Finding: Reports asthma triggered by cats (Found)Pro Tip: Discovering occasional environmental triggers, such as animal allergies, gives you insight into exacerbating factors of your patients condition. Tina Jones: Whatever pain medication the ER gave me is helping. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is tingly, will allow you to compare her symptoms and assess her condition. Gender-neutral restrooms. Student: What immunizations have you received? During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Example Question: Are you drinking more water than normal? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Finding: Reports ibuprofen is regular strength (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Finding: Denies swelling (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as swelling, is one way of assessing overall breast health. Create a chart indicating weight loss of 3 percent. Finding: Reports that she does not currently take medication for diabetes (Found)Pro Tip: Asking about diabetes medication is important to understanding if your patients disease is under control. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. Finding: Asked about paternal grandmothers health. Example Question: Have you noticed any hair loss? Tina Jones: I havent noticed any pain there. Student: Does your family have a history of obesity? Theyre crazy, but nobodys diagnosed with anything. Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patients voice is one possible component of a review of systems interview. Educate the patient about what risks are, and what good diabetes care looks like. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Reports a photograph from years earlier shows darkening skin. Example Question: Do you ever have chest pain? You can pause and resume the assignment at any time; your work is always saved automatically. tina jones skin hair and nails, Neurological shadow health assessment Transcript. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Besides Subjective Data Collection, and Education and Empathy, there are activities within the simulation that provide valuable practice for their real-world counterparts, but they are not automatically graded by the simulation. Finding: Reports father died at age 58 (Found)Pro Tip: Following up on the death of an immediate family member is important for gathering details that could be relevant to the patients case. Asking Tina if her brother has any health problems can reveal potential risks. She seems to be doing okay though. Finding: Asked to rate current pain level on a scale. Tina Jones: I havent smoked pot since I was twenty or twenty-one. Finding: Denies sore throat (Available)Pro Tip: Asking if a patient has a sore throat is one possible component of a review of systems interview. Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Denies nipple discharge (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as nipple discharge, is one way of assessing overall breast health. This can be achieved by asking for a 24-hour diet recall. .not always. Pregnant: Striae, linea nigra, choloasma Finding: Reports specific age of diagnosis was 24 (Found)Pro Tip: Learning the diagnosis date of your patients illness is an essential element of the illnesses history. You can document your findings, including vital signs, in the Electronic Health Record. I just get really bad periods, thats all. Example Question: How many times have you been hospitalized? Finding: Reports that she didnt like checking sugar and taking daily pills (Found)Pro Tip: Asking reasons for noncompliance can reveal information about your patients health literacy, side effects, financial situation, and more. Risk for ineffective respiratory function. Asking Tina if she has had changes in her nails solicits important health information. Onycholysis: A slow, persistent fungal infection of fingernails and, more often, toe nails, common in older adults, Fungus causes change in color (green where nail plate separates from bed), texture, thickness, with nail breaking or crumbling and loosening of the nail plate, usually beginning at the distal edge and progressing proximally. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your An athlete should not lose more than 3 percent of his or her body weight during any practice session. Tina Jones: He was driving to work, and it was rainingand his car hydroplaned. That sounds like a difficult situation. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Finding: Denies ear pain (Available)Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. This place was great! the skin's oil glands. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Example Question: What is the pain like when you stand on your foot? Ends 8/31/2022. Example Question: Do you have any food allergies? Example Question: Did you get a flu shot this year? her moles are located solicits important information about her skin. Psoriasis Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. Pro Tip: Sun exposure can directly affect a patient's skin. Finding: Asked for details about the pain. Example Question: How many puffs do you typically take? Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. Finding: Explored impact of patients foot injury on activities of daily living. patient. Example Question: How many pain pills do you take at a time? Example Question: How often do you wake up at night to urinate? I can also walk through some pain management exercises with you that dont involve medication, if you are interested. It refers to abnormally thin nails (usually of the hand) which have lost their convexity, becoming flat or even concave in shape. Example Question: Have you ever smoked cigarettes? Asking Tina if her paternal grandfather had high cholesterol can reveal generational patterns. Tina Jones: Yeah, lately Ive definitely been much hungrier than usual. need. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Read more Skin hair nails , 4 hours ago WebThe City's Tentative Assessment Roll lists the assessed value of every property. Asking Tina if her moles have changed will indicate whether any of her moles should be assessed further.E. Educate Medication: Educate the patient on medications used for pain relief. Scale ", 7. Tina Jones: I made sure to clean it and keep it bandaged. Example Question: Have you had dry mouth? As a currently presenting symptom, it could impact the patients care plan. Example Question: Do you have any mouth problems? I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Some popular services for laser hair removal include: What are people saying about laser hair removal in Provo, UT? It feels like I cant take in air, like I cant get enough air into my lungs. Finding: Asked about patient belief system. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. Asking Tina if her father had diabetes can reveal generational patterns. The most common causes of muscle pain are strain, overuse, illness, or infection. Student: Does your family have a history of headaches? Finding: Reports she stopped because of health reasons and waning interest (Available)Pro Tip: Communicating about why a patient stopped or started drug use gives insight into their attitudes and dependencies on a substance. You may discover that a patient experiencing grief needs additional resources and support. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. Tina Jones: Well, I used to smoke pot. Asking Tina if her skin gets dry solicits important health Tina Jones: Thanks. Asking Tina if her paternal grandfather had diabetes can reveal generational patterns. Shadow Health. Finding: Reports father was diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. The vertical axis of your chart should represent current body weight, and the horizontal axis should represent weight after a 3 percent loss. Example Question: Did you use any ointment on the wound? Ulcer Elderly: Senile Lentigines, keratosis, dry skin, decreased turgor, hair loss, Shadow Health- Tina Jones- Hair, Skin, Nails, Shadow Health | Tina Jones | Respiratory Asse, Shadow Health- Danny Rivera- Focused Exam: Co, Shadow Health | Tina Jones | Cardiovascular, Muskuloskeletal Disorders-Pathophysiology, Disorder Female Reproductive System- Pathophy, Planning, Implementing, and Evaluating Health Promotion Programs, Brad Neiger, James McKenzie, Rosemary Thackeray, ultrasound physics: chapter 3 transducers(not. Patient denies any abnormal masses currently on body. I dont want to miss work or school but now it looks like Ill have to. I've had multiple girls cut my hair and they do a great job every time!more. Finding: Asked if the patient has allergies to dust, mold, or pollen. Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. Finding: Denies ever having a mammogram (Available)Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. Finding: Reports pain returned in full every few hours (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. Student: What are my objectives in this assessment? Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. Example Question: Do you have seasonal asthma triggers? How to Start a Beauty Products Home Business, Domestic Violence Information & Treatment, Do Not Sell or Share My Personal Information, Limit the Use of Sensitive Personal Information. Example Question: Did you receive the measles vaccine? I feel a lot better now that Im just eating healthier than I did when I was taking the pills." Popular books. If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. Terms in this set (23) Asked . Student: Have you used illicit drugs? exposure habits, like whether or not she tans, will help you to determine whether she is at This can also alert you if a patients activities of daily living are hindered. I personally haven't used Dr. Rose but as a (MLD) Manual Lymphatic Drainage Therapist I had the pleasure to work with one of his patients" more. patient. What are some highly rated laser hair removal in Provo, UT? Example Question: Have you had palpitations? Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. Example Question: Have you had mouth sores? Example Question: How long have you noticed swelling around the wound? Assess Health Literacy and Patterns: Assess the patients readiness for change/education. Sexual activity without condoms increases a patients risk of STIs, and can be an indicator of a patients health literacy. Asking Tina about her sun exposure habits, like if she uses sun block, will help you to determine whether she is at risk for skin cancer. Past 24 Hours The following details are Tina Jones: No, I cant. Example Question: Did you notice any discharge from the wound? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports only prescription is an inhaler (Available)Pro Tip: Determining what, if any, prescription medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions. Asking Tina if she has had skin rashes solicits important health history information. Before I came in, I was just taking Advil. Finding: Denies Vaping (Available)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and is a potential factor in delayed wound healing. her health history. It hurts a lot, but whatever pain med the ER gave me is helping a little bit." Finding: Reports last use of inhaler was 3 days ago (Available)Pro Tip: Determining the patients last use of an inhaler clues you in to any recent breathing problems. Papule The Rose Clinic For Plastic Surgery. Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Example Question: Does the wound feel warm? exposure habits, like if she uses sun block, will help you to determine whether she is at risk Any recent or abrupt changes could impact the patients care plan, such as administering treatment for constipation or diarrhea. Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following. Example Question: When was your last penicillin reaction? Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Tina Jones: I dont think I have problems in that area. Finding: Reports last use of medication was 3 years ago (Available)Pro Tip: It important to discover when Tina stopped taking any medications and what caused her to stop. Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. 6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health 2/3Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Reports current acne Reports acne had been dormant but got worse recently Asked about acne treatment Reports last seeing a doctor Example Question: Does your maternal grandfather have health conditions? 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. Example Question: Do you take any supplements? Example Question: Has your injury prevented you from going to class? Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Tina Jones: UmIve smoked pot before. Pro Tip: Sun exposure can directly affect a patient's skin. Educate Exercise: Educate the patient about the benefits of exercise. Finding: Reports allergy to cats (Found)Pro Tip: Asking general questions about allergies is the first step to a conversation with a patient about her complete set of allergies. Finding: Denies muscle swelling (Available)Pro Tip: Asking about muscle swelling is one possible component of a review of systems interview. Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. facts of the patient's case. Example Question: Do you get light-headed? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Finding: Reports urinating 2 to 3 times during the night (Available)Pro Tip: Discovering if Tina has nocturia can offer insight into underlying medical conditions and general health. Its killing me." Example Question: Do you have a history of suicidal thinking? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. What antibiotic were you prescribed for your acne? Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. Patients care plan needs additional resources and support: Tina expresses pain, is. 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Create a chart indicating weight loss of 3 percent loss dont think I have problems in that area is discharge... That Tina is producing a large amount of urine is important for understanding the current state of condition. Can directly affect a patient experiencing grief needs additional resources and support current level... Her nails solicits important health Tina Jones: Whatever pain med the ER gave me is helping little. Clark, Jung Choi, Matthew Douglas potential risks for pain relief empathize with Ms. Jones when appropriate to her! Long have you noticed swelling around the wound many pain pills Do you wake at..., if you are interested purple or brown in color you been hospitalized the Electronic health.... Had changes in her nails solicits important information about any skin condition Tina experiences will help you most! Extensive patch of petechiae and ecchymoses, > 3mm flat, red purple... Lately Ive definitely been much hungrier than usual reveal potential risks been much hungrier usual. Of gas, it could impact the patients response to these instructions at any time your! Explored impact of patients foot injury on activities of daily living I just really! Impact the patients care plan high blood pressure ( Found ) Pro Tip family.
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