Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. If she has not had any screenings, it provides an opportunity for patient education. Example Question: Does the wound have an odor? NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment. Example Question: Do you have any throat problems? Tina Jones: No, I haven’t. Finding: Denies edema (Available)Pro Tip: Asking about edema is one possible component of a review of systems interview. wheezing auscultated bilaterally in posterior upper Student: Have you been around people that are smoking? PE: Shadow Health Respiratory Assessment Pre Brief. Student: Has your foot been draining any liquids? Example Question: Do you take any herbal supplements? weakness reported. Student: Can you rate your current pain level on a scale of 0 to 10? Example Question: Do you have any reaction to dust? Student: How old were you when your father died? Example Question: What pain medication have you been taking? Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patient’s pain has changed will give you insight into the acceleration of infection. Your questioning should cover a broad array of the symptoms’ characteristics. Finding: Denies vomiting (Available)Pro Tip: Vomiting can be caused by a pain response, a reaction to medication, stress, or even spreading infection. Example Question: Does your maternal grandfather have health conditions? Finding: Asked about latex allergy … Finding: Denies latex allergy (Available)Pro Tip: Confirming absence or presence of a latex allergy is essential in a hospital setting, where some instruments have latex parts. Finding: Reports drinking diet coke instead of regular (Available)Pro Tip: Particularly for diabetic patients, asking about intake of drinks that contain sugar can reveal additional sources of carbohydrates that the patient may not consider. Tina Jones: It’s… white or maybe off-white. Reason for VisitPresenting to shadow health hospital clinic for a complete health assessment for … A potential pregnancy impacts important parts of the patient’s care plan, including which medications are administered. Example Question: Did you get a flu shot this year? The FNP suspects Damage to: When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands, A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. Finding: Asked for details about the pain … Finding: Reports pain is throbbing (Found)Pro Tip: Determining how your patient describes the characteristics of the pain can be important data to support the cause of the pain. Finding: Asked about asthma diagnosis … Finding: Reports specific age of diagnosis is 2.5 years old (Available)Pro Tip: Asthma can have a profound impact on health, and it is important to learn about the patient’s history of the condition, including the age of diagnosis. 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. Example Question: Have you had palpitations? In office In-text citations and reference page(s) must be written using proper APA format (6thedition). he would sometimes get kind of mad at us when we did something wrong. symptoms and log her episodes of asthma Currently she states The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. A history of STIs could cause complications with the genitourinary system. This assignment takes on average between 90 and 110 minutes. Finding: Denies Vaping (Available)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and is a potential factor in delayed wound healing. Tina Jones: No, I can’t. Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. that her breathing is normal. Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint, such as allergic reactions, infection, or physical trauma. Example Question: Have you been hospitalized in the past? Diana Shadow: A health history requires you to ask questions related to Ms. Jones’ past and present health, from her current foot wound to her pre-existing conditions. Finding: Asked about past diabetes medication use … Finding: Reports that she used to take diabetes medication (Found)Pro Tip: Asking about Tina’s medication history for asthma will provide a timeline of treatment. Example Question: Do you wear glasses or contacts? Tina Jones Shadow Health Respiratory Quizlets: At Tina Jones Shadow Health Help there has been the realization that despite the discrete characteristics associated with Tina Jones Shadow Health Assignments such as those dealing with cardiovascular, abdominal, neurological and diagnosis evidence-based practices (including those HEENT Answer Keys. This is designed to enhance the academic discussion around the topic. . Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Be sure to appropriately document your findings using correct medical terminology. xxx will also will also lose their shape leading toxxx. Finding: Followed up on coping with father’s death … Finding: Reports past grief (Found)Pro Tip: Asking about Tina’s reaction to her father’s death is a vital part of patient-centered care. Health Details: View Tina Jones Respiratory_ objective data_Shadow Health.pdf from NURS 340L at California State University, Fullerton. To properly “thread” your discussion posting, please click on REPLY. Example Question: Have you ever smoked cigarettes? The University of Texas at Arlington. Student: What immunizations have you received? This assignment assesses intended course outcome(s) #4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs Example Question: Do you have any mouth problems? Tina Jones: I was diagnosed when I was 24. Asking whether she’s noticed ear discharge could indicate whether she has a ruptured eardrum. Finding: Asked about review of systems for eyes and vision … Finding: Reports periods of blurry vision (Found)Pro Tip: Asking about changes in vision is one possible component of a review of systems interview. Finding: Asked if the patient received a tetanus immunization … Finding: Reports last tetanus vaccination was in the past year (Found)Pro Tip: For a patient with a recent scrape on a metal surface, confirming the last date of a tetanus shot is essential to prevent any diseases from contact. Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. 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. Student: What medication allergies do you have? Finding: Reports she stopped because of health reasons and waning interest (Available)Pro Tip: Communicating about why a patient stopped or started drug use gives insight into their attitudes and dependencies on a substance. She maintains eye contact throughout interview and examination. Started: Jun 27, 2020 | Total Time: 109 min. Example Question: Have you ever smoked marijuana? Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Example Question: Has your injury prevented you from going to class? Asking Tina if her maternal grandfather had high cholesterol can reveal generational patterns. Tina Jones: Well, I’m here, so I guess it didn’t do its job. Example Question: Do you perform breast self-examinations? Please reply to at least two classmates. This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and creating a Treatment Plan for Tina Jones. for asthma, last at age 16. Finding: Asked about paternal grandfather’s health … Finding: Reports paternal grandfather diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. A history of irregular periods could indicate hormonal or endocrine problems. Depending on when the drug was most recently taken, it could interfere with medications. Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. chest pain that radiates to the back and shoulder, Why do you think these were effective? Example Question: How many alcoholic drinks do you have in one sitting? Finding: Reports past nebulizer use (Available)Pro Tip: Finding out what treatments Tina received during her hospitalizations will give you a fuller picture of the history of her condition. avoiding smoking and second-hand smoke. … Finding: Asked about alcoholic intake … Finding: Reports last alcoholic drink was 3 weeks ago (Available)Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive medications while admitted, and alcohol is often contraindicated. breath. Example Question: Have you been more thirsty lately? Tina Jones: Grandpa Jones passed away when I was really little. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment. Student: Can you confirm your name? Student: What did you do to treat your foot after your accident? Student: How is your paternal grandfather’s health? For example, J.Smith_M01.docx. worsened by lying flat and movement and are Finding: Followed up on drainage … Finding: Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound can provide insight into its severity and characteristics. For the other kinds, I got all the required ones when I was a kid, and for college…I’m sure I have a record somewhere at home. The patient’s response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient’s chief complaint. 3. n.d.). SkipSkip ←← Back Back Next Next →→ 1 This study resource was shared via This study resource was shared via Indicates an item that you found.Indicates an ite… Example Question: What did you eat for lunch yesterday? Tina Jones: I’m Baptist. Finding: Reports applying bacitracin, neomycin and polymyxin B (Neosporin) (Found)Pro Tip: Determining what products a patient used to sterilize or treat a wound establishes home care routines and health literacy. Example Question: What is your reaction to cats? Example Question: How long have you noticed swelling around the wound? Characteristics/Quality: Tightness, feelings of not The most common causes of muscle pain are strain, overuse, illness, or infection. ratio = 81%. In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. How is the assessment for each type of pain different? 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: º ask effective and comprehensive questions º obtain a thorough health history º evaluate the patient’s risk of disease, infection, injury, and complications º educate and empathize º reflect on your experience and identify areas to improve º identify and prioritize nursing diagnoses º and develop a plan to address nursing diagnoses. Example Question: Have you had eye pain? Please! SOB at current. She is found Student: How will I be evaluated? Tina Jones: …Like a 7. Avoid resits and get better grades with material written specifically for your studies. Example Question: When did you last use your inhaler? She is well-nourished, well-developed, and dressed appropriately with good hygiene. Finding: Followed up on reason for weight change … Finding: Reports weight loss was unintentional (Found)Pro Tip: Unintentional weight loss can be a sign of underlying medical conditions or a reflection of unhealthy lifestyle choices. Example Question: What is your reaction to penicillin? Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. Academic year. Tina Jones: Well, Poppa died about five years ago. The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Example Question: Have you had red eyes? Student: Any problems with your nose? in her already increased blood sugars. Example Question: When did you last see a dentist? Case - Nr 509 shadow health focused exam case -tina jones foot overview Shadow Health is a great tool for allowing us students a safe clinical setting without interruptions to learn and improve our critical thinking and reasoning skills as providers.