Over the last month, Tina has experienced 3 -4 episodes of perceived rapid heart rate. • Denies food and latex allergies • Nose/Sinuses: Denies rhinorrhea with this episode. center of upper stomach Observe non-verbal cues as Danny presents with intermittent coughing - Cough is worse at night • Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will ing: “when around cats,” last use this morning). Since that incident she notes that she has had 10 episodes of wheezing and has 5 Reflect on personal strengths, limitations, beliefs, prejudices, and values. Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other • Increased stress related to work and school Identify how your performance could be improved and how you can apply “lessons; learned” within the assignment to your professional practice. and patient data. episodes a week that are more severe She states that she lifted several boxes before this event without Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW 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. Write. • Penicillin: rash severity of the event • Blood Pressure (BP) - 141/ • Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. started spontaneously and have been constant in nature. • Head: Denies history of trauma. For instructor use only. Get step-by-step explanations, verified by experts. morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- For instructor use only. few hours Continue to components of objective data collection for this patient. Denies nausea, vomiting, 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 • Pulse Oximetry - 98% Oral mucosa moist without ulcerations or lesions, FVC is 3.91 L and FEV1/FVC ratio is 80.56%. week), Acetaminophen 5001000 mg PO prn (headaches, • Weight (kg) - 89 • Temperature (F) - 99. and recent illness. She expresses that Biology Mary Ann Clark, Jung Choi, Matthew Douglas. - Consider and assess regional system involvement. Match. second-hand smoke exposure Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, episodes. • Pain worsens with larger or spicy meals, and with not seem to be as eff ective in treating her symptoms Educating tomorrow's health care professionals with interactive, simulated digital clinical experiences. • Symptoms - Recurrent stomach pain California State University, San Bernardino, Comprehensive Assessment _ Completed _ Shadow Health.pdf, Tina Comprehensive Assessment Shadow Health Objective Questions.pdf, Tina Comprehensive Assessment Shadow Health Transcript.pdf, University of Maryland, University College, Comprehensive Assessment _ Completed _ Shadow Health.pdf SUBJECTIVE.pdf, Tina Jones.Comprehensive Assessment _Subjective_ Shadow Health.pdf, Chamberlain College of Nursing • NR 509, California State University, San Bernardino • NURS 541, University of Maryland, University College • NURS 362, California State University, Long Beach • NURSING 305, NRS 434 Week 4_ Comprehensive Assessment _ Completed _ Shadow Health OBJECTIVE.pdf, Comprehensive Assessment | Completed | Shadow Health 2.pdf, Comprehensive Assessment | Completed | Shadow Health2.pdf. back under control. foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. Subjective and Objective Model Documentation • Symptoms - Sore and itchy throat, runny nose, itchy eyes • Diagnosis - Allergic rhinitis the point she was unable to walk. Printable “Answer Key” available within the Shadow Health DCE. Objective (Found by the student performing physical exam) Please continue to refer to the course for a comprehensive list of the resources and activities. She does not have a current NR 509 Week 3 Provision: Debriefing Convocation or Dubitate Answerableness Provision. Day 4: Tina went to her cousin’s house, where she encountered cats and experienced wheezing. • Symptoms - Back pain (“a week ago”). Comprehensive Assessment Tina Jones Shadow Health ... Onlinenursingpapers.com Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. - Differentiate between normal and abnormal assessment findings to determine the cause and - PMI displaced laterally • Nose/Sinuses: Denies rhinorrhea prior to this episode. - Demonstrate empathy for patient perspectives, feelings, and sociocultural background • Heart Rate (HR) - 80 She complains that her current symptoms are beginning to interfere with her daily Educate on dietary reduction in fat to decrease symptoms. In the following days, seizures. WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT Demonstrate clinical reasoning skills • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, • Heart Rate (HR) - 82 Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (Wheez- time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter Acetaminophen 500-1000 mg PO prn (headaches), • Weight (kg) - 89 5 Evaluate, and document patient assessment data using information systems technology Diagnosed with asthma at age 2.5 years. She has no recent use of spirometry, does not i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … Health History Prep – Answer Key Tina Jones is a pleasant, 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and is … Discuss the need to maintain a stable blood pressure. data categories include interview questions and patient data. The experience consists of 9 modules aligned with major topics in these courses, e.g. incontinence. • Respiratory Rate (RR) - 16. She states that She denies fevers, chills, and night sweats. Denies any change in stool • Ask relevant follow-up questions to evaluate patient condition • Blood Pressure (BP) - 140/ Preparing ahead of time will help to set you up for success. PLAY. 31), Palpitations related to caff eine and/or anxiety, For instructor use I did not like Shadow Health!!! The pain has not changed over the past three days and emphysema, tuberculosis. swollen eyes, and increased asthma symptoms. decreased although they did not completely resolve. • Pulse Oximetry - 99% shortness of breath twice per night. nicole_kurlyandchik. She does not note any specifi c aggravating symptoms, but states that her throat pain Objective data categories include examination • Pulse Oximetry - 97% and my nose won’t stop running. • Student Performance Index - This style of rubric contains subjective and objective data categories. • BMI - 30. © Shadow Health® 062015 || ShadowHealth.com Speech is clear and coherent. • Blood Glucose - 199 background She denies It’s not getting. • Pulse Oximetry - 99% Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while You will also want to review Ms. Jones' systems, psychosocial history, and family medical history. 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