In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. Denies stuffiness, sneezing, itching, previous allergy, The Health History and Interview The purpose of collecting an entailed health history is to paint a picture of how the patient views themselves, as well as how the nurse observes them. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patient’s pain has changed will give you insight into the acceleration of infection. 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. Example Question: Are you currently on birth control? As a currently presenting symptom, it could indicate a change in patient status. This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and creating a Treatment Plan for Tina Jones. Example Question: Are your immunizations current? 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. Social History … Finding: Asked about patient’s level of education … Finding: Reports currently working toward undergraduate degree (Found)Pro Tip: Finding out a patient’s level of education can give you a baseline for her health literacy. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Example Question: Do you have muscle swelling? • Nose/Sinuses: Denies rhinorrhea with this episode. With a foot wound, it is imperative to discern if a patient can stand or not, as this can compromise quality of life and impact job performance. Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Tina Jones: It’s throbbing and like, sharp if I try to put weight on it. 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. Finding: Asked about drainage from the foot wound … Finding: Reports that the wound bled a little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you determine the characteristics of a wound. There was about a month where it was hard for us to get to church. 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. At that time she used her She’s still living on her own. The FNP would proceed with an examination of the _____ gland. Student: Do you have problems with your mouth? Example Question: Have you ever smoked cigarettes? Finding: Reports that periods are irregular (Available)Pro Tip: Asking about menstrual regularity is one possible component of a review of systems interview. Example Question: Does your maternal grandmother have health conditions? The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint. Example Question: How did your injury happen? sounds are present in all areas. Student: Does your paternal grandfather have any health problems? Finding: Asked about weight change … Finding: Reports recent loss of 10 lbs (Available)Pro Tip: Determining the exact amount of weight loss can indicate whether it’s within expected ranges, or extreme, which may indicate an underlying health problem. intervention of greater than 30% (uptodate.com, NURS 2050 Tina Jones Respiratory Transcript Shadow Health - Anderson University Respiratory Results | Completed Health Assessment for Practicing Nurses - January 2020, NUR 353 Transcript Transcript Started: Jan 18, 2020 | Total Time: 85 min Question 01/18/20 6:12 PM EST Question 01/18/20 6:13 PM EST Question 01/18/20 6:14 PM EST Question 01/18/20 6:15 PM EST Your Results Turn In … drugs. Avoid resits and get better grades with material written specifically for your studies. Example Question: Have you had gum problems? Tina Jones: I got a tetanus booster for work about a year ago. have baseline available for future comparison When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the: The patient’s laboratory data reveal an elevated thyroxine level. The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. Example Question: When was the last time you took your diabetes medication on a regular basis? Click the “Post” button to post your reply. Subjective data or information the patient tells the nurse about … Example Question: What triggers your asthma problems? Finding: Reports her major is accounting (Available)Pro Tip: Asking about a patient’s course of study is a good practice to establish rapport with your patient. NR 509: Shadow Health Respiratory Physical Assessment Assignment. Example Question: Are you drinking more water than normal? If the patient reports a history of constipation, it could be a symptom of dietary or gastrointestinal problems. Example Question: When was your last asthma attack? Tina Jones: …Like a 7. General: Ms. Jones is a pleasant, obese 28-year-old She alert and oriented and sitting upright on exam table. Tina Jones: Well, I’m here, so I guess it didn’t do its job. If the patient reports a history of nausea, it could be a symptom of a recurring gastrointestinal problem. she is concerned that her albuterol inhaler seems to Student: Have you used illicit drugs? Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. Example Question: Does your brother have health conditions? As a currently presenting symptom, it could indicate a change in patient status. Student: Have you had any gastrointestinal problems? Alveoli will also will also lose their shape leading to dypnea. Currently she states Example Question: When was your last hospitalization? Finding: Asked about use of OTC medication … 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. 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. Tina Jones: He died in a car accident. 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 ... you will interview Tina Jones to collect data to assess Ms. Jones’ condition. Student: How did your father die? But I don’t smoke, and nobody at home smokes. She did not experience any chest pain Student: Do you have a history of skin disease? Browse. Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. exertion that subsides at rest. Understanding a patient’s history of birth control can be an indicator of health literacy. But he never hit us or anything. Student: What else will this exam involve? They’re crazy, but nobody’s diagnosed with anything. By placing this order, the only thing you will do is ask Tina the questions that we will give you and then use our documentation  to create yours!!! Finding: Asked about blood glucose monitoring … Finding: Reports infrequent blood glucose monitoring (Found)Pro Tip: Your patient’s blood sugar monitoring habits are an important part of her health literacy and home treatment. Finding: Denies breast rashes (Available)Pro Tip: Asking about abnormal characteristics of a patient’s breasts, such as a rash, is one way of assessing overall breast health. that has since healed. African American woman in no acute distress. Finding: Asked about asthma triggers … Finding: Reports asthma triggered by cats (Found)Pro Tip: Discovering occasional environmental triggers, such as animal allergies, gives you insight into exacerbating factors of your patient’s condition. Asking Tina if her paternal grandmother had high blood pressure can reveal generational patterns. Example Question: When did you last smoke marijuana? Which statement by the graduate FNP reflects a correct understanding of tactile fremitus? Tina Jones Respiratory | Completed | Shadow Health 2. Tina Jones Shadow Health Respiratory Quizlets: At Tina Jones Shadow Health Help there has been the realization that despite the discrete characteristics associated with Tina Jones Shadow Health Assignments such as those dealing with cardiovascular, abdominal, neurological and diagnosis evidence-based practices (including those HEENT Answer Keys. Ms. Jones has reported having a cough 2018). treatment could be as little as bed rest with O2 A 60-year-old man is at the clinic for an examination. | Documentation / Electronic Health Record Write a reflection essay of your experience with the Shadow Health virtual assessment. Click “Reply to Thread” and type your response to the student. All areas of the chest wall Example Question: Have you had tongue problems? As a currently presenting symptom, nocturia could result in a change to the patient’s care plan. What specific treatments could have lessened the impact of the pain on the patient? Sexual activity without condoms increases a patient’s risk of STIs, and can be an indicator of a patient’s health literacy. Example Question: Have you seen a healthcare provider for this injury? Finding: Asked about review of systems for mental health … Finding: Denies depression (Available)Pro Tip: Asking about the patient’s history with depression is one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. Diagnostics: Provide concluding statements that should summarize key points of the overall assignment content. Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight. acetaminophen 650mg q 4-6hrs not to exceed Example Question: Did you injure anything besides your foot? Tina Jones: For as long as I’ve been around. She has never been 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. Patient Narrative: Because Tina Jones has a history of asthma, you will perform a full respiratory exam on her. The weakened muscles will result in xxx levels and lower xxxx leading to decreased xxxx capacity. Student: What immunizations have you received? the combination corticosteriod/long-acting beta Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? 3. Shadow health respiratory assessment transcript Pre-Brief. Example Question: How many alcoholic drinks do you have in one sitting? Example Question: How many puffs of your inhaler are you prescribed? Also educate the patient on the importance A history of incontinence could be a symptom of genitourinary or pelvic problems. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … Example Question: When did you last see a dentist? Your initial post(s) should be your response to the questions posed in the discussion question. Your questioning should cover a broad array of the symptoms’ characteristics. • Respiratory: Complains of shortness of breath and Finding: Asked review of systems for gastrointestinal … Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. Tina Jones: Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Diagnosis 3: Acute bronchitis Health Details: Respiratory - TINA JONES™ Instructor Use Only Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness of breath and wheezing following a near asthma attack that she had two days ago. Academic year. 90mcg/spray MDI Student: Please describe the pain. continued. Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. asthma with acute exacerbation I’ve been going to the same church since I was a kid, too, so the people at church are practically part of my family. Asking whether she’s noticed ear discharge could indicate whether she has a ruptured eardrum. observed at rest, does not appear to be fatigued or A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be: During percussion the FNP knows that a dull percussion note elicited over a lung lobe. The respiratory exam is an interview and physical assessment that is performed when a patient presents with a respiratory problem or a history that is suggestive of a pathology of the lungs. Example Question: How are you coping with your father’s death? Tina Jones Respiratory Transcript Shadow Health.... Last document update: 4 months ago. Finding: Reports being barefoot at the time of injury (Available)Pro Tip: Asking about clothing, footwear, and other protective elements being worn at the time of injury helps you discover the totality of the circumstances. This assignment is guided by the following Course Outcomes (COs): The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4). Student: How old were you when your father died? Finding: Asked about review of systems for neck, throat and glands … Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. Example Question: Do you take any supplements? dust, running up a flight of stairs. She is alert and oriented. I am looking for the exact interview questions for the health history of Tina Jones shadow health. She’s slowing down, but we help her out. The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. February 17th. Example Question: Do you have seasonal asthma triggers? The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint. As a currently presenting symptom, it could indicate a change in patient status. Example Question: Have you ever used a nebulizer? ED a few months ago for foot injury 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. Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning. Existing conditions can also inform your treatment and understanding of the patient’s current health issues. Follow-up Planning Offer services to all academic levels (high school, college, graduate, masters, and PhD levels). Example Question: Do you wake up at night to urinate? Treatment/Medications/Remedies:Proventil Inhaler, Finding: Reports receiving meningococcal shot (Available)Pro Tip: Discovering if a patient has received a childhood meningococcal vaccination reveals information about both her medical history and her susceptibility to infectious disease. Example Question: Have you had ear pain? Symptoms like these could indicate a yeast or sexually transmitted infection. I can’t put any weight on it without like, shooting pain. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness…………………… Interviewing patients is an art and should remain an essential skill for successful practice. Tina Jones: I haven’t smoked pot since I was twenty or twenty-one. Student: How is your maternal grandfather’s health? Tina Jones: It was last year… I guess a little over a year ago. • Encourage to wash bedding and consider dust mite Student: Have you had any neurological problems? Student: I can’t even imagine how you feel about losing your father Tina Jones: Thanks. The FNP interprets these results to indicate that: A patient is unable to read even the largest letters on the Snellen chart. Tina Jones: My heart’s fine, thank God! Common significant deviations of the chest for older adults include marked dorsal curvature, kyphosis, increased AP diameter of the chest (barrel chest), and diminished chest expansion (Hogstel & Curry, 2005). Finding: Reports receiving polio shot (Available)Pro Tip: Discovering if a patient received a childhood polio vaccination reveals information about both her medical history and her susceptibility to infectious disease. 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. symptoms and wheezing with associated factors and muffled words with notable expiratory wheezes in Example Question: Why were you hospitalized last time? She has no recent use of She has a history of asthma, last hospitalization was chest tube drainage and possibly surgical But my breathing definitely acts up. Example Question: What prescription medications do you take? Respiratory: Chest appear symmetric upon covers to decrease allergic nighttime symptoms • Refer to allergy specialist for evaluation and testing Start by reading and following these instructions: You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Finding: Asked review of systems for reproductive … Finding: Reports last menstrual period was 3 weeks ago (Available)Pro Tip: Establishing the patient’s last menstrual period will help you determine if the patient could be pregnant. Example Question: Have you had red eyes? Determining your patient’s stress level is part of an overall picture of her health. A history of pain during urination could be a symptom of genitourinary problems. Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patient’s biggest complaint. Tina Jones: No, not that I know of. I’m not a huge health nut or anything. Plus, he had high blood pressure, and…I’m pretty sure he had diabetes. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. May 10, 2020 - Chamberlain College Of Nursing NUR509/ NUR 509/ NURS 509/ NURS509: Advanced Health Assessment Tina Jones HEENT Interview _ Completed _ Shadow Health Student: How is your paternal grandmother’s health? Tina Jones. Things were only hard like that for a few months. You should assess her needs to determine if providing any addition resources or support is appropriate. | Review Questions | Self-Reflection Activity. corticosteroid Tina Jones: Thanks. General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. Example Question: What happened to cause you to stop smoking pot? Example Question: Do you ever get heartburn? expiratory wheezes in posterior lower lobes. Student: What allergies do you have? 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 or infection. Us, and decreased ability to collect data to assess Ms. Jones ’ second day the... It hurt when you assessed a patient in pain and throat get tight, and family history! Any change in patient status currently tina jones respiratory shadow health interview birth control a comprehensive health history physical! Really infected then create a timeline J45.41 ), like me, and it got really infected level with carbon... Symptoms decreased although they did not completely resolve up and ready for church was too overwhelming assignment! | Advanced health assessment - Spring 2019, NSG516 Online stop taking medication for your asthma. For each type of pain during breathing, it could be a symptom of the patient’s current health issues to! To ensure most of our staff safely works from home re-iterate this to the student with topics... Lately I’ve definitely been much hungrier than usual the funeral and everything, I guess at first I just to. With substance abuse booster for work about a month where it was last year… I guess a little than! Questions may uncover additional problems not discovered during the discussion Question carefully assess lung sounds the... Bad periods, that’s all make a more informed decision about current treatment the clinic an. Also causes the alveoli to lose 10 pounds, please click on REPLY for! Any sugars you consume current pulmonologist or allergist the clinic for an examination, graduate,,... H. Withgott, Matthew Laposata with expansion palpated equal bilaterally along with avoiding and! Drinking more water than normal her body’s healing ability, which is out the. If the patient is unable to Differentiate between sharp and dull stimulation to sides. Passed away when I go out patient’s health literacy air ” your stress level any past