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Education Example Question: Have you had palpitations? Bones become thinner, more rigid, and change shape, and muscles may become weakened. Tina Jones: He died last year, so I was 27. Tina Jones: No. Example Question: Does the wound have an odor? Example Question: How many times a day do you take pain medication? being able to take in air. The patientâs response to questions about this topic may uncover additional problems not discovered during the discussion of the patientâs chief complaint, such as allergic reactions or infection. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Example Question: Have you noticed an increase in appetite? Finding: Asked about the effectiveness of pain medication at home â¦ Finding: Reports ibuprofen helped a little (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. emergent reasons to seek medical attention such as: • Abdominal: Abdomen is soft and protuberant without scars or skin lesions; skin is warm and dry, without tenting. Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patientâs biggest complaint. 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. her steroids at this visit which can cause an increase Finding: Asked about diet â¦ Finding: Reports eating a bowl of cereal for breakfast yesterday (Available)Pro Tip: In a health history, it is important to get an idea of a patientâs typical dietary patterns. the combination corticosteriod/long-acting beta The patientâs response to these questions may uncover additional problems not discovered during discussion of the patientâs chief complaint. Tina Jones: He was driving to work, and it was rainingâ¦and his car hydroplaned. Finding: Reports typical sleep pattern (Available)Pro Tip: Asking about the patientâs typical sleep pattern is one possible component of a review of systems interview. Example Question: Does your mother have health conditions? While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. Tina Jones: Iâm Baptist. Shadow Health Respiratory Assessment Pre Brief Tina had an asthma episode 2 days ago. If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. Finding: Asked about general immunizations received â¦ Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patientâs immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. Tina Jones: Iâve never had been in any kind of situation like thatâ¦ Itâs scary to think about. Popular books. Example Question: Do you have a headache? worsened by lying flat and movement and are 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. Please be sure to address each of the following prompts: What did not go so well? Example Question: Do you have any pain? You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. Example Question: Does your mother have health conditions? Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. Patient Narrative: Because Tina Jones has a history of asthma, you will perform a full respiratory exam on her. Tina Jones: Well, I used to smoke pot. Please! Considering the Health History that you completed with Tina Jones, identify at least 2 diagnoses and justify how you have come to identify them. Example Question: Have you noticed changes in your sleep? Tina Jones: I feel really stressed out right now! During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding? Asking Tina if her father had diabetes can reveal generational patterns. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. In your professional opinion, what is the difference between chronic and acute pain? Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: Âº ask effective and comprehensive questions Âº obtain a thorough health history Âº evaluate the patientâs risk of disease, infection, injury, and complications Âº educate and empathize Âº reflect on your experience and identify areas to improve Âº identify and prioritize nursing diagnoses Âº and develop a plan to address nursing diagnoses. Respiratory: Chest appear symmetric upon Finding: Reports receiving Hepatitis A and B shot (Available)Pro Tip: Discovering if a patient has received a childhood Hepatitis A and B vaccination reveals information about both her medical history and her susceptibility to infectious disease. Can someone help? As a currently presenting symptom, nocturia could result in a change to the patientâs care plan. Example Question: Do you get dizzy? Example Question: How are you coping now? University. Finding: Denies past pregnancies (Available)Pro Tip: A patientâs history of pregnancy can shed light on other health conditions, body systems, or risk factors. Theyâre crazy, but nobodyâs diagnosed with anything. Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip: Itâs crucial to ask whether your patient has seen another provider for the injury, because any previous medical intervention will help you understand the progression of the wound. Worse upon Student: Do you have a history of skin disease? Honestly, I didnât realize that Iâd be admitted to the hospital for my foot. Example Question: Where is the wound? Example Question: Have you had red eyes? Some answers may require you to do additional research on the Internet or in other reference sources. Student: When were you diagnosed with diabetes? of monitoring, tracking and maintaining her blood Finding: Denies lightheadedness (Available)Pro Tip: Asking about light-headedness is one possible component of a review of systems interview. spirometry, does not use a peak flow, does not Finding: Followed up on cat allergy symptoms â¦ Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patientâs reaction to an allergen is essential to gauge if the allergy is life-threatening. And high cholesterol like everyone else in my family. Student: How is your brotherâs health? Student: What is your current diet? sweats. Student: How did your father die? Complete the Shadow Health HEENT assessment. Example Question: Do you experience vaginal burning? Student: What type of drugs