Finding: Reports weight loss occurred over the past month (Available)Pro Tip:Finding out the timeline for weight loss can indicate if it's sudden or gradual. Finding: Denies current nose problems (Found)Pro Tip: Asking about symptoms, such as nose problems, is one possible component of a review of systems interview. Student: Do you have a history of skin disease? Example Question: Did you notice any redness around the wound? I have a daily inhaler and a rescue inhaler for my asthma. Example Question: What's preventing you from taking your diabetes medication? The patient's response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient's chief complaint. Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. . Example Question: Have you taken any prescription pain medications? Educate the patient about what risks are, and what good diabetes care looks like. Risk for ineffective respiratory function. Student: Have you used drugs other than marijuana? "I have a monitor at home, but to be honest I don't really use it that often." ____ Make a decision ____ Gather information ____ Evaluate the outcome of your decision can any one tell me some tips to how to pass the shadow health. You should assess her needs to determine if providing any addition resources or support is appropriate. 28 terms. Student: Does your mother have any health problems? Student: When did you realize you were allergic to cats? Um, none that I know of. Do you have any health history that would contribute to hypertension (No matching questions found.). Student: Can you walk with your foot being injured? Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. My brother and my dad are kind of big, but I wouldn't say they were obese or anything. I think the first time was about a month ago. 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. Cardiovascular GI Genitourinary Musculoskeletal Neurological HSN. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found) Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Finding: Reports paternal grandfather diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports more frequent urination (Found)Pro Tip: Your patient's urination habits can offer insight into underlying medical conditions and general health. Shadow Health | Tina Jones | Respiratory Assessment. Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patient's complete health history? Tina Jones-Shadow Health- Abdominal. Student: Have you received a flu vaccine? Example Question: What's the most puffs you ever take? "No, I can't. Finding: Asked to rate current pain level on a scale. Determining your patient's stress level is part of an overall picture of her health. Finding: Reports receiving measles-mumps-rubella shot (Available)Pro Tip: Discovering what childhood immunizations a patient has received reveals information about both her medical history and her susceptibility to infectious disease. 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: Asked review of systems for urinary. I know I need sleep, too. Finding: Reports ibuprofen helped a little (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. 22 terms. Example Question: Have you experienced nipple discharge? Example Question: Did you receive the Hepatitis vaccine? As a currently presenting symptom, it could indicate a change in patient status. I'm not a huge health nut or anything. Intervene - Pain: Administer prescribed analgesics to provide optimal pain relief. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. Model Statement: "Thank you for sharing that information. ... Respiratory Concept Lab- Shadow Health. Finding: Reports wheezing 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 wheezing. Finding: Denies dry eyes (Available)Pro Tip: Dry eyes occur when the eyes do not produce enough tears to lubricate them. Feeling light-headed could indicate a reaction to medication, changes in blood sugar or blood pressure, or a neurological problem. Example Question: When was your last period? Student: Does your family have a history thyroid issue? Example Question: Why were you hospitalized last time? Finding: Reports feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the patient's pain radiates can help determine the progression of infection. Example Question: Did you get a flu shot this year? Tina Jones: I don't know. Student: How long ago was your dad's car accident? Obesity is a long-term health concern that cannot be addressed in a single visit. ), How many energy drinks do you drink per day. You will be able to see what has been effective and ineffective in the past, which will allow you to make a more informed decision about current treatment. Example Question: Did you receive the meningitis vaccine? 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. You will identify and prioritize diagnoses, then create a plan to address the identified diagnoses. It's pretty sad to. Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. Create. The patient's response to these questions may uncover neurological problems. Finding: Asked if the patient received a tetanus immunization. ), Yeah, I’ve been pretty stressed lately. In Tina's case, it will help you better understand her asthma and create a timeline. 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. Example Question: Do you have any swollen glands? Model Statement: "I'm sorry to hear that your pain is returning. Finding: Denies current birth control (Available)Pro Tip: A patient's use of birth control can impact the care plan, such as which medications are prescribed. Finding: Reports no more than 2 or 3 alcoholic drinks in one sitting (Available)Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient. Finding: Asked about past diabetes medication use. Tina Jones: I haven't smoked pot since I was twenty or twenty-one. If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. Example Question: Are your periods regular? He would just get really calm and quiet and tell us to go to our rooms without supper, or that we were grounded when we were older. You have to tailor the questions to each system. She's still living on her own. Shadow Health - HEENT Tina Jones. Tina Jones: Yeah, there's definitely pus. Finding: Reports infrequent runny nose (Found)Pro Tip: Asking about symptoms, such as runny nose, is one possible component of a review of systems interview. Finding: Reports pain (Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Example Question: Do you have muscle pain? Tina Jones: I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Finding: Denies seasonal triggers (Available)Pro Tip: Asking about seasonal triggers can help you understand a patient's complete set of asthma triggers over the course of a year. It’s always a hassle though, so I try to avoid it unless I really have to like right now. It hurts a lot, but whatever pain med the ER gave me is helping a little bit." It wasn’t the cost that was a problem. It feels like I can't take in air, like I can't get enough air into my lungs. xample Question: Have your moles changed? Finding: Asked about patient's living situation. 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. ksabina. 26 terms. Interview your first Digital Standardized Patient, Tina Jones, document her comprehensive health history, and complete post-exam activities. I'm Preceptor Diana. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. Example Question: Does your maternal grandmother have health conditions? Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patient's reaction to an allergen is essential to gauge if the allergy is life-threatening. Discovering a patient's individual response to pain medication is an important factor in your overall treatment plan. Example Question: Are you able to hold your urine? Any associated symptoms? It's good to hear that you no longer smoke pot. "I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patient's voice is one possible component of a review of systems interview. 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. I don't know if it's allergies, but sometimes my asthma acts up around dust. Finding: Denies frequent sore throat (Available)Pro Tip: Asking if a patient has recurring throat problems is one possible component of a review of systems interview. 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