursingresearchhelp.com. No, my chest feels tight when I have breathing problems, but it doesnt hurt. There are multiple essential questions for each of these topics: Mrs. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. Yes! Moist. . Mt name is xxx, I will interview you and later examine you. Let me learn more about what you're experiencing, and I will try to help.". I used Jarvis to ask the subjective questions but didnt think much about finding much else out. There are essential sections of patient information that your interview will need to uncover. My name is xxxx and I will be interviewing you today and later do a physical exam. Have you ever been diagnosed with low iron? Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. Do you take prescribed medication for your diabetes? answer. General: Ms. Jones is a pleasant 28 year old obese african aerican woman seated on a bench at the clinic in no distress. Does being around dust trigger your asthma? If it meets your requirements, download it. During this process, you can track your order with our customer support team who will keep you updated with all progress. She occasionally takes 650 mg of over the counter Tylenol with relief of the pain. Always make sure your inhaler is up to date. We will also write the SOAP notes for you. WellI guess I was noticing the other day that the skin around my neck is looking weird. What prescription medications do you take? Shadow Health understands that you want to learn your core nursing competencies in the most engaging and effective way possible. Tina Jones shadow health. improve your breathing.". Do you know what type of diabetes you have? Tina was the passenger and she was wearing a seatbelt. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. Although Ms. Jones can answer over 100,000 questions, you should only need to ask a fraction of these to obtain a complete health history. Let me learn a little ), He was almost 80, maybe like 78 or 79? Sensation intact to bilateral upper and lower extremities; sense of extremity position intact. She has cats, and Im allergic, so Im used to it being a problem there, but usually the inhaler fixes it. One a scale of 10, she dull, constant pain is located in the upper right quadrant of her abdomen. She does not take any prescription or over the counter sleep aids. Have you noticed an increase in appetite? Tina describes her sleep hygiene and routine. Category: Health Detail Health I take three 200 mg pills at a time active and she 5-15. 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