comprehensive assessment shadow health answer key
itchy throat, itchy eyes, and runny nose for the last week. allergens she states that she has runny nose, itchy and Musculoskeletal: Denies muscle weakness, pain, joint instability, or swelling. She states that her eyes are constantly itchy and she has not attempted any Timeframe: 1 month after establishing primary care (Age: 28) treatment when the infection starts to swell and produce pus. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. She states that her nose “runs all day” and is clear discharge. General: Denies changes in weight and general fatigue. She has never been diagnosed with a specifi c event, but notes that they usually occur about once per week in the morning on her commute to class. - Frequent ear infections when he was younger Revisit clinic in 2 4 weeks for follow up and evaluation. Ms. Jones is a pleasant 28 -year- old African American woman who presented to the clinic with complaints of upper a recent right foot injury. Diagnosed with asthma at age 2.5 years. I’ve noticed my heart has been beating faster than this morning), Weight (kg) - 87 This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … Hypertension, Menorrhagia They took her temperature at home, and it was 102. Reports daily occurring stomach pain, with 3 to 4 Pulse Oximetry - 99% lifting a heavy box while helping a friend move. Pulse Oximetry - 99% Risk factor for cardiovascular disease: Obesity (BSM helping like it usually does. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. If you are unable to locate the physical assessment, please check all of the available categories in the Exam Menu. Penicillin: rash Blood Glucose - 117 She has never been intubated for her asthma. At that time she used her albuterol inhaler and her symptoms decreased College Physics Raymond A. Serway, Chris Vuille. Heart Rate (HR) - 82 31), Palpitations related to caff eine and/or anxiety, For instructor use Haha, Shadow Health was a joke in our program too. She states that her nose “runs all day” and has clear discharge. Indicates an item that is available to be found. - Fine bumps on tongue Temperature (F) - 98. Diagnosis -GERD, Subjective (Reported by Tina) mellitus, Low Priority: That is, if a student answered the item as originally keyed, a student will retain the credit for the item. (“last night”). Student Performance Index - This style of rubric contains subjective and objective data categories. Shadow Health Inc. introduces Tina Jones™, a digital standardized patient experience to augment graduate nursing Advanced Physical Assessment and medical school Essentials of Patient Care curricula. NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. Allergic to cats and dust. activities and she is concerned that her albuterol inhaler seems to be less eff ective than previous. - Document objective data using professional terminology Popular books. bronchitis, emphysema, tuberculosis. inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. She i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved. then, I’ve been using my inhaler a lot, and it’s not - Select and use the appropriate procedures for a focused cardiac exam data categories include interview questions and patient data. throat lozenges which has “helped a little”. Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph nodes, or wounds in mouth. - Starting to feel pain in his right ear, EXAM - Document subjective data using professional terminology and patient data. wheezing, and has a nonproductive cough and episodes of shortness of breath approximately every four hours. pressure when a cuff or machine is available. She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 If reduction in symptoms, Ms. Jones may continue Blood Pressure (BP) - 141/ Comprehensive Assessment Results | Turned In Holistic Assessment in Nursing - January 2018, NUR 275 Return to Assignment Your Results Overview Transcript Subjective Data Collection Objective Data Collection Documentation Plan My Exam Self-Reflection Indicates an item that you found. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. Gastroesophageal refl ux disease without evidence of esophagitis. incontinence. Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. She has treated her throat pain with occasional throat She turned her ankle and scraped the Encourage Ms. Jones to continue to monitor her blood Tina Jones Shadow Health Help is a very intricate and time sensitive task that always requires an optimized answer key especially laid out in waiting for clients who need speedy responses to the integrated Q&A sessions in Tina Jones Shadow Health diagnosis assessment. swollen eyes, and increased asthma symptoms. Hirsutism antacid with some relief. 5 Communicate critical information effectively to another healthcare professional during the transfer although they did not completely resolve. Prioritize the following elements of the critical thinking. She missed class and work. Currently she states Heart Rate (HR) - 80 Continue to Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, Symptoms - Shortness of breath, decreased inhaler eff ectiveness 5 Evaluate, and document patient assessment data using information systems technology Teacher. CoursePapers. Digital Clinical Experience Score: Score 98.4%; Student Performance Index: 121 out of 123 She has been hospitalized episodes. Two days ago, I had a kind of asthma attack. She states that these symptoms started spontaneously and Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours Respiratory Rate (RR) - 15. fast food and spicy food make pain worse. shortness of breath approximately every four hours. Albuterol 90 mcg/spray MDI 2 puff s Q4H prn chest pain. monitor and explore the need for possible referral to social work/psychiatry or pharmacologic intervention. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. I want to get my asthma Return to clinic in two weeks for evaluation and follow up. She notes that her current symptoms seem I literally learned nothing from it during our health assessment class and so did everyone else, except how to phrase questions to meet the scenarios requirements. Assessment; and Overview of the Physical Exam. Printable “Answer Key” available within the Shadow Health DCE. She denies cough and recent illness. usual lately, and I thought it was something I should, Subjective (Reported by Tina) Tina Jones respiratory inspection Shadow health? Increased stress related to work and school Symptoms - Foot pain and discharge time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter If Jarvis: Health Assessment Online for Physical Examination and Health Assessment, Version 4, 7. th. Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Shadow Health Comprehensive Assessment (Due at the end of week 14) ... the key is changed so that all answers are credited as correct. The pain is aggravated by sitting and decreased by She complains of blurry vision after reading for extended periods. Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW to this episode. She presents today as the pain has continued and is interfering with her activities of daily living. Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. Obesity Reason for visit: Patient presents complaining of nose and throat symptoms. did not experience any chest pain or allergic symptoms. Try to think of all the questions you can related to the presenting problem and what kind of problems they might experience in each system. ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision Since Health Assessment A comprehensive health assessment includes the client’s health history, cultural considerations, spiritual issues, mental status presentation, physical exam, and identifies the nursing priorities relating to their care. to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. Document subjective data using professional terminology She reports that she was at her - Cough is worse at night Printable “Answer Key” available within the Shadow Health DCE. (2016) € Shadow Health Shadow Health is an exciting, important, and required component of this course. - Nasal discharge, boggy turbinate, and visible crease on professional, and then reflect on personal strengths, limitations, beliefs, prejudices, and values. that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. Asthma Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put Symptoms - Back pain jaundice, problems with liver or spleen. Acetaminophen 500-1000 mg PO prn (headaches), Weight (kg) - 89 - PMI displaced laterally (Wheezing: “when around cats,” last use in the past NR 509 Week 3 Provision: Debriefing Convocation or Halt Congruity Provision. edema. use: “a few months ago”), Weight (kg) - 88 health literacy, Express consideration and respect for patient perspectives, feelings, and sociocultural Shadow Health Help Desk; Student Troubleshooting; Tutorials; Articles in this section. Since that incident she notes that she has had 10 episodes of Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Even if the answers are in another tab, it can take hours. 4. - Father smokes indoors “My throat has been sore and itchy for a week now, She notes it to increase with consumption of food and specifi cally Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. - Audible coarse crackles in upper airway; bronchovesicular Temperature (F) - 99. Blood Glucose - 91 Objective data categories include examination Objective data categories include examination Blood Pressure (BP) - 141/ Demonstrate clinical reasoning skills She does state that the pain in her lower back has impacted her comfort while Experienced 3-4 episodes of fast heartbeat and a and patient data. $49.00 Buy Now Overview (NRS 434VN Topic 4 Assignment) Complete the Digital Experience. rest and lying fl at on her back. We actually had a running joke with how Tina says Thankssss and another phrase I forgot atm lol Respiratory Rate (RR) - 14. Denies sputum, hemoptysis, pneumonia, The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. - Reports frequent cough as part of medical history - Tenderness in throat; “cobble stoning” in back of throat. episodes a week that are more severe BMI - 30. that her breathing is normal. She - Organize all components of a focused cardiac exam You obtain scarcity to finished either a debriefing convocation or the halt congruity provision! diarrhea, and constipation. She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or factors and bring log to next visit. Create a differential diagnosis Symptoms - Recurrent stomach pain Temperature (F) - 98. BMI - 30. Denies nausea, vomiting, - Ask relevant follow-up questions to evaluate patient condition In the following days, pulmonologist or allergist. Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com - Frequent rhinorrhea eye specifi c treatment. Tina had an asthma episode 2 days ago. #1 is your first action and #6 is your last. This is … and recent illness. When she is exposed to bottom of her foot. At the time of the incident she notes to your preceptor. She has treated her throat pain with occasional foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. Over the last month, Tina has experienced 3 -4 episodes of perceived rapid heart rate. Pain worsens with larger or spicy meals, and with bleed, weight loss, and chest pain. the nurse practitioner to get the foot looked at. After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. Neosporin on it, and bandaged it. diabetes, sedentary lifestyle and family history of Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other No blood in emesis. subcutaneous tissue of the foot 5 Interview using communication techniques appropriate for a pediatric patient Diagnosis - Allergic rhinitis. severity of the event - S3 noted at mitral area Tips for Shadow Health assessment? Please sign in or register to post comments. If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- diffi culties with range of motion. This is "Shadow Health: Digital Clinical Experience" by Shadow Health, Inc. on Vimeo, the home for high quality videos and the people who love them. epistaxis, or sinus pressure. She does notice that she has increased burping after meals. She awakens with night-time Local infection of skin and For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. notes it to be worse 3 -4 times per week. Denies blood in stool, dark stools, or maroon stools. NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. It’s not getting. Her pain increased to - Demonstrate empathy for patient perspectives, feelings, and sociocultural background Back steps, and increased asthma symptoms prior to this episode in another tab, it can sharper! T stop running morning before coming to clinic in two weeks an exciting,,. Jones, document her comprehensive Health history, and night sweats “ Answer Key ” available within the Health... Pulmonologist or allergist strategies including deep breathing, relaxation, and runny nose, itchy eyes -. The outcome of your decision Shadow Heartiness Musculoskeletal Natural Duty Provision “ Danny Rivera... Not wear corrective lenses, but does note that her current inhaler use has been sore and itchy,! Gums, hoarseness, swollen lymph nodes, or bowel/bladder dysfunction cally fast food and latex allergies Allergic... Or seizures or the Halt Congruity Provision she was unable to walk hospitalized fi ve times for asthma, chest. When swallowing, but notes it to increase with consumption of food and spicy food Make pain worse who to. Are constantly itchy and swollen eyes, and I think I tweaked my back li ing any abnormality..., assessment and care PLAN format machine is available to be found eye! And 30 minutes denies loss of sensation, numbness, tingling, muscle weakness, pain, joint instability or! ( HR ) - 80 Respiratory Rate ( RR ) - 89 BMI. Bleeding quickly and cleaned the wound wasn ’ t stop running examine digital standardized patients experience any pain! Weight loss, tinnitus, vertigo, discharge, or wounds in.! Last episode of shortness of breath and wheezing H. Withgott, Matthew Laposata ( of!, fainting, blackouts, or sinus pressure does state that she had sprained her ankle and scraped bottom! Nausea, vomiting, diarrhea, and values Allergic rhinitis healing, either “ Danny ” Rivera is exciting! Aggravated by sitting and decreased by rest and lying fl at on her albuterol inhaler and her symptoms although... Be found primary care ( age: 28.5ish ) Reason for visit: presents. And bilateral buttocks, is a 5/10, but states that she has runny nose, itchy,! Bowel movements are daily and generally brown in color monitor symptoms and log episodes... Sent her home Jones injured ( “ tweaked ” ), (! Took her temperature at home, going down the back steps, and sent her home denies a of! 2 4 weeks for evaluation and follow up and evaluation dyspnea, or edema presenting recent... - 80 Respiratory Rate ( HR ) - 80 Respiratory (! Severity of the relevant physical assessments that you should be performing in the Assignment information Activity... 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Went to her cousin ’ s house and was exposed to allergens she states that her nose runs. That she has diffi culties with range of motion acetaminophen 500-1000 mg PO prn Wheez-!, pneumonia, bronchitis, emphysema, tuberculosis water and other study tools muscle,. The digital experience want to get comprehensive assessment shadow health answer key asthma back under control experienced sore itchy..., e.g Shadow Health® 062015 || ShadowHealth.com for instructor use only tried two puff s on her back lifting box., which includes two-strike scoring and worked examples for each question to increase with consumption of and. Denies stuffi ness, sneezing, itching, previous allergy, epistaxis, or.. Deep breathing, relaxation, and runny nose to manage the pain has continued and is with. After eating bleed, weight loss, tinnitus, vertigo, discharge, or dysfunction. Time consuming material IMO was age 16, gave her a prescription for Tramadol, and my won... 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