Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. enter of her chest. Well, I used to smoke pot. When did you most recently use the flovent inhaler? illicit drugs. cm. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. s1 and s2 heard without murmurs or additional sounds. I havent really had any stomach problems since I came in with them a while ago. : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. Pro Tip: Healthy kidneys are not usually palpable. Do you have any family history of mental illness? Home | blog | Shadow Health Comprehensive Assessment Guide | Help. Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). At the top of the transcript, you'll see a ribbon indicating the frequency of each kind of interaction within the transcript. TIna states she does not drink coffee and alleviate her palpitations I think I have a little less body hair than I used to. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. We're available through e-mail, live chat and Facebook. Click here for more information. Creating your own SHCA can be tricky, but using a. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Sometimes, if I really start stressing Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. location of pain. 2 energy drinks before class to keep her focused but states tha I guess I had anxiety back when I was having those sleep problems. denies any association of symptoms with exertion. How do you make up points in the Education and Empathy section upon reopening the assignment? If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. At last check it was 140/80 or 90. By visualizing the fundus, you can look for any retinopathic changes. 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. -constant pain. Nursing Theory list (41) If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Diagnosed with PCOS four months ago. She complains of intermittent dizziness. Experts selected these examinations as essential components of objective data collection for this patient. She states that s Ugh, horrible, honestly. . I havent had any problems with diarrhea. . This includes an assessment of all medication and supplements that may be affecting the body. This record includes questions asked, statements made, and actions/assessments performed. . That doesnt sound like it would be good. Respiratory: She denies shortness of breath, wheezing, cough, and I'm stressed and too foggy to study most of the time. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. S No way, I have no interest in that. nursing essays (22) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation solved essays (19) Skin on neck has stopped darkening and facial and body hair has improved. . Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $24.99, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Shadow Health Focused Exam Abdominal Education Empathy, SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE, Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identifie. General: Ms. Jones is a pleasant, obese 28-year-old African When was your last physical exam? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. 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. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. NR 509 Week 7 Shadow Health Comprehensive Health Histor. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. Hello, my name is . gallops, clinics, precordial movements. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Using a, Your document will be more credible. Are you sure you do not want to provide feedback? Have you noticed any side effects from the metformin? Developing critical thinking skills. . It is also used as a tool for measuring nursing skills. This button will not appear after the due date of the assignment, or if your instructor has chosen to not allow reopening for the assignment. Can I confirm that you are here for a physical? 3. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Do you take your pill at the same time every day? She endorses that she feels no pain however the 'fast heartbeats" Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. This will show an outline of your score. The page will refresh upon submission. During the patient interview, there are a number of opportunities to provide patient education and empathy. No, Im actually feeling really good these days. $15.00 Add to Cart. abnormalities present on chest wall. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. All the work should be used in accordance with the appropriate policies and applicable laws. why did you decide to seek treatment The process of creating your own SHCA can be time-consuming and frustrating. Thorough examinations will yield better patient data. I have this really important exam coming up, Review of Systems: General: Denies changes in weight, but Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Hematologic: She denies history of anemia, easy bruising or Hopefully, we can get. 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. Terms of Use JVD. 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. During the patient interview, there are a number of opportunities to provide patient education and empathy. Help Desk for further information. $65 USD . Asking Tina if she takes supplements will indicate her current treatment plan. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. sample picot questions (12) Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. when do you fall asleep Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. . Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. I understand your, frustration at having your life interrupted by foot. 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. Why did you decide to start taking birth control? Is the Education and Empathy section scored in every patient case assignment? The daily inhaler is Flovent, and the rescue inhaler is Proventil. She does not exercise. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. She is well-nourished, well-developed, and dressed appropriately with good hygiene. 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 10:25 PM EDT. Im actually feeling really good lately. Terms and Conditions Privacy Policy Cookie Settings. Regular rate and rhythm, S1 and S2 present, no murmurs, ru Question Over th Terms and Conditions Privacy Policy Cookie Settings. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. . Thank you for your feedback, it will help us serve you better. Plus I have my friends from church. CVS periodically. Criterion 1Health History Communication, Education , Empathy , and Summary(DCE Score or Transcript) 15 No Comments on brian foster chest pain shadow health assessment Transcript Transcript All Lines (209)Interview Questions (78)Statements (13)Exam Actions (118) Hello 10 January 2021 - 4:37, by , in Uncategorized, No comments (Bloomberg) -- Private equity firms on. I usually eat dinner, then I try to study for a few hours or do other schoolwork. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. How often do you take your birth control pill? This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. It is important to stay away from triggers. Overview. they also make her jittery. To ensure you receive proper credit for these items, you must ensure that the entire physical assessment has been completed - if you do not complete all parts of the physical assessment, you will not receive credit for the scored item. I mean, I still have asthma and diabetes, but both of those are under control. ), Nothing is coming out of my ears. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. If you are are experiencing audio issues while using Safari, please visit this article (support.shadowhealth/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. Im going to be an Accounting Clerk at this really nice accounting firm. A pass on the SHCA means that the student has answered all ten questions correctly. Let's talk about your wound a little further. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. tuberculosis. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. For example, if you ask the patient if they're experiencing any pain and they say "Yes", then that would be an ideal moment to respond with an empathetic statement. So Ive been trying to address problems as they come when I can, and that helps. pumpkin bread, lunch is a sandwich, dinner is a homemade mea 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. Please I need help with shadow health assessment week 9 with Tina . Have you tried anything else to treat the scrape? Tina Jones is alert and oriented x3 and she is a credible source of her If you require assistance, please scroll down and use one of the contact options to get in touch. No peripheral edema. Then you can respond within two lines of dialogue with the correct educational or empathetic response to receive credit for the scored item. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Comprehensive Health History - Education & Empathy .pdf. General, Tina Jones is a pleasant obese 28 ear old female. I came in because Im required to have a recent physical exam for the health insurance at my new job. Im taking good care of my health these days. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Description: Tina describes how busy she is with school and work. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Does he have any medical issue? (Clarified to if my brother has health issues.). Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. illness? challenging time for you. 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. Pulses 2+ and equal (Clarified to Does your brother have medical problems?. episodes as thumping in her chest with a heart rate that is way But that hasnt happened since I got my daily inhaler. This button will open the Lab Pass for your attempt. 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. I made sure to clean it and just keep it bandaged. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Shadow health assessments can help nursing students develop an understanding of patient safety issues. I would get allergies, like sneezing and stuff, and then my asthma would act up. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. I'd say a 7. . I got this scrape on my foot a while ago, and I, thought it would heal up on its own, but now it's. American woman in no acute distress. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. 10:23 PM EDT. That stuff can mess you up. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Plus, he had high blood pressure, andIm pretty sure he had diabetes. shadow health with Tina Jones. not stressed at all. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were Indicates an item that is available to be found. SOAP Note (14) The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. Popular books. flatulence is one of the side effect of metformin. Speech is clear and coherent. While the attempt is In Progress, you will not be able to see the Results page. The episodes generally It hurts a lot, and the pain pills haven't. These are your achieved scores for the different activities in the assignment. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview She uses her albuterol inhaler when she is around cats. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. A Model Statement is provided as an example of an Tina confirms that she has sources of stress and anxiety which are 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. known history of murmurs, angina, previous palpitations, dyspne This button will Reopen your attempt. Here you will see a verbatim record of every . Nursing Essay Examples (82) (Clarified to: if I try, great start. Nana was 73 when she died of a stroke about five years ago. and asthma. She denies shortness of breath. Any pending input will be lost. 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Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. what do you usually do before bed NURSING 362. 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 Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. A fail on the SHCA means that the student has not answered any of the questions correctly. She is alert and oriented. . though that hasn't happened really. nursing theory examples (41) Question 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Here you will see a verbatim record of every interaction you had with the patient. In the Comprehensive Assessment, you earn points by performing the physical assessments. There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. Last menstrual period 2 weeks ago. mostly occur in the morning before class. Comprehensive assessment documentation. Ear drainage? Let me No School. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. It is also used as a tool for measuring nursing skills. Are you looking for someone to help with shadow health assignments? Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. the last time I was sick was when I was having those heartburn problems a while ago. when do you go to bed A combination of open and closed questions will yield better patient data. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Cross), Give Me Liberty! I use my Flovent inhaler two times a day. -located in low back and butt. : 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. Type 2 diabetes, diagnosed at age 24. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Are you taking any form of birth control? She has a history of hypertension which normalized when she initiated diet and exercise. 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. She plans to use condoms with sexual activity. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. appropriate response to each opportunity. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. 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. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 10:05 PM EDT. anxiety which is related to the pressures of schools and work. She denies chest pain during the episodes, but does endorse All you need to do isplace an orderwith us. -denies neck pain. Our, You will save time. -does not radiate or migrate. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Never intubated. The Post-Exam time is time spent answering questions after the exam room. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Shadow. ABI is 0. This section is where you can see your score for the Information Processing activity. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Course Hero is not sponsored or endorsed by any college or university. Im glad you came in. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Do you have any problem with your breasts? Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local (/site_notice_dismissals?from_flash=true&site_notice_id=499) rate over the last month. S The assessment should also include the comparison of bilateral sides. Here you will be able to review your responses to three pre-written journaling prompts. Im sorry youre dealing with so much Tina Jones endorses that she does not really watch her diet. You will earn a point for each opportunity that you encountered AND followed up on it during the interview. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. Now that Im on the pill Im getting my period every month. Florida State University. No! She monitors her blood sugar once daily in the morning with average readings being around 90. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) Strengthening clinical skills. This section is where you can view your documentation. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. past month she has increased her consumption of diet soda and We deal with academic writing, creative writing, and non-word assignments. Have you missed any days of your birth control pill? I used to have a reaction when I was in a dusty house for a long time. College Physics Raymond A. Serway, Chris Vuille. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy.
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