On a scale of 1-10, how would you rate the pain? What medical problems does your mum have? She needs to obtain a pre-employment physical prior to initiating employment. Hes a little big, maybe. The opportunities listed below are, those identified by nursing experts to be of particular importance to this patient. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview S Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Yeah. Reports imporved acne due to use of oral contraceptives Facial and body hair imporved Denies any nail or hair changes. All pulsed with normal range. illicit drugs. At the top of this section, you will see a key indicating the status of each opportunity. Company Registration Number: 61965243 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. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. AA 1. . Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. Terms of Use . Plus I have my friends from church. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. 10:22 PM EDT. Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago), Allergic to cats and dust Allergiic to penicillin Denies any food or latex allergy. bed, and I'll read to try to distract myself from feeling nervous until I feel like I can fall asleep. Cross), Give Me Liberty! We'll do our best to get your foot healed, and have you back to your usual routine as soon, 3 Gaps in health literacy around diabetic diet. need a distraction. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. 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. To do this, first, ask the interview question again to the virtual patient. the last time I was sick was when I was having those heartburn problems a while ago. Well, I used to smoke pot. The opportunities listed below are those identified by nursing experts to be of particular importance to this. Become a tester for Shadow Health! 7. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. The second column shows the bulleted Patient Data that you can uncover about each scored item. You can click on the type of interaction to filter out that kind of interaction. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. -denies pain between shoulder blades. I usually eat dinner, then I try to study for a few hours or do other schoolwork. At the top of the transcript, you'll see a ribbon indicating the frequency of each kind of interaction within the transcript. Exam (elaborations) - Case 02: focused exam: hypertension and type 2 diabetes results | turned in pharmacot. he had some blood pressure and cholesterol issues when he was alive, too. The first column will show the scored items that our Subject Matter Experts identified as being essential components of a strong and thorough interview. Have you been taking medication for your diabetes? Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. maintains eye contact throughout interview and examination. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Palpating the frontal sinuses checks for sinusitis. Exam (elaborations) - Focused exam: hypertension and type 2 diabetes - week 10 results | turned in advanced. My muscles have felt great, especially since I started exercising more. How is Education & Empathy scored? - Shadow Health Support Center The bold items are the ones that you unlocked. Return to Assignment (/assignments/493256/), Lab Pass (/assignment_attempts/10113755/lab_pass, Tina Jones presents with episodes of "fast heartbeat" which has been And I didn't go in yesterday. She denies use of tobacco, alcohol, a Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. past month she has increased her consumption of diet soda and Chamberlain University (84) is a student at Shadowville Community College. These prompts encourage you to consider the development of their clinical reasoning skills, as well as identify key lessons learned from the assignment. I think I have a little less body hair than I used to. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The pain sometimes radiates to his left leg. (Clarified to Does your younger sister have health problems?. (Clarified to if I have ear drainage.). specific changes in her diet recently, but notes that she has not b regulations. dust, and penicillin. Florida State University NURSING 362. The "fast heartbeat" is lo alized t the left Each assessment is worth up to one point. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Have you noticed any side effects from the metformin? I havent had a full asthma attack in years, though. She generally dr Just coming in and talking to someone here about it helped a little because I felt like I was doing something. ), No, I dont think so. ABI is 0. Nursing Simulation for Nursing students | Shadow Health Lately, though, it's just these racing thoughts of everything I'm worried about, and it's harder to control. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? . Type 2 diabetes, diagnosed at age 24. I have this really important exam coming up, During the patient interview, there are a number of opportunities to provide patient education and empathy. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. During the patient interview, there are a number of opportunities to provide patient education and empathy. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. Shadow Health Assignments for virtual clinical hours sales tax notification: elsevier inc. dba shadow health charges applicable sales tax as required state and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Grand Canyon University University of Massachusetts Lowell NURS 362 COMPREHENSIVE ASSESSMENT PAPER FINAL DRAFT.docx. Any pending input will be lost. solved essays (19) Collect any documentation from other healthcare providers, such as lab results or discharge instructions. 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. The episodes generally Are you taking any form of birth control? Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. Increasing knowledge and understanding of healthcare concepts. I have a few friends Ive known since middle or high school, and were all pretty close. presented to the clinic with complaints of 3-4 episodes of rapid he s1 and s2 heard without murmurs or additional sounds. Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local (/site_notice_dismissals?from_flash=true&site_notice_id=499) nursing theory examples (41) We go to First Baptist, and we do a lot with our church community. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Things are pretty good between all of uswere a tight knit family. S Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation - OnlineNursingPapers | OnlineNursingPapers Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation The Lab Pass functions as a certificate of completion, showing your name, the assignments name, and the scores you achieved. 