Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. Question You will earn a point for each opportunity that you encountered AND followed up on it during the interview. We want you to be in as little, pain as possible. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. Thank you for your feedback, it will help us serve you better. Course Hero is not sponsored or endorsed by any college or university. Never pregnant. flatulence is one of the side effect of metformin. Are you taking any medication for your allergies? 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 Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. made 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. 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She was last hospitalized for asthma in high school. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. CVS periodically. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. No peripheral edema. The following details are facts of the patients case. Is the Education and Empathy section scored in every patient case assignment? Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. TIna states she does not drink coffee and alleviate her palpitations Asking Tina if she takes vitamins will indicate her current treatment plan. 10:25 PM EDT. How many times a day do you take metformin? No, Ive still never had problems with seizures, fortunately. I will be conducting an interview and later perform a physical exam. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. I came in because Im required to have a recent physical exam for the health insurance at my new job. She provided the health information freely during the interview. Lets see . All pulsed with normal range. . Respiratory: She denies shortness of breath, wheezing, cough, 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health How to structure a health interview Greeting and identifying data Tina Jones is alert and oriented x3 and she is a credible source of her She has asthma too, but she almost never has attacks. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. Walden University (16). Popular books. - Shadow Health Support Center How is Education & Empathy scored? 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Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. View Tina Jones Shadow Health Empathy and Education.docx from NURS 5318 at University of Texas, Arlington. Shadow health assessments can help nursing students develop an understanding of patient safety issues. 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. Examination findings: Has your menstrual cycle improved since taking Yaz? -reports pain is same on both sides of back. Experience Overview Page. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Any pending input will be lost. The daily inhaler is Flovent, and the rescue inhaler is Proventil. Diagnosed with PCOS four months ago. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Plus, he had high blood pressure, andIm pretty sure he had diabetes. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. (Clarified to if I have ear drainage.). The pain sometimes radiates to his left leg. has been feeling more stressed lately due to her school and wo Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. She denies fevers, chills, and ni That is great. . Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. (Clarified to if my brother has health issues.). Let me Gather information about your patients health history, including information about current medical conditions. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. S how do you feel when youre stressed . All the work should be used in accordance with the appropriate policies and applicable laws. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Using a, Your document will be more credible. Once three months ago, and before that it had been months, too. regarding her rapid heart rate. 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What is the name of the birth control pill you took? It is also used as a tool for measuring nursing skills. Just coming in and talking to someone here about it helped a little because I felt like I was doing something. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Tina Jones endorses that she does not really watch her diet. I would get allergies, like sneezing and stuff, and then my asthma would act up. 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. Question rate over the last month. The shadow health comprehensive assessment process is a great way of improving their clinical skills. 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. The episodes generally episodes as thumping in her chest with a heart rate that is way Nursing Theories (44) Good job cleaning it and using Neosporin. frequency and duration of pain. Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. She does Im sorry youre dealing with so much Nana was 73 when she died of a stroke about five years ago. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. Penicillin: rash Denies food and latex allergies Allergic to cats and dust. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I not since I came in with those allergies a while ago. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. ), Nothing is coming out of my ears. By visualizing the fundus, you can look for any retinopathic changes. 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. Ms. Jones offers information freely and without contradiction. To do this, first, ask the interview question again to the virtual patient. ), No, I dont think so. and asthma. Last menstrual period 2 weeks ago. Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. Additionally, you will see an example question that would unlock the finding. Clicking on each opportunity will show a description of that opportunity, the lines in the transcript in which you encountered that opportunity, and a model educational or empathetic statement. Help Desk for further information. How do you make up points in the Education and Empathy section upon reopening the assignment? Thorough examinations will yield better patient data. General, Tina Jones is a pleasant obese 28 ear old female. Undergraduate Graduate Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Reports improved acne due to oral contraceptives. Description: Tina describes her sleep hygiene and routine. ABI is 0. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. she "tries to slow down". You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. . 1. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. but I dont do that anymore. Im taking good care of my health these days. Tina denies smoking and states she seldomly drinks. Besides nursing care, assess the patients mental health, pain management, dietary habits as well as any social needs. Increasing knowledge and understanding of healthcare concepts. OB/GYN: Menarche, age 11. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. were followed up by students, and include the dialogue between student and patient 1 Expression of pain Followed UpFollowed Up 2 Impact of injury on daily life Followed UpFollowed Up 3 Gaps in health literacy around diabetic diet Not Followed UpNot Followed Up 4 Lack of treatment with diabetes medication Not Followed UpNot Followed Up 5 Lack of Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. . Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. pico examples nursing (12) Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The second number represents the total possible points in the assignment. Comprehensive assessment documentation. I made sure to clean it and just keep it bandaged. Nursing Essays Examples (81) Never intubated. Question 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: ask effective and comprehensive questions obtain a thorough health history evaluate the patient's risk of disease, infection, injury, and complications educate and empathize Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. 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 Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. The Exam Time is time spent asking questions, performing actions, and documenting in the exam room. She is the primary source of the history. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. She has a history of hypertension which normalized when she initiated diet and exercise. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Social History: Ms. Jones has a job at a copy and shipping store history. . 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. tuberculosis. Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. : 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. Each assessment is worth up to one point. She endorses that she feels no pain however the 'fast heartbeats" Type 2 diabetes, diagnosed at age 24. (Clarified to if my younger sister has health problems. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. In determining the cause of the back pain, based on your knowledge of, A 42-year-old male reports pain in his lower back for the past month. The page will refresh upon submission. 3. 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. She generally dr 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. Collect any documentation from other healthcare providers, such as lab results or discharge instructions. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Are you taking any form of birth control? She denies any . is a student at Shadowville Community College. Grandpa Jones had colon cancer, and that caused all kinds of problems for him. 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. Indicates an item that is available to be found. Shadow Health Physical Assessment Assignments (Weeks 1-7) . complains of end of day fatigue. No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners A fail on the SHCA means that the student has not answered any of the questions correctly. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Terms of Use I start in two weeksIm really excited! Im glad you came in. Sometimes, if I really start stressing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. This displays your Digital Clinical Experience Score, which compares your attempt to the national average of attempts from other students in similar courses. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. Heart rate is is regular and normal. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. The grey items are available within the assignment, but you did not unlock them on this attempt. . . Palpitations related to caffeine and/or anxiety, Cardiovascular Completed Shadow Health write out, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Cardiovascular | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/101, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . What is your new job? Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. Decreased sensation to monofilament in bilateral plantar surfaces. Family History has hypertension, hyperlipidemia, diabete melluitis, Ive had asthma a long time. How often do you use your rescue inhaler? These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. We socialize before and after church, and I go to Bible study on Wednesdays, too. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. 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Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. 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. abnormalities present on chest wall. Florida State University. pain. She uses her albuterol inhaler when she is around cats. 7. I havent been having any gas lately. Are you looking for someone to help with shadow health assignments? Company Registration Number: 61965243 . Im going to be an Accounting Clerk at this really nice accounting firm. Sure, I think I understand what you mean. Cardiac: Denies a diagnosis of hypertension, but states that she 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. 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