Example Question: When did you last have issues with asthma? Priority High Priority Pro Tip: This is a high priority. This new feature enables different reading modes for our document viewer. skin on her neck changing, will allow you to compare her symptoms and assess her Example Question: Have you had itchy eyes? It is important to ask your patient about the flu vaccine. A combination of open and closed questions will yield better patient data. Example Question: Did you receive the Hepatitis vaccine? Honestly, I didnt realize that Id be admitted to the hospital for my foot. College Physics Raymond A. Serway, Chris Vuille. Fissure: Linear crack with abrupt edges, extends into dermis, dry or moist. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Finding: Reports applying bacitracin, neomycin and polymyxin B (Neosporin) (Found)Pro Tip: Determining what products a patient used to sterilize or treat a wound establishes home care routines and health literacy. Finding: Asked about diabetes management through lifestyle changes. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Student: When did you realize you were allergic to cats? Keloid: A hypertrophic scar. Educate Disease Process: Educate the patient on the signs and symptoms of hyper- and hypoglycemia. A history of nocturia could be a symptom of genitourinary or endocrine problems such as diabetes. Asking Tina when the amount of body hair started to increase solicits important health history information. Good question. Example Question: Does your mother have health conditions? Tina Jones: I dont think I have problems in that area. Planning Pro Tip: To gain a deep understanding of your patients situation, determine her level of health literacy, her feelings and beliefs about the disease, and the motivation behind her choices. Example Question: Is there swelling around the wound? 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: No, I cant. . Example Question: Did you use any ointment on the wound? But he never hit us or anything. Driving (5 . Diffusion Let us complete them for you. Which of the following is the process of getting oxygen from the environment to the tissues of the body? 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 no more than 2 or 3 alcoholic drinks in one sitting (Available)Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient. Tina Jones: Grandpa Jones passed away when I was really little. Student: How effective was your pain medication at home? 9. Or like, hed make us rake the yard or wash his car or something. Example Question: How often do you urinate during the day? Were the antibiotics effective on your acne? Example Question: When did you last see a dentist? Individual Property Assessment Roll Data. While the patient is in your care, educate her on the cause and symptoms of shortness of breath so that she can let you know about emerging problems. Example Question: What is your reaction to penicillin? Example Question: Have you noticed bruising more than usual? Shadow Health will be undergoing scheduled . 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. Example Question: What allergies do you have? Example Question: Do you have any food allergies? Tina Jones: Umwell, my dad died in a car accident, about a year ago. Student: How is your paternal grandfathers health? Asking Tina about her sun 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. Discovering her reason for noncompliance will allow you to make a more informed decision about current treatment. Example Question: Do you have a headache? Reports body hair has been increasing for a long time. Finding: Asked review of systems for musculoskeletal. Pro Tip: Specific questions about Tina's wounds can help you to assess the care that she will need. Example Question: Do you have a history of depression? Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. Pay close attention to this information as it will help guide your exam. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following. Example Question: When did you first notice the pus? Tina Jones: Ive actually been noticing problems lately. Student: Have you used drugs other than marijuana? Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports cleaning wound twice a day (Available)Pro Tip: Asking specifically how often a patient cleaned a wound will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. Asking Tina about changes in skin color solicits relevant information about a Flashcards. Asking Tina about her medical conditions can help you assess whether or not integumentary symptoms are caused by something larger. 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. Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Denies past pregnancies (Available)Pro Tip: A patients history of pregnancy can shed light on other health conditions, body systems, or risk factors. 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. The vertical axis of your chart should represent current body weight, and the horizontal axis should represent weight after a 3 percent loss. Finding: Reports last tetanus vaccination was in the past year (Found)Pro Tip: For a patient with a recent scrape on a metal surface, confirming the last date of a tetanus shot is essential to prevent any diseases from contact. her neck hurts, will allow you to compare her symptoms and assess her condition. Asking Tina if her wound has any redness specifies the symptoms she is experiencing. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Let us have a look at your work and suggest how to improve it! If there was. the skin's oil glands. Example Question: Do you have a rash on your breasts? Finding: Denies taking supplements (Available)Pro Tip: Finding out about your patients use of supplements will help you get a complete health history and avoid unwanted drug interactions. Besides Subjective Data Collection, and Education and Empathy, there are activities within the simulation that provide valuable practice for their real-world counterparts, but they are not automatically graded by the simulation. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Tinea pedis (ringworm of the foot) Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. 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. Model Statement: "Thank you for sharing that information. Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. Tina Jones: I havent smoked pot since I was twenty or twenty-one. The most common causes of muscle pain are overuse, and conditions such as arthritis. Finding: Reports noticing pus 2 days ago (Available)Pro Tip: Pinpointing exactly when the patient noticed the arrival of pus gives you an important data point for when an active infection began. Student: Are you allergic to dust, mold, or pollen? Example Question: How long did it take you to lose 10 pounds? Example Question: Do you have flank pain? Finding: Denies edema (Available)Pro Tip: Asking about edema is one possible component of a review of systems interview. Example Question: When was your last hospitalization? Example Question: Do you have relatives with addiction problems? Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Finding: Reports pain prevented her from being able to walk to class (Available)Pro Tip: For patients who are also students, you can find out what schoolwork they are missing, and help them make accommodations so they dont fall behind. Asking Tina if her paternal grandfather had high cholesterol can reveal generational patterns. Asking Tina what antibiotic she was prescribed for her acne solicits Evidence Pro Tip: Tina directly reports ineffective diabetes management when discussing her lack of treatment. Finding: Denies current wheezing (Available)Pro Tip: Patients who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Example Question: Whats the most puffs you ever take? Finding: Asked about blood glucose monitoring. Example Question: Do you have any other conditions? Finding: Asked review of systems for reproductive. 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. information. Asking Tina if she has had changes in her nails solicits Finding: Reports occasionally taking ibuprofen for cramps (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Student: What medications did you take for your diabetes? Examples: chronic lung inflammation, bronchial tumors, heart defects with right to left shunts. 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 constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Finding: Denies corrective lenses (Available)Pro Tip: Asking about the patients use of corrective lenses is one possible component of a review of systems interview. Student: How is your maternal grandfathers health? Finding: Explored impact of patients foot injury on activities of daily living. 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. Wheal: Superficial, raised, transient and erythematous; slightly irregular shape due to edema. 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. 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. Asking Tina if she currently has acne solicits important information about her health history. Examples: xanthoma (deposition of yellowish cholesterol-rich material in tendons or other body parts in various disease states. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Infection can contribute to poorer glycemic control, and so Tina is likely to experience blood glucose levels that are significantly higher than her baseline. Finding: Asked about patients living situation. Tina Jones: Its white or maybe off-white. Example Question: When was the last time you took your diabetes medication on a regular basis? Shadow Health representative here, we have some great tips for new students. Example Question: Tell me more about any sugars you consume. Laser Hair Removal. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Student: Can you tell me about your fathers health? Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. Example Question: Have you had mouth pain? Example Question: How long have you noticed swelling around the wound? Example Question: Does your maternal grandfather have health conditions? Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Student: Hello, my name is Catlain, I am your nurse today. Well do our best to get you feeling better and, on your way, home as soon as possible. Example Question: Do you have a loss of sensation anywhere? This is a review for nail salons in Provo, UT: "I got a last minute appointment for a pedicure. Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patients dental care is one possible component of a review of systems interview. Finding: Reports occasionally taking acetaminophen (Tylenol) for headaches (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Max twice a week. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. Example Question: How often did you clean the wound? Example Question: Do you live in a house? Before I came in, I was just taking Advil. Example Question: How many puffs do you typically take? The Rose Clinic For Plastic Surgery. These are the best cheap nail salons in Provo, UT: What did people search for similar to nail salons in Provo, UT? Planning Pro Tip: To help your patient address her obesity, which is often a sensitive topic, use therapeutic communication techniques. Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patients reaction to an allergen is essential to gauge if the allergy is life-threatening. Example Question: Does obesity run in your family? Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. Finding: Reports normal vaginal discharge (Available)Pro Tip: Asking about vaginal discharge is one possible component of a review of systems interview. Example Question: How are you coping with your fathers death? Fissure Example Question: Have you had breast cancer? Patch body hair has changed solicits important health history information. Tina Jones: Grannys doing good. Student: We are going to take care of everything as quickly as possible. Finding: Reports no seizures (Available)Pro Tip: Asking about seizures 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 allergic reactions or infection. Example Question: Do you ever have chest pain? . I dont want to miss work or school but now it looks like Ill have to. The resulting skin level is elevated by excess scar tissue, which is invasive beyond the site of original injury. Asking Tina if her father had high cholesterol can reveal generational patterns. experiencing. Excellent layout, 1-2 Problem Set Module One - Income Statement, Lab 3 Measurement Measuring Volume SE (Auto Recovered), (8) Making freebase with ammonia cracksmokers, Mark Klimek Nclexgold - Lecture notes 1-12, EDUC 327 The Teacher and The School Curriculum, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. 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. health information. Caused by bleeding from superficial capillaries; will not blanch. 