Asking Tina about her history of acne solicits important information about her health history. This should take about 3 seconds. Student: Does your family have a history of headaches? Example Question: Do you ever have chest pain? Finding: Asked about paternal grandfathers health. Finding: Asked about the effectiveness of pain medication at home. Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. Example Question: When was your last tetanus booster? Some popular services for laser hair removal include: What are people saying about laser hair removal in Provo, UT? What bugs you about nail salons? While the patient is in your care, ensure that their meals align with a low glycemic diet, and educate the patient on monitoring her own health status. Evidence Relevant: Evidence Pro Tip: Tina directly reports that she doesnt exercise, which is the primary evidence for a sedentary lifestyle. Student: What asthma symptoms have you experienced? Asking Tina about her sun Tina Jones: I havent noticed any pain there. risk for skin cancer. Ive been going to the same church since I was a kid, too, so the people at church are practically part of my family. Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the It was much needed and I will be back every 3 weeks until I can do it myself. Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. May extend deeper into dermis than papule. Infants: Lanugo, Vernix Caseosa, storkbite, milia Student: Do you monitor your blood glucose? Patient verbalized understanding. Student: Have you used illicit drugs? Example Question: How many times a day do you take pain medication? The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patients immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as oral infection or recent trauma. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. A history of flank pain could be a symptom of genitourinary problems. . Finding: Reports diabetes (Found)Pro Tip: It is important to identify any existing medical conditions, as that information is an integral part of a complete health history. Please let cashiers know when check-out.more, PhenomeNails isnt just a nail salon, its an absolute beauty and relaxing experience. Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Denies Vaping (Available)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and is a potential factor in delayed wound healing. Priority Low Priority Pro Tip: A BMI greater than 30 indicates obesity, but this diagnosis is a low priority at present. Student: How many puffs do you take when using your asthma inhaler? information. Student: I cant even imagine how you feel about losing your father, Tina Jones: Dad was a little stricter than Mom growing up. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Example Question: Do you use condoms when you are sexually active? Example Question: How often do you use your inhaler? My foot slid off the bottom step and it got all scraped up. Model Statement: "It sounds like your asthma is giving you some problems, and youre not getting full relief from your inhaler. Tina Jones: Thanks. Student: Does your mother have any health problems? 5, Upper Ground Floor, Sky Terrace Building, Mansarovar Sector 5, Provo, UT, 84604, company website, reviews, ratings, and more! Tina Jones: Well, Im here, so I guess it didnt do its job. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. Finding: Asked about prescription medications. Finding: Asked about review of systems for respiratory. Alix_Johnson55. Example Question: Did you get a flu shot this year? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Have you been more thirsty lately? ", 8. Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Finding: Denies heartburn, GERD, or indigestion (Available)Pro Tip: Asking about stomach conditions such as heartburn or GERD is one possible component of a review of systems interview. Presence of dizziness could indicate a reaction to medication, an inner ear problem, or changes in blood sugar or blood pressure. Example Question: Are you feeling feverish right now? Intervene Pain: Administer prescribed analgesics to provide optimal pain relief. Tina Jones: Shes pretty healthy. Evidence Pro Tip: The strongest evidence of impaired walking is that Tina directly reports she cant bear weight or walk on her affected foot. Finding: Asked review of systems for reproductive. Priority Low Priority Pro Tip: When caring for a patient diagnosed with asthma, its important to be aware of the possibility of emerging respiratory symptoms. Test. Finding: Reports weight loss was unintentional (Found)Pro Tip: Unintentional weight loss can be a sign of underlying medical conditions or a reflection of unhealthy lifestyle choices. 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. Finding: Denies edema (Available)Pro Tip: Asking about edema is one possible component of a review of systems interview. Example Question: Does dust trigger your asthma? Its better for your asthma and your overall health.". Pro Tip: Monitoring moles is an important step in detecting skin cancer. Pro Tip: Monitoring moles is an important step in detecting skin cancer. If she has not had any screenings, it provides an opportunity for patient education. Finding: Denies lumps (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as lumps, is one way of assessing overall breast health. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. Examples: friction blister, burns, contact dermatitis Intervene Diet: Provide the patient a diet without concentrated sweets. Example Question: At what age were you diagnosed with asthma? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Priority High Priority Pro Tip: Uncontrolled blood glucose levels delay or prevent wound healing, and must be addressed to resolve the infection. Finding: Denies suicidal ideation or attempts (Available)Pro Tip: Asking about the patients suicidal ideation 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. Existing conditions can also inform your treatment and understanding of the patients current health issues. Example Question: Whats preventing you from taking your diabetes medication? Things were only hard like that for a few months. Example Question: How many pain pills do you take at a time? Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. Example Question: Have you noticed changes in your sleep? Crust: The thickened, dried-out exudate left when vesicles burst or dry up, Color can be red-brown, honey or yellow. We could start you at a low dose, which reduces the side effects. 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. Finding: Reports redness around the wound (Found)Pro Tip: Asking about redness will help you understand the timeline for the infection progression. Example Question: Has your injury prevented you from going to class? Finding: Asked about use of OTC medication. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Finding: Reports receiving HPV vaccine series (Available)Pro Tip: Discovering if a patient has received the HPV vaccination reveals information about both her medical history and her susceptibility to infectious disease. Example Question: What is your vaginal discharge like? Tina Jones: Like a 7. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Diana Shadow: Hi. Shadow Health. Press Release. Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. There was about a month where it was hard for us to get to church. Priority: High Priority Pro Tip: This is a high priority. Tina Jones: My nose is fine right now. 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. 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. Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Student: Can you rate your current pain level on a scale of 0 to 10? Model Statement: "Staying away from sugar is a great start. Excoriation: self-inflicted abrasion; superficial; sometimes crusted; scratches from intense itching. If the patient reports a history of nausea, it could be a symptom of a recurring gastrointestinal problem. Example Question: Do you ever notice blood in your urine? Asking Tina if her skin gets dry solicits important health information. Example Question: Does the wound feel warm? So impressed! A history of STIs could cause complications with the genitourinary system. Finding: Denies current headache (Available)Pro Tip: Asking Tina is she currently has a headache is important because it might be contributing to her current discomfort and should be treated promptly. Tina Jones: He had high blood pressure and cholesterol. Well done.". Loss of a family member Not Followed Up, Description: Tina shares information about her father dying. She expresses gaps in health literacy about the risk of ceasing prescribed medication and blood glucose monitoring. Tina Jones: I dont know. Student: What immunizations have you received? Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patients safety while she is in your care, as it affects what medications will be safe and appropriate. 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. Tina Jones Skin, Hair, and Nails _ Completed _ Shadow Just Now 6/5/2020 Skin, Hair, and Nails Completed Shadow Health 2/3 Review 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 Preview / Show more See Also: Family Medical Show details Priority High Priority Pro Tip: The patients foot wound impairs her walking, which in turn increases her risk for falls while she is an admitted patient. Finding: Reports her major is accounting (Available)Pro Tip: Asking about a patients course of study is a good practice to establish rapport with your patient. The following details are Example Question: Do you have any mouth problems? most effectively treat her symptoms. Model Statement: "Thank you for sharing that information. If you would like, I can help you find a monitor that is as painless as possible. Student: Have you ever smoked cigarettes? Pustule, Crust Example Question: Do you have a history of depression? Finding: Reports occasional tiredness or fatigue (Available)Pro Tip: Asking about tiredness or fatigue is one possible component of a review of systems interview. Asking whether shes noticed ear discharge could indicate whether she has a ruptured eardrum. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Do you urinate frequently? Tina Jones: I dont think I have any problems. Asking Tina if her wound has any redness specifies the symptoms she is experiencing. Asking Tina when she developed acne solicits important information about her health history. Buy the Full Version Reward Your Curiosity Everything you want to read. Tina Jones: No, I cant. Student: Do you have problems with your mouth? Finding: Reports that penicillin resulted in hives (Available)Pro Tip: Determining a patients reaction to an allergen is essential to gauge if the allergy is life-threatening. Finding: Asked if the patient has allergies to dust, mold, or pollen. Asking Tina if her body hair has changed solicits important health history information. Shadow Health representative here, we have some great tips for new students. Finding: Denies vaginal itching or discomfort (Available)Pro Tip: Asking about vaginal discomfort, such as itching or burning, is one possible component of a review of systems interview. Tina Jones: Yeah, Ive lost some weight recently. Atrophic scar Finding: Denies change in bowel movements (Available)Pro Tip: Asking about changes in bowel movements can help you understand a patients baseline patterns. . Finding: Reports taking ibuprofen (Advil) at home (Found)Pro Tip: Discovering how a patient has been medicating for pain is a crucial element of understanding and treating her condition or injury. Asking Tina if her paternal grandmother had high blood pressure can reveal generational patterns. Paronychia: Red, swollen tender inflammation of the nail folds. These are the best cheap nail salons in Provo, UT: What did people search for similar to nail salons in Provo, UT? Example Question: Do you wear glasses or contacts? Finding: Denies muscle swelling (Available)Pro Tip: Asking about muscle swelling is one possible component of a review of systems interview. