In a sense, koilonychia is the opposite of nail clubbing. NR 509 Week 2 Shadow Health: HEENT Physical Assessment REVIEW QUESTIONS Suppose you Shadow Health HEENT Tina Jones. Finding: Reports occasional dry skin (Available)Pro Tip: Chronic or severe dry skin might require a patient to be seen by a dermatologist. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Evidence Relevant: "No, I dont take anything for my diabetes anymore." Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. Example Question: Why were you hospitalized last time? Example Question: Have you had a mammogram? If she has not had any screenings, it provides an opportunity for patient education. If there was. And high cholesterol like everyone else in my family. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patients risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas to improve identify and prioritize nursing diagnoses and develop a plan to address nursing diagnoses. All Lines (645) Interview Questions (210) Statements (41) Exam Actions (, Shadowhealth Tina Jones Skin, Hair and Nails Assignment and Post-Exam Jay H. Tina jones respiratory shadow health assessment Review Questions https://t. Asking Tina about changes in her moles solicits important information about her skin. Which of the following is the process of getting oxygen from the environment to the tissues of the body? This is the first time Ive been in the hospital since I was probably sixteen, though. Example Question: Do you lose your balance often? Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. the skin's oil glands. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Pro Tip: Sun exposure can directly affect a patient's skin. Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. Example Question: Have you ever smoked marijuana? 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. 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. Example Question: Do you have a history of depression? Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. 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: Reports she is currently under high stress (Found)Pro Tip: Stress can cause both physical and mental health problems and complications. Objective Data-Skin SkinInspect and palpate (cont.) If the patient reports recurring stomach pain, it could be a symptom of a gastrointestinal problem. 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 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. Example Question: Do you have any lumps in your breasts? Finding: Reports swelling worsened in the past 2 days (Available)Pro Tip:Finding out how long swelling appeared will help you understand the timeline for the infection progression. Prevent worsening infection by educating the patient about wound care and self-monitoring. Pro Tip: Changes in body hair can indicate a change in hormone levels. Example Question: What did you eat for your last meal? Example Question: How often did you clean the wound? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. patient. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. 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. Finding: Reports about 5 total hospitalizations for asthma as a child and teen (Available)Pro Tip: Finding out the number of Tinas previous hospitalizations is important for understanding the history of her asthma. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Student: Do you know why you lost weight? Finding: Reports allergy to cats (Found)Pro Tip: Asking general questions about allergies is the first step to a conversation with a patient about her complete set of allergies. Planning Relevant: Assess Pain: Assess the patients pain at regular intervals and with each assessment of vital signs. 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? Finding: Reports pain is sharp when she attempts to stand (Found)Pro Tip: Determining what physical activities and movements exacerbate the patients pain can help you better understand the problems and assess treatment needs. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Anytime. Adolescents: Acne Tina Jones: Shes pretty healthy. Keloid: A hypertrophic scar. Asking Tina if her father had high cholesterol can reveal generational patterns. but I dont do that anymore. Example Question: How many pain pills do you take at a time? Finding: Asked about frequency of urination. . Example Question: Were you wearing shoes when you fell? Finding: Denies change in sense of taste (Available)Pro Tip: Asking about symptoms, such as a change in taste, is one possible component of a review of systems interview. Cyst: encapsulated fluid-filled cavity in the dermis or subcutaneous layer, tensely elevating the skin. However, this issue is low priority for a patient with acute pain and a wound that prevents her from walking. Finding: Followed up on home pain medication. Finding: Denies swollen glands (Found)Pro Tip: Asking about a patients glands in general could include lymph nodes or thyroid glands. Example Question: Have you had night sweats? Example Question: Have you had itchy eyes? Finding: Reports maternal grandfather diagnosed with high cholesterol (Available)Pro Tip: Family histories might indicate a genetic predisposition. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Distance. Student: Do you have a history of skin disease? Gender-neutral restrooms. Finding: Reports that her diabetes is Type 2 (Available)Pro Tip: The type of diabetes your patient has will drastically affect how you care for her. What antibiotic were you prescribed for your acne? Bulla 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. Finding: Reports eating a bowl of cereal for breakfast yesterday (Available)Pro Tip: In a health history, it is important to get an idea of a patients typical dietary patterns. Example Question: Have you been vomiting? 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. Other supporting evidence is her recent injury caused by falling. about her health history. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Finding: Denies loss of sensation (Available)Pro Tip: Diabetic patients often experience numbness due to neuropathy, especially in the arms, legs, hands, and feet. Finding: Denies muscle weakness (Available)Pro Tip: Asking about muscle weakness is one possible component of a review of systems interview. Student: Hello, my name is Catlain, I am your nurse today. Example Question: At what age were you diagnosed with asthma? Example Question: Do you have any reaction to dust? You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Finding: Reports injury occurred 1 week ago (Available)Pro Tip: Discovering how long ago the pain began is the first step in understanding whether the pain is chronic or acute. Student: Can you walk with your foot being injured? Tina Jones: My nose is fine right now. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . Muscle weakness can be a sign of neurological problems, or a reaction to medication. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Example Question: How are your lymph nodes? need. I know I need sleep, too. Example Question: When was your last asthma attack? Herpes zoster (shingles) Example Question: How many stories is your house? Finding: Reports asthma triggered by cats (Found)Pro Tip: Discovering occasional environmental triggers, such as animal allergies, gives you insight into exacerbating factors of your patients condition. I feel a lot better now that Im just eating healthier than I did when I was taking the pills." Finding: Denies family history of thyroid issues (Found)Pro Tip: Asking about trends such as thyroid issues 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. Student: Have you had any problems with your breasts? (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: 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. Example Question: Has your sense of taste changed? Example Question: Does the wound have an odor? Finding: Denies ear discharge (Available)Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmers ear. 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 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. about her health history. Skin becomes thinner and weaker, less , 8 hours ago WebSkin hair nails Shadow Health. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. I understand your frustration at having your life interrupted by foot pain. 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 Tina Jones: Yeah, Ive lost some weight recently. Fell free get in touch with us via phone or send us a message. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Its killing me. Pitting: Sharply defined pitting and crumbling of the nails with distal detachment often occurs with psoriasis. May extend deeper into dermis than papule. 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. I recently moved here from california and needed a nail salon that met themore, Love this salon! Finding: Reports she last checked blood sugar a month ago (Available)Pro Tip: Your patients blood sugar monitoring habits are an important part of her health literacy and home treatment. Asking Tina if she has had skin rashes solicits important health history information. 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. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Finding: Reports pain returned in full every few hours (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. Example Question: Have you ever taken medication for your diabetes? Example Question: What is your highest level of education? After obtaining Ms. Jones health history, you will complete an information processing activity. Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. You can document your findings, including vital signs, in the Electronic Health Record. Ends 8/31/2022. Features. Finding: Reports infrequent eye redness (Available)Pro Tip: Asking about symptoms, such as eye redness, is one possible component of a review of systems interview. Symptoms like these could indicate a yeast or sexually transmitted infection. 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. Have you ever been diagnosed with skin cancer? Model Statement: "This sounds like a challenging time for you. Some popular services for nail salons include: What are people saying about nail salons in Provo, UT? Tina Jones: I only have a few drinks when I go out. She expresses gaps in health literacy about the risk of ceasing prescribed medication and blood glucose monitoring. Finding: Reports large amount of urine (Found)Pro Tip: Polyuria is a common symptom of diabetes. Student: Do you have a family history of psychiatric illness? Why not give the Shadow Health customer support team a call at 800-860-3241 and let's talk about it? Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is tingly, will allow you to compare her symptoms and assess her condition. Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. Tina Jones: Yeah, theres definitely pus. She seems to be doing okay though. Model Statement: "Staying away from sugar is a great start. For all your skin and hair care problems, look no further. Student: Are you allergic to dust, mold, or pollen? Student: We are going to take care of everything as quickly as possible. Asking Tina where her acne is located solicits important information Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. Finding: Asked about diabetes management through lifestyle changes. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Example Question: Do you ever get headaches? Example Question: When was your last penicillin reaction? Asking Tina if her skin has been dry solicits important health history information. Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patients biggest complaint. . Example Question: Have you noticed changes in your sleep? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Denies dizziness or vertigo (Available)Pro Tip: Asking about dizziness or vertigo is one possible component of a review of systems interview. Example Question: How long did it take you to lose 10 pounds? Student: How effective was your pain medication at home? Students also viewed Shadow Health Heent Tina Jones Uncovering the cause of death can help you assess the patients current risks. Erosion: scooped but shallow depression. Linear: a scratch, streak, line or stripe Finding: Followed up on diabetes diagnosis. 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. Asking Tina if she has nail fungus solicits important health information. important health information. important health information. her health history. Student: What type of drugs did you use? ", 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. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Do you remember what you were prescribed for diabetes? Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the skin on her neck changing, will allow you to compare her symptoms and assess her condition. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will They are cutaneous manifestations of lipidosis in which there is an accumulation of lipids in large foam cells within the skin), fibroma (benigh tumors that are composed of fibrous or connective tissue), intradermal nevi Tina Jones: Well, Im here, so I guess it didnt do its job. 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. 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