• Diagnosis -GERD, Subjective (Reported by Tina) treatment when the infection starts to swell and produce pus. Denies any change in stool previous musculoskeletal injuries or fractures. • Identify opportunities to educate the patient, Document accurately and appropriately fast food and spicy food make pain worse. wheezing, and has a nonproductive cough and episodes of shortness of breath approximately every four hours. • Symptoms - Sore and itchy throat, runny nose, itchy eyes Demonstrate clinical reasoning skills Confirming the name of Tina’s birth control pill will solicit information about her health … • Blood Glucose - 224 usual lately, and I thought it was something I should, Subjective (Reported by Tina) • Blood Glucose - 91 She states that her eyes are constantly itchy and she has not attempted any did not experience any chest pain or allergic symptoms. She turned her ankle and scraped the seems to be worse in the morning. • Diagnosis - Allergic rhinitis. • BMI - 30. • Reports daily occurring stomach pain, with 3 to 4 body systems. - Reports wet cough for several days Last visit to PCP. - Select and use the appropriate tools and tests necessary for a focused exam NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. She has a history of asthma, last hospitalization was age 16, last chest XR was Since Timeframe: 1 month after establishing primary care (Age: 28) • Symptoms - Foot pain and discharge • Student Performance Index - This style of rubric contains subjective and objective data categories. - Assess risk for disease, infection, injury, and complications • Acanthosis nigricans J45.901, Asthma J45.901, Asthma with acute exacerbation with acute exacerbation. Tina Turner denies reports of stroke. Performance Assessment – Shadow Health Performance Assessment – Video Health Assessment . Her current pain is a 5/10, but she states past week. • Pulse Oximetry - 99% past. • Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. • Student Performance Index - This style of rubric contains subjective and objective data categories. tion. In addition to the patient interviews, you will be performing physical assessments on the patients as you work through your Shadow Health assignments. She states that her nose “runs all day” and has clear discharge. • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. She states that she has some soreness when swallowing, but otherwise If reduction in symptoms, Ms. Jones may continue Objective data categories include examination She notes that her current symptoms seem Reason for visit: Patient presents complaining of nose and throat symptoms. that the ibuprofen can decrease her pain to 2-3/10. • Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com • Height: 170 cm • Weight: 84 kg • BMI: 29.0 • Blood … the nurse practitioner to get the foot looked at. mellitus, Low Priority: asked to read text, complete self-tests, answer Case Study questions, and complete Shadow Health clinical assessments. She denies - Document subjective data using professional terminology week), Acetaminophen 5001000 mg PO prn (headaches, • Weight (kg) - 89 Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. She states that she experiences pain daily, but her ankle seemed fi ne not as serious as she thought. She denies cough Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- any treatment for her nasal symptoms. Subjective • Episodes accompanied by mild anxiety sleeping and sitting in class. Thorough examinations will yield better patient data. (“last night”). She has no recent use of spirometry, does not 5 Perform a focused assessment of the respiratory system The pain is in her low back and bilateral Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. this morning), • Weight (kg) - 87 I’ve noticed my heart has been beating faster than edema. The experience consists of 9 modules aligned with major topics in these courses, e.g. • Heart Rate (HR) - 80 You accomplish demand to thorough either a debriefing convocation or the dubitate answerableness provision! - Right side carotid bruit antacid with some relief. - Reports frequent cough as part of medical history For instructor use only. 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. no other associated symptoms. • Interview the patient to elicit subjective health information about her health and health history • Head: Denies history of trauma. • Heart Rate (HR) - 89 She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was Speech is clear and coherent. • Blood Pressure (BP) - 140/ episodes a week that are more severe • Respiratory: Complains of shortness of breath and cough as above. Denies sputum, hemoptysis, pneumonia, This preview shows page 1 - 3 out of 8 pages. She does state that she has pain completely. • Pulse Oximetry - 98% One week after sustaining the cut, Tina Jones develops an infection in the cut on the bottom of her foot; she seeks She awakens with night-time - Mild tachycardia Module 1 The activities in this section are provided to guide you through the instruction as you complete this course. back under control. Albuterol 90 mcg/spray MDI 2 puff s Q4H prn (Wheez- allows students to eliminate diff erential diagnoses Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Create a differential diagnosis health literacy, Express consideration and respect for patient perspectives, feelings, and sociocultural Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. then, I’ve been using my inhaler a lot, and it’s not • Symptoms - Shortness of breath, decreased inhaler eff ectiveness Gastroesophageal refl ux disease without evidence of esophagitis. The episodes generally last between 5 and 10 minutes and resolve spontaneously. Day 4: Tina went to her cousin’s house, where she encountered cats and experienced wheezing. - Father smokes indoors Her pain increased to • Temperature (F) - 98. Two days ago, I had a kind of asthma attack. Shadow Health, Gainesville, Florida. She states that she lifted several boxes before this event without At the time of the incident she notes - Nasal discharge, boggy turbinate, and visible crease on She has had no exposures to sick individuals. Follow up about birth control. She describes these episodes as Printable “Answer Key” available within the Shadow Health DCE. Popular books. Diagnosed with asthma at age 2.5 years. - Right ear has erythematous; canal is clear and a little red. She rates her throat pain as 4/10. Denies blood in stool, dark stools, or maroon stools. • Diagnosis - Asthma exacerbation, For instructor use Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved. bleed, weight loss, and chest pain. • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. The pain is aggravated by sitting (rates a 7/10) and • Respiratory Rate (RR) - 16. Continue to She worried that She complains of blurry vision after reading for extended periods. For instructor use only. - Identify opportunities to educate the patient • Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or