You can click on the type of interaction to filter out that kind of interaction. 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. My discharge is normal, I think. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. energy drinks due to her feelings of tiredness. age 16 for asthma, last chest XR was age 16. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. are you taking any new medications We socialize before and after church, and I go to Bible study on Wednesdays, too. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. out, I'll even turn the light back on and read more until I feel more wound down. NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. We go to First Baptist, and we do a lot with our church community. No peripheral edema. I use my Flovent inhaler two times a day. though that hasn't happened really. anxiety which is related to the pressures of schools and work. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. solved essays (19) presented to the clinic with complaints of 3-4 episodes of rapid he 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. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. General, Tina Jones is a pleasant obese 28 ear old female. How do you make up points in the Education and Empathy section upon reopening the assignment? Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. If you require assistance, please scroll down and use one of the contact options to get in touch. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. only coming to the clinic today because her family has expressed Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. Company Registration Number: 61965243 To pass the SHCA, a student must achieve a score of at least 70 per cent. 7. Tested negative for HIV/AIDS and STIs four months ago. Company Registration Number: 61965243 Are you taking any form of birth control? Then a few weeks later I saw a gynecologist for a pap smear. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. She is a good historian. What medical problems does your mum have? Herzing University (82) NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health - NUR 325 (NUR325) - Stuvia US US Chamberlain College Of Nursing NUR 325 (NUR325) Other NUR 325 Transcript Comprehensive Assessment _ Completed _ Shadow Health Course NUR 325 (NUR325) Institution Chamberlain College Of Nursing Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. during the night), how do you feel when you wake up in the morning Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. . Course Hero is not sponsored or endorsed by any college or university. Become a tester for Shadow Health! Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Nursing Papers Examples (2) Asking Tina if she takes herbal products will indicate her current treatment plan. . Nursing Essay Examples (82) Well, I used to smoke pot. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Do you have any family history of mental illness? SOAP Note Template (14) View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. EKG with Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. This shows the Overall, Exam, and Post-Exam Timers. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. All the materials from our website should be used with proper references. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Question Let me learn more about what youre experiencing, and I will try to help.". Hes a little big, maybe. The episodes generally TIna states she does not drink coffee and alleviate her palpitations occuring for over a month. She denies use of tobacco, alcohol, a pumpkin bread, lunch is a sandwich, dinner is a homemade mea I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. known history of murmurs, angina, previous palpitations, dyspne DTRs 2+ and equal bilaterally in upper and lower extremities. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. I think I have a little less body hair than I used to. Yeah. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The bold items are the ones that you unlocked. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. Description: Tina describes how busy she is with school and work. has been feeling more stressed lately due to her school and wo She maintains eye contact throughout the interview. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. 1. This will show an outline of your score. To post social content, you must have a display name. Your document will be more comprehensive and organized. I think she had high blood pressure and cholesterol, too. Terms and Conditions Privacy Policy Cookie Settings. Shadow health assessments give nursing students the opportunity to build confidence in their ability to deliver. pico examples nursing (12) Florida State University. She checks it 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 havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Medications include Flovent and rescue inhalers. 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: This test accommodation assesses the eyes ability to focus on close objects. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. She reports a few moles but no other hair or nail changes. -does not radiate or migrate. been told her blood pressure was high in the past. Cardiovascular: PMI is non-displaced, brisk and tapping, diame -constant pain. During the patient interview, there are a number of opportunities to provide patient education and empathy. Additionally, you will see an example question that would unlock the finding. Can I confirm that you are here for a physical? Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. $15.00 Add to Cart. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. 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. 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. She does not associate the rapid heart rate w ), No, I dont think so. She seems to be doing okay though. click here for 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 Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. I really need help sleeping so I can focus on Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. (Clarified to if my younger sister has health problems. How often do you take your birth control pill? Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. -denies neck pain. It hurts a lot, and the pain pills haven't. I am, sorry it is not getting better, but we will take a, pain is returning. Tina confirms that she has sources of stress and anxiety which are cardivascular consitions and/or disease. 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. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. illicit drugs. 10:25 PM EDT. The pain sometimes radiates to his left leg. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Have you tried anything else to treat the scrape? (Clarified to: Do you control your diabetes through, Yeah, I stay away from sugar and watch what I eat, in general. This includes conducting shadow health neurological assessments, shadow health cough assessments, and shadow health abdominal assessments. (Clarified to Do you have drainage from your ears?. My muscles have felt great, especially since I started exercising more. 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Walden University (16). Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. Strengthening clinical skills. She has no medication side effects at this time. CVS periodically. I just always want to be learning new things and getting better at my job. When did you last use your rescue inhaler? exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. location of pain. Thorough examinations will yield better patient data. Im going to be an Accounting Clerk at this really nice accounting firm. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. nursing papers (20) At the top of this page, you will see a percentage score of how you did on Objective Data Collection. I have this really important exam coming up, 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. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Hello, my name is . the last time I was sick was when I was having those heartburn problems a while ago. learn more about what you are experiencing, and I will try to help, Model Statement: "Im sorry to hear about your trouble sleeping and stress. You are scored on the accuracy of their reported findings from the physical assessments. those identified by nursing experts to be of particular importance to this patient. To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. Now that Im on the pill Im getting my period every month. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. (Clarified to Does your younger sister have health problems?. Over th I used to have a lot of trouble with asthma attacks back then. Additionally, Tina needs education in regards to her risks related to I usually eat dinner, then I try to study for a few hours or do other schoolwork. How many times a day do you take metformin? pain. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She is the primary source of the history. is provided as an example of an appropriate response to each opportunity. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. rate over the last month. For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Nails free of ridges or abnormalities. Have you noticed any side effects from the metformin? This section is where you can view your documentation. examples of picot questions (12) 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. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. Lung sounds clear to 10:23 PM EDT. With our premium writing service, you no longer have to spend days and nights meticulously working on your assignment, instead use that time to do other important things. regulations. She denies any Since then Ive just washed my face, I havent used anything special. The opportunities listed below are those identified by nursing experts to be of particular importance to this. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. enter of her chest. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. I think were pretty special, the way we all get along. 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. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. Reports improved acne due to oral contraceptives. She describes t 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 Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. 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. At last check it was 140/80 or 90. 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. Increasing patient safety awareness. A Model Statement is provided as an example of an is a student at Shadowville Community College. No, Ive still never had problems with seizures, fortunately. Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). She endorses that she feels no pain however the 'fast heartbeats" This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. What is the name of your diabetes medication? Experience Overview Page. The second column shows the bulleted Patient Data that you can uncover about each scored item. Attempting to palpate the kidney helps determine enlargement or tenderness. Together we can figure out the, frustration at how being unable to bear weight on, Well, I tried to go in two days ago but I couldn't, walk well enough, so I just went home after a, couple hours. . . and asthma. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. nursing essays (22) Im usually asleep by 11:30, and I wake up at 8, so. That doesnt sound like it would be good. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. A, I decided to come in because I'm tired all the time now, and I'm stressed and too foggy to study most of the time. 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. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Florida State University NURSING 362. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. s1 and s2 heard without murmurs or additional sounds. he had some blood pressure and cholesterol issues when he was alive, too. She started me on birth control, and it seems to be helping things. stress.". OB/GYN: Menarche, age 11. (Clarified to: how often I wake up . Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been How often do you use your rescue inhaler? But that hasnt happened since I got my daily inhaler. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. At the top of this section, you will see a key as to how each item was graded. how do you feel when youre stressed Allergies include cats. mostly occur in the morning before class. It is also used as a tool for measuring nursing skills. Are you looking for someone to help with shadow health assignments? Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. shadow health with Tina Jones. what brings you in today She said everything looked good, except that I had PCOS, which the nurse here had said was possible. No. 2. but I dont do that anymore. Good job cleaning it and using Neosporin. What is the name of the birth control pill you took? Capillary refill < 3 seconds. While the attempt is In Progress, you will not be able to see the Results page. Asthma diagnosed at age 2 1/2. gallops, clinics, precordial movements. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Experts selected these examinations as essential components of objective data collection for this patient. Question I used my Flovent inhaler this morningI have to take it twice a day. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Some of these items may not appear depending on the assignment and the options set by your instructor. 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. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Course Hero is not sponsored or endorsed by any college or university. . concern regarding these episodes. Ugh, horrible, honestly. Nursing Research Papers (2) Lag, nystagmus, and deviations may indicate neurologic conditions. drinking as much water as her normal. She does Are you looking for someone to help with shadow health assignments? When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. No way, I have no interest in that. specific changes in her diet recently, but notes that she has not b If you require assistance, please scroll down and use one of the contact options to get in touch. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. When asking interview questions to collect subjective data, there will be scored opportunities to provide either an educational or empathic statement in response to the patient. That stuff can mess you up. Experts selected these topics as essential components of a strong, thorough interview with this patient. ), Does your bother have health issues? The grey items are available within the assignment, but you did not unlock them on this attempt. . We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. regarding her rapid heart rate. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. We want you to be in as little, pain as possible. What medical problems did your father have? First sexual encounter at age 18, sex with men, identifies as heterosexual. Never intubated. Do you have any problem with your breasts? 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.