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: Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. As a currently presenting symptom, it could indicate a change in patient status. Finding: Asked about maternal grandfathers health. If the primary disease is treated, clubbing can reverse. Example Question: Were you wearing shoes when you fell? Example Question: Are your immunizations current? Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Finding: Reports previous medication was prescription metformin (Found)Pro Tip: Asking about a patients medication history for a particular condition, such as Tinas past prescription for metformin, will provide a timeline of her asthma treatment. Diana Shadow: In this assignment, you will be evaluated on your Subjective Data Collection, as well as your Education and Empathy. Example Question: Did you receive the HPV vaccine? Tina Jones: I got this scrape on my foot a while ago, and it got really infected. If you would like, I can help you find a monitor that is as painless as possible. 01 Comments Please sign inor registerto post comments. Finding: Asked about paternal grandmothers health. 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. Reports a photograph from years earlier shows darkening skin. 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 Finding: Reports pain prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear weight on an injury is important to determine their risk for falls while in your care. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Finding: Asked to rate current pain level on a scale. 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. But its important to keep your blood sugar under control to prevent long-term damage to your health, and medication can really help. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Beau's Line: Transverse furrow or groove. Tina Jones: No. 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. Student: What are stressors? Example Question: Has your heartbeat been irregular? Hair Salons. Examples: healed area of surgery or injury, acne If you discover any disease states, ask about symptoms and the patients experiences of them. As the underlying cause for delayed healing and infection, they must be addressed. I like a long foot/leg massage. Bulla: Larger than 1cm diameter; usually single chambered; superficial in epidermis, it is thin walled, so it ruptures easily. Pro Tip: Sun exposure can directly affect a patient's skin. What could they do to make you happier? Free Wi-Fi. It feels like I cant take in air, like I cant get enough air into my lungs. Tina Jones: I dont know. Finding: Asked about history of asthma exacerbations. Example Question: Have you had gum problems? Example Question: Have you had difficulty swallowing? Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction or local trauma. the skin's oil glands. Late clubbing: nail bed angle is greater than 180 degrees. Example Question: Do you have trouble breathing? Asking Tina if she has dry eyes solicits information about one particular symptom. Example Question: Do you have a family history of thyroid problems? 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. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is thickening, will allow you to compare her symptoms and assess her condition. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Have there been problems with the hair on your head? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Shes still living on her own. about her health history. Example Question: Does your brother have health conditions? Example Question: How many alcoholic drinks do you have in one sitting? A history of STIs could cause complications with the genitourinary system. Finding: Followed up on stopping diabetes regimen. Finding: Reports mother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Read more Skin hair nails , 4 hours ago WebThe City's Tentative Assessment Roll lists the assessed value of every property. Pitting: Sharply defined pitting and crumbling of the nails with distal detachment often occurs with psoriasis. Example Question: Tell me more about living at home. 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. Asking Tina whether shes experienced poor circulation indicates whether she might suffer from underlying cardiac concerns. Finding: Reports that the wound bled a little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you determine the characteristics of a wound. 3. A Buyerlink inc. company. It is necessary to approach this subject with the utmost respect and sensitivity. Tina Jones: I havent smoked pot since I was twenty or twenty-one. hover over the patient data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Keiser University Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Student: How effective was the Neosporin? Tina Jones: Well, I used to smoke pot. Malignant melanoma, Primary contact dermatitis Example Question: Have you ever used a nebulizer? Asking Tina if her father had diabetes can reveal generational patterns. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]. Student: What are my objectives in this assessment? Finding: Denies circulation problems (Available)Pro Tip: Poor circulation is the result of other diseases like obesity, diabetes, or cardiac conditions. Example Question: How many nights a week do you drink alcohol? Experts selected these topics as essential components of a strong, thorough interview with this patient. Example Question: Are your periods regular? Finding: Asked about maternal grandmothers health. Examples: insect bites, scabies, dermatitis, varicella Asking Tina if her father had high blood pressure can reveal generational patterns. Theyre crazy, but nobodys diagnosed with anything. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Finding: Asked if the patient has received a flu vaccine. Model Statement: "Im sorry to hear that your pain is returning. 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. Psoriasis Example Question: What are your usual blood sugar levels? I understand your frustration at having your life interrupted by foot pain. Student: Have you had any change in appetite? 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. Infants: Lanugo, Vernix Caseosa, storkbite, milia Finding: Reports mother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports bacitracin, neomycin and polymyxin B (Neosporin) was ineffective (Found)Pro Tip: Understanding the effect of a home medication can help you determine the severity of the wound. Match. Finding: Denies change in sense of smell (Available)Pro Tip: Asking about symptoms, such as a change in smell, is one possible component of a review of systems interview. 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