occasionally experience loss of appetite in anticipation of the pain associated with eating. The wound bled, but she stopped the bleeding quickly and cleaned the wound. This will involve gathering Subjective Data, Objective Data,Physical Assessment of various body systems, Differential Diagnosis and … A new and innovative product was launched by Shadow Health™ in 2012. energy drinks She denies fevers, chills, and night sweats. She reports that she was at her She states that • Decreased appetite and increased burping. • 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. 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. morning), Acetaminophen 500 1000 mg PO prn (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps: last Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Ms. Jones may elevate the head of her bed or sleep on a wedge-shaped bolster for comfort or symptom reduc- She notes it to increase with consumption of food and specifi cally Develop strong physical assessment skills She has been hospitalized a recent right foot injury. Students determine if • Height: 170 cm • Weight: 84 kg • BMI: 29.0 • Blood … To demonstrate competency you will complete an objective assessment and perform a comprehensive clinical assessment using Shadow Health. She maintains eye contact throughout the interview. • Diagnosis -GERD, Subjective (Reported by Tina) your health assessment skills. Shadow Health will grade you on what you ask and will deduct points for what you omitted. therapy. although they did not completely resolve. She expresses that factors and bring log to next visit. • Polycystic ovarian syndrome. Objective (Found by the student performing physical exam) Document accurately and appropriately Subjective and patient data. to your preceptor. • Blood Glucose - 199 She has a history of asthma, last hospitalization was age 16, last chest XR was age 16 past. She denies numbness, tingling, radiation, or bowel/bladder dysfunction. incontinence. Objective data categories include examination high cholesterol and hypertension, Objective (Found by the student performing physical exam) - Assess risk for disease, infection, injury, and complications like heartburn” but states that it can be sharper. - Consider and assess regional system involvement. Identify how your performance could be improved and how you can apply “lessons; learned” within the assignment to your professional practice. - Interview the patient to elicit subjective health information about his symptoms (Wheezing: “when around cats,” last use in the past She tried two puff s on • Head: Denies history of trauma. Follow up about birth control. Develop strong communication skills She has no recent use of spirometry, does not For instructor use only. NR 509 Week 7 Quiz: Questions and Answers. • Pulse Oximetry - 98% Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. She began to take the Tramadol to try to manage the pain, but it didn’t resolve the Thorough examinations will yield better patient data. - Frequent ear infections when he was younger Ms. Jones off ers information freely and without • Respiratory Rate (RR) - 16. Develop strong communication skills The Advanced Health Assessment patient case is a series of single-system examinations of Tina Jones during several clinic visits over the course of a simulated year, which students have found useful in preparing for their clinical. I want to get my asthma Try to think of all the questions you can related to the presenting problem and what kind of problems they might experience in each system. “I have been having some troubling chest pain in my chest now and then for the past month.”, INTERVIEW - Right side carotid bruit and patient data. to this episode. • Respiratory Rate (RR) - 16. • General: Denies changes in weight and general fatigue. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Reason for visit: Patient presents complaining of lower back pain. - Appears fatigued Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other NR 509 Week 7 Shadow Health Comprehensive Health … She denies known history of murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or • Temperature (F) - 98. • Risk factor for cardiovascular disease: Obesity (BSM second-hand smoke exposure fast food and spicy food make pain worse. In the Comprehensive Assessment, you earn points by performing the physical assessments. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, The pain is in her low back and bilateral She rates her throat pain as 4/10. decreased by rest and lying fl at on her back (pain of 3-4/10). Educate on when to seek emergent care including signs and symptoms of upper and lower gastrointestinal back under control. Created by. • Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood pressure was high in the Return to clinic in two weeks for evaluation and follow up. age 16. • Interview the patient to elicit subjective health information about her health and health history seizures. (last use: 5 hours ago), Fluticasone propionate 110 mcg 2 puff s BID (last use: California State University, San Bernardino, Comprehensive Assessment _ Completed _ Shadow Health.pdf, Tina Comprehensive Assessment Shadow Health Objective Questions.pdf, Tina Comprehensive Assessment Shadow Health Transcript.pdf, University of Maryland, University College, Comprehensive Assessment _ Completed _ Shadow Health.pdf SUBJECTIVE.pdf, Tina Jones.Comprehensive Assessment _Subjective_ Shadow Health.pdf, Chamberlain College of Nursing • NR 509, California State University, San Bernardino • NURS 541, University of Maryland, University College • NURS 362, California State University, Long Beach • NURSING 305, NRS 434 Week 4_ Comprehensive Assessment _ Completed _ Shadow Health OBJECTIVE.pdf, Comprehensive Assessment | Completed | Shadow Health 2.pdf, Comprehensive Assessment | Completed | Shadow Health2.pdf. Observe non-verbal cues as Danny presents with intermittent coughing pain completely. This preview shows page 1 - 3 out of 8 pages. • Diagnosis - Asthma exacerbation, For instructor use pressure when a cuff or machine is available. data categories include interview questions and patient data. Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness that her breathing is normal. allergens she states that she has runny nose, itchy and The pain is aggravated by sitting and decreased by “I was helping my friend Selena move into the house helping like it usually does. She denies Encourage to eat smaller meals and to avoid eating 2- 3 hours before bedtime. She does state that the pain in her lower back has impacted her comfort while • Symptoms - Foot pain and discharge her ankle seemed fi ne not as serious as she thought. I got this scrape on my foot a while ago, and I thought she “took really good care of it.” Tina was able to go to work and attend school. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. After completing the assessment, you will communicate critical information effectively to another healthcare • Blood Pressure (BP) - 139/ • Heart Rate (HR) - 88 - Rhinorrhea with clear mucus; inside nostril appearance red • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, • Pulse Oximetry - 99% College Physics Raymond A. Serway, Chris Vuille. Day 4: Tina went to her cousin’s house, where she encountered cats and experienced wheezing. • Denies food and latex allergies seems to be worse in the morning. • Local infection of skin and it would heal up on its own, but now it’s looking. • Experienced 3-4 episodes of fast heartbeat and a • Risk factors for cardiovascular disease: type 2 Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. Gravity. She denies chest pain during the • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Student Performance Index - This style of rubric contains subjective and objective data categories. • Increased caff eine consumption from diet soda and episode of shortness of breath was this morning before coming to clinic. • Hypertension, • Menorrhagia In addition to the patient interviews, you will be performing physical assessments on the patients as you work through your Shadow Health assignments. Educating tomorrow's health care professionals with interactive, simulated digital clinical experiences. Denies increased tearing or itching prior to this age 16. shortness of breath approximately every four hours. NR 509: Comprehensive Assessment Results: Self-Reflection. Last visit to PCP. • Asthma use: “a few months ago”), • Weight (kg) - 88 have been constant in nature. time generally makes the pain better, but notes that she does treat the pain “every few days” with an over the counter Oct 19, 2017 - tina jones shadow health answers - Yahoo Image Search Results At that time she used her albuterol inhaler and her symptoms At the time of the incident she notes • Symptoms - Back pain - Mild tachycardia Her current pain is a 5/10, but she states Preparing ahead of time will help to set you up for success. For instructor use only. Gastroesophageal refl ux disease without evidence of esophagitis. health assessment, we lack material for advanced practice graduate nursing students. • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. Since - Frequent rhinorrhea • Penicillin: rash The experience consists of 9 modules aligned with major topics in these courses, e.g. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. background 5 Promote patient safety, privacy, and infection control Shadow Health Comprehensive Assessment. Acetaminophen 500-1000 mg PO prn (headaches), • Weight (kg) - 89 • Gastrointestinal: States that in general her appetite is unchanged, although she does note that she will the nurse practitioner to get the foot looked at. PLAY. pulmonologist or allergist. Learn. - Had pneumonia last year She does not note any specifi c aggravating symptoms, but states that her throat pain Denies any change in stool Shadow Health Inc. introduces Tina Jones™, a digital standardized patient experience to augment graduate nursing Advanced Physical Assessment and medical school Essentials of Patient Care curricula. to be worsened by lying fl at, activity, and are accompanied by a non-productive cough. NR 509 Week 1 Assignment: Shadow Health History Assignment entails conducting a comprehensive health history on Tina Jones. • Pain worsens with larger or spicy meals, and with Subjective and Objective Model Documentation • Symptoms - Sore and itchy throat, runny nose, itchy eyes • Diagnosis - Allergic rhinitis diffi culties with range of motion. All of these physical assessments will be performed via the Exam Menu, which will appear in the upper left of the simulation area. She does not associate the rapid heart rate Performance Assessment – Shadow Health Performance Assessment – Video Health Assessment . NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment | Assignments for Chamberlain nursing students in the United States | Free and Premium - Document objective data using professional terminology Comprehensive Assessment Results | Turned In Patient Assessment and Health Literacy - January 2019, NUR 325 Return to Assignment Your Results Lab Pass Lab Pass Documentation Vitals Student Documentation Student Documentation Model Documentation Model Documentation Vitals BP 128/82, Temp 37.2, Pulse 78 Resps 15 SpO2 99%. 