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Have you had gum problems? (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? Depending on when the drug was most recently taken, it could interfere with medications. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Match. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip: Its crucial to ask whether your patient has seen another provider for the injury, because any previous medical intervention will help you understand the progression of the wound. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will I personally haven't used Dr. Rose but as a (MLD) Manual Lymphatic Drainage Therapist I had the pleasure to work with one of his patients" more. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. exposure habits, like if she uses sun block, will help you to determine whether she is at risk Finding: Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound can provide insight into its severity and characteristics. Linear: a scratch, streak, line or stripe Discrete: distinct, individual lesions that remain separate: skin tags, acne Finding: Asked about family history of headaches. Example Question: Have you noticed any changes in your vision? Shes still living on her own. Student: How old were you when your father died? Asking Tina if any of her family members had cancer is essential for understanding her risks. Finding: Reports feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the patients pain radiates can help determine the progression of infection. Quickly and professionally. Asking Tina how her foot wound has been healing specifies the symptoms she is This is a review for laser hair removal in Provo, UT: "Highly recommend! As a currently presenting symptom, it could impact the patients care plan. Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction or local trauma. Urticaria (hives) Student: Does your paternal grandfather have any health problems? Finding: Reports ibuprofen is regular strength (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Finding: Reports difficulty breathing 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 difficulty breathing. After an appropriate time interval, assess pain levels again to see how the intervention affected the pain. Student: Does your father have any health problems? Asking Tina if her paternal grandfather had high cholesterol can reveal generational patterns. Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient. If a patient reports atypical discharge, it could indicate a yeast or sexually transmitted infection. Student: What allergies do you have? Finding: Reports cause of death was a car accident (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. Finding: Denies dental problems (Found)Pro Tip: Asking about symptoms, such as dental problems, is one possible component of a review of systems interview. Tinea corporis (ringworm of the body) Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. 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 Auscultate the lungs to listen for abnormal sounds. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Example Question: Has your hearing changed? Finding: Asked about past diabetes medication use. Finding: Reports typically taking 2 puffs (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Tina Jones: I only have a few drinks when I go out. Example Question: Do you wake up at night to urinate? Example Question: Have you had breathing problems? Finding: Denies flank pain (Available)Pro Tip: Flank pain can be a sign of kidney infection. Finding: Reports last hospitalization was for asthma (Available)Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. Finding: Asked about review of systems for ears. Educate Disease Process: Educate the patient on diabetes pathophysiology, risks of morbidity and mortality, importance of self-care. Finding: Asked about home treatment of foot wound. Jan 26, 2016 The first shadow health was pretty hard to pass. Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. Finding: Reports pain affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Im not a huge health nut or anything. Example Question: Have you been hospitalized in the past? Example Question: Do you drink sugary drinks? Flashcards. Example Question: What is the pain like when you stand on your foot? Squamous cell carcinoma Evidence Relevant: "Random blood glucose: 238" Evidence Pro Tip: Tina reports infrequent blood glucose monitoring and a general lack of diabetes management, which increases her risk for fluctuating blood glucose levels. However, this issue is low priority for a patient with acute pain and a wound that prevents her from walking. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. I get headaches sometimes, but thats all. Menu & Reservations Make Reservations . 2023 MerchantCircle. 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. Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Finding: Reports urinating 2 to 3 times during the night (Available)Pro Tip: Discovering if Tina has nocturia can offer insight into underlying medical conditions and general health. Finding: Asked about patients living situation. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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