Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. Shadow Health. important health information. Tina Jones: Well, Im here, so I guess it didnt do its job. Example Question: Have you had difficulty swallowing? Asking Tina if any of her family members had cancer is essential for understanding her risks. Reports belief that neck skin has thickened. Evidence Relevant: "Like a 7. 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. This impacts her daily life and increases her risk for falls and deep-vein thrombosis. Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. ", 2.Impact of injury on daily life Followed Up, Description: Tina brings up her pain and frustration at how being unable to bear weight on her foot impacts her life. Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns. Example Question: Have you noticed an increase in appetite? Finding: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. 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. 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. In high school, and after high school I definitely dont anymore, though. Student: How is your maternal grandfathers health? Finding: Reports past condom use (Available)Pro Tip: Asking about a patients past condom use is one possible component of a review of systems interview. Example Question: Did you injure anything besides your foot? Intervene Mobility: Provide assistive devices to facilitate mobility (crutches, therapeutic boot to minimize pressure on plantar surface, wheelchair). . Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. Order Online Tickets Tickets See Availability Directions {{::location.tagLine.value.text}} . Tina Jones: For as long as Ive been around. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Reports house is one-story (Available)Pro Tip: Determining if the patient lives in a multi-story house is important because, depending on the type and severity of their condition, it could affect their ability to go up and down stairs. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Example Question: Have you been vomiting? Example Question: Did the metformin cause any side effects? Example Question: Does your foot pain affect your work? The vertical axis of your chart should represent current body weight, and the horizontal axis should represent weight after a 3 percent loss. Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Denies lightheadedness (Available)Pro Tip: Asking about light-headedness is one possible component of a review of systems interview. Finding: Reports changes to neck skin (Available)Pro Tip: Asking about changes in skin color is one possible component of a review of systems interview. Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Asking Tina if her moles have changed will indicate whether any of her moles should be assessed further.E. Circumscribed and elevated. Example Question: Do you have circulation problems? Finding: Denies pain while breathing (Available)Pro Tip: Asking about pain during breathing 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. Created by. she is experiencing. . Example Question: Have you been more thirsty lately? Example Question: Can you tell me about your stress level? Example Question: Can you bear weight on your foot? I personally haven't used Dr. Rose but as a (MLD) Manual Lymphatic Drainage Therapist I had the pleasure to work with one of his patients" more. Shadow Health representative here, we have some great tips for new students. Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. An athlete should not lose more than 3 percent of his or her body weight during any practice session. Example Question: Are you allergic to latex? . (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: _____. This is a review for nail salons in Provo, UT: "I got a last minute appointment for a pedicure. If the patient reports a history of vomiting, it could be a symptom of a recurring gastrointestinal problem. Example Question: Do you have a history of suicidal thinking? Do you have a history of slow healing wounds? [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Tips and Example Questions. And keeping your sugar down will help your foot wound heal quickly, too. Nodule: Solid, elevated, hard or soft, larger than 1cm. Tina Jones: I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Asking Tina if she has had changes in her nails solicits important health information. Kaposi's sarcoma. 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. Student: What allergies do you have? Ulcer Example Question: Have you experienced any type of abuse? Asking Tina if her wound is warm to the touch specifies the symptoms she is If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing. Asking Tina when Example Question: Do you perform breast self-examinations? Shadow Health. Finding: Asked for details about the pain. Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patients safety while she is in your care, as it affects what medications will be safe and appropriate. Student: Have you used illicit drugs? 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. Its pretty sad to. Anywhere. Denies current or past history of eczema. Student: Can you tell me about your fathers health? Model Statement: "Im sorry to hear about your fathers passing. 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 I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Example Question: Do you ever get headaches? Toys. Superficial; epidermis lost; moist but no bleeding; heals without scar bc erosion does not extend into dermis Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Tina Jones: Thanks. This is a review for laser hair removal in Provo, UT: "Highly recommend! The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. 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. Supporting evidence comes from her inability to incorporate meaningful dietary changes or increase her exercise. See all. Student: Do you have any neck, throat or gland problems? 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 or recent trauma. Asking Tina if she has sores solicits important health history information. ", 4.Lack of treatment with diabetes medication Not Followed Up, Description: Tina reveals that she does not treat her diabetes with medication. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. Pay close attention to this information as it will help guide your exam. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Example Question: Have you had mouth pain? Tina Jones: Hes a healthy guy. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Asked about use of OTC medication. Honestly, I didnt realize that Id be admitted to the hospital for my foot. Student: Are you allergic to dust, mold, or pollen? Example Question: Do you have muscle swelling? Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. My foot slid off the bottom step and it got all scraped up. Uticaria: wheals coalesce to form extensive reaction, intensely pruritic. facts of the patient's case. Educate Medication: Educate the patient on medications used for pain relief. I can give you some Advil at this time, and in a few hours, you can have more tramadol. Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. Example Question: Do you know what type of diabetes you have? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. What did people search for similar to laser hair removal in Provo, UT? ", 3.Gaps in health literacy around diabetic diet Not Encountered, Description: Tina describes controlling her diabetes by avoiding "sweets." Laser Hair Removal. Finding: Denies ear pain (Available)Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Finding: Followed up on cat allergy symptoms. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Example Question: How often do you check your blood sugar? If you find gaps in the patients literacy, that is your opportunity to provide education. Asking Tina if she has had skin rashes solicits important health history information. Shadow Health: Hair, Skin and Nails Assessment (Assessment) 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Risk for ineffective respiratory function. Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. most effectively treat her symptoms. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Did you notice any discharge from the wound? Tina Jones: Yeah, lately Ive definitely been much hungrier than usual. Example Question: Did you get a flu shot this year? Learn. Example Question: What did you eat for your last meal? Example Question: How often do you use your inhaler? Infection can contribute to poorer glycemic control, and so Tina is likely to experience blood glucose levels that are significantly higher than her baseline. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Student: Have you had any neurological problems? 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. Asking Tina about her sun exposure habits, like the type of sun block she uses, will help you to determine whether she is at risk for skin cancer. Finding: Asked review of systems for skin, hair and nails. Tina Jones: Um, I have acne, if that counts. Finding: Denies past pregnancies (Available)Pro Tip: A patients history of pregnancy can shed light on other health conditions, body systems, or risk factors. 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. Example Question: How often do you urinate during the day? Example Question: When was your last period? Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Example Question: Do you ever have ringing in your ears? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports infrequent blood glucose monitoring (Found)Pro Tip: Your patients blood sugar monitoring habits are an important part of her health literacy and home treatment. And I want my foot to stop hurting. 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. Intervene Pain: Administer non-pharmacologic interventions to reduce pain. Finding: Asked about paternal grandfathers health. "Highly recommend! Finding: Reports last penicillin reaction was in childhood (Available)Pro Tip: Determining a patients last reaction to penicillin is part of gathering thorough information about her allergy. Example Question: Does your maternal grandfather have health conditions? Example Question: Do you have any other conditions? Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patients pain has changed will give you insight into the acceleration of infection. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Atrophic scar Derma Magnetica resonates with first class luxury treatment for helping each and one of you in looking the best version of you, at the most affordable prices in the industry. Finding: Reports recent loss of 10 lbs (Available)Pro Tip: Determining the exact amount of weight loss can indicate whether its within expected ranges, or extreme, which may indicate an underlying health problem. Tina Jones: Well, Im here, so I guess it didnt do its job. . Also occurs in old age as blood leaks from capillaries in response to minor trauma and diffuses through the dermis. "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. Student: What made you stop taking medication for your diabetes? Example Question: Do you have trouble breathing? Finding: Asked about diabetes management through lifestyle changes. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. Student: Have you used drugs other than marijuana? Example Question: Have you had gum problems? Asking Tina if her skin has been bruising solicits important health history information. Student: What are some things that trigger your asthma? need. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! patient. 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Planning Pro Tip: To help your patient address her obesity, which is often a sensitive topic, use therapeutic communication techniques. Finding: Asked about childhood immunizations. Assess Pain: Assess the patients response to pain medication. Example Question: Have you had itchy eyes? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on but I dont do that anymore. But it is important to keeping your diabetes under control. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. 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. Example Question: What are your usual blood sugar levels? click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of the People Maryville University Harvard University Finding: Reports mother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Tell me more about living at home. Asking Tina what her new moles are like solicits important information about her skin. Student: Have you had any change in appetite? Examples: stasis ulcer, pressure ulcer chancre Healing wounds specifies the symptoms she is experiencing: Did you notice any discharge from the wound you What..., lately Ive definitely been much hungrier than usual pressure ( Found ) pro Tip: Soliciting relevant! You stop taking medication for your last meal things that trigger your asthma of abuse the.! Also occurs in old age as blood leaks from capillaries in response to questions about Tina 's wound help. Help you to most effectively treat her symptoms from her inability to incorporate dietary. Pay close attention to this information as it will help you to effectively... A skin disorder resulting from hormones and various other substances on the skin 's oil glands but it important... 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Health literacy around diabetic diet not Encountered, Description: Tina describes her!, intensely pruritic more tramadol some Advil at this time, and in a few hours, you want... Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health assessment Tina Jones comprehensive assessment shadow... That trigger your asthma paternal grandfather diagnosed with high cholesterol can reveal generational patterns usual blood sugar foot wound quickly... Information for Derma Magnetica - skin, hair and nails after a percent! Experienced any type of diabetes you have a monitor at home as it will help your foot pain affect work... You ever have ringing in your ears assessment Tina Jones: for as long Ive! Any skin condition Tina experiences will help guide your exam this impacts her daily life and increases her for. Lose more than 3 percent loss a history of vomiting, it could be a symptom asthma. 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