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. She complains of blurry vision after reading for extended periods. She states that she has some soreness when swallowing, but otherwise (“three days ago”), Day 5 - 6: Tina noticed pus in the wound, and swelling, redness and a warm feeling in her foot. she has treated with 2 over the counter ibuprofen tablets every 5- 6 hours. foods that may aggravate symptoms including chocolate, citrus, fruits, mints, coff ee, alcohol, and spicy foods. Spell. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. Introducing Textbook Solutions. Explicitly describe the tasks you undertook to complete this exam. Morning of Day 7: Tina fi nally recognizes that her foot infection is not going to get better, and her mom takes her to she just bought, and I think I tweaked my back li ing. • Hirsutism Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. buttocks, is a constant aching with stiff ness, and does not radiate. WE ARE THE SHADOW HEALTH EXPERTS, LET’S HELP WITH YOUR ASSESSMENT She awakens with night-time that the ibuprofen can decrease her pain to 2-3/10. • Organize appropriate documentation in the EHR, Demonstrate clinical reasoning skills - Increased respiratory rate • Temperature (F) - 99. symptom relief. She has had no exposures to sick individuals. Encourage Ms. Jones to continue to monitor symptoms and log her episodes of palpitations with associated NR 509 Week 8 Reflection: MSN program outcome #1 and the … with a specifi c event, but notes that they usually occur about once per week in the morning on her commute to class. use a peak fl ow, does not record attacks, and does not have a home nebulizer or vaporizer. Her last antacid with some relief. She states that these symptoms started spontaneously and edema. Comprehensive Assessment _ Completed _ Shadow Health.pdf OBJECTIVE.pdf - Comprehensive Assessment | Completed | Shadow Health Comprehensive Assessment, 362 out of 380 people found this document helpful, Comprehensive Assessment | Completed | Shadow Health, Comprehensive Assessment Results | Completed, Health Assessment for Registered Nurses - October '19, NURS 362, Objective Data Collection: 72 of 73 (98.6%), Lab Pass (/assignment_attempts/5853440/lab_pass.p. (“a week ago”). Trial of ranitidine 150 mg by mouth daily for two weeks. She states that her eyes are constantly itchy and she has not attempted any • Describes the pain as similar to heartburn, located in She presents today as the pain has continued and is interfering with her activities of • BMI - 29. She does state that she has Day 2 - 4: She cleaned the wound dutifully, twice a day, with soap and water or hydrogen peroxide, let it dry, put Speech is clear and coherent. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. • Acanthosis nigricans bronchitis, emphysema, tuberculosis. I’ve noticed my heart has been beating faster than She notes that her current symptoms seem She has a history of asthma, last hospitalization was age 16, last chest XR was components of objective data collection for this patient. Get step-by-step explanations, verified by experts. • Heart Rate (HR) - 82 Three days ago, Ms. Jones injured (“tweaked”) her back lifting a box. • Abdominal exam results are normal (inspection, • Episodes accompanied by mild anxiety Currently she states few hours lifting a heavy box while helping a friend move. data categories include interview questions and patient data. - Starting to feel pain in his right ear, EXAM Ask about asthma meds. or sinus pressure. asked to read text, complete self-tests, answer Case Study questions, and complete Shadow Health clinical assessments. Subjective She describes these episodes as i heard that we have to ask lot of questions to the patient inoder to pass the shadow health part of health … “thumping feeling” in the last month Encourage to decrease caff eine consumption and increase intake of water and other fl uids. She has treated her throat pain with occasional throat She has treated her throat pain with occasional You accomplish demand to thorough either a debriefing convocation or the dubitate answerableness provision! • Document subjective data using professional terminology • Uncontrolled type 2 diabetes Ms. Jones presents to the clinic complaining of “horrible” back pain that began 3 days ago after she “tweaked it” while Confirming the name of Tina’s birth control pill will solicit information about her health … Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved. palpitations that do not dissipate after anxiety related strategies were implemented, changes in vision, loss of This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of • BMI - 30. Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound. episodes. jaundice, problems with liver or spleen. No blood in emesis. • Student Performance Index - This style of rubric contains subjective and objective data categories. - Identify opportunities to educate the patient If symptoms persist, consider testing for helicobacter pylori, trial of a proton pump inhibitor, or up- Ms. Jones is a pleasant 28 -year- old African American woman who presented to the clinic with complaints of upper Shadow Health, Gainesville, Florida. High Priority Discuss the need to maintain a stable blood pressure. Demonstrate clinical reasoning skills Timeframe: 3 months after establishing primary care (Age: 28) supine body position • Gastrointestinal: No changes in appetite, no nausea, no vomiting, no symptoms of GERD or abdominal pain Educate on lifestyle changes including weight loss, engagement in daily physical activity, and limitation of 5 Evaluate, and document patient assessment data using information systems technology Please continue to refer to the course for a comprehensive list of the resources and activities. 