Tina Jones: Well, Poppa died about five years ago. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Tina Jones: Its white or maybe off-white. Tina Jones: I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. Finding: Denies current nose problems (Found)Pro Tip: Asking about symptoms, such as nose problems, is one possible component of a review of systems interview. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on 3. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. This numerical evidence is required to establish obesity. Finding: Reports typically taking 2 puffs (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. Ask the patient questions about what changes she may be willing to make. Finding: Reports pain (Found)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. Asking Tina what antibiotic she was prescribed for her acne solicits However, this issue is low priority for a patient with acute pain and a wound that prevents her from walking. Example Question: Is there swelling around the wound? This new feature enables different reading modes for our document viewer. Anywhere. Asking Tina if her skin has been bruising solicits important health history information. Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as oral infection. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing. Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patients immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. I cant put any weight on it without like, shooting pain. Tina Jones: Last year when Dad passed, he was only 58. patient. When was the last time you saw a doctor about acne? Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. Priority High Priority Pro Tip: The patients foot wound impairs her walking, which in turn increases her risk for falls while she is an admitted patient. Student: When did you realize you were allergic to cats? I just get really bad periods, thats all. You should assess her needs to determine if providing any addition resources or support is appropriate. Past month, 2022 Family-medical.net. about her health history. Example Question: Do you take any over the counter medications? If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. Tina Jones: I dont think I have problems in that area. It was much needed and I will be back every 3 weeks until I can do it myself. exposure habits, like if she uses sun block, will help you to determine whether she is at risk Finding: Asked about childhood immunizations. Thanks Lim Nails!". I recently moved here from california and needed a nail salon that met themore, Love this salon! Finding: Reports inhaler is albuterol (Proventil) (Found)Pro Tip: Finding out the specific medication type or brand is essential in understanding whether its a maintenance or rescue medication. Evidence Relevant: Evidence Pro Tip: As Tina discusses symptoms of her wound, including symptoms such as discharge, redness, warmth, and swelling, she reports strong evidence of impaired skin integrity. Student: What are some things that trigger your asthma? I prefer the salons that where the paraffin wax dip is included. ", 8. Priority Low Priority Pro Tip: A BMI greater than 30 indicates obesity, but this diagnosis is a low priority at present. She has asthma too, but she almost never has attacks. Finding: Reports swelling worsened in the past 2 days (Available)Pro Tip:Finding out how long swelling appeared will help you understand the timeline for the infection progression. Example Question: Have you had a sore throat? Tina Jones: No, I cant. A Buyerlink inc. company. Auscultate the lungs to listen for abnormal sounds. Example Question: How much weight have you lost? Finding: Asked about prescription medications. Example Question: Can you tell me about your stress level? Asking Tina where Finding: Denies hair loss (Available)Pro Tip: Asking about hair loss or balding is one possible component of a review of systems interview. Allergic drug reaction It is necessary to approach this subject with the utmost respect and sensitivity. Example Question: Was your weight loss intentional? Finding: Denies change in hearing (Available)Pro Tip: Asking about changes in hearing is one possible component of a review of systems interview. Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. A history of irregular periods could indicate hormonal or endocrine problems. "First timer here w/a good friend! most effectively treat her symptoms. Finding: Asked about current diabetes medication use. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. Finding: Reports living in a house (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. I know I need sleep, too. Example Question: Are you ever exposed to secondhand smoke? Finding: Reports currently working toward undergraduate degree (Found)Pro Tip: Finding out a patients level of education can give you a baseline for her health literacy. Finding: Reports receiving HPV vaccine series (Available)Pro Tip: Discovering if a patient has received the HPV vaccination reveals information about both her medical history and her susceptibility to infectious disease. Finding: Reports receiving Hepatitis A and B shot (Available)Pro Tip: Discovering if a patient has received a childhood Hepatitis A and B vaccination reveals information about both her medical history and her susceptibility to infectious disease. Assess Health Literacy and Patterns: Assess the patients perceived barriers to adherence to the prescribed regimen (cost, adverse effects, lack of knowledge). Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patients dental care is one possible component of a review of systems interview. Example Question: How often do you wake up at night to urinate? Tina Jones Skin, hair, and nails assessment. Patch Example Question: At what age were you diagnosed with asthma? Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Finding: Denies ever having a mammogram (Available)Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. Tina Jones: No, I dont take anything for my diabetes anymore. (i) baking soda, NaHCO3\mathrm{NaHCO}_3NaHCO3; Explain how the environmental change from forest to grassland influenced the following aspects of equid evolution: (a) Change in tooth structure: _____ (b) Limb length: _____ (c) Reduction in number of toes: _____. Shadow Health - Skin, Hair, and Nails Lab - Objective Complete.docx.docx Uploaded by Ivan Ramirez Full description Download now of 11 You're Reading a Free Preview Pages 6 to 10 are not shown in this preview. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. She reports intense pain on a numerical scale and describes pain characteristics. Malignant melanoma, Primary contact dermatitis Example Question: Have you noticed any changes in your vision? May extend deeper into dermis than papule. Tina Jones Skin, Hair, and Nails _ Completed _ Shadow Just Now 6/5/2020 Skin, Hair, and Nails Completed Shadow Health 2/3 Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Preview / Show more See Also: Family Medical Show details Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Examples: mole, wart Student: How often do you have asthma exacerbations? Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal. Example Question: Did you notice any discharge from the wound? I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Asking Tina if she has nail fungus solicits important health information. Finding: Asked about use of pain medication. Finding: Reports redness around the wound (Found)Pro Tip: Asking about redness will help you understand the timeline for the infection progression. Finding: Denies lymph node problems (Available)Pro Tip: Asking about a patients lymph nodes is one possible component of a review of systems interview. need. Finding: Reports that penicillin resulted in hives (Available)Pro Tip: Determining a patients reaction to an allergen is essential to gauge if the allergy is life-threatening. Wheal: Superficial, raised, transient and erythematous; slightly irregular shape due to edema. Student: Did your father die from any disease? Example: striae (stretch mark) Or like, hed make us rake the yard or wash his car or something. hover over the patient data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Keiser University Student: Does your paternal grandfather have any health problems? Example Question: Does your maternal grandmother have health conditions? This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Your questioning should cover a broad array of the symptoms characteristics. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Example Question: Do you notice being more clumsy than usual? ", 6. Tina Jones: Thanks. Risk for ineffective respiratory function. Late clubbing: nail bed angle is greater than 180 degrees. Finding: Reports waking up to urinate during the night (Available)Pro Tip: Frequent urination at night can be a sign of uncontrolled blood sugar or UTI. Finding: Followed up on diabetes diagnosis. Learn. Lumps have a range of severity, as they could be the result of breast injury or cancerous growths, but any abnormalities should be handled with the highest level of concern. Tina Jones: Ive been taking Advil for my foot for a few days. Example Question: Did you receive the meningitis vaccine? Finding: Reports past grief (Found)Pro Tip: Asking about Tinas reaction to her fathers death is a vital part of patient-centered care. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. College Physics Raymond A. Serway, Chris Vuille. Reports body hair has been increasing for a long time. Finding: Reports that her diabetes is Type 2 (Available)Pro Tip: The type of diabetes your patient has will drastically affect how you care for her. Home Flashcards Shadow Health - Tina Jones, Health History Flashcards Total word count: 18386 Pages: 67 Get Now Calculate the Price Deadline Paper type Pages - - 275 words Check Price Looking for Expert Opinion? Finding: Reports receiving varicella shot (Available)Pro Tip: Discovering if a patient has received a childhood varicella shot reveals information about both her medical history and her susceptibility to infectious disease. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Example Question: Have you ever smoked cigarettes? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Example Question: Did you notice any redness around the wound? Tina Jones: I dont think I have any problems. Example Question: Do you urinate frequently? Example Question: Have you ever smoked marijuana? Asking Tina about her history of acne solicits important information about her health history. What bugs you about nail salons? Example Question: Have you noticed any hair loss? Finding: Denies depression (Available)Pro Tip: Asking about the patients history with depression is one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. Tina Jones: I only have a few drinks when I go out. Terms in this set (23) Asked . The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as vision loss. Asking Tina if there is any discharge coming from her wound specifies the symptoms chivon101 91 Posts Specializes in ER. Its killing me." Finding: Asked about general immunizations received. Previous history of skin disease (allergies, hives, psoriasis, or eczema), Common Shapes and Configurations of Lesions, Annular or Circular: begins in the center and spreads to periphery: ringworm Finding: Reports last use of inhaler was 3 days ago (Available)Pro Tip: Determining the patients last use of an inhaler clues