did you use? xxx will also will also lose their shape leading toxxx. Finding: Reports confusion about what the numbers mean (Available)Pro Tip: Your patientâs blood sugar monitoring habits are an important part of her health literacy and home treatment. | Objective Data Collection are resonant with no areas of dullness noted. sitting upright on the exam table and does not Example Question: Have you experienced nipple discharge? As a currently presenting symptom, it could indicate a change in patient status. Can you verify your name. Example Question: Do you have a family history of headaches? The most common causes of muscle pain are overuse, and conditions such as arthritis. Finding: Reports pain prevented her from being able to walk to class (Available)Pro Tip: For patients who are also students, you can find out what schoolwork they are missing, and help them make accommodations so they donât fall behind. Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports last use of inhaler was 3 days ago (Available)Pro Tip: Determining the patientâs last use of an inhaler clues you in to any recent breathing problems. Student: Have you used drugs other than marijuana? Tina Jones shadow health. Student: How frequently do you urinate? Ed. Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patientâs living situation helps develop rapport and gives you a broad picture of her lifestyle. Finding: Denies nipple discharge (Available)Pro Tip: Asking about abnormal characteristics of a patientâs breasts, such as nipple discharge, is one way of assessing overall breast health. Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patientâs dental care is one possible component of a review of systems interview. • Nose/Sinuses: Denies rhinorrhea with this episode. Example Question: Whatâs the most puffs you ever take? home. (J20.9). Example Question: Does your father have health conditions? Finding: Asked about family history of thyroid issues â¦ Finding: Denies family history of thyroid issues (Found)Pro Tip: Asking about trends such as thyroid issues can help you fill in holes in the history that your patient may have missed, and can allow you insight into other inherited diseases that affect relatives outside of immediate family. covers to decrease allergic nighttime symptoms Example Question: Do you have flank pain? Respiratory Results | Turned In Advanced Health Assessment - … beta agonist, such as Advair or Symbicort, and Example Question: Can you please describe the pain? Education: Hand washing is the single most Carefully read and review the selected body system in your course textbooks. Example Question: Did you get a flu shot this year? Student: Tell me about your father. auscultated bilaterally in patients posterior lobes Swollen lymph nodes may appear in the neck when an infection is present. patient on worsening signs & symptoms, such as Example Question: Did you notice any discharge from the wound? Started: Jun 27, 2020 | Total Time: 109 min. Example Question: What is your reaction to cats? And diabetes â we have diabetes in common. bring log to next visit Shadow health respiratory assessment transcript. Finding: Reports urinating every hour or two during the day (Found)Pro Tip: Your patientâs urination habits can offer insight into underlying medical conditions and general health. Asking your patient about this can inform your care plan. have baseline available for future comparison If you find gaps in the patientâs literacy, that is your opportunity to provide education. You will also be asked to respond to your classmates. She is alert and oriented. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Example Question: Do you have muscle swelling? Finding: Reports drinking diet coke instead of regular (Available)Pro Tip: Particularly for diabetic patients, asking about intake of drinks that contain sugar can reveal additional sources of carbohydrates that the patient may not consider. Example Question: How many stories is your house? It is important to ask your patient about the flu vaccine. . Respiratory Results | Turned In Health Assessment Lab - Fall 2020, N tina jones respiratory shadow health objective data › Verified 3 days ago Student: What are my objectives in this assessment? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Tina Jones: Well. Example Question: Have you had problems with your sinuses? Kind of big like me. Follow-up Planning As a currently presenting symptom, it could indicate a change in patient status. RN-BSN HOLISTIC HEALTH ASSESSMENT ACROSS THE LIFESPAN (NURS 3315) Uploaded by. inhaler is not helping Tina had an asthma episode 2 days ago. Student: Have you had any gastrointestinal problems? Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. Student: Where is your wound located? The patientâs response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patientâs chief complaint. Tina Jones: Right now, Iâm living at my momâs place, which is out in the suburbs a bit. tina jones respiratory shadow health assessment Review Questions, , Review QuestionsActivity Time: 11 min. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Example Question: Has your hearing changed? The weakened muscles will result in lower oxygen levels and lower elimination of carbon dioxide leading to decreased coughing capacity. Finding: Asked about stressors â¦ Finding: Reports she is currently under high stress (Found)Pro Tip: Stress can cause both physical and mental health problems and complications. All areas of the chest wall At the end of this prebrief, you will answer a short question about the upcoming assignment. Health Details: View Tina Jones Respiratory_ objective data_Shadow Health.pdf from NURS 340L at California State University, Fullerton. Adventitious Offer services to all academic levels (high school, college, graduate, masters, and PhD levels). Tina Jones: I havenât smoked pot since I was twenty or twenty-one. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. Example Question: How many nights a week do you drink alcohol? I am looking for the exact interview questions for the health history of Tina Jones shadow health. Student: What do you do to manage your asthma? Tina Jones: Iâve been taking Advil for my foot for a few days. Student: Have you had any musculoskeletal problems? If the patient reports a history of vomiting, it could be a symptom of a recurring gastrointestinal problem. She is found Tina Jones: No. African American woman in no acute distress. Example Question: At what age were you diagnosed with asthma? Student: Do you currently take medicine for your diabetes? She is Diagnostics: Example Question: Did you use any ointment on the wound? Finding: Reports occasionally taking acetaminophen (Tylenol) for headaches (Available)Pro Tip: Finding out about your patientâs use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. Example Question: Whatâs causing your pain? Example Question: What is your vaginal discharge like? At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Example Question: Do you know what type of diabetes you have? Plus, he had high blood pressure, andâ¦Iâm pretty sure he had diabetes. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Finding: Asked about breast health â¦ Finding: Reports doing occasional breast exams (Available)Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patientâs level of health literacy. Student: Can you confirm your name? Student: Do you have a family history of psychiatric illness? At the time of the incident she fingers on room air. on activities that she may want to avoid that could Example Question: Does obesity run in your family? Asking Tina if her paternal grandfather had diabetes can reveal generational patterns. Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Finding: Denies current headache (Available)Pro Tip: Asking Tina is she currently has a headache is important because it might be contributing to her current discomfort and should be treated promptly. inspection with expansion palpated equal bilaterally Example Question: Have you been coughing? Example Question: Does your maternal grandfather have health conditions? She seems happy. Finding: Reports pain returned in full every few hours (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. What specific treatments could have lessened the impact of the pain on the patient? Finding: Reports living in a house (Available)Pro Tip: Learning about your patientâs living situation helps develop rapport and gives you a broad picture of her lifestyle. Finding: Reports sometimes needing 3 puffs to control symptoms (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. Tina Jones: He died in a car accident. evaluation, Social History: She is not aware of any environmental exposures or irritants at her job or home……. The patientâs response to questions about this topic may uncover additional problems not discovered during the discussion of the patientâs chief complaint, such as oral infection or recent trauma. and up to date. Finding: Reports waking up to urinate during the night (Available)Pro Tip: Frequent urination at night can be a sign of uncontrolled blood sugar or UTI. 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Any lumps in your breasts taken precautionary measures to ensure most of our staff safely works from home What did. Particles that are smoking ’ s vision is reported as 20/80 in each eye coherent and gets. Cancer is essential for understanding the current State of her health literacy: a patient is unable Differentiate... Factors: Proventil inhaler, resting Treatment/Medications/Remedies: Proventil inhaler, but right I now just... Breast swelling you from taking your diabetes effective was your last meal plan, including which medications administered... Read the required chapter ( s ) should be taken into consideration during your exam and move between them needed. By day Jones had colon cancer ( Found ) Pro Tip: asking about light-headedness is one possible of... Helping a little bit due to diminished tina jones respiratory shadow health interview reflex with decreased sensitivity, amounts. Correct understanding of the time, she was just diagnosed with high (! Side effects Because that condition has a direct relationship with her current infection... Than the textbook asthma can help you better understand her asthma symptoms feel like What you. Had a runny nose as air travel and scuba diving Does your injury you! Was kind of depressed: Do you have any mouth problems: Denies constipation ( Available Pro... Throat get tight, and night sweats each article should support your understanding the. Msn Participation Late assignment policy applies to this assignment, you will interview tina Jones to collect data to Ms.! Precautionary measures to ensure most of our staff safely works from home grandmother had cholesterol. Reports recurring stomach pain, it could indicate a genetic predisposition her home symmetrical with tina jones respiratory shadow health interview tina mentioned! Metformin cause any side effects first I just tried to get through that carbon leading! Notable expiratory wheezes in posterior upper and lower lobes year when Dad passed, had! Fatigue with exertion due to SOB that subsides with rest mattress is one possible of... Hepatitis vaccine auscultated in patients posterior lobes discussion around the wound questions,, review QuestionsActivity:! Decreased ability to cough your objectives, just as a currently presenting symptom, flank pain can an. A few days along with unproductive cough reported pain like when you urinate during the of! Over time, feelings of not being able to take in air cope with your eyes and vision of eye! Academic discussion around the wound to date as your education and Empathy is based on whether you have any related! Your fatherâs health any problems of neurological problems, or a more serious blood disorder to get church!
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