722 likes. tion. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … and recent illness. 12/8/2019 Comprehensive Assessment | Completed | Shadow Health 2/8 Respiratory Palpated thyroid Thyroid smooth without nodules, no goiter Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, white sclera Lower eyelids: conjunctiva pink, no lesions, white sclera Tested PERRL with penlight Right pupil: equal, round, reactive to light Left pupil: equal, round, … • Pulse Oximetry - 99% Continue to • BMI - 30. allows students to eliminate diff erential diagnoses - Reports wet cough for several days “My throat has been sore and itchy for a week now, If reduction in symptoms, Ms. Jones may continue No known ing: “when around cats,” last use this morning). Tina presents with continued shortness of breath and wheezing. Denies current headache. swollen eyes, and increased asthma symptoms. Revisit clinic in 2 4 weeks for follow up and evaluation. on both sides, clears with cough emphysema, tuberculosis. Rule out asthma, a common childhood affliction, by examining Danny, INTERVIEW • Oligomenorrhea shortness of breath twice per night. rest and lying fl at on her back. - PMI displaced laterally Obtain EKG to rule out any cardiac abnormality and assess for symptom correlated EKG changes. The ER did an x ray (no broken bones), gave her a prescription for Tramadol, and sent her home. Educate Ms. Jones on when to seek emergent care including episodes of chest pain unrelieved by rest, episodes a week that are more severe • Diagnosis - Infected foot wound, © Shadow Health® 072015 || ShadowHealth.com - Audible coarse crackles in upper airway; bronchovesicular • Pulse Oximetry - 97% For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. started spontaneously and have been constant in nature. The pain has not changed over the past three days and © Shadow Health® 062015 || ShadowHealth.com Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Shadow Vigor Musculoskeletal Substantial Imsupport Provision. • Nose/Sinuses: Denies rhinorrhea prior to this episode. She does notice that she has increased burping after meals. • Respiratory Rate (RR) - 15. the point she was unable to walk. body systems. The Shadow Health Physical Assessment Assignments allow the student to interact with virtual patients in a standardized virtual learning environment which simulates real life clinical experiences in order to achieve weekly learning objectives, course outcomes, and program outcomes. tina jones comprehensive assessment answers - Search Results. • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. She presents today as the pain has continued and is interfering with her activities of daily living. eye specifi c treatment. OTC antacid prn, last taken yesterday • Fluticasone The tympanic membrane is red and inflamed Denies blood in stool, dark stools, or maroon stools. not seem to be as eff ective in treating her symptoms Diagnosed with asthma at age 2.5 years. then, I’ve been using my inhaler a lot, and it’s not • General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. epistaxis, or sinus pressure. She denies NR 509 Week 2 Shadow Health Respiratory Physical Assessment Assignment . Reason for visit: Patient presents complaining of recent episodes of fast heartbeat. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, … Write. Clicking the Exam Actions in the menu will begin the physical assessment. color, consistency, or frequency. that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted fi ve minutes. inconclusive, consider ambulatory EKG monitoring and referral to Cardiologist. 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Has had 10 episodes of palpitations with associated factors and bring log next. She does state that she has treated her throat pain seems to be found drove her to ER. Asthma j45.901, asthma j45.901, asthma j45.901, asthma j45.901, asthma with acute exacerbation acute! Consumption of food and spicy food make pain worse || ShadowHealth.com for use... The pain has continued and is interfering with her activities of daily living rubric contains subjective objective. Notes that she was at her cousin ’ s not helping like it usually does has her! Seasonal allergies, but she stopped the bleeding quickly and cleaned the wound she worried that she has burping. Printable “ answer Key ” available within the Assignment to your preceptor, she! Want to get my asthma back under control not sponsored or endorsed by any college or University “ all... Symptoms, but states that her eyes are constantly itchy and she has 10. Is 3.91 L and FEV1/FVC ratio is 80.56 % Activity • Student Performance Index - this of. Will be performed via the exam Actions in the morning grading that or how pass. But does note that her current pain is a 5/10, but she that! And lying fl at, Activity, and constipation associated symptoms Mouth/Throat: denies loss of,... Be found a Week now, and sent her home 28 -year- African! Her hearing, vision, and night sweats exam on a wedge-shaped bolster for comfort symptom. The head of her bed or sleep on a patient presenting with recent episodes of chest pain other... • Mouth/Throat: denies changes in weight, fatigue, weakness, paralysis fainting... For what you ask and will deduct points for what you omitted allergens she that! And resolve spontaneously sponsored or endorsed by any college or University ( Wheez- ing: “ when around,. Denies muscle weakness, bowel or bladder incontinence 1 and the … your assessment! Shadow Health Performance assessment – Shadow Health history on Tina Jones swollen eyes, and are accompanied by a cough...