Finding: Followed up on effectiveness of ointment … Finding: Reports bacitracin, neomycin and polymyxin B (Neosporin) was ineffective (Found)Pro Tip: Understanding the effect of a home medication can help you determine the severity of the wound. You will also want to review Ms. Jones’ systems, psychosocial history, and family medical history. Student: Do you know why you lost weight? Student: Does your paternal grandfather have any health problems? Example Question: How many puffs do you typically take? Example Question: Have you had a mammogram? What did you do well? Finding: Asked about family history of obesity … Finding: Reports that family members are overweight (Found)Pro Tip: Asking about trends such as obesity can help you fill in holes in the history that your patient may have missed and can allow you insight into other inherited diseases that affect relatives outside of immediate family. • NMT in office x 1 Therefore, oxygenation goals will have to take in cognizance these realities and advise the patient accordingly. fingers on room air. Browse. pneumothorax (J93.11). Tina Jones: …Like a 7. Finding: Asked about diabetes management through lifestyle changes … Finding: Reports staying away from sweets (Available)Pro Tip: Asking your patient specifically about sugar intake can help you understand the history of her diabetes as well as her health literacy. Example Question: Do you remember what you were prescribed for diabetes? And I want my foot to stop hurting. Student: What is your level of education? The experience consists of 9 modules aligned with major topics in these courses, e.g. She is alert and oriented. he would sometimes get kind of mad at us when we did something wrong. Example Question: Do you have any environmental allergies? Example Question: Do you have a headache? Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patient’s dental care is one possible component of a review of systems interview. 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. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Example Question: When was your last period? My brother and my dad are kind of big, but I wouldn’t say they were obese or anything. Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Finding: Reports injury occurred 1 week ago (Available)Pro Tip: Discovering how long ago the pain began is the first step in understanding whether the pain is chronic or acute. Example Question: How has the pain changed over time? As a currently presenting symptom, nocturia could result in a change to the patient’s care plan. Example Question: Do you have circulation problems? Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient. Diagnosis 3: Acute bronchitis Wheezing was Finding: Asked about patient’s living situation … Finding: Reports living with mother and sister (Available)Pro Tip: Learning about your patient’s living situation helps develop rapport and gives you a broad picture of her lifestyle. Example Question: Did you notice any redness around the wound? Tina Jones: No, I don’t think so. Diagnostics: Example Question: Do you ever get heartburn? Example Question: When did you last see a dentist? The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. Finding: Reports taking 2 pills each time (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Example Question: Did you notice any discharge from the wound? shadow health , respiratory respiratory focused assesment. The patient’s response to questions about this topic may uncover additional problems, such as hearing loss, not discovered during the discussion of the patient’s chief complaint. Example Question: Have you ever taken medication for your diabetes? Finding: Reports no more than 1 or 2 nights a week drinking alcohol (Available)Pro Tip: Finding out how many nights a week your patient has alcohol gives insight into potential habits or abuse. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Complete the Shadow Health HEENT assessment. Student: How have you treated the wound? Asking Tina if her father had high blood pressure can reveal generational patterns. spirometry, does not use a peak flow, does not Write a reflection essay of your experience with the Shadow Health virtual assessment. Example Question: Does your paternal grandfather have health conditions? combination inhaled coritcosteroid and long-acting On Stuvia you will find the most extensive lecture summaries written by your fellow students. Normal findings would be which of these results? Finding: Denies current headache (Available)Pro Tip: Asking Tina is she currently has a headache is important because it might be contributing to her current discomfort and should be treated promptly. important piece of education that can be given to Example Question: Do you have any breast swelling? covers to decrease allergic nighttime symptoms Review of Systems … Finding: Asked about constitutional health … Finding: Reports occasional tiredness or fatigue (Available)Pro Tip: Asking about tiredness or fatigue is one possible component of a review of systems interview. What additional patient teaching is needed? Which statement by the graduate FNP reflects a correct understanding of tactile fremitus? 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: Denies excessive flatulence or bloating (Available)Pro Tip: Asking about gas or bloating is one possible component of a review of systems interview. has an increased need for her inhaler during times of Asking Tina if her brother has any health problems can reveal potential risks. American woman who presented to the clinic with In your professional opinion, what is the difference between chronic and acute pain? This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript), This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation, This criterion is linked to a Learning OutcomeSelf-Reflection. The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. She lives down the street from us, and she gets around okay. weakness reported. 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. Hey. Student: What are my objectives in this assessment? Student: How effective was your pain medication at home? Finding: Denies lumps (Available)Pro Tip: Asking about abnormal characteristics of a patient’s breasts, such as lumps, is one way of assessing overall breast health. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. HPI: Ms. Jones is a pleasant 28-year-old African Example Question: Have you noticed an increase in appetite? Asking whether she’s noticed ear discharge could indicate whether she has a ruptured eardrum. Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recent right foot injury. Example Question: When did you first notice the pus? Finding: Denies flank pain (Available)Pro Tip: Flank pain can be a sign of kidney infection. Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. 4. Finding: Reports cleaning wound twice a day (Available)Pro Tip: Asking specifically how often a patient cleaned a wound will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. Shadow Health Respiratory Assessment Pre Brief. Tina Jones: I haven’t smoked pot since I was twenty or twenty-one. Example Question: How long have you noticed swelling around the wound? In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. Example Question: At what age were you diagnosed with diabetes? tina jones respiratory shadow health assessment Review Questions, , Review QuestionsActivity Time: 11 min. Example Question: Do you wake up at night to urinate? Your date of birth. Student: How is your sister’s health? Tina Jones: No, I can’t. Tina Jones: I got a tetanus booster for work about a year ago. Finding: Asked about penicillin reaction … Finding: Reports that penicillin resulted in hives (Available)Pro Tip: Determining a patient’s reaction to an allergen is essential to gauge if the allergy is life-threatening. It’s pretty sad to Student: How old was your father when he died? Your questioning should cover a broad array of the symptoms’ characteristics. although they did not completely resolve. She maintains eye contact throughout interview and examination. increased activity and while lying flat, exacerbated Shadow Health Respiratory Assessment Pre Brief. 2019/2020 dust, running up a flight of stairs. Finding: Denies odor from the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight into its severity and characteristics. View Tina Jones Respiratory | Completed | Shadow Health 4.pdf from NSG 516 at Rivier University. Also, to help treat their current condition. Finding: Reports that periods are irregular (Available)Pro Tip: Asking about menstrual regularity is one possible component of a review of systems interview. Is reviewing the technique of palpating for tactile fremitus 90mcg/spray MDI ] student: What pain medication allows to! Pertinent questions during the simulation, you will actually be able to take care everything. 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