Asking Tina if her body hair has changed solicits important health history information. Example Question: What is your reaction to penicillin? Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Student: What preexisting medical conditions do you have? Diana Shadow: In this assignment, you will be evaluated on your Subjective Data Collection, as well as your Education and Empathy. Tina Jones: Right now, Im living at my moms place, which is out in the suburbs a bit. Example Question: Have you had a sore throat? Flashcards. Tina Jones: UmIve smoked pot before. Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. . Example Question: How long does the pain medication last? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Asking Tina if the hospital treatment has improved her foot wound will clarify the symptoms she is experiencing. Asking Tina if her mother had high cholesterol can reveal generational patterns. And keeping your sugar down will help your foot wound heal quickly, too. (a)(a)(a) Given C-111111's 20.4min20.4 \mathrm{min}20.4min half-life, how long will it take an initial dose of 2.0109Bq2.0 \times 10^9 \mathrm{~Bq}2.0109Bq to decay to 7kBq7 \mathrm{kBq}7kBq (roughly the natural radioactivity of the human body)? Finding: Reports eating chicken and roll for dinner yesterday (Available)Pro Tip:Finding out the foods a patient last ate can provide evidence for any current stomach upset and for their current level of hunger and blood sugar status and can affect medications given while in your care. . Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Its important to learn about any past pregnancies, live births, or miscarriages. Home Flashcards Shadow Health - Tina Jones, Health History Flashcards Total word count: 18386 Pages: 67 Get Now Calculate the Price Deadline Paper type Pages - - 275 words Check Price Looking for Expert Opinion? exposure habits, like whether or not she tans, will help you to determine whether she is at Example Question: Are you feeling feverish right now? Example Question: Have you noticed changes in your sleep? Order Online Tickets Tickets See Availability Directions {{::location.tagLine.value.text}} . Finding: Denies tingling (Available)Pro Tip: Asking about tingling sensations is one possible component of a review of systems interview. NURS 325 Shadow Health Hair, Skin and Nails Assessment Assignment/NURS 325 Shadow Health Hair, Skin and Nails Assessment Assignment It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. Finding: Reports last use was at age 20 or 21 (Found)Pro Tip: When a patient reports drug use, its important to determine the reason for drug use, as well as the timeline. I've had multiple girls cut my hair and they do a great job every time!more. Finding: Denies odor from the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight into its severity and characteristics. Student: What made you stop taking medication for your diabetes? . Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Example Question: Can you please describe the pain? Supporting evidence comes from her inability to incorporate meaningful dietary changes or increase her exercise. Learn. Example Question: Are you drinking more water than normal? Finding: Asked about home treatment of foot wound. Let us have a look at your work and suggest how to improve it! Finding: Denies blood in urine (Available)Pro Tip: As a currently presenting symptom, blood in the urine is a serious symptom that requires immediate intervention. Student: Do you currently take medicine for your diabetes? In high school, and after high school I definitely dont anymore, though. And I want my foot to stop hurting. 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. Example Question: What is the name of the inhaler prescription? In anticipation of Ms. Jones being discharged from the hospital, your role in this . Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. 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. 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." Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient. 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. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. When was the last time you saw a doctor about acne? 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. Student: Can you walk with your foot being injured? important health information. Asking Tina what her new moles are like solicits important information about her skin. Asking Tina if her brother has any health problems can reveal potential risks. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Im Preceptor Diana. Its like a half hour from here. Example Question: Are your periods regular? . Asking your patient about this can inform your care plan. Example Question: Have you had gum problems? Tinea corporis (ringworm of the body) Finding: Asked about patients living situation. And hit a tree. Diana Shadow: Hi. Tina Jones: I havent had a full attack in years. Example Question: Does your brother have health conditions? Student: How many puffs do you take when using your asthma inhaler? Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patients complete health history? 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: Reports weight loss occurred over the past month (Available)Pro Tip:Finding out the timeline for weight loss can indicate if its sudden or gradual. 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 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 Tina Jones: He died last year, so I was 27. Finding: Reports excessive facial or body hair (Available)Pro Tip: Increases in body hair can suggest changes in hormone levels. This impacts her daily life and increases her risk for falls and deep-vein thrombosis. Shadow Health Hair, Skin, Nails Tina Jones Shadow Health Hair, Skin, Nails Tina Jones objective data University University of Massachusetts Lowell Course Nursing Assessment and Skills (NURS.2110) Academic year2022/2023 Helpful? 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. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Medical-Surgical Nursing 13th Edition Test Bank Chapter 14, Medical-Surgical Nursing 13th Edition Test Bank Chapter 15, Medical-Surgical Nursing 13th Edition Test Bank Chapter 11, Business Law, Ethics and Social Responsibility (BUS 5115), Nursing Process IV: Medical-Surgical Nursing (NUR 411), Role of the Advanced Practice Nurse (NSG 5000), Elements of Intercultural Communication (COM-263), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, ATI System Disorder Template Heart Failure, Furosemide ATI Medication Active learning Template, Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Marketing Reading-Framework for Marketing Strategy Formation, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam. Intervene Pain: Administer non-pharmacologic interventions to reduce pain. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Student: Have you ever smoked cigarettes? Tina Jones: Ive never had been in any kind of situation like that Its scary to think about. Example Question: Have you had voice changes? Paronychia: Red, swollen tender inflammation of the nail folds. Example Question: Tell me more about living at home. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Shadow Health. Example Question: Have you been hospitalized in the past? As a currently presenting symptom, it could impact the patients care plan. Example Question: Have you experienced any type of abuse? Finding: Reports right foot is injured (Found)Pro Tip: Confirming which extremity an injury is located is a best practice for your patients safety. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Reports that periods are irregular (Available)Pro Tip: Asking about menstrual regularity is one possible component of a review of systems interview. Educate the patient about the benefits to overall health and blood sugar control and finding an appropriate form of exercise. Finding: Asked if the patient has allergies to dust, mold, or pollen. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. . Finding: Denies sore throat (Available)Pro Tip: Asking if a patient has a sore throat is one possible component of a review of systems interview. Distance. Example Question: Have you noticed any changes in your vision? Finding: Denies family history of headaches (Found)Pro Tip: Asking about trends such as headaches can help you fill in holes in the history that your patient may have missed and can allow you insight into other inherited diseases that affect relatives outside of immediate family. But he never hit us or anything. This can also alert you if a patients activities of daily living are hindered. Finding: Reports she is currently under high stress (Found)Pro Tip: Stress can cause both physical and mental health problems and complications. Example Question: Do you have a family history of headaches? Finding: Asked about current diabetes medication use. Student: Do you have any neck, throat or gland problems? Example Question: Did the metformin cause any side effects? Example Question: Do you take any over the counter medications? I can give you some Advil at this time, and in a few hours, you can have more tramadol. Empower the patient to take part in her own care by educating her on controlled breathing techniques. Student: How is your paternal grandmothers health? Finding: Followed up on coping with fathers death. Past 24 Hours Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patients risk factors for injury. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Example Question: Have you been vomiting? Has being in the hospital helped your wound? Provide an appropriate intervention (pharmaceutical or otherwise) and educate the patient. Example Question: Have you noticed bruising more than usual? Won't go anywhere else. Student: Have you had any musculoskeletal problems? 3. Student: Can you walk with your foot being injured? Freckles, flat nevi, hypopigmentation, petechiae, measles and scarlet fever Asking Tina if she has ever been diagnosed with skin cancer solicits important health history information. skin on her neck changing, will allow you to compare her symptoms and assess her The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. 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 Tina Jones: I havent noticed any pain there. Tina Jones: I only have a few drinks when I go out. Example Question: Does it hurt when you urinate? Finding: Denies exposure to secondhand smoke (Found)Pro Tip: Exposure to secondhand smoke can be especially detrimental to an asthmatic patients health. Example Question: Does obesity run in your family? Flashcards. need. Example Question: Does your injury impact your ability to walk? Its killing me." Example Question: Do you have any existing conditions? Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Ditch the razor at Milan Laser Hair Removal! 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. Example Question: Have you had mouth sores? Finding: Reports house is one-story (Available)Pro Tip: Determining if the patient lives in a multi-story house is important because, depending on the type and severity of their condition, it could affect their ability to go up and down stairs. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Finding: Denies food allergies (Found)Pro Tip: Inquiring about food allergies is important for an admitted patient, who will be receiving food during her stay. Tina Jones: Mom has high cholesterol and blood pressure, I think. Finding: Asked about past diabetes medication use. Discovering her reason for noncompliance will allow you to make a more informed decision about current treatment. Examples: impetigo and acne. Example Question: Do you have any reaction to dust? ", 2.Impact of injury on daily life Followed Up, Description: Tina brings up her pain and frustration at how being unable to bear weight on her foot impacts her life. She might have high cholesterol too. Finding: Followed up on stopping diabetes regimen. With a foot wound, it is imperative to discern if a patient can stand or not, as this can compromise quality of life and impact job performance. It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Planning Pro Tip: To reduce the patients pain, assess her current rating. Example Question: Do you have flatulence? Asking Tina if her maternal grandfather had high cholesterol can reveal generational patterns. Finding: Denies chest pain or discomfort (Available)Pro Tip: Asking about chest pain is one possible component of a review of systems interview. Finding: Reports last penicillin reaction was in childhood (Available)Pro Tip: Determining a patients last reaction to penicillin is part of gathering thorough information about her allergy. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. Example Question: Are you ever exposed to secondhand smoke? Assess Health Literacy and Patterns: Assess the patients readiness for change/education. Cyst The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Jan 26, 2016 The first shadow health was pretty hard to pass. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . Example Question: Did you notice any redness around the wound? The infection is the most immediate threat to the patients health, and the wound is at risk for delayed healing because of the patients uncontrolled blood glucose. Finding: Asked to rate current pain level on a scale. Student: How long ago was your dads car accident? Herpes zoster (shingles) Indicates an item that is available to be found. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. 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. Reports body hair has been increasing for a long time. Honestly, I didnt realize that Id be admitted to the hospital for my foot. Student: What happened with your fathers car accident? Tina Jones Skin, hair, and nails assessment University Indian River State College Course Nursing , 3 hours ago WebSkin, Hair, and Nails Results Turned In Nursing Health Assessment Lecture/Lab - Fall 2022, NURS 2110/2110L Return to Assignment (/assignments/692567/) If contacting , 7 hours ago WebStart studying Shadow Health- Tina Jones- Hair, Skin, Nails. Example Question: Have you had a mammogram? Asking Tina how she treats her acne solicits important information about her health history. Pro Tip: Monitoring moles is an important step in detecting skin cancer. For example, many starchy foods break down into glucose in the body, like pasta, and so you can eat those in moderation, too. .not always. Finding: Reports receiving varicella shot (Available)Pro Tip: Discovering if a patient has received a childhood varicella shot reveals information about both her medical history and her susceptibility to infectious disease. Examples: mole, wart Counseling around past drug use Not Followed Up, Description: Tina discusses her past history of marijuana smoking. But our church family helped us out and gave us rides to church and brought meals and all that, so they really helped build us back up. Evidence Relevant: Evidence Pro Tip: Tinas asthma puts her at general risk for breathing problems. Finding: Reports last hospitalization was age 16 (Available)Pro Tip: Finding out the date of Tinas last hospitalization is important for understanding the timeline of her medical issues, asthma in particular. Erosion The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Reports maternal grandfather diagnosed with high blood pressure (Available)Pro Tip: Family histories might indicate a genetic predisposition. Anytime. This numerical evidence is required to establish obesity. 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. Asking Tina if her mother had high blood pressure can reveal generational patterns. 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. Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. Shadow Health- Tina Jones- Hair, Skin, Nails. Tina Jones: Um, I have acne, if that counts. Make sure that the patient feels comfortable asking for your assistance. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Obesity is a long-term health concern that cannot be addressed in a single visit. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Reports acne had been dormant but got worse recently. However, for a patient with no active respiratory complaints, this problem does not need to be addressed immediately. Student: Do you have a history of skin disease? Tina Jones: I was diagnosed when I was 24. Finding: Asked about frequency of urination. I would like to talk with you about changing your medication and your regimen, to reduce your frequent breathing problems, so that you feel better day-to-day. As a currently presenting symptom, it could indicate a change in patient status. Example Question: How often do you check your blood sugar? Tina Jones: UmIve smoked pot before. I think she had high blood pressure and cholesterol, too. Evidence Relevant: "Like a 7. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Finding: Asked about history of asthma exacerbations. Asking Tina what antibiotic she was prescribed for her acne solicits Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. Student: Does your mother have any health problems? (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: _____. Tina Jones: Well. Student: How is your paternal grandfathers health? It was much needed and I will be back every 3 weeks until I can do it myself. I cant put any weight on it without like, shooting pain. Polycyclic: annular lesions grow together: psoriasis Example Question: At what age were you diagnosed with asthma? I know I need sleep, too. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of the People Maryville University Harvard University Example Question: Did you receive the chicken pox vaccine? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Examples: friction blister, burns, contact dermatitis ", 5. It is important to ask your patient about the flu vaccine. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Finding: Reports urinating every hour or two during the day (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Tina Jones: Its throbbing and like, sharp if I try to put weight on it. Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. I dont want to miss work or school but now it looks like Ill have to. Tina Jones: No, I dont think so. symptom she might be experiencing. Asking Tina if her asthma can help you develop a sense of health patterns within her family. Finding: Followed up on home pain medication. Student: How effective was the Neosporin? Finding: Reports last exacerbation was three days ago (Available)Pro Tip: Discovering the patients most recent exacerbation can provide a timeline of asthma symptoms and help you better understand the patients condition and effectiveness of any treatments. Other supporting data points are the presence of her foot wound and her general reports of pain. I've worked with many clients post surgery and have NEVER had a single client who's surgeon paid such attention to detail or the recovery process. 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