examples of picot questions for nursing (12) I used to have a lot of trouble with asthma attacks back then. Left femoral artery: no bruit, Performed Capillary Refill Capillary Refill < 3 sec, Inspected for edema Left leg: no edema Hover over the Patient Data items ", Asked about last visit to a healthcare provider, Reports last visit to a healthcare provider was 4 months ago, Asked about current prescription medications, Reports asthma medication has not changed, Followed up about birth control prescription, Reports starting birth control 4 months ago, Asked about current non-prescription medications, Asked about diabetes management through lifestyle, Reports recently beginning dieting to manage diabetes, Reports checking blood sugar once a day Learn vocabulary, terms, and more with flashcards, games, and other study tools. Denies OTC supplements, Followed up on ibuprofen (Advil) Reports taking ibuprofen for cramps Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Does not exercise regularly. Left elbow without swelling, masses, or Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. 53 terms. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. . Ive maybe used it twice since I came in with those asthma problems. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. My eyes havent been red lately. Left leg proximal sharp pain sensation intact Reports sometimes needing 3 puffs to control No exercise. Left leg distal sharp pain sensation intact, Tested position sense Position sense intact in toes Reports belief that asthma is well-controlled . Asthma is one of the most prevalent chronic illnesses in children, but it may also affect adults. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. My albuterol. . She wears her seat belt, drives frequently. Increasing knowledge and understanding of healthcare concepts. What is the severity of the reaction from the animal? Reports a typical dinner is vegetables with a protein and brown rice or quinoa She has a history of hypertension which normalized when she initiated diet and exercise. he had some blood pressure and cholesterol issues when he was alive, too. Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Denies coughing, Asked about review of systems for cardiovascular Denies cardiovascular issues, Asked review of systems for gastrointestinal Denies gastrointestinal issues, Asked review of systems for genitourinary Denies genitourinary issues, Asked review of systems for musculoskeletal Denies musculoskeletal issues, Asked review of systems for neurological Denies neurological issues, Asked review of systems for skin, hair and nails Denies integumentary issues. Experts selected these topics as essential components of a strong, thorough interview with this patient. Since then Ive just washed my face, I havent used anything special. Reports last general physical examination was 5 What medications do you take when you come in contact with is animal? Denies recent changes in memory and mood changes. Speech is clear and coherent. RRR, S1, S2, no murmur Denies vaginal discharge and vaginal itching. She started me on birth control, and it seems to be helping things. Have you experienced any difficulty swallowing? Have you ever went without a menstrual cycle for a month? Left lower quadrant: soft, no tenderness or Example Questions. SOAP Note samples (14) Study Tips (254), BSN (31) Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, Left leg distal light touch sensation intact, Tested ability to sense dull pain in upper If your instructor provides individual feedback on this assignment, it will appear here. lesions Conduct physical evaluations to check vital signs such as blood pressure and heart rate, and look for abnormalities in skin, nose, throat, lungs and abdomen. Have you been biting your cheeks? Brother: healthy I mean, I still have asthma and diabetes, but both of those are under control. Which would the nurse include in the client's diet? ), Shes pretty healthy. Reports starting taking diabetes medication 5 Shadow Health 2012 - 2020 She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Lived independently since age 19, currently lives with mother and sister to support family after death of father one year ago, anticipates moving out in a few months. Return to Assignment (/assignments/433803/). 201 Comments Please sign inor registerto post comments. I took something for my acne. Inspected head and neck Scattered pustules on face and facial hair on NURS 6512 Week 9 DCE: Please I need help with shadow health assessment week 9 with Tina Jones (who comes to the clinic for a Pre-employment physical). Write a one-sentence answer to each question. A mi familia le ______ (1) (fascinar) el ftbol. Reports using inhaler no more than 2 times per The daily inhaler is Flovent, and the rescue inhaler is Proventil. Are you taking any contraceptive medications? Reports occasional chest tightness Right arm distal light touch sensation intact Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. Occasional alcohol (10 - 12 drinks/month). EOMs intact bilaterally, no nystagmus, Tested peripheral vision Peripheral vision intact in both eyes, all fields, Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right patient's case. on right every day Nursing Theory list (41) Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. If a sentence is already correct, write C next to the sentence number. Denies recent flu shot. Left pupil: equal, round, reactive to light, Tested eye movements Normal convergence Left triceps: 2+ RRR, S1, S2, no murmur I think I have a little less body hair than I used to. Right kidney: not palpable, no masses Tina Jones Skin, hair, and nails assessment. medications, Reports occasional ibuprofen use Left femoral pulse: 2+ Left brachial pulse: 2+ Im taking good care of my health these days. Reports occasional shortness of breath The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. She monitors her blood sugar once daily in the morning with average readings being around 90. Type 2 diabetes, diagnosed at age 24. What are the Benefits of a Shadow Health System? She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. Ear drainage? She is the primary source of the history. Denies myalgias and arthralgias. Plus, he had high blood pressure, andIm pretty sure he had diabetes. 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Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. masses Im actually feeling really good lately. DETECCIN PRECOZ DE LOS PRINCIPALE, Shadow Health- Tina Jones- Musculoskeletal, Shadow Health- Tina Jones- Hair, Skin, Nails, NR 565 Week 4 Study questions Chapters 15, 29, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. Reports last optometrist visit was 3 months ago : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Left kidney: not palpable, no masses, Inspected neck Neck without swelling, masses, or deformity, Inspected upper extremities Right shoulder without swelling, masses, or Denies current sleep issues : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Reports blood sugar number is usually around 90 20 terms. Denies adverse effects of asthma medication, Followed up about birth control prescription Reports starting birth control 4 months ago Return to Assignment (/assignments/289776/). How often do you use your rescue inhaler? With our premium writing service, you no longer have to spend days and nights meticulously working on your assignment, instead use that time to do other important things. A combination of open and closed questions will yield not stressed at all. (Clarified to Does your younger sister have health problems?. I am glad you are having your period every month. we will work to find you a treatment plan whose risk can be minimized and overseen. Right arm distal sharp pain sensation intact Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Students also viewed exam practice content exam 4 concepts Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. accurate Ive had asthma a long time. Hypoglycemia is characterized by hunger, trembling, nausea, sweating and a fast heartbeat. Reports ibuprofen is regular strength SOAP Note (45) She tried ibuprofen, but it didn't work well. Sign In | Shadow Health Digital Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your password? deformity Denies history of recurrent urinary tract infections and kidney stones. . Denies adverse effects of diabetes medication. Lag, nystagmus, and deviations may indicate neurologic conditions. Right elbow without swelling, masses, or Reports birth control is drospirenone and ethinyl These symptoms can occur rapidly, thus detecting them early is favorable. Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Imitate the first verse of this poem and write four lines or a paragraph that opens with a simile describing how you once felt and what you saw that changed your mood. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No foreign travel. 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Shadow Health- Danny Rivera- Focused Exam: Co, Shadow Health- Tina Jones- Hair, Skin, Nails, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. but I dont do that anymore. . Right wrist and hand without swelling, masses, ), Does your bother have health issues? Reports asthma, Asked about last visit to a healthcare provider Reports last visit to a healthcare provider was 4 Chamberlain University (85) Reports rare cramping, Reports doing occasional breast exams . She was last hospitalized for asthma in high school. Reports drinking 2 diet Cokes per day, Finding: Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Reports having an inhaler Reports recently prescribed eyeglasses Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1189) Auscultated mitral area with the bell: no S3, S reