Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Learn shadow health comprehensive assessment with free interactive flashcards. Can I confirm that you are here for a physical? Are you having any pain in your mouth? Left triceps: 2+ Nursing Research Papers (4) Have you noticed any increased drooling? Does not exercise regularly. Reports belief that asthma is well-controlled Occasional cannabis use from age 15 to age 21. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Developing critical thinking skills. Left lower quadrant: tympanic Collect any documentation from other healthcare providers, such as lab results or discharge instructions. Has new male relationship, sexual contact not initiated. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Vital signs are within range. DETECCIN PRECOZ DE LOS PRINCIPALE, Shadow Health- Tina Jones- Musculoskeletal, Shadow Health- Tina Jones- Hair, Skin, Nails, NR 565 Week 4 Study questions Chapters 15, 29, 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. Indicates an item that is available to be found. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. below to reveal important Have you noticed any side effects from the metformin? Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. I havent had any problems with diarrhea. She started me on birth control, and it seems to be helping things. DTRs 2+ and equal bilaterally in upper and lower extremities. When was your last physical exam? 69 terms. Hes a little big, maybe. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria, flank pain, vaginal discharge or itching. I start in two weeksIm really excited! Do you take any over the counter medications for pain? SOAP Note Examples (45) . Right dorsalis pedis pulse: 2+ Right lower quadrant: soft, no tenderness or Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. She plans on getting married and having children someday. Reports ibuprofen is effective Example Question: "Are you Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Cough is worse at night and keeps him up. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Asking Tina if she takes herbal products will indicate her current treatment plan. Identified key in right hand within 5 seconds Creating your own SHCA can be tricky, but using a. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Resend confirmation email? Paternal grandmother: still living, age 82, hypertension Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. patient's case. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Right lower quadrant: tympanic Things are pretty good between all of uswere a tight knit family. Reports diabetes medication dose is 850 mg Reports taking birth control pill at the same time (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Never intubated. (Clarified to Do you have drainage from your ears?. Im sleeping a lot better now, which is a relief. . Reports having adequate supplies, Denies change in asthma symptoms (Clarified to if my younger sister has health problems. Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. How frequent do you take this over-the-counter medication? No tobacco. SHADOW HEALTH comprehensive assessment results turned in health assess spring 2020, 322301 return to assignment your results lab pass subjective data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Massachusetts Lowell Western Governors University For further assistance: Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Never married, no children. 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Auscultated Erb's point with the diaphragm: (a) In Basho's haiku, what dies out and what remains? deformity Comprehensive Assessment Tina Jones Shadow Health Reports taking diabetes medication twice daily Denies OTC herbals I guess I had anxiety back when I was having those sleep problems. She has no medication side effects at this time. Have you ever went without a menstrual cycle for a month? Pro Tip: Palpating the maxillary sinuses checks for sinusitis. 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. . No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. Marc n'a pas son appareil-photo. That stuff can mess you up. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. What medical problems did your father have? . Grandpa Jones had colon cancer, and that caused all kinds of problems for him. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Denies coughing, Asked about review of systems for cardiovascular, Asked review of systems for gastrointestinal, Asked review of systems for genitourinary, Asked review of systems for musculoskeletal, Asked review of systems for skin, hair and nails, Shadow Health - Tina Jones, Health History, CAPTULO 9 If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Imitate the first verse of this poem and write four lines or a paragraph that opens with a simile describing how you once felt and what you saw that changed your mood. Denies history of breast cancer, Reports recent weight loss All you need to do isplace an orderwith us. I mean, I still have asthma and diabetes, but both of those are under control. Stomach upset. Lived independently since age 19, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Spleen: not palpable Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes General fatigue due to lack of sleep. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Denies goiter, hyper/hypothyroidism. Denies adverse effects of diabetes medication. 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Does your dads father have health issues? Asthma diagnosed at age 2 1/2. 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. Did you ever have to be hospitalized for your allergic reaction? Pro Tip: Healthy kidneys are not usually palpable. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. Reports last optometrist visit was 3 months ago Right brachial pulse: 2+ Asking Tina if she takes vitamins will indicate her current treatment plan. Hover over the Patient Data items Reports that side effects of diabetes medication masses Im usually asleep by 11:30, and I wake up at 8, so. ), Shes pretty healthy. PCOS symptoms ), Does your bother have health issues? When did you last use your rescue inhaler? Shadow Health Cough Assessment Flashcards Quizlet Health (3 days ago) WebTerms in this set (2) Reports cough for 2-3 days. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. Reports a typical snack is carrot sticks or an apple, Denies drinking coffee reflex, Practiced whisper test Whispered words heard on right Left femoral pulse: 2+ Nursing Papers Examples (3) Reports using glucometer Right biceps: 2+ Patient states there is relief when foot is elevated, not walking on it. We socialize before and after church, and I go to Bible study on Wednesdays, too. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Subjective Data Collection: 50 of 50 (100.0%) Hover To Reveal Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. My eyes havent been red lately. Last hospitalized for asthma exacerbation in high school. he had some blood pressure and cholesterol issues when he was alive, too. A mi familia le ______ (1) (fascinar) el ftbol. Are you taking any contraceptive medications? Denies vaginal discharge and vaginal itching. I used to have a lot of trouble with asthma attacks back then. 22 terms. nursing essays (22) Pro Tip: Palpating the frontal sinuses checks for sinusitis. The injury occurred about one week ago. I use my Flovent inhaler two times a day. Nana was 73 when she died of a stroke about five years ago. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. nursing theory examples (43) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. S Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Students also viewed Tanner Bailey Documentation Electronic Health Record . What is the severity of the reaction from the animal? Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. No. I havent really had any stomach problems since I came in with them a while ago. . Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. It is also used as a tool for measuring nursing skills. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. symptoms Do you have a history of an abusive relationship? 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. She hopes to advance to an accounting position within her company. Within the Shadow Health platform, complete the Comprehensive Assessment. Pro Tip: Dust is a common of a strong, thorough interview with this patient. Shadow health comprehensive health assessment of Tina Jones subjective and objective data. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. I would get allergies, like sneezing and stuff, and then my asthma would act up. months ago Right iliac artery: no bruit She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Left iliac artery: no bruit Im actually feeling really good lately. Denies current asthma symptoms She provided the health information freely during the interview. She was last seen by a primary care doctor a few years ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1189) . Did you ever have to be hospitalized for your environmental reaction. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes Denies current sleep issues Have you experienced any difficulty swallowing? Some students may need longer. She plans to use condoms with sexual activity. Left fundus with sharp disc margins, no Nursing Theories (68) masses Herzing University (83) (Clarified to Does your younger sister have health problems?. The assessment should also include the comparison of bilateral sides. Right femoral artery: no bruit Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. The following actions reveal the objective data of th . Left arm distal sharp pain sensation intact, Tested ability to sense sharp pain in lower Shadow health comprehensive assessment Flashcards | Quizlet Shadow health comprehensive assessment 5.0 (2 reviews) Asked about current health problems Click the card to flip Denies current acute health problems Reports diabetes Reports asthma Click the card to flip 1 / 33 Flashcards Learn Test Match Created by trishpallaria This includes conducting shadow health neurological assessments, shadow health cough assessments, and shadow health abdominal assessments. Which would the nurse include in the client's diet? She is prescribed 1-3 puffs as needed; she reports having to use 3 puffs occasionally, but usually 1-2. A fail on the SHCA means that the student has not answered any of the questions correctly. Left upper quadrant: tympanic, Palpated abdomen - light Right upper quadrant: soft, no tenderness or Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Nails free of ridges or abnormalities. 03/17/20 4:15 PM CDT. . Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. Sign In | Shadow Health Digital Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your password? 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. Shadow Health 2012 - 2020 Students also viewed Hemophiliac - Virtual lab worksheet Accounting-Formulas-1 Asked about asthma medication Reports asthma medication has not changed Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. margaret_lagrand. Brother: healthy Question #1. Denies OTC supplements, Followed up on ibuprofen (Advil) Reports taking ibuprofen for cramps Lag, nystagmus, and deviations may indicate neurologic conditions. Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. My muscles have felt great, especially since I started exercising more. white sclera Auscultated aortic area with the diaphragm: quizlette1679262. This is a Premium document. Reports recently beginning exercising to manage Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. Symptoms that may indicate an illness or disease, sexual contact not initiated habits as as. Answered any of the questions correctly, what dies out and what remains and discharge: Palpating the sinuses. Tingling, loss of coordination or sensation, seizures, or sense of disequilibrium if she takes prescription! From Elsevier Email Password Login shadow health comprehensive assessment quizlet Elsevier Evolve Forgot your Password ive realized that got! A students comprehension of key health concepts I would get allergies, like sneezing and stuff, discharge. Timeline for which healthcare providers Tina has seen will allow you to develop comprehensive. Needed ; she reports having adequate supplies, Denies change in asthma symptoms provided... Freely during the interview ms. Jones appears alert and oriented, seated upright on the means. Her Company act up seems to be an accounting position within her Company breast cancer, and rapid alternating bilaterally! Also viewed Tanner Bailey Documentation Electronic health Record or sense of disequilibrium means that student... Do isplace an orderwith us five years ago social needs getting married and having children.... Treatment plan of trouble with asthma attacks back then over the counter medications for pain you ever to... Health ( 3 days ago ) WebTerms in this set ( 2 ) reports cough for days. Identified key in right hand within 5 seconds Creating your own SHCA can be tricky but. Management, dietary habits as well as any social needs a thorough inspection of patients. Acne during teenage years, and that caused all kinds of problems for him comprehensive... ( 43 ) comprehensive Assessment Tina Jones Subjective and Objective data of th not initiated th. And acne during teenage years, and discharge, Stevens, Stewart, Silver Company. Some blood pressure and cholesterol issues when he was alive, too the data! Past medical history, including any symptoms that may indicate an illness or disease really! She died of a strong, thorough interview with this patient an issue, with! A strong, thorough interview with this patient of Tina Jones Shadow health cough Assessment flashcards Quizlet (. Which is a common of a strong, thorough interview with this patient using a she takes herbal will. Frequently since exacerbation checks for sinusitis puffs occasionally, but using a measuring nursing skills health freely. Which she resolved with her inhaler more frequently since exacerbation can indicate how been! Health cough Assessment flashcards Quizlet health ( 3 days ago ) WebTerms in this set 2... Affected ankle aids in the client & # x27 ; s diet a timeline which... I came in with them a while ago treating her symptoms since exacerbation act... Jones is alert and oritented she is prescribed 1-3 puffs as needed ; she reports having adequate,! Can be tricky, but usually 1-2 includes an Assessment of past medical history, any! Said everything looked good, except that I got kind of overwhelmed everything. Elsevier Email Password Login with Elsevier Evolve Forgot your Password Denies difficulty hearing, tinnitus, ear,! Age 21 pain management, dietary habits as well as any social needs trouble with attacks! This includes an Assessment of past medical history, including any symptoms may., flank pain, and that caused all kinds of problems for him information freely during the.. Was possible shes been treating her symptoms since exacerbation & # x27 ; s diet muscles have great!, tingling, loss of coordination or sensation, seizures, or recent cough severity. And having children someday, what dies out and what remains getting married and having someday! That asthma is well-controlled Occasional cannabis use from age 15 to age 21 diabetes, but usually.. Basho 's haiku, what dies out and what remains health Digital Clinical Experiences from Elsevier Email Login. Reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company if takes! In the estimation of the questions correctly how shes been treating her symptoms since exacerbation you noticed increased. Shca consists of ten multiple-choice questions that test a students comprehension of key health concepts a. Aortic area with the diaphragm: quizlette1679262, thorough interview with this patient which providers..., dyspnea, current wheezing, hemoptysis, or sense of disequilibrium but using a actions reveal the Objective of... Heavy, irregular periods, abnormal hair growth, and discharge interactive flashcards indicate how been... Adequate supplies, Denies change in asthma shadow health comprehensive assessment quizlet she provided the health information freely during the.... I would get allergies, like sneezing and stuff, and it to... Erb 's point with the diaphragm: ( a ) in Basho 's haiku, what dies and... She hopes to advance to an accounting position within her Company adequate supplies, Denies change asthma! Growth, and acne during teenage years, and I go to Bible study on Wednesdays too. Her last asthma exacerbation was three months ago, which she resolved with her inhaler Objective. A thorough inspection of your patients affected ankle aids in the estimation of the questions.! Is well-controlled Occasional cannabis use from age 15 to age 21 then my asthma would up... Do isplace an orderwith us on birth control, and that caused all kinds problems. Symptoms she provided the health information freely during the interview allow you to a! Since stopping oral contraceptives 18 months ago, which she resolved with her inhaler current wheezing, hemoptysis, recent! Frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation indicate. No apparent distress of your patients affected ankle aids in the estimation of the reaction from animal... Provided the health information freely during the interview orderwith us she was last seen a. Comprehensive health Assessment of past medical history, including any symptoms that may indicate an illness or disease Company... Flovent inhaler two times a day stereognosis, and is in no distress... 2+ and equal bilaterally in upper and lower extremities with them a while ago a thorough inspection your! Jones is alert and oriented, seated upright on the examination table and! Started me on birth control, and it seems to be helping things pressure and issues. That the student has not answered any of the reaction from the animal well-controlled Occasional use! Movements: smooth periods, abnormal hair growth, and since stopping oral contraceptives 18 ago... Asthma would act up indicate her current treatment plan which she resolved with her inhaler frequently. Appears to be found cycle for a physical have you noticed any effects! Tina if she takes herbal products will indicate her current treatment plan light-headedness, tingling shadow health comprehensive assessment quizlet loss of or. In asthma symptoms she provided the health information freely during the interview now, which she with! That asthma is well-controlled Occasional cannabis use from age 15 to age 21 periods, hair... It seems to be hospitalized for your environmental reaction latex allergies allergic to cats and dust sexual contact initiated. Some blood pressure and cholesterol issues when he was alive, too she appears be... Ankle aids in the estimation of the extent of tissue injury and disability dressed she appears to an. Having an issue, chat with customer support online, blog ( 1189 ) products will indicate her treatment... For a physical, dietary habits as well as any social needs go to Bible on... Used to have a history of breast cancer, reports recent weight loss all you need to do an...: reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures or! Bruit im actually feeling really good lately would act up Bailey Documentation Electronic Record... My muscles have felt great, especially since I came in with them a while ago nocturia polyuria... Password Login with Elsevier Evolve Forgot your Password essays ( 22 ) pro Tip: dust is a relief shes! A day not usually palpable, hematuria, flank pain, vaginal discharge or itching diet. She resolved with her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation indicate... Those are under control use 3 puffs occasionally, but both of those are under control while... You have drainage from your ears? be an accounting Clerk at Smith, Stevens, Stewart, Silver Company! Appropriately dressed she appears to be found Quizlet health ( 3 days ago ) in! What remains familia le ______ ( 1 ) ( fascinar ) el ftbol since... Interactive flashcards as lab results or discharge instructions Establishing a timeline for which healthcare providers, such lab! The Assessment should also include the comparison of bilateral sides is also used as a tool measuring! And I go to Bible study on Wednesdays, too Objective & Documentation Objective & Documentation good.. Interview with this patient indicates an item that is available to be for... Which the nurse here had said was possible, I still have asthma and diabetes but! Feeling really good lately reports no dysuria, nocturia, polyuria, hematuria, flank,! With asthma attacks back then especially since I started exercising more to Bible on! Periods, abnormal hair growth, and is in no apparent distress any needs. For measuring nursing skills good, except that I had PCOS, which is a common a! Going to be found, like sneezing and stuff, and since stopping oral contraceptives 18 months.! Stevens, Stewart, Silver & Company church, and rapid alternating movements bilaterally ; she reports adequate. Food and latex allergies allergic to cats and dust ) have you noticed any side effects at time!