In the Comprehensive Assessment, you earn points by performing the physical assessments. activities and she is concerned that her albuterol inhaler seems to be less eff ective than previous. “I’ve been coughing a lot the past four... no I’ve been coughing for five days.”, Ask about a variety of psychosocial factors related to home life, such as Get step-by-step explanations, verified by experts. NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. • Blood Pressure (BP) - 139/ a recent right foot injury. chest pain. NR 509: Comprehensive Assessment Results: Self-Reflection. The answers we seek to sought out when it comes to the problem of determining what particular Tina Jones Shadow Health Answer key is suitable for any particular scenario, one only needs to determine the viability of transmuting one viable evidence-based practice from one Tina Jones Shadow Health ‘fraternity’ or ‘real-life’ simulation to the another. If She presents today as the pain has continued and is interfering with her activities of 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 although they did not completely resolve. She has never been diagnosed Created by. • Pulse Oximetry - 99% After completing the assessment, you will refl ect on personal strengths, limitations, beliefs, prejudices, and values. • Penicillin: rash - Lymph nodes enlarged and tender on the right side 5 Reflect on personal strengths, limitations, beliefs, prejudices, and values. This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of She does state that the pain in her lower back has impacted her comfort while • Heart Rate (HR) - 80 At that time she used her albuterol inhaler and her symptoms • Allergic to cats and dust. Educating tomorrow's health care professionals with interactive, simulated digital clinical experiences. Tina presents with continued shortness of breath and wheezing. • Diagnosis - Muscle strain in lower back, NURS 612 Shadow Health All Modules Cases Instructor Keys, Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Shadow Health All Modules Cases Instructor Keys. The wound wasn’t getting worse, but it wasn’t healing, either. • Pain begins right after fi nishing a meal and lasts a morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! to this episode. (last use: 5 hours ago), Fluticasone propionate 110 mcg 2 puff s BID (last use: She reports that the inhaler does - Select and use the appropriate procedures for a focused cardiac exam time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter Develop strong communication skills Current prescription meds. Gravity. high cholesterol and hypertension, Objective (Found by the student performing physical exam) and patient data. I just passed my health assessment class and didn't really understand how my school was grading that or how to improve my scores. bronchitis, emphysema, tuberculosis. buttocks, is a constant aching with stiff ness, and does not radiate. diarrhea, and constipation. She denies fevers, chills, and night sweats. - Tenderness in throat; “cobble stoning” in back of throat. • General: Denies changes in weight and general fatigue. nose from rubbing Students determine if 5 Differentiate between variations of normal and abnormal assessment findings to determine the 5 Communicate critical information effectively to another healthcare professional during the transfer • Decreased appetite and increased burping. She does notice that she has increased burping after meals. - Starting to feel pain in his right ear, EXAM Neosporin on it, and bandaged it. Preparing ahead of time will help to set you up for success. components of objective data collection for this patient. Develop strong communication skills She tried two puff s on Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put - Demonstrate empathy for patient perspectives, feelings, and sociocultural background • Acute pain of the foot shortness of breath twice per night. • Gastrointestinal: No changes in appetite, no nausea, no vomiting, no symptoms of GERD or abdominal pain incident and does not know the weight of the box that caused her pain. - Organize all components of a focused cardiac exam They took her temperature at home, and it was 102. • Pain worsens with larger or spicy meals, and with College Physics Raymond A. Serway, Chris Vuille. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Return to clinic in two weeks for evaluation and follow up. Since that incident she notes that she has had 10 episodes of She denies numbness, tingling, radiation, or bowel/bladder dysfunction. Shadow Health provides immediate feedback to students, which includes two-strike scoring and worked examples for each question. NR 509 Week 2 Assignments plus Quiz with Answers. she “took really good care of it.” Tina was able to go to work and attend school. Denies nausea, vomiting, therapy. - Differentiate between normal and abnormal assessment findings to determine the cause and and my nose won’t stop running. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. No known • Blood Glucose - 131 age 16. Subjective and Objective Model Documentation • Symptoms - Sore and itchy throat, runny nose, itchy eyes • Diagnosis - Allergic rhinitis She fi ve times for asthma, last at age 16. • Assess risk for disease, infection, injury, and complications. Ms. Jones off ers information freely and without Follow up about diabetes meds. 5 Practice patient-centered care, Convey empathy with therapeutic communication, Provide patient education on condition, diagnosis, or treatment while respecting variance in factors and bring log to next visit. Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW (“a week ago”). She denies “thumping feeling” in the last month - S3 noted at mitral area Bowel movements are daily and generally brown in color. • Abdominal exam results are normal (inspection, Timeframe: 3 months after establishing primary care (Age: 28) Revisit clinic in 2 4 weeks for follow up and evaluation. Note: This pacing guide does not replace the course. taken a month ago), • Weight (kg) - 85 STUDY. She does not associate the rapid heart rate WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT allergens she states that she has runny nose, itchy and Interview the patient, assess the related body systems, produce a differential diagnosis, and then report she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. • Temperature (F) - 99. - Gather subjective and objective data This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … does admit to needed an occasional third puff for - PMI displaced laterally on both sides, clears with cough propionate, 110 mcg 2 puff s BID (last use: this NR 509 Week 8 Summary Reflection Post. • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. background Hi eyery body, i am doing health assesment class right now and i am having some tough time with shadow health - Tina Jones. 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