you in to any recent breathing problems. Finding: Denies other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can reveal more information about the circumstances that caused the presenting injury. Example Question: What prescription medications do you take? Urticaria (hives) Finding: Reports living with mother and sister (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Existing conditions can also inform your treatment and understanding of the patients current health issues. If you find gaps in the patients literacy, that is your opportunity to provide education. Priority Low Priority Pro Tip: A patients sedentary lifestyle compromises her overall health and problems such as diabetes. Finding: Reports infrequent sinus problems (Available)Pro Tip: Asking about symptoms, such as frequent sinus issues, is one possible component of a review of systems interview. Bird's-eye View. Finding: Asked about diabetes management through lifestyle changes. I can give you some Advil at this time, and in a few hours, you can have more tramadol. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. This impacts her daily life and increases her risk for falls and deep-vein thrombosis. Im Preceptor Diana. Give the systematic name for each of the following:\ Tina Jones: Some of my friends smoke when we go out drinking. At the end of this prebrief, you will answer a short question about the upcoming assignment. Example Question: Do you have trouble breathing? Example Question: Have you had any family members with cancer? Uncovering the age of death can help you assess the patients current risks. Finding: Denies frequent sore throat (Available)Pro Tip: Asking if a patient has recurring throat problems is one possible component of a review of systems interview. Example Question: Do you have circulation problems? Finding: Denies past pregnancies (Available)Pro Tip: A patients history of pregnancy can shed light on other health conditions, body systems, or risk factors. Presence of dizziness could indicate a reaction to medication, an inner ear problem, or changes in blood sugar or blood pressure. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Tina Jones: I was diagnosed when I was 24. Confluent: lesions run together: Urticaria, hives Finding: Asked about review of systems for neck, throat and glands. The patients response to these questions may uncover neurological problems. need. Also seen with pneumococcal meningitis, Basal cell carcinoma 01 Comments Please sign inor registerto post comments. My brother and my dad are kind of big, but I wouldnt say they were obese or anything. Plus, he had high blood pressure, andIm pretty sure he had diabetes. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Shadow Health. Feeling light-headed could indicate a reaction to medication, changes in blood sugar or blood pressure, or a neurological problem. Example Question: Does dust trigger your asthma? Most of the diseases that cause bleeding and microembolism formation- such as thrombocytopenia, subacute bacterial endocarditis and other septicemias are charcterized by petechiae in the mucus membranes as well as on the skin Well do our best to get you feeling better and, on your way, home as soon as possible. Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. But I dont smoke, and nobody at home smokes. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Examples: xanthoma (deposition of yellowish cholesterol-rich material in tendons or other body parts in various disease states. Tina Jones: Thanks. Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Asking your patient about past fractures may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports pain prevented her from being able to walk to class (Available)Pro Tip: For patients who are also students, you can find out what schoolwork they are missing, and help them make accommodations so they dont fall behind. Finding: Reports diabetes (Found)Pro Tip: It is important to identify any existing medical conditions, as that information is an integral part of a complete health history. Pro Tip: Some medical conditions can affect a patient's integumentary system. Asking Tina if the hospital treatment has improved her foot wound will clarify the Atrophic scar Asking Tina if she has acne solicits important health history information. the skin's oil glands. Example Question: Have you had difficulty swallowing? Other supporting data points are the presence of her foot wound and her general reports of pain. Why not give the Shadow Health customer support team a call at 800-860-3241 and let's talk about it? Student: How is your maternal grandmothers health? Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Finding: Reports weight loss occurred over the past month (Available)Pro Tip:Finding out the timeline for weight loss can indicate if its sudden or gradual. Finding: Reports wheezing during exacerbation (Found)Pro Tip: Asthma can have a profound impact on health, and it is important to discovered the severity of her condition by asking about symptoms during an exacerbation, such as wheezing. Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. her health history. Alix_Johnson55. Student: Have you used drugs other than marijuana? Tina Jones: You know, I did notice lately that Ive been really thirsty. Measure the patients blood glucose and provide medication as per the physicians orders. Example Question: Has your heartbeat been irregular? It hurts a lot, but whatever pain med the ER gave me is helping a little bit." Any recent or abrupt changes could impact the patients care plan, such as administering treatment for constipation or diarrhea. Besides Subjective Data Collection, and Education and Empathy, there are activities within the simulation that provide valuable practice for their real-world counterparts, but they are not automatically graded by the simulation. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. As a currently presenting symptom, it could indicate a change in patient status. Kaposi's sarcoma. tina jones skin hair and nails, Neurological shadow health assessment Transcript. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Tina Jones: Yeah, lately Ive definitely been much hungrier than usual. Order Online Tickets Tickets See Availability Directions {{::location.tagLine.value.text}} . Finding: Asked about family history of obesity. If the primary disease is treated, clubbing can reverse. Student: How is your paternal grandfathers health? Scar I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. about her health history. Finding: Reports sometimes needing 3 puffs to control symptoms (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Plaque Example Question: Do you take any supplements? However, for a patient with no active respiratory complaints, this problem does not need to be addressed immediately. You also want to identify any potential issues with substance abuse. Example Question: When did you last use your inhaler? he would sometimes get kind of mad at us when we did something wrong. I would hands down choose his clinic. Planning Pro Tip: Assess how well the patient can bear weight and walk. Student: What else will this exam involve? conditions. Finding: Reports her religious affiliation is Baptist (Found)Pro Tip: An important part of a health history is developing rapport with the patient and fostering an atmosphere of respect. ", 7. I cant put any weight on it without like, shooting pain." Example Question: Did you receive the chicken pox vaccine? Do you have a history of slow healing wounds? Has being in the hospital helped your wound? Example Question: What allergies do you have? A combination of open and closed questions will yield better patient data. Determining your patients stress level is part of an overall picture of her health. park answer key shadow health focused exam cough danny shadow health skin hair and nails shadow health tina jones shadow health tina jones heent, Exam (elaborations) Shadow health tina jones comprehensive assessment News: U. Bulla: Larger than 1cm diameter; usually single chambered; superficial in epidermis, it is thin walled, so it ruptures easily. Tinea corporis (ringworm of the body) Example Question: How many puffs of your inhaler are you prescribed? Finding: Asked about family history of substance abuse. Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Finding: Reports no seizures (Available)Pro Tip: Asking about seizures is one possible component of a review of systems interview. Example Question: When did you last smoke marijuana? Student: What type of drugs did you use? Distal phalanx looks rounder and wider. Finding: Followed up on reason for weight change. Keloid: A hypertrophic scar. But he had a couple things Type 2 diabetes, like me, and high cholesterol and blood pressure. Asking Tina if her moles have changed will indicate whether any of her moles should be assessed further.E. . Finding: Reports maternal grandfather diagnosed with high blood pressure (Available)Pro Tip: Family histories might indicate a genetic predisposition. Lichenification: prolonged, intense scratching eventually thickens the skin and produces tightly packed sets of papules; looks like the surface of moss. As a currently presenting symptom, it could impact the patients care plan. Example Question: When was your last asthma attack? Finding: Asked about frequency of urination. Adolescents: Acne Obesity is a long-term health concern that cannot be addressed in a single visit. Asking Tina if her father had diabetes can reveal generational patterns. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Finding: Asked about family history of headaches. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Examples: healed area of surgery or injury, acne Medical Spas. Finding: Reports feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the patients pain radiates can help determine the progression of infection. As a currently presenting symptom, it could indicate a change in patient status. The most common causes of muscle pain are strain, overuse, illness, or infection. Tina Jones: I havent smoked pot since I was twenty or twenty-one. In high school, and after high school I definitely dont anymore, though. "I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. Finding: Reports last hospitalization was for asthma (Available)Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. Finding: Denies history of STIs (Available)Pro Tip: Asking about a patients history of STIs is one possible component of a review of systems interview. Finding: Asked review of systems for skin, hair and nails. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. In anticipation of Ms. Jones being discharged from the hospital, your role in this simulation is that of a healthcare provider who willassess her skin, hair, and nails for any additional wounds or signs of impaired healing. Finding: Asked about constitutional health. Finding: Denies muscle weakness (Available)Pro Tip: Asking about muscle weakness is one possible component of a review of systems interview. "No, I cant. Tina Jones: No, I dont think so. Finding: Denies heartburn, GERD, or indigestion (Available)Pro Tip: Asking about stomach conditions such as heartburn or GERD is one possible component of a review of systems interview. Finding: Reports no more than 2 or 3 alcoholic drinks in one sitting (Available)Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient.
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