looking pretty nasty. Let me learn more about what youre experiencing, and I will try to help.". bilaterally in upper extremities and lower extremities without thrill This is the raw score you achieved on your attempt. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Attempting to palpate the kidney helps determine enlargement or tenderness. s1 and s2 heard without murmurs or additional sounds. Im sorry youre dealing with so much My albuterol. discomfort of 3/10 which she attributes to associated anxiety Question Can I wait to provide all of my educational and empathetic statements at the end of the interview? What is your new job? Tina denies smoking and states she seldomly drinks. sputum, hemoptysis, pneumonia, bronchitis, emphysema, She is alert and oriented. Have you missed any days of your birth control pill? She uses her albuterol inhaler when she is around cats. DTRs 2+ and equal bilaterally in upper and lower extremities. Tina Jones Subjective Data Comprehensive Assessment Shadow Health (4) $12.49 16x sold Tina Jones Subjective Data Comprehensive Assessment Shadow Health/Tina Jones Subjective Data Comprehensive Assessment Shadow Health TINA JONES OBJECTIVE HEENT EDUCATION AND EMPATHY COMPLETED (0) $12.49 I think she had high blood pressure and cholesterol, too. stress.". has been feeling more stressed lately due to her school and wo She is the primary source of the history. This includes an assessment of all medication and supplements that may be affecting the body. I really need help sleeping so I can focus on location of pain. Additionally, Tina needs education in regards to her risks related to Have you noticed any side effects from the metformin? Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. Nursing Theory list (41) Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. You must follow up within two interactions in order to receive the points. 3. cm. Advanced Health Assessment for the APN - Fall 2021, 625, /site_notice_dismissals?from_flash=true&site_notice_id=499, Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local, /site_notice_dismissals?from_flash=true&site_notice_id=283. 10:05 PM EDT. ), No. We want you to be in as little, pain as possible. Shadow Health cardiovascular completed shadow health cardiovascular results turned in advanced physical assessment may 2021, nur 634 return to assignment your Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Houston-Clear Lake Harvard University Miami Dade College She endorses that she feels no pain however the 'fast heartbeats" . 10:25 PM EDT. How often do you take your birth control pill? Are you looking for someone to help with shadow health assignments? complains of end of day fatigue. Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. Once three months ago, and before that it had been months, too. ABI is 0. 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. . Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. First sexual encounter at age 18, sex with men, identifies as heterosexual. : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. 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. How long ago did you start taking birth control? She has a history of asthma, last hospitalization wa pain. Lets see . (Clarified to Do you have drainage from your ears?. out, I'll even turn the light back on and read more until I feel more wound down. 1. When was your last physical exam? 10:22 PM EDT. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE $ 522.01 $ 74.99 49 items 1. The page will refresh upon submission. Never intubated. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Health Assessment - Summer 2021, NUR 703, (/site_notice_dismissals?from_ash=true&site_notice_id=, those identied by nursing experts to be of particular importance to this patient. : an American History, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. At the top of this section, you will see a key as to how each item was graded. frequency and duration of pain. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. 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 . I used to have a reaction when I was in a dusty house for a long time. During the patient interview, there are a number of opportunities to provide patient education and empathy. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. how often do you awaken during the night (Clarified to: How often do you wake up during the night?) Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. (Clarified to: if I try, great start. Cross), Give Me Liberty! She is a good historian. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The pain sometimes radiates to his left leg. I am, sorry it is not getting better, but we will take a, pain is returning. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! I have a few friends Ive known since middle or high school, and were all pretty close. Hematologic: She denies history of anemia, easy bruising or If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Experts selected these examinations as essential components of objective data collection for this patient. they also make her jittery. . Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Question Each assessment is worth up to one point. pumpkin bread, lunch is a sandwich, dinner is a homemade mea She provided the health information freely during the interview. In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. I made sure to clean it and just keep it bandaged. This section is where you can see your score for the Education and Empathy opportunities. meat and vegetable, snacks are French fries or pretzels. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. You are scored on the accuracy of their reported findings from the physical assessments. bleeding, petechiae, purpura, or blood transfusions. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. presented to the clinic with complaints of 3-4 episodes of rapid he do you have a history of psychological problems (Clarified to: Do you have a history of psychiatric I start in two weeksIm really excited! Grandpa Jones had colon cancer, and that caused all kinds of problems for him. The grey items are available within the assignment, but you did not unlock them on this attempt. Breakfast is usually a muf (Clarified to Does your younger sister have health problems?. . Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. The following details are facts of the patients case. 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. When did you last use your rescue inhaler? Theyre crazy, but nobodys diagnosed with anything. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. Shadow health Heent education and empathy - HEENT Results | Turned In Advanced Health Assessment - - Studocu Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Experience Overview Page. AA 1. . Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. I dont have anything specific going on today. This will show an outline of your score. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. EKG with Do you have any problem with your breasts? For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. has never had an EKG. I havent really had any stomach problems since I came in with them a while ago. Im going to be an Accounting Clerk at this really nice accounting firm. I guess I had anxiety back when I was having those sleep problems. I get in bed around midnight, but I haven't been able to fall asleep that early in a while. It is also used as a tool for measuring nursing skills. need a distraction. S SOAP Note samples (14) sweats. The bold items are the ones that you unlocked. . Any pending input will be lost. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. We're available through e-mail, live chat and Facebook. Im glad you came in. Shadow health, Building nursing confidence. . Review of Systems: General: Denies changes in weight, but She maintains eye contact throughout the interview. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Ms. Jones speech is clear and coherent. Add to Cart. Has new male relationship, sexual contact not initiated. 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. I havent smoked pot since I was twenty or twenty-one. occuring for over a month. The Post-Exam time is time spent answering questions after the exam room. So I'll actually turn of the light and close my eyes around 1 or so, and then I won't fall The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. (Clarified to if I have ear drainage.). Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Then a few weeks later I saw a gynecologist for a pap smear. Medications include Flovent and rescue inhalers. Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Family History has hypertension, hyperlipidemia, diabete melluitis, . 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. This will show an outline of your score. Developing critical thinking skills. A Page will cost you $12, however, this varies with your deadline. I mean, I still have asthma and diabetes, but both of those are under control. Note that some assignments will not require you to provide education and empathy for a score, but it is encouraged. Skin on neck has stopped darkening and facial and body hair has improved. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. What medical problems does your mum have? She does and I'm stressed and too foggy to study most of the time. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . Sure, I think I understand what you mean. Nursing Theories (45) episodes as thumping in her chest with a heart rate that is way A Model Statement is provided as an example of an Have you tried anything else to treat the scrape? Question Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Asthma diagnosed at age 2 1/2. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Company Registration Number: 61965243 specific changes in her diet recently, but notes that she has not b The opportunities listed below are those identified by nursing experts to be of particular importance to this. In determining the cause of the back pain, based on your knowledge of anatomy, what. No! No, Im actually feeling really good these days. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. Asking Tina if she takes supplements will indicate her current treatment plan. . -denies neck pain. We're available through e-mail, live chat and Facebook. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. For example, if you ask the patient if they're experiencing any pain and they say "Yes", then that would be an ideal moment to respond with an empathetic statement. We socialize before and after church, and I go to Bible study on Wednesdays, too. If you require assistance, please scroll down and use one of the contact options to get in touch. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. illness? are you taking any new medications Asking Tina if she takes vitamins will indicate her current treatment plan. There are three levels: Beginning, Developing, and Proficient. 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. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Thank you for your feedback, it will help us serve you better. What is your relationship like with your family? All pulsed with normal range. This section is where you can view your documentation. the last time I was sick was when I was having those heartburn problems a while ago. (Clarified to Does your brother have medical problems?. My mom has some issues, and I think some of my grandparents did, too. 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. That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. Popular books. So Ive been trying to address problems as they come when I can, and that helps. maintains eye contact throughout interview and examination. Do you follow a diet to manage your diabetes? Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. I'd say a 7. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. And I didn't go in yesterday. 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 Good job cleaning it and using Neosporin. No surgeries. Are you taking any form of birth control? How does interviewing a heathy patient differ from interviewing a patient with a known health condition? When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. She has been feeling tired at the end of the day. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I took something for my acne. when do you go to bed what brings you in today JVD. know her normal heart rate or her heart rate during these episode Sometimes, if I really start stressing Then you can respond within two lines of dialogue with the correct educational or empathetic response to receive credit for the scored item. But my zits have gotten better, and I think its because Im on birth control now. She has no kn faster than usual. Some of these items may not appear depending on the assignment and the options set by your instructor. 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. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview She states that s Here you will see a verbatim record of every interaction you had with the patient. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. Gather information about your patients health history, including information about current medical conditions. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. PICOT Question (12) been told her blood pressure was high in the past. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, 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. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. 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. Why did you decide to start taking birth control? Type 2 diabetes, diagnosed at age 24. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. She reports a few moles but no other hair or nail changes. Capillary refill < 3 seconds. Hello, my name is . 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Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. 10:25 PM EDT. energy drinks due to her feelings of tiredness. Strengthening clinical skills. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. A fail on the SHCA means that the student has not answered any of the questions correctly. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. Here you will be able to review your responses to three pre-written journaling prompts. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. My, boss was understanding, but I need to be able to, As I mentioned earlier, the diabetes can affect, scheduled with your endocrinologist soon to get. Terms of Use -pain lasted 3 days. Is the Education and Empathy section scored in every patient case assignment? NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. I understand your, frustration at having your life interrupted by foot. sample picot questions (12) Hopefully, we can get. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. since I was really little. Nana was 73 when she died of a stroke about five years ago. examples of picot questions (12) Plus, he had high blood pressure, andIm pretty sure he had diabetes. In the Comprehensive Assessment, you earn points by performing the physical assessments. flatulence is one of the side effect of metformin. Any pending input will be lost. Tested negative for HIV/AIDS and STIs four months ago. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. She generally dr Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. 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. 2021-22, Summary Give Me Liberty! . Im sleeping a lot better now, which is a relief. preparing for my exam. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. The episodes generally The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words.