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We're available through e-mail, live chat and Facebook. 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. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. need a distraction. Your document will be more comprehensive and organized. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. not stressed at all. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. To ensure you receive proper credit for these items, you must ensure that the entire physical assessment has been completed - if you do not complete all parts of the physical assessment, you will not receive credit for the scored item. When did you last use your rescue inhaler? Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. This section is where you can see your score for the Information Processing activity. She describes t Company Registration Number: 61965243 concern regarding these episodes. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. If you require assistance, please scroll down and use one of the contact options to get in touch. Company Registration Number: 61965243 What medical problems does your mum have? maintains eye contact throughout interview and examination. Around midnight, I get into This record includes questions asked, statements made, and actions/assessments performed. lately. Have you tried anything else to treat the scrape? She checks it We deal with academic writing, creative writing, and non-word assignments. . The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. -located in low back and butt. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. 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. I havent really had any stomach problems since I came in with them a while ago. These are your achieved scores for the different activities in the assignment. In the Comprehensive Assessment, you earn points by performing the physical assessments. What is your new job? Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . flatulence is one of the side effect of metformin. Nursingstudy.orghas the top and most qualified writers to help with your shadow health assessments. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. been told her blood pressure was high in the past. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. My muscles have felt great, especially since I started exercising more. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. 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. shadow health with Tina Jones. Decreased sensation to monofilament in bilateral plantar surfaces. are you taking any new medications The opportunities listed below are those identified by nursing experts to be of particular importance to this. Breakfast is usually a muf . 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. DTRs 2+ and equal bilaterally in upper and lower extremities. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. 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. Thank you for your feedback, it will help us serve you better. The Objective Data Collection page contains the physical assessments you could have performed during this assessment. Some of these items may not appear depending on the assignment and the options set by your instructor. The second column shows the bulleted Patient Data that you can uncover about each scored item. Nursing Theories (45) The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. Nursing Theory list (41) Family History has hypertension, hyperlipidemia, diabete melluitis, Popular books. Im sleeping a lot better now, which is a relief. what do you usually do before bed Asking Tina why she saw a healthcare provider might indicate any recent health concerns or problems. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. -pain lasted 3 days. The first number represents the amount of points you earned. She is the primary source of the history. Do you have any problem with your breasts? She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. She generally dr Are you taking any form of birth control? No School. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, It is also used as a tool for measuring nursing skills. I'd say a 7. Ive been feeling much better lately, though. how do you feel when youre stressed Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. It is also used as a tool for measuring nursing skills. Please I need help with shadow health assessment week 9 with Tina . The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Ive maybe used it twice since I came in with those asthma problems. only coming to the clinic today because her family has expressed specific changes in her diet recently, but notes that she has not b 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. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Heart rate is is regular and normal. Let me learn more about what youre experiencing, and I will try to help.". examples of picot questions (12) I think she had high blood pressure and cholesterol, too. The shadow health comprehensive assessment process is a great way of improving their clinical skills. The "fast heartbeat" is lo alized t the left A, is provided as an example of an appropriate, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements were made, were followed up by students, and include the dialogue between student and patient. . . I r, learn more about what you are experiencing, and I will try to help, Let me learn more about what youre experiencing, and I will try to help. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. No EKG chanes. Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. When did you most recently use the flovent inhaler? 3. sputum, hemoptysis, pneumonia, bronchitis, emphysema, Upon completion, we will send the paper to you via email and in the format you prefer (word, pdf or ppt). . 10:22 PM EDT. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. 10:06 PM EDT, Im sorry to hear you are having trouble sleeping and feeling stressed. Capillary refill < 3 seconds. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. She needs to obtain a pre-employment physical prior to initiating employment. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. between 5 and 10 minutes and resolve spontaneously. Tina denies smoking and states she seldomly drinks. 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.