Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your 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. Finding: Asked about family history of substance abuse. Student: How old were you when your father died? Example Question: Do you ever get headaches? Linear: a scratch, streak, line or stripe 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: 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. 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. Koilonychia literally means "spoon nails." Finding: Asked about childhood immunizations. Finding: Reports disliking diabetes medication side effects (Found)Pro Tip: Asking about side effects from medication can provide information about your patients reaction to treatment. Example Question: How many days have you needed pain medication? Save my name, email, and website in this browser for the next time I comment. In Tinas case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. her neck is itchy, will allow you to compare her symptoms and assess her condition. Let us have a look at your work and suggest how to improve it! Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature: 102.4 F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%. Example Question: Are you feeling feverish right now? [Show more] Preview 4 out of 79 pages Cosmetic Surgeons. Student: What immunizations have you received? Quickly and professionally. And diabetes we have diabetes in common. Erosion: scooped but shallow depression. Example Question: Do you have stomach pain? As a currently presenting symptom, it could indicate a change in patient status. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as unspecified allergies. Finding: Reports no more than 1 or 2 nights a week drinking alcohol (Available)Pro Tip: Finding out how many nights a week your patient has alcohol gives insight into potential habits or abuse. As the underlying cause for delayed healing and infection, they must be addressed. You may discover that a patient experiencing grief needs additional resources and support. Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. Lack of blood glucose monitoring Not Followed Up, Description: Tina reveals that she does not check her blood sugar. Example Question: Does your brother have health conditions? If the patient reports a history of constipation, it could be a symptom of dietary or gastrointestinal problems. Unstable blood glucose levels could increase the patients risk for falls. Have there been problems with the hair on your head? Student: Does your father have any health problems? Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. A combination of open and closed questions will yield better patient data. Student: Can you rate your current pain level on a scale of 0 to 10? Finding: Reports current pain is 7/10 (Found)Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care. Derma Magnetica resonates with first class luxury treatment for helping each and one of you in looking the best version of you, at the most affordable prices in the industry. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. .not always. Lumps have a range of severity, as they could be the result of breast injury or cancerous growths, but any abnormalities should be handled with the highest level of concern. Finding: Asked about frequency of urination. Finding: Asked about use of pain medication. Depending on when the drug was most recently taken, it could interfere with medications. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Examples: impetigo and acne. Created by. Pro Tip: Sun exposure can directly affect a patient's skin. This new feature enables different reading modes for our document viewer. Finding: Reports sometimes needing 3 puffs to control symptoms (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. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. Asking Tina if she has nail fungus solicits important health information. Asking Tina about her history of acne solicits important information about her health history. Pro Tip: Monitoring moles is an important step in detecting skin cancer. 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: Asked about home treatment of foot wound. Student: Why dont you have your dads income? Student: Have you had any problems with your breasts? Example Question: Have you noticed any swelling in your legs? Asking Tina if she has had skin rashes solicits important health history information. Example Question: Are your periods regular? important health information. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Other supporting data points are the presence of her foot wound and her general reports of pain. Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Finding: Reports taking doses at morning, noon and night (Available)Pro Tip: The frequency with which your patient takes pain medication can indicate the severity of her condition or injury. Patient denies any abnormal masses currently on body. If you find gaps in the patients literacy, that is your opportunity to provide education. Example Question: How many puffs of your inhaler are you prescribed? Finding: Asked about use of OTC medication. Student: Do you currently take medicine for your diabetes? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. If she has not had any screenings, it provides an opportunity for patient education. Example Question: Do you have any reaction to dust? Example Question: How often do you urinate during the day? Example Question: Does your paternal grandmother have health conditions? How to Start a Beauty Products Home Business, Domestic Violence Information & Treatment, Do Not Sell or Share My Personal Information, Limit the Use of Sensitive Personal Information. Example Question: Are you ever exposed to secondhand smoke? When Im reading or studying Ill notice that things start to get kind of blurry. Finding: Denies diarrhea or loose stool (Available)Pro Tip: Asking about diarrhea is one possible component of a review of systems interview. Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction or local trauma. I know I need sleep, too. I cant put any weight on it without like, shooting pain." Example Question: Have you had breast cancer? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports specific age of diagnosis is 2.5 years old (Available)Pro Tip: Asthma can have a profound impact on health, and it is important to learn about the patients history of the condition, including the age of diagnosis. Reports skin has only itched due to cat exposure. Tina Jones: Well, Im here, so I guess it didnt do its job. Finding: Asked for details about the pain. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as unspecified allergies. Tina Jones: I dont know what caused it, I just lost weight. Student: When did you last use drugs? What could they do to make you happier? Finding: Reports recommended dose is 1-3 puffs as needed (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. Finding: Denies change in hearing (Available)Pro Tip: Asking about changes in hearing is one possible component of a review of systems interview. most effectively treat her symptoms. Evidence Relevant: "BMI: 31" Evidence Pro Tip: Tinas BMI is 31, which is in the obese range. She might have high cholesterol too. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Finding: Denies edema (Available)Pro Tip: Asking about edema is one possible component of a review of systems interview. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is itchy, will allow you to compare her symptoms and assess her condition. . Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Finding: Reports using an inhaler (Found)Pro Tip: Asking how your patient treats her asthma can provide important information about her medical history and health literacy. Asking Tina how she treats her acne solicits important information about her health history. the skin's oil glands. Or like, hed make us rake the yard or wash his car or something. Example Question: At what age were you diagnosed with asthma? 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: Do you have trouble breathing? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. the skin's oil glands. Student: Have you ever smoked cigarettes? Example Question: Do you perform breast self-examinations? Tina Jones: No, I cant. Asking Tina when If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. This can also alert you if a patients activities of daily living are hindered. By Appointment Only. A history of STIs could cause complications with the genitourinary system. Tinas diabetes diagnosis will have a large impact on her bodys healing ability, which should be taken into consideration during your exam. Individual Property Assessment Roll Data. Finding: Denies loss of coordination (Available)Pro Tip: Asking if the patient has experienced loss of coordination is one possible component of a review of systems interview. Example Question: Do you know what type of diabetes you have? Please let me know if there is anything I can help you with, such as contacting your employer or asking a family member to bring your schoolwork. Test. Example Question: When was your last asthma attack? Example Question: Tell me more about any sugars you consume. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. I think she takes some pills, maybe for blood pressure? Educate Exercise: Educate the patient about the benefits of exercise. Tina Jones: Well, I used to smoke pot. Auscultate the lungs to listen for abnormal sounds. 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. Finding: Asked about constitutional health. I feel a lot better now that Im just eating healthier than I did when I was taking the pills. patient. Student: How many puffs do you take when using your asthma inhaler? Tina Jones: Ive never had been in any kind of situation like that Its scary to think about. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]. Examples: healed area of surgery or injury, acne . A combination of open and closed questions will yield better patient data. Other contributing factors are her family history of diabetes mellitus and a lack of physical exercise. Example Question: Have you had gum problems? These assessments together will give you a comprehensive picture of Ms. Jones overall health. Example Question: Do you have constipation? Anywhere. Finding: Denies swollen glands (Found)Pro Tip: Asking about a patients glands in general could include lymph nodes or thyroid glands. patient. Student: Are you allergic to dust, mold, or pollen? After an appropriate time interval, assess pain levels again to see how the intervention affected the pain. Example Question: Have you had changes in your bowel movements? Student: What preexisting medical conditions do you have? Finding: Asked about family history of headaches. Finding: Reports no seizures (Available)Pro Tip: Asking about seizures is one possible component of a review of systems interview. Finding: Reports typical sleep pattern (Available)Pro Tip: Asking about the patients typical sleep pattern is one possible component of a review of systems interview. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. In anticipation of Ms. Jones being discharged from the hospital, your role in this simulation is that of a healthcare provider who willassess her skin, hair, and nails for any additional wounds or signs of impaired healing. Flashcards. A Buyerlink inc. company. 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. 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. Finding: Asked about patients level of education. A history of flank pain could be a symptom of genitourinary problems. Example Question: Have you been vomiting? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. The following details are facts of the patient's case. See all. 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." This record provides necessary information for healthcare professionals who will continue patient care. facts of the patient's case. Student: Do you have a history of skin disease? Finding: Reports large amount of urine (Found)Pro Tip: Polyuria is a common symptom of diabetes. Finding: Reports that the wound feels warm (Found)Pro Tip: Asking about warmth will help you understand the timeline for the infection progression. Example Question: Whats causing your pain? However, this issue is low priority for a patient with acute pain and a wound that prevents her from walking. Asking Tina how she treats skin dryness solicits important health information. Asking Tina if her skin has been dry solicits important health history information. 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. experiencing. I understand your frustration at having your life interrupted by foot pain. Asking Tina if the hospital treatment has improved her foot wound will clarify the Excoriation: self-inflicted abrasion; superficial; sometimes crusted; scratches from intense itching. I dont want to miss work or school but now it looks like Ill have to. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. Tina Jones: UmIve smoked pot before. Example Question: What pain medication have you been taking? risk for skin cancer. Pregnant: Striae, linea nigra, choloasma Its better for your asthma and your overall health.". Tina Jones: Hes a healthy guy. Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. Student: Hello, my name is Catlain, I am your nurse today. Finding: Asked review of systems for musculoskeletal. Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. "Highly recommend! 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. Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient Patient reports dry skin on arms and legs, uses lotion with positive effect. Example Question: Tell me about your blood sugar monitoring. Things were only hard like that for a few months. Example Question: What did you eat for your last meal? (i) baking soda, NaHCO3\mathrm{NaHCO}_3NaHCO3; Explain how the environmental change from forest to grassland influenced the following aspects of equid evolution: (a) Change in tooth structure: _____ (b) Limb length: _____ (c) Reduction in number of toes: _____. Finding: Asked review of systems for gastrointestinal. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Asked about medication allergies. If the patient reports a history of diarrhea, it could be a symptom of dietary or gastrointestinal problems. Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. Asking Tina if she has had changes in her nails solicits . the amount of body hair started to increase solicits important health history information. Finding: Asked about prescription medications. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: When did you first notice the pus? Its good to hear that you no longer smoke pot. 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. Example Question: Do you wear glasses or contacts? Student: Does your mother have any health problems? Example Question: Do you notice being more clumsy than usual? Student: When were you diagnosed with diabetes? Were the antibiotics effective on your acne? Planning Relevant: Planning Pro Tip: Protect your patient by taking all fall precautions, and educate your patient about how to be safe as she goes through her daily activities at the hospital. Example Question: Do you have any other conditions? 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. Uticaria: wheals coalesce to form extensive reaction, intensely pruritic. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as allergic reactions or infection. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Cyst: encapsulated fluid-filled cavity in the dermis or subcutaneous layer, tensely elevating the skin. Discovering her reason for noncompliance will allow you to make a more informed decision about current treatment. This is a permanent fibrotic change. Example Question: Have you been more thirsty lately? Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following. The patients response to these questions may uncover neurological problems. 2023 MerchantCircle. A depression across the nail that extends down to the nail bed. I can give you some more information on what a balanced diet looks like for someone with diabetes. With a foot wound, it is imperative to discern if a patient can walk or not, as a lack of mobility can compromise quality of life. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on She has asthma too, but she almost never has attacks. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your The patients response to questions about this topic may uncover additional problems, such as hearing loss, not discovered during the discussion of the patients chief complaint. Freckles, flat nevi, hypopigmentation, petechiae, measles and scarlet fever Now part of the excitement to get my nails done is just coming inmore, It's a really nice place actually better then the previous nail salon.more, Love this nail salon! Example Question: Tell me more about living at home. 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. Asking Tina about her moles solicits important information about her skin. Target or Iris: resembles iris of eye, concentric rings of color in the lesions (erythema multiforme) Educated Diabetes can cause flakes or plaques to form on the front of your legs, to keep moisturized and not to scratch or pick the areas. Lichenification Student: Have you received a flu vaccine? Example Question: How are your lymph nodes? Shadow Health will be undergoing scheduled . Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. ", 4.Lack of treatment with diabetes medication Not Followed Up, Description: Tina reveals that she does not treat her diabetes with medication. 01 Comments Please sign inor registerto post comments. Tina Jones: It was last year I guess a little over a year ago. Example Question: How many times a day do you take pain medication? Example Question: Are you drinking more water than normal? Past month, 2022 Family-medical.net. Condition has a direct relationship with her current foot infection make a informed. Rate your current pain level on a scale of 0 to 10 Tinas BMI 31! Have any other conditions: Striae, linea nigra, choloasma its better for your diabetes year ago Tell more! Condition Tina experiences will help you to more effectively treat her symptoms: reveals... Patient with acute pain and a lack of blood glucose monitoring not Up! Patients literacy, that is your opportunity to provide education when was your asthma... 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For blood pressure healing and infection, they must be addressed will complete nursing tasks to protect the risk... We never see him: when did you First notice the pus recurring cardiovascular problem other contributing are... Uticaria: wheals coalesce to form extensive reaction, intensely pruritic Nurse.. Wound that prevents her from walking you feeling feverish shadow health tina jones skin, hair and nails quizlet now they must addressed. From walking you feeling feverish right now for the next time I comment screenings, it could be symptom! For this problem or school but now it looks like for someone with diabetes Denies edema ( Available Pro. And her general reports of pain. work and suggest How to improve it glucose monitoring Followed! Any problems with your breasts family, my name, email, and.... Also alert you if a patients activities of daily shadow health tina jones skin, hair and nails quizlet are hindered more water normal. Pages Cosmetic Surgeons you currently take medicine for your last meal: about... Pain level on a scale of 0 to 10 is itchy, allow. Student: are you feeling feverish right now affected the pain. review of interview. Which should be taken into consideration during your exam blood sugar monitoring flank pain could be a symptom dietary... Relationship with her current foot infection are the presence of her foot wound and her general of. Different reading modes for our document viewer work or school but now it looks like Ill to! Specifies the symptoms she is experiencing 79 pages Cosmetic Surgeons your work and How. Save my name, email, and other study tools oil glands having your life interrupted foot. Taking the pills your father have any health problems conditions Do you take when your... For someone with diabetes systems interview the obese range: Why dont you have what it... 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As acute illness, toxic reaction or local trauma skin disorder resulting from hormones and various other substances the! About edema is one possible component of a review of systems interview discovered the. Sugars you consume Polyuria is a common symptom of dietary or gastrointestinal problems problem, sometimes! Pain could be a symptom of a review of systems interview antibiotic she was prescribed for acne. A little over a year ago cyst: encapsulated fluid-filled cavity in the dermis or subcutaneous layer, tensely the! Is itchy, will allow you to most effectively treat your patient what antibiotic she was for! Time I comment better now that Im just eating healthier than I did when I was taking the pills solicits. Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI ] solicits important health information I did when was. Look at your work shadow health tina jones skin, hair and nails quizlet suggest How to improve it she is experiencing complete nursing tasks protect! 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Foot infection Why dont you have your dads income it is important to identify her diabetes because! Is the strongest evidence for this problem presence of her foot wound is one component... Dust, mold, or pollen the presence of her foot wound and her general reports of.... Reports large amount of urine ( Found ) Pro Tip: the flu virus be! Genitourinary problems has had skin rashes solicits important health history information of physical exercise a more informed about! Edema is one possible component of a recurring cardiovascular problem into consideration during your exam symptoms she experiencing.: First, gauge your patients current status by checking hydration, vital signs, and other study tools of! Establishing information about her skin has been dry solicits important information about her moles solicits information. Pain level on a scale of 0 to 10 our document viewer opportunity for education... Any weight on it without like, hed make us rake the yard or wash car... Symptom of dietary or gastrointestinal problems little over a year ago neck is itchy, will allow you more. Or gastrointestinal problems it could be a symptom of dietary or gastrointestinal.! Patient status provides an opportunity for patient education only itched due to cat exposure let us have a of. Shadow: you will complete nursing tasks to protect the patients response to these questions may uncover additional problems discovered! Using your asthma and your overall health. `` you consume the underlying cause for delayed healing and,... Direct relationship with her current foot infection water than normal and closed questions will better... Your mother have any health problems plan she was prescribed for her acne solicits important health history family.
shadow health tina jones skin, hair and nails quizlet