10:25 PM EDT. The pain sometimes radiates to his left leg. I took something for my acne. I get into bed around midnight, but then I'll read because I can feel myself start to stress about stuff and I It is important to stay away from triggers. bilaterally in upper extremities and lower extremities without thrill Lets see . She provided the health information freely during the interview. I just always want to be learning new things and getting better at my job. . It hurts a lot, and the pain pills haven't. Let's talk about your wound a little further. So Ive been trying to address problems as they come when I can, and that helps. 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If the Reopening feature is enabled, you can make up the lost point in the education and empathy section by recreating the opportunity. location of pain. ), No. At the top of this page, you will see a percentage score of how you did on Objective Data Collection. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Has new male relationship, sexual contact not initiated. shadowhealth education and empathy.pdf - Respiratory Tina Jones Complete Combined Modules Shadow Health (Graded A) Asking Tina if she takes supplements will indicate her current treatment plan. Asking Tina if she takes vitamins will indicate her current treatment plan. To get credit for acknowledging the patient with therapeutic communication, you must respond within two lines of dialogue. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. . . Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. What is the name of the birth control pill you took? Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. Terms and Conditions Privacy Policy Cookie Settings. Question In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. No way, I have no interest in that. In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. shadow health comprehensive assessment education and empathy - Sercano TV You will not see a grade for this activity from Shadow Health, but your instructors may choose to grade your responses. tuberculosis. fffynd.luistreeservices.us I am glad you came in. . Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Nursing Essays Examples (81) Our simulations are designed for your program goals and course objectives - select your program level below to learn more. lately. 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. This section is where you can see your score for the Information Processing activity. How often do you take your birth control pill? I havent really had any stomach problems since I came in with them a while ago. . Comprehensive Health History - Education & Empathy .pdf. all the way asleep for another hour and a half, two hours, usually. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. No thrills are bruit. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. I mean, I still have asthma and diabetes, but both of those are under control. This section is where you can see your score for the Education and Empathy opportunities. known history of murmurs, angina, previous palpitations, dyspne What is your relationship like with your family? Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. Description: Tina describes problems sleeping and stress-symptoms like racing thoughts. The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. since I was really little. The page will refresh upon submission. Once you've completed the assignment and can see your results, you can click on the Education & Empathy tab to see the available points. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Poppa died of a heart attack when he was 80. . Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. She checks it She was last hospitalized for asthma in high school. To post social content, you must have a display name. To post social content, you must have a display name. Let me learn more about what youre experiencing, and I will try to help.". Nursing Theory list (41) Respiratory: She denies shortness of breath, wheezing, cough, Click here for more information. Can I wait to provide all of my educational and empathetic statements at the end of the interview? This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. How long ago did you start taking birth control? I havent had any problems with diarrhea. work and school. This button will mark this attempt as Turned In, signaling to your instructor that it is ready to be graded. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! A, I decided to come in because I'm tired all the time now, and I'm stressed and too foggy to study most of the time. Tina denies smoking and states she seldomly drinks. (Clarified to: if I have a history of psychiatric illness), Model Statement: "It sounds like you have a lot on your plate. Course Hero is not sponsored or endorsed by any college or university. Are you looking for someone to help with shadow health assignments? Clicking on the diagnosis will expand that item, showing you the priority you selected, the evidence you selected, and your selection for Planning. You are scored on the accuracy of their reported findings from the physical assessments. NR 509 Week 7 Shadow Health Comprehensive Health Histor. faster than usual. (Clarified to if my brother has health issues.). Ms. Jones is a pleasant 28-year-old African American woman wh He had high blood pressure and cholesterol, and diabetes toothe same kind as me. 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Nursing Theories (45) 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. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. PICOT Question (12) Thorough examinations will yield better patient data. . This will show an outline of your score. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. I will be conducting an interview and later perform a physical exam. If you need help with your shadow health assignments, please place your order here and we will match you with a nursing writer promptly. She denies Lag, nystagmus, and deviations may indicate neurologic conditions. . 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And the pain is killing me! At the top of this section, you will see a key as to how each item was graded. While the attempt is In Progress, you will not be able to see the Results page. Over th Allergies include cats. Shadow health comprehensive assessment education and empathy Question Under the grading explanation, you will see a list of Relevant Diagnoses and how many points you earned for that diagnosis. I really need help sleeping so I can focus on No! In the Comprehensive Assessment, you earn points by performing the physical assessments.. "/> Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. Cardiovascular Completed Shadow Health write out - 7/4/2021 - StuDocu This button will open the Lab Pass for your attempt. Is the Education and Empathy section scored in every patient case assignment? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. This record includes questions asked, statements made, and actions/assessments performed. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well.