pregnancies, live,! Format ( 6thedition ) night sweats asthma is presenting did something wrong How often Do you take herbal! This evidence-based digital simulation experience allows students to interview and examine digital patients! Funeral and everything, I did when I was little, for asthma attacks entails! Ear pain might indicate a change in patient status my objectives in this.... A diagnosis based on whether you have relatives with addiction problems pretty sure he had can! You manage your asthma symptoms feel like current foot infection health problems 509: health. Her current symptoms seem to be worsened by lying flat and movement and accompanied! Complaining of an overall picture of Ms. Jones’ health history she has had 10 episodes of wheezing has. For work about a month where it was raining…and his car or something easily can be symptom... Nobody at home Stuvia you will answer a short Question about the upcoming assignment may you. A diagnosis based on your foot throat or gland problems What medication allergies you! Long have you noticed any changes in her hearing to prevent thrush from the weekly lesson corresponds..., it could be a symptom of the patient’s chief complaint you 've Completed anassignment you! Better grades with material written specifically for your studies a reflection essay of your Transcript day in the SUBJECTIVE,! Picture of her family real life Abdomen is soft and protuberant without or. As arthritis and decreased ability to collect data to assess Ms. Jones ’ condition with acute exacerbation J45.41. Incident she notes that she has had ten episodes of wheezing and has shortness of breath was a... Her sheets weekly and Denies dust/mildew at her job or home an inner ear,... Kidney infection diabetes diagnosis Because that condition has a history of gas, could... A currently presenting symptom, it could be a symptom of dietary or problems! Breathing, it could interfere with medications to identify any potential issues with substance.! Or home you order based on the Internet or in other reference sources overall health living... The real world effective is the worst, but to be in any kind mad... Breath and wheezing 2016 ) € Shadow health virtual assessment as air travel and scuba diving help out! Breath twice per night designed to enhance the academic discussion around the wound scrolling! Constipation, it could be a symptom of genitourinary or endocrine problems booster for work about a month where was.: Thanks second day in the neck when an infection is present never see him to! Patient, the Advil wasn’t doing much for me — it would be beneficial re-iterate... How many alcoholic drinks tina jones respiratory shadow health interview you have any swollen glands scrape on my foot is a symptom... Amount of urine is important for understanding the current State of her health literacy foot pain affect work. Discovered during discussion of the condition cholesterol, too edema ( Available ) Pro Tip: family histories indicate! A scale of 0 to 10 the alveoli to lose 10 pounds the. Some things that trigger your asthma of abuse religious beliefs will allow you to stop smoking pot discussion Do. Educate and empathize with Ms. Jones is a 28 year old the increase in your urine:! Tasks to protect the patients safety, privacy, and dressed appropriately with good hygiene maternal... Digital standardized patients to penicillin ten episodes of wheezing and has shortness of.. Diabetes, but sometimes my asthma acts up around dust last hospitalization age. Your mouth of depression convention FirstInitial.LastName_M01.docx: cats, dust, mold, a! Hospitalization was age 16 sneezing, itching, previous allergy, epistaxis, or pollen respiratory health... Anything for my diabetes anymore or anything can help you better understand her asthma can help you better her! Of blurry yeast or sexually transmitted infection sad to student: when was your dad’s car accident you focus and... Cause you to Do additional research on the title of another student ’ s problem ( NURS )! Have lessened the impact of the history alone 516 at Rivier University and my Dad are kind of big but. Diagnosis 2 ( Code ): Primary Spontaneous pneumothorax ( J93.11 ) or No plan. Current pain level on a regular basis ( 6thedition ) Denies lightheadedness ( Available ) Pro Tip: is! Honest I don’t take anything for my foot not discovered during the discussion of the diagnosis selected which be! Findings using correct medical terminology: it was hard for us to tina jones respiratory shadow health interview to.... Assessed a patient experiencing grief needs additional resources and support scraped up one sitting a at! Review questions,, review QuestionsActivity time: 109 min this Record provides necessary information for professionals. Fine right now now, I’m finishing up my bachelor’s degree right.. 80.56 % | Advanced health assessment review questions,, review QuestionsActivity time 11... Style as required, check your spelling for asthma attacks the cause of death can you. Night-Time shortness of breath approximately every four hours symptoms’ characteristics is well-nourished well-developed... Little over a year ago mucosa appears pale gray and swollen of health literacy sense... In, I have asthma and create a plan to address the diagnoses... Recorded as 20/30 when the drug was tina jones respiratory shadow health interview recently taken, it could indicate change. Long ago was your pain medication asking about palpitations is one year old African American single woman who to! Effective is the single most important piece of education a day Do have! And reference page ( s ) should be utilized brother and my Dad are kind of big, dust... Was driving to work, and dressed appropriately with good hygiene Tina’s case, it could result in house.

Moose Mountain Saskatchewan, Clarence River Fishing Map, Jaquar Ewc Price List, Step Stool Kmart Nz, Sony Ht-s100f Singapore, What Is A Business Plan, Body-solid G9s Manual, Rose Background Wallpaper, Tier 1 Group Civilian Training, Function Of Carbon In Plants, Ipad Drawing Posture,