Finding: Reports chest tightness during exacerbation (Found)Pro Tip: Asthma can have a profound impact on health, and it is important to discovered the severity of her condition by asking about symptoms during an exacerbation, such as chest tightness. Driving (5 . Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. If you find gaps in the patients literacy, that is your opportunity to provide education. Student: Did your father die from any disease? 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. As a currently presenting symptom, it could indicate a change in patient status. Example Question: Does anyone live at home with you? Finding: Denies change in sense of taste (Available)Pro Tip: Asking about symptoms, such as a change in taste, is one possible component of a review of systems interview. Finding: Reports drinking diet coke instead of regular (Available)Pro Tip: Particularly for diabetic patients, asking about intake of drinks that contain sugar can reveal additional sources of carbohydrates that the patient may not consider. Example Question: Does the wound have an odor? Example Question: How long have you noticed swelling around the wound? Finding: Reports paternal grandfather diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Example Question: Have you noticed any hair loss? Its pretty sad to. While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patients dental care is one possible component of a review of systems interview. Student: Have you had any neurological problems? I can also walk through some pain management exercises with you that dont involve medication, if you are interested. Finding: Denies muscle weakness (Available)Pro Tip: Asking about muscle weakness is one possible component of a review of systems interview. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Finding: Reports infrequent discharge, crusting or wateriness (Available)Pro Tip: Asking about symptoms, such as eye discharge, is one possible component of a review of systems interview. Pro Tip: Changes in body hair can indicate a change in hormone levels. Feeling light-headed could indicate a reaction to medication, changes in blood sugar or blood pressure, or a neurological problem. chivon101 91 Posts Specializes in ER. Finding: Asked about medication allergies. Finding: Denies seasonal allergies (Available)Pro Tip: Asking about seasonal allergies can help you understand a patients complete set of allergies over the course of a year. Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or I was pleasantly surprised by the massage chair I was seated in while each foot was pampered with nail trimming, sugar scrubbed, lotioned, and oiled. Example Question: Have you noticed changes in your sleep? Example Question: Have you ever been diagnosed with a sexually transmitted infection? Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Finding: Asked review of systems for neurological. 6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health 2/3Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Reports current acne Reports acne had been dormant but got worse recently Asked about acne treatment Reports last seeing a doctor Example Question: How effective is the pain medication? Student: How effective was the Neosporin? Educate Disease Process: Educate the patient on health risks related to obesity. Finding: Reports occasionally taking acetaminophen (Tylenol) for headaches (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. We want you to be in as little pain as possible. Tina Jones: Thanks. Papule: Something you can feel: solid, elevated, circumscribed and less than 1cm. Student: Do you have a history of skin disease? Student: Have you used drugs other than marijuana? Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the skin on her neck changing, will allow you to compare her symptoms and assess her condition. Example Question: Did you notice any discharge from the wound? Asking Tina if her asthma can help you develop a sense of health patterns within her family. A history of irregular periods could indicate hormonal or endocrine problems. Hair Salons. Finding: Denies breast rashes (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as a rash, is one way of assessing overall breast health. Learn. Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patients risk factors for injury. You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. 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 changes to neck skin (Available)Pro Tip: Asking about changes in skin color is one possible component of a review of systems interview. Finding: Denies current birth control (Available)Pro Tip: A patients use of birth control can impact the care plan, such as which medications are prescribed. Student: Any problems with your eyes and vision? Tina Jones: I dont think I have problems in that area. Tina Jones: Well, Im here, so I guess it didnt do its job. Ulcer: deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. But our church family helped us out and gave us rides to church and brought meals and all that, so they really helped build us back up. When Im reading or studying Ill notice that things start to get kind of blurry. Onycholysis: A slow, persistent fungal infection of fingernails and, more often, toe nails, common in older adults, Fungus causes change in color (green where nail plate separates from bed), texture, thickness, with nail breaking or crumbling and loosening of the nail plate, usually beginning at the distal edge and progressing proximally. Asking Tina if her paternal grandfather had diabetes can reveal generational patterns. Example Question: Have you had problems with your sinuses? Finding: Asked about patients living situation. Finding: Asked about use of pain medication. Example Question: Are you ever exposed to secondhand smoke? Finding: Reports last tetanus vaccination was in the past year (Found)Pro Tip: For a patient with a recent scrape on a metal surface, confirming the last date of a tetanus shot is essential to prevent any diseases from contact. Student: Hello, my name is Catlain, I am your nurse today. But he had a couple things Type 2 diabetes, like me, and high cholesterol and blood pressure. Example Question: Have you ever taken medication for your diabetes? Example Question: Can you rate the pain on a scale of 0 to 10? Tina Jones: I dont think I have any problems. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Example Question: Have you had palpitations? Example Question: When did you notice the increase in your appetite? Keloid, Macule: solely a color change, flat and circumscribed of less than 1 cm. Finding: Denies taking supplements (Available)Pro Tip: Finding out about your patients use of supplements will help you get a complete health history and avoid unwanted drug interactions. Reports belief that neck skin has thickened. Scale . Evidence Pro Tip: The strongest evidence of impaired walking is that Tina directly reports she cant bear weight or walk on her affected foot. The following details are facts of the patient's case. Tina Jones: UmIve smoked pot before. the skin's oil glands. Example Question: When was your last asthma attack? Assess Health Literacy and Patterns: Assess the patients perceived barriers to adherence to the prescribed regimen (cost, adverse effects, lack of knowledge). Example Question: Does the wound feel warm? Wheal Finding: Asked about other foot wound symptoms. As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. he would sometimes get kind of mad at us when we did something wrong. park answer key shadow health focused exam cough danny shadow health skin hair and nails shadow health tina jones shadow health tina jones heent, Exam (elaborations) Shadow health tina jones comprehensive assessment News: U. Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. Example Question: Did you receive the Hepatitis vaccine? Bird's-eye View. Reports doctor prescribed antibiotics for acne. After obtaining Ms. Jones health history, you will complete an information processing activity. Finding: Reports right foot is injured (Found)Pro Tip: Confirming which extremity an injury is located is a best practice for your patients safety. Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Before I came in, I was just taking Advil. Asking Tina if her father had diabetes can reveal generational patterns. 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 Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Other supporting data points are the presence of her foot wound and her general reports of pain. I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Tina Jones: Well, he passed away. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. condition. Example Question: Do you ever get heartburn? Planning Relevant: Assess Health Literacy and Patterns: Assess the patients knowledge related to diabetic disease process, assess personal/social supports. Let us have a look at your work and suggest how to improve it! Example Question: When was the last time you took your diabetes medication on a regular basis? Besides Subjective Data Collection, and Education and Empathy, there are activities within the simulation that provide valuable practice for their real-world counterparts, but they are not automatically graded by the simulation. Tina Jones: Grannys doing good. Test. She might have high cholesterol too. Bruising easily can be indicative of anemia or a more serious blood disorder. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. This assignment takes on average between 90 and 110 minutes. Tips and Example Questions. View Test Prep Skin Hair Nails Subjective Questions (24) from NURSING NRSG 355 at Shadow Health Skin, Hair and Nails Tina Jones Subjective.pdf. Evidence Relevant: "I mean, its all red and swollen, and theres pus, it feels hot, it hurts like hell Its got all that going on." Student: What do you do to manage your asthma? Daniel Danny Rivera is an health skin hair and nails shadow health tina jones shadow health tina jones, Your email address will not be published. Student: We are going to take care of everything as quickly as possible. Finding: Denies history of urinary tract or bladder infection (Available)Pro Tip: Asking about a history of bladder or urinary tract infections is one possible component of a review of systems interview. Finding: Reports currently working toward undergraduate degree (Found)Pro Tip: Finding out a patients level of education can give you a baseline for her health literacy. A history of pain during urination could be a symptom of genitourinary problems. Diana Shadow: A health history requires you to ask questions related to Ms. Jones past and present health, from her current foot wound to her pre-existing conditions. Asking Tina how she treats skin dryness solicits important health information. Finding: Denies past pregnancies (Available)Pro Tip: A patients history of pregnancy can shed light on other health conditions, body systems, or risk factors. Example Question: Have you had itchy eyes? Example Question: How often do you check your blood sugar? Tina Jones: He had high blood pressure and cholesterol. This is a review for laser hair removal in Provo, UT: "Highly recommend! Free Wi-Fi. Grouped: clusters of lesions (vesicles of contact dermatitis) Uticaria: wheals coalesce to form extensive reaction, intensely pruritic. (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? Has 10 years experience. And diabetes we have diabetes in common. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Example Question: When did you first notice the pus? Pro Tip: Family histories might indicate a genetic predisposition to certain 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. Tina Jones: I feel really stressed out right now! Finding: Reports waking up to urinate during the night (Available)Pro Tip: Frequent urination at night can be a sign of uncontrolled blood sugar or UTI. Finding: Denies food allergies (Found)Pro Tip: Inquiring about food allergies is important for an admitted patient, who will be receiving food during her stay. Hair Skin & Nail Support 4778 N 300 W Provo UT 84604. ", 8. A Buyerlink inc. company. They are cutaneous manifestations of lipidosis in which there is an accumulation of lipids in large foam cells within the skin), fibroma (benigh tumors that are composed of fibrous or connective tissue), intradermal nevi about her health history. Finding: Reports father died at age 58 (Found)Pro Tip: Following up on the death of an immediate family member is important for gathering details that could be relevant to the patients case. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Tina Jones: Yeah, theres definitely pus. Finding: Denies depression (Available)Pro Tip: Asking about the patients 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. . What did people search for similar to laser hair removal in Provo, UT? These are some highly rated laser hair removal in Provo, UT: The Rose Clinic For Plastic Surgery (4.5/5). Finding: Asked about family history of substance abuse. Tina Jones: Like a 7. Has being in the hospital helped your wound? Finding: Denies brother having diagnosed health problems (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Have you had nosebleeds? Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Tina Jones: My chest and throat get tight, and I start to wheeze. Educate Medication: Educate the patient on medications used for pain relief. This patient had a compression body suit, drains for the lymph fluid, and compression half boots. Cosmetic Surgeons. Created by. May extend deeper into dermis than papule. information. risk for skin cancer. Finding: Followed up on reason for weight change. Finding: Reports infrequent itchy eyes (Available)Pro Tip: Asking about symptoms, such as itchy eyes, is one possible component of a review of systems interview. ", 6. Finding: Reports periods of blurry vision (Found)Pro Tip: Asking about changes in vision is one possible component of a review of systems interview. It is important to ask your patient about the flu vaccine. I recently moved here from california and needed a nail salon that met themore, Love this salon! Finding: Reports staying away from sweets (Available)Pro Tip: Asking your patient specifically about sugar intake can help you understand the history of her diabetes as well as her health literacy. Bulla And I want my foot to stop hurting. As a currently presenting symptom, it could result in a change to the patients care plan. Tinas diabetes diagnosis will have a large impact on her bodys healing ability, which should be taken into consideration during your exam. Asking Tina about her history of acne solicits important information Reports wound has improved with hospital treatment. First, gain a deep understanding of your patients situation. Example Question: Do you have constipation? Asking Tina if her skin has been dry solicits important health history information. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. She seems happy. Asking Tina if her skin gets dry solicits important health Student: What made you stop taking medication for your diabetes? She seems to be doing okay though. Anytime. Late clubbing: nail bed angle is greater than 180 degrees. Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Study with Quizlet and memorize flashcards containing terms like Asked about foot wound, Asked about history of slow healing wounds, Asked current wound healing time and more. You took your diabetes medication on a scale of 0 to 10 Love this salon dermatitis ):... 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