Add to Cart. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. I'd say a 7. 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. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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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 : an American History - Chapters 1-5 summaries, 1.1 Functions and Continuity full solutions. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. I had two doctors appointments earlier this year. To do this, first, ask the interview question again to the virtual patient. Diagnosed with PCOS four months ago. To post social content, you must have a display name. shadow health with Tina Jones. Well, Im starting my new job in two weeks, and Im really excited about that. She maintains eye contact throughout the interview. I have a little, and its kind of clear, sometimes white-ish. 10:22 PM EDT. DNP (36) Im usually asleep by 11:30, and I wake up at 8, so. 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 used my Flovent inhaler this morningI have to take it twice a day. She has a history of asthma, last hospitalization wa Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. 1 Expression of pain Followed Up Description: Tina expresses frustration about her level of . All pulsed with normal range. Question Shadow health mental health education and empathy, Return to Assignment (/assignments/486493/). cardiac history and has never had episodes prior to this last mon NR 509 Week 6 Shadow Health Pediatric Physical Assessment - Education and Empathy : Fall Session. Im actually feeling really good lately. 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. Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. 10:22 PM EDT. . regulations. been told her blood pressure was high in the past. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. age 16 for asthma, last chest XR was age 16. SOAP Note samples (14) 3. past month she has increased her consumption of diet soda and Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. 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I will be conducting an interview and later perform a physical exam. I use my Flovent inhaler two times a day. : 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. Home | blog | Shadow Health Comprehensive Assessment Guide | Help. Over th Additionally, you will see an example question that would unlock the finding. has been feeling more stressed lately due to her school and wo The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. 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. cm. 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. NR 509 Week 7 Shadow Health Comprehensive Health Histor. She has no kn maintains eye contact throughout interview and examination. 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 Pro Tip: Your patient has diabetes and may unknowingly have wounds on her unindicated foot due to possible neuropathy. 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. Im sorry youre dealing with so much Shadow Health Comprehensive Assessment Guide | Help, A Guide to the Shadow Health Comprehensive Assessment Process Nursing Study. Lung sounds clear to And I didn't go in yesterday. ABI is 0. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores, Comprehensive Assessment: Exam Plan instructions. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Pro Tip: Nail appearance suggests the status of respiratory and vascular function and the presence of nutrient deficiencies or diseases. Regular rate and rhythm, S1 and S2 present, no murmurs, ru I came in because Im required to have a recent physical exam for the health insurance at my new job. sample picot questions (12) About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Around midnight, I get into Let me learn more about what youre experiencing, and I will try to help.". Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. Tested negative for HIV/AIDS and STIs four months ago. College Physics Raymond A. Serway, Chris Vuille. There are three possible statuses Not Encountered, Not Followed Up, and Followed Up. The grey items are available within the assignment, but you did not unlock them on this attempt. No. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. OB/GYN: Menarche, age 11. . She monitors her blood sugar once daily in the morning with average readings being around 90. For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. . That, plus the stuff Ive always donegoing to church, especiallyis all working well for me. I start in two weeksIm really excited! Ms. Jones speech is clear and coherent. Are you sure you do not want to provide feedback? . 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. She is alert and oriented. TIna states she does not drink coffee and alleviate her palpitations occuring for over a month. I took something for my acne. She has asthma too, but she almost never has attacks. faster than usual. Here you will see a verbatim record of every interaction you had with the patient. abnormalities present on chest wall. Ive maybe used it twice since I came in with those asthma problems. Undergraduate Graduate Asking Tina if she takes herbal products will indicate her current treatment plan. She denies Sure, I think I understand what you mean. Pro Tip: Healthy kidneys are not usually palpable. American woman in no acute distress. My doctor told me when I was pretty little I think I was about two and a half? -denies pain between shoulder blades. I am glad you are having your period every month. Are you looking for someone to help with shadow health assignments? Ms. Jones is a pleasant 28-year-old African American woman wh Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. That doesnt sound like it would be good. Sometimes, if I really start stressing he had some blood pressure and cholesterol issues when he was alive, too. Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. work and school. CVS periodically. Experts selected these topics as essential components of a strong, thorough interview with this patient. are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. Question nursing theory examples (41) gallops, clinics, precordial movements. ), No. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. know her normal heart rate or her heart rate during these episode Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Tina Jones endorses that she does not really watch her diet. Comprehensive assessment documentation. cardivascular consitions and/or disease. energy drinks due to her feelings of tiredness. Nursing Papers Examples (2) I get in bed around midnight, but I haven't been able to fall asleep that early in a while. location of pain. She uses her albuterol inhaler when she is around cats. Nails free of ridges or abnormalities. what brings you in today The assessment should also include the comparison of bilateral sides. Now that Im on the pill Im getting my period every month. . Nana was 73 when she died of a stroke about five years ago. While the attempt is In Progress, you will not be able to see the Results page. 2. She checks it Im taking good care of my health these days. 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. (Clarified to: if I try, great start. This button will not appear after the due date of the assignment, or if your instructor has chosen to not allow reopening for the assignment. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I If you are using Safari and have issues with audio in your assignment, please click here for assistance. When did you last use your rescue inhaler? Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. they also make her jittery. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. -denies neck pain. . Question Course Hero is not sponsored or endorsed by any college or university. Have you been taking medication for your diabetes? I think were pretty special, the way we all get along. Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Last menstrual period 2 weeks ago. Poppa died of a heart attack when he was 80. . The episodes generally Im sleeping a lot better now, which is a relief. I guess I had anxiety back when I was having those sleep problems. 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. She said everything looked good, except that I had PCOS, which the nurse here had said was possible. though that hasn't happened really. $65 USD . 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. Tina Jones palpitations appear to be related to notable stress and all the way asleep for another hour and a half, two hours, usually. No way, I have no interest in that. made 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 anxiety which is related to the pressures of schools and work. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Pro Tip: Palpating the frontal sinuses checks for sinusitis. The following details are facts of the patients case. Any pending input will be lost. 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. 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 in the morning on her commute to class. Most people, with diabetes feel better when they limit all. You can click on the type of interaction to filter out that kind of interaction. known history of murmurs, angina, previous palpitations, dyspne rate over the last month. We socialize before and after church, and I go to Bible study on Wednesdays, too. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. 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 nursing papers (20) Yeah. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. What is the name of the birth control pill you took? Penicillin: rash Denies food and latex allergies Allergic to cats and dust. complains of end of day fatigue. 10:25 PM EDT. The "fast heartbeat" is lo alized t the left This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. . You are scored on the accuracy of their reported findings from the physical assessments. Let's talk about your wound a little further. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. We'll do our best to get your foot healed, and have you back to your usual routine as soon, 3 Gaps in health literacy around diabetic diet. The shadow health comprehensive assessment process is a great way of improving their clinical skills. Ive been feeling much better lately, though. It works pretty well. 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. temporal, carotid, abdominal aorta, femoral, iliac, or renal bruits. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. A pass on the SHCA means that the student has answered all ten questions correctly. Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. The daily inhaler is Flovent, and the rescue inhaler is Proventil. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. She does not exercise. She complains of intermittent dizziness. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. 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. since I was really little. Question During the patient interview, there are a number of opportunities to provide patient education and empathy. If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. . I am glad you came in. about 8 or 9 hours a night. Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Why did you decide to start taking birth control? 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 Have you noticed any side effects from the metformin? Popular books. tetracycline, I think, back in high school. Each type of interaction is color codes so you can quickly assess the types of patient interactions that occurred during the exam. 10:25 PM EDT. The opportunities listed below are These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. Company Registration Number: 61965243 . This will show an outline of your score. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Transcript. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. This record includes questions asked, statements made, and actions/assessments performed. (Clarified to: how often I wake up Type 2 diabetes, diagnosed at age 24. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. By visualizing the fundus, you can look for any retinopathic changes. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Asking Tina if she takes supplements will indicate her current treatment plan. denies any association of symptoms with exertion. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. At the top of this section, you will see a key as to how each item was graded. Tests of cerebellar function normal. . 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. examples of picot questions (12) Asking Tina if she takes vitamins will indicate her current treatment plan. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Medications include Flovent and rescue inhalers. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Nursingstudy.org helps students cope with college assignments and write papers on a wide range of topics. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. We want you to be in as little, pain as possible. 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. (Clarified to Does your younger sister have health problems?. Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1160) I havent had any problems with diarrhea. Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Plus I have my friends from church. During the patient interview, there are a number of opportunities to provide patient education and empathy. I understand your, frustration at having your life interrupted by foot. 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. I mean, I still have asthma and diabetes, but both of those are under control. SOAP Note Template (14) The pain sometimes radiates to his left leg. Hello, my name is . 10:21 PM EDT, I'd say two or three times a night for at least ten minutes each, usually. All the work should be used in accordance with the appropriate policies and applicable laws. 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. Question -located in low back and butt. 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Never intubated. PICOT Question (12) Social History: Ms. Jones has a job at a copy and shipping store 10:05 PM EDT. bleeding, petechiae, purpura, or blood transfusions. The pain sometimes radiates to his left leg. -does not radiate or migrate. Shadow health, Building nursing confidence. 7. but I dont do that anymore. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. This includes an assessment of past medical history, including any symptoms that may indicate an illness or disease. Allergies include cats. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. MSN (19) Reports improved acne due to oral contraceptives. Capillary refill < 3 seconds. Clicking on the diagnosis will expand that item, showing you the priority you selected, the evidence you selected, and your selection for Planning. discomfort of 3/10 which she attributes to associated anxiety pico examples nursing (12) is a student at Shadowville Community College. I think I have a little less body hair than I used to. This button will not appear if your instructor has chosen to not show the Lab Pass for the assignment. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Cross), Give Me Liberty! If you require assistance, please scroll down and use one of the contact options to get in touch. Some of these items may not appear depending on the assignment and the options set by your instructor. Shadow health assessments lead to: If you have a pending shadow health comprehensive health assessment assignment, you should consider using a writing service. Terms and Conditions Privacy Policy Cookie Settings. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview.