Example Question: Do you have any throat problems? Assess - Health Literacy and Patterns: Assess the patient's perceived barriers to adherence to the prescribed regimen (cost, adverse effects, lack of knowledge). It's scary to think about. Finding: Reports inhaler is albuterol (Proventil) (Found)Pro Tip: Finding out the specific medication type or brand is essential in understanding whether it's a maintenance or rescue medication. While the patient is in your care, ensure that their meals align with a low glycemic diet, and educate the patient on monitoring her own health status. She states that she feels anxious when they happen. i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … Finding: Asked review of systems for reproductive. Student: What preexisting medical conditions do you have? 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. Example Question: Can you bear weight on your foot? Example Question: Have you had nosebleeds? Finding: Reports wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a patient changed a bandage will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. Cardiovascular GI Genitourinary Musculoskeletal Neurological HSN. can any one tell me some tips to how to pass the shadow health. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. And on top of that, I’ve had to cover more at work lately, and I’m in charge of a big project at work, too. Planning - Relevant: Assess - Vitals: Assess the patient's blood glucose levels according to orders. Finding: Reports mother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. ), It’s been about once a week for the past month. Finding: Denies sore throat (Available)Pro Tip: Asking if a patient has a sore throat is one possible component of a review of systems interview. Exam Action 03/18/20 1:29 PM PDT. Finding: Asked about maternal grandfather's health. Example Question: Do you ever get headaches? Finding: Reports last asthma attack was in high school (Available)Pro Tip: Discovering the patient's most recent asthma attack can provide a timeline of exacerbations and help you better understand the patient's condition and effectiveness of any treatments. Example Question: Are you drinking more water than normal? This will give you a baseline of her cardiac condition prior to the new blood pressure medication her attending physician will be starting her on. Finding: Denies chest pain or discomfort (Available)Pro Tip: Asking about chest pain is one possible component of a review of systems interview. Saved by Carmen. It's got all that going on." The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. Student: What made you stop taking medication for your diabetes? Example Question: Do you have a family history of thyroid problems? Example Question: Have you experienced nipple discharge? Finding: Asked to rate current pain level on a scale. This assignment takes on average between 90 and 110 minutes. Finding: Asked about general immunizations received. however, exercise is healthy for you, and can even relieve stress. Example Question: Have you noticed any hair loss? Student: Can you rate your current pain level on a scale of 0 to 10? Saved by Carmen. Things were only hard like that for a few months. Example Question: Have you been urinating more often than usual? I’m sorry you’re dealing with so much stress. Example Question: Do you have any mouth problems? Finding: Reports allergy to cats (Found)Pro Tip: Asking general questions about allergies is the first step to a conversation with a patient about her complete set of allergies. Tina Jones: Yeah, I've lost some weight recently. Upgrade to remove ads. . Tina Jones: He was driving to work, and it was raining...and his car hydroplaned. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Tina Jones: ...Like a 7. 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 don't fall behind. Finding: Followed up on diabetes diagnosis. Started: Jun 27, 2020 | Total Time: 109 min. ... Respiratory Concept Lab- Shadow Health. Make sure that the patient feels comfortable asking for your assistance. Finding: Asked about frequency of urination. This numerical evidence is required to establish obesity. Student: Have you been around people that are smoking? I try to eat snacks that are kind of healthy like pretzels–sometimes if I’ll treat myself and get french fries, but I try not to do that too often. Example Question: When was the last time you took your diabetes medication on a regular basis? Example Question: What is the name of the inhaler prescription? Question 06/27/20 3:27 PM CDT. 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. ", 6. Evidence - Relevant: Evidence Pro Tip: Tina directly reports that she doesn't exercise, which is the primary evidence for a sedentary lifestyle. No, I don’t think so. Tina Jones: I've been taking Advil for my foot for a few days. Planning - Relevant: Planning Pro Tip: Take a general survey of the patient for changes in skin color, and assess respiratory rate, rhythm, depth, and quality to confirm there are no acute breathing issues. Example Question: Do you have any existing conditions? 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. That sounds like a difficult situation. . It hurts a lot, but whatever pain med the ER gave me is helping a little bit. Example Question: Have you had breathing problems? Finding: Reports change in appetite began a month ago (Available)Pro Tip: Determining the onset of appetite change can reveal important details about underlying health conditions. But I’m on my feet all the time at work so I feel like that’s a little bit of exercise most days at least. Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. 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: Have you ever been diagnosed with a sexually transmitted infection? 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. Finding: Asked review of systems for musculoskeletal. Finding: Reports 1 uncle has alcoholism (Found)Pro Tip: Asking about trends in substance abuse can help you understand your patient's risk for inherited diseases linked to addiction. 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. Subjective and Objective Model Documentation • Symptoms - Sore and itchy throat, runny nose, itchy eyes • Diagnosis - Allergic rhinitis The patient's response to these questions may uncover neurological problems. I can give you some Advil at this time, and in a few hours, you can have more tramadol. If you find gaps in the patient's literacy, that is your opportunity to provide education. ", 3.Gaps in health literacy around diabetic diet Not Encountered, Description: Tina describes controlling her diabetes by avoiding "sweets." Tina Jones shadow health. Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. You don’t want to ignore heart stuff, I guess. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Example Question: Have you seen a healthcare provider for this injury? The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. Depending on when the drug was most recently taken, it could interfere with medications. Example Question: Have you had changes in your bowel movements? Finding: Denies history of STIs (Available)Pro Tip: Asking about a patient's history of STIs is one possible component of a review of systems interview. Example Question: Was your weight loss intentional? Example Question: Have you ever smoked marijuana? Finding: Denies loss of sensation (Available)Pro Tip: Diabetic patients often experience numbness due to neuropathy, especially in the arms, legs, hands, and feet. Educate - Exercise: Educate the patient about the benefits of exercise. ", 5. rjster052410. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patient's living situation helps develop rapport and gives you a broad picture of her lifestyle. Student: Can you walk with your foot being injured? Example Question: How did your injury happen? Evidence Pro Tip: Tina directly reports ineffective diabetes management when discussing her lack of treatment. She lives down the street from us, and she gets around okay. Patient states there is relief when foot is elevated, not walking on it. She states that she has been drinking energy drinks to cope with mounting … Tina Jones: Mom has high cholesterol and blood pressure, I think. Example Question: How do you manage your asthma? Finding: Denies head injury (Available)Pro Tip: Asking about the patient's history of physical trauma, including head injury, is one possible component of a review of systems interview. Health Details: Cardiovascular tina jones shadow health Transcript Transcript. Student: What is your level of education? Tina Jones: Whatever pain medication the ER gave me is helping. Finding: Followed up on home pain medication. Tina had an asthma episode 2 days ago. I have health insurance through work. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Example Question: What color is the drainage from your wound? Health History Narrative from NURSING 211 at Metropolitan State College of Denver. 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. Planning Pro Tip: First, gauge your patient's current status by checking hydration, vital signs, and perfusion. Example Question: Do you lose your balance often? Student: When were you diagnosed with diabetes? Health History Narrative from NURSING 211 at Metropolitan State College of Denver. Example Question: What triggers your asthma problems? Student: What medications did you take for your diabetes? Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports occasional dry skin (Available)Pro Tip: Chronic or severe dry skin might require a patient to be seen by a dermatologist. ), Yeah, I’ve been pretty stressed lately. Planning - Relevant: Planning Pro Tip: Because wound infections impact the patient's overall health, it's important to assess perfusion, hydration, and swelling. Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. But I don't smoke, and nobody at home smokes. In Tina's case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. Student: Do you monitor your blood glucose? Reliable. Finding: Reports swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling helps you gather information about your patient's complaint, as well as potential related illnesses. Finding: Asked review of systems for gastrointestinal. I'm not a huge health nut or anything. Example Question: Do you take any herbal supplements? Example Question: How many days have you needed pain medication? Example Question: Have you had a runny nose? Tina Jones: One person in the family, my dad's brother, has an alcohol problem, but we never see him. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. billie_foote1. This exam may take longer than in real life, because in this safe simulation, students of all experience levels can take time to hone and review their skills. Finding: Reports last alcoholic drink was 3 weeks ago (Available)Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive medications while admitted, and alcohol is often contraindicated. School is really busy right now, like I have a lot of projects due all around the same time. 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. Example Question: Does your maternal grandfather have health conditions? Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Tina Jones: I don't have any food allergies that I know of. Example Question: When did you last have issues with asthma? ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision Example Question: Do you have muscle pain? . Tina Jones: Well, Poppa died about five years ago. Tina Jones: No, I can't. You should assess her needs to determine if providing any addition resources or support is appropriate. Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. Finding: Asked about family history of headaches. Example Question: How are you coping now? Finding: Denies swollen glands (Found)Pro Tip: Asking about a patient's glands in general could include lymph nodes or thyroid glands. Student: Do you have a history of cardiovascular problems? Tina Jones: Um...I've smoked pot before. This assignment assesses intended course outcome(s) #4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs Finding: Asked about preexisting medical conditions. Tina Jones: I only have a few drinks when I go out. Tina Jones: I haven't noticed any pain there. Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. I guess when it happens I feel a bit worried, like anxious, but that’s all. Sexual activity without condoms increases a patient's risk of STIs, and can be an indicator of a patient's health literacy. ", 8. Example Question: What is the dose of the pain medication? 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. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]. .not always. A history of STIs could cause complications with the genitourinary system. I have a daily inhaler and a rescue inhaler for my asthma. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Planning - Relevant: Assess - Musculoskeletal: Assess the patient's ability to bear weight and gait. Patient Narrative: In this assignment, your patient, Tina Jones, has been admitted to the hospital for a painful foot wound, and you will conduct a health history as part of her admittal process. Finding: Reports occasionally taking ibuprofen for cramps (Available)Pro Tip: Finding out about your patient's use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Example Question: Do you ever have chest pain? Planning Pro Tip: To help your patient address her obesity, which is often a sensitive topic, use therapeutic communication techniques. Finding: Followed up on coping with father's death. 28 terms. Tina Jones: Well, I'm finishing up my bachelor's degree right now. Tina Jones: I haven't had a full attack in years. Example Question: When did you first notice the pus? At the end of this prebrief, you will answer a short question about the upcoming assignment. Example Question: Do you take any supplements? Student: What happened with your father's car accident? Finding: Asked if patient has experienced abuse. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Finding: Reports infrequent eye redness (Available)Pro Tip: Asking about symptoms, such as eye redness, is one possible component of a review of systems interview. Finding: Reports she last checked blood sugar a month ago (Available)Pro Tip: Your patient's blood sugar monitoring habits are an important part of her health literacy and home treatment. Planning - Relevant: Assess - Pain: Assess the patient's pain at regular intervals and with each assessment of vital signs. Finding: Asked about history of asthma exacerbations. Asking Tina if she's been wheezing illustrates how her asthma is presenting. Example Question: Does your father have health conditions? Example Question: What is your reaction to penicillin? So, it was really sudden. Example Question: When did you notice the increase in your appetite? Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. Diana Shadow: In this assignment, you will be evaluated on your Subjective Data Collection, as well as your Education and Empathy. Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patient's risk factors for injury. Question 06/27/20 3:27 PM CDT. Example Question: When was your last asthma attack? Of colon cancer ( Found ) Pro Tip: family histories might indicate genetic... 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