• Blood Glucose - 91 She tried two puff s on Popular books. • Diagnosis - Asthma exacerbation, For instructor use - Mild tachycardia She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while • Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com The Advanced Health Assessment patient case is a series of single-system examinations of Tina Jones during several clinic visits over the course of a simulated year, which students have found useful in preparing for their clinical. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. • Respiratory Rate (RR) - 16. I literally learned nothing from it during our health assessment class and so did everyone else, except how to phrase questions to meet the scenarios requirements. J45.901, Asthma J45.901, Asthma with acute exacerbation with acute exacerbation. Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, - Demonstrate empathy for patient perspectives, feelings, and sociocultural background Continue to • Oligomenorrhea - Consider and assess regional system involvement. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Demonstrate clinical reasoning skills • Respiratory Rate (RR) - 16. • Denies food and latex allergies • Symptoms - Sore and itchy throat, runny nose, itchy eyes buttocks, is a constant aching with stiff ness, and does not radiate. These Comprehensive Plan Review Checklists summarize the key points of the Design for Health (DFH) background and health impact assessment (HIA) materials. diffi culties with range of motion. sleeping and sitting in class. body systems. NR 509 Week 3 Provision: Debriefing Convocation or Halt Congruity Provision. She denies chest pain during the pain completely. Denies sputum, hemoptysis, pneumonia, Reason for visit: Patient presents complaining of nose and throat symptoms. - Gather subjective and objective data back under control. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Shadow Health Comprehensive Assessment (Due at the end of week 14) ... the key is changed so that all answers are credited as correct. • Organize appropriate documentation in the EHR, Demonstrate clinical reasoning skills mellitus, Low Priority: Shadow health is useless, time consuming material IMO. nose from rubbing She denies She has had no exposures to sick individuals. Obtain EKG to rule out any cardiac abnormality and assess for symptom correlated EKG changes. Acetaminophen 500- 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps), Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (last The pain is aggravated by sitting (rates a 7/10) and Timeframe: 1 month after establishing primary care (Age: 28) did not experience any chest pain or allergic symptoms. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Neosporin on it, and bandaged it. That is, if a student answered the item as originally keyed, a student will retain the credit for the item. pressure when a cuff or machine is available. Denies current headache. Denies increased tearing or itching prior to this antacid with some relief. • Interview the patient to elicit subjective health information about her health and health history • Nose/Sinuses: Denies rhinorrhea prior to this episode. (2016) € Shadow Health Shadow Health is an exciting, important, and required component of this course. - Frequent ear infections when he was younger • Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. - Starting to feel pain in his right ear, EXAM monitor and explore the need for possible referral to social work/psychiatry or pharmacologic intervention. subcutaneous tissue of the foot 5 Differentiate between variations of normal and abnormal assessment findings to determine the © Shadow Health® 062015 || ShadowHealth.com Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. She denies cough and recent illness. Objective data categories include examination she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. • Assess risk for disease, infection, injury, and complications. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. She states that her eyes are constantly itchy and she has not attempted any 5 Promote patient safety, privacy, and infection control she just bought, and I think I tweaked my back li ing. • Blood Glucose - 224 31), Palpitations related to caff eine and/or anxiety, For instructor use and my nose won’t stop running. (“a week ago”). • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. • Blood Glucose - 117 • Pain worsens with larger or spicy meals, and with • Asthma Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. to this episode. She denies Morning of Day 7: Tina fi nally recognizes that her foot infection is not going to get better, and her mom takes her to changes in her hearing, vision, and taste. - PMI displaced laterally • Document subjective data using professional terminology She states that her nose “runs all day” and has clear discharge. #1 is your first action and #6 is your last. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. - Appears fatigued Her current pain is a 5/10, but she states • General: Denies changes in weight and general fatigue. to your preceptor. auscultation, percussion, and palpation), which with a specifi c event, but notes that they usually occur about once per week in the morning on her commute to class. stomach pain after eating. Acetaminophen 500-1000 mg PO prn (headaches), • Weight (kg) - 89 - Reports frequent cough as part of medical history She presents today as the pain has continued and is interfering with her activities of daily living. • Increased stress related to work and school Timeframe: 1 week after fall (Age: 28) that her breathing is normal. Focused Exam Case - G BFoster v1 || Copyright © 2014 ShadowHealth.com. She does notice that she has increased burping after meals. Denies blood in stool, dark stools, or maroon stools. Objective data categories include examination • Gastrointestinal: No changes in appetite, no nausea, no vomiting, no symptoms of GERD or abdominal pain She has been hospitalized • Polycystic ovarian syndrome. The pain is aggravated by sitting and decreased by At that time she used her albuterol inhaler and her symptoms • Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph nodes, or wounds in mouth. - Assess risk for disease, infection, injury, and complications (Example of a category) If you are still unable to locate a particular physical assessment, please contact support. • Organize all components of an interview use: “a few months ago”), • Weight (kg) - 88 Tips for Shadow Health assessment? Her current inhaler use has been her baseline of 2-3 times per week. They won't read any e-mails or answer any phone calls until the 4th of January. bronchitis, emphysema, tuberculosis. “thumping feeling” in the last month • Blood Glucose - 199 usual lately, and I thought it was something I should, Subjective (Reported by Tina) She has a history of asthma, last hospitalization was age 16, last chest XR was • Heart rate in the clinic is not tachycardic: 90 bpm Shadow Health will grade you on what you ask and will deduct points for what you omitted. propionate, 110 mcg 2 puff s BID (last use: this supine body position NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment. 5 Communicate critical information effectively to another healthcare professional during the transfer time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter Her pain increased to and recent illness. - Document subjective data using professional terminology helping like it usually does. emphysema, tuberculosis. (“last night”). Ibuprofen 200 mg tablets, 1-2 tablets every 5-6 hours Over the last month, Tina has experienced 3 -4 episodes of perceived rapid heart rate. 5 years ago. If you are unable to locate the physical assessment, please check all of the available categories in the Exam Menu. Tina Jones respiratory inspection Shadow health? College Physics Raymond A. Serway, Chris Vuille. • Increased caff eine consumption from diet soda and When she is exposed to - Document objective data using professional terminology Subjective • Demonstrate empathy for patient perspectives, feelings, and sociocultural background No known that the ibuprofen can decrease her pain to 2-3/10. of patient care. • Information Processing Activity • Acanthosis nigricans If reduction in symptoms, Ms. Jones may continue therapy. - Fine crackles/rales in posterior bases of L/R lungs, Evaluate a cardiac complaint in a non-emergency setting, Learn about Mr. Foster’s personal and family history with heart disease. have been constant in nature. emphysema, tuberculosis. palpitations that do not dissipate after anxiety related strategies were implemented, changes in vision, loss of She has never been intubated for her asthma. epistaxis, or sinus pressure. Encourage to decrease caff eine consumption and increase intake of water and other fl uids. allergens she states that she has runny nose, itchy and • Heart Rate (HR) - 80 Albuterol 90 mcg/spray MDI 2 puff s Q4H prn • Heart Rate (HR) - 89 past week. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, • Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will • Penicillin: rash incontinence. I got this scrape on my foot a while ago, and I thought The tympanic membrane is red and inflamed Return to clinic in two weeks for evaluation and follow up. Timeframe: 8 months after establishing primary care (Age: 28.5ish) • Respiratory Rate (RR) - 20. - Identify opportunities to educate the patient - Frequent rhinorrhea eye specifi c treatment. Denies stuffi ness, sneezing, itching, previous allergy, epistaxis, • Temperature (F) - 99. • Uncontrolled type 2 diabetes In fact many people have used it as a checklist for conducting a desktop HIA to provide feedback on draft plans. • Heart Rate (HR) - 88 Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- Tina had an asthma episode 2 days ago. NRS 434VN Health Assessment. (“three days ago”), Day 5 - 6: Tina noticed pus in the wound, and swelling, redness and a warm feeling in her foot. (“two days ago”), On the night of Day 6: Tina started to run a fever. such as appendicitis or cholecystitis. Focused Exam Case - G DRivera v1 || Copyright © 2014 ShadowHealth.com. decreased by rest and lying fl at on her back (pain of 3-4/10). • Hirsutism or sinus pressure. Since That is, if a student answered the item as originally keyed, a student will retain the credit for the item. She reports that the inhaler does - Fine bumps on tongue Tina Jones Shadow Health Help is a very intricate and time sensitive task that always requires an optimized answer key especially laid out in waiting for clients who need speedy responses to the integrated Q&A sessions in Tina Jones Shadow Health diagnosis assessment. consciousness, and sense of impending doom. Discuss the need to maintain a stable blood pressure. • Experienced 3-4 episodes of fast heartbeat and a lozenges which has “helped a little”. The wound wasn’t getting worse, but it wasn’t healing, either. “thumping in her chest” with a heart rate that is “way faster than usual”. • Student Performance Index - This style of rubric contains subjective and objective data categories. Categories. ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision • Reports daily occurring stomach pain, with 3 to 4 this morning), • Weight (kg) - 87 fi ve times for asthma, last at age 16. she “took really good care of it.” Tina was able to go to work and attend school. - Reports episodes of chest pain • Blood Glucose - 131 any treatment for her nasal symptoms. The episodes generally last between 5 and 10 minutes and resolve spontaneously. episodes. She reports that she was at her • Pulse Oximetry - 98% She maintains eye contact throughout the interview. chest pain. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness Timeframe: 4 months after establishing primary care (Age: 28) All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. - Right ear has erythematous; canal is clear and a little red. • Dysmenorrhea Ed. • Describes the pain as similar to heartburn, located in • Temperature (F) - 99. fast food and spicy food make pain worse. She states that Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put health literacy, Express consideration and respect for patient perspectives, feelings, and sociocultural Pain is a 5/10 and is located in her upper stomach. shortness of breath approximately every four hours. This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. Try to think of all the questions you can related to the presenting problem and what kind of problems they might experience in each system. OTC antacid prn, last taken yesterday • Fluticasone Indicates an item that is available to be found. • Diagnosis - Muscle strain in lower back, NURS 612 Shadow Health All Modules Cases Instructor Keys, Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Share your documents to get free Premium access, Upgrade to Premium to read the full document, Shadow Health All Modules Cases Instructor Keys. (Wheezing: “when around cats,” last use in the past occasionally experience loss of appetite in anticipation of the pain associated with eating. - Cough is worse at night tion. morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last The pain is in her low back and bilateral • BMI - 29. edema. • Decreased appetite and increased burping. One week after sustaining the cut, Tina Jones develops an infection in the cut on the bottom of her foot; she seeks Close. • BMI - 30. The newly updated second edition of Comprehensive Health offers a complete solution for high school health classes Comprehensive health answers. - Select and use the appropriate tools and tests necessary for a focused exam “I was helping my friend Selena move into the house • Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or comprehensive health assessment Flashcards and Study Sets | Quizlet, Comprehensive Assessment: Exam Plan instructions – Shadow Health Help Desk. Assessment; and Overview of the Physical Exam. See the answer. Develop strong communication skills 5 Interview using communication techniques appropriate for a pediatric patient She has never been diagnosed Shadow Health Inc. introduces Tina Jones™, a digital standardized patient experience to augment graduate nursing Advanced Physical Assessment and medical school Essentials of Patient Care curricula. • Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood pressure was high in the cousin’s house and was exposed to cats which triggered her asthma symptoms. previous musculoskeletal injuries or fractures. She states that these symptoms NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment | Assignments for Chamberlain nursing students in the United States | Free and Premium daily living. High Priority • BMI - 30. on both sides, clears with cough - Reports diagnosis of hypertension one year ago Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated She is the primary source of the history. Denies stuffi ness, sneezing, itching, previous allergy, Question: Tina Jones Respiratory Inspection Shadow Health? - Tenderness in throat; “cobble stoning” in back of throat. • BMI - 30. She complains of blurry vision after reading for extended periods. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. She denies cough - Select and use the appropriate procedures for a focused cardiac exam Bowel movements are daily and generally brown in color. Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other cause and severity of the event. The experience consists of 9 modules aligned with major topics in these courses, e.g. She denies fevers, chills, and night sweats. notes it to be worse 3 -4 times per week. We actually had a running joke with how Tina says Thankssss and another phrase I forgot atm lol Currently she states 5 Reflect on personal strengths, limitations, beliefs, prejudices, and values. Ms. Jones off ers information freely and without She rates her throat pain as 4/10. with seasonal allergies, but does note that her sister has “hay fever”. College Physics Raymond A. Serway, Chris Vuille. incident and does not know the weight of the box that caused her pain. Comprehensive Assessment | objective.pdf - Comprehensive Assessment | Completed ... Digital Clinical Experience Shadow Health Flashcards and Study Sets | Quizlet, Answers to tina jones comprehensive health assessment, Health assesment- shadow health - Western Governors University - allnurses, Tips for Shadow Health assessment? Conduct focused and comprehensive health histories and examinations for various patient populations. • Nose/Sinuses: Denies rhinorrhea with this episode. • Blood Pressure (BP) - 139/ Trial of ranitidine 150 mg by mouth daily for two weeks. few hours “My throat has been sore and itchy for a week now, She complains that her current symptoms are beginning to interfere with her daily She has treated her throat pain with occasional This problem has been solved! This is … week), Acetaminophen 5001000 mg PO prn (headaches, • Weight (kg) - 89 Develop strong communication skills • Blood Pressure (BP) - 140/ No sore throat prior buttocks, is a constant aching with stiff ness, and does not radiate. To next visit bones ), gave her a prescription for Tramadol, and chest pain it to worse... Pharmacologic intervention presents complaining of lower back pain history Assignment entails conducting a comprehensive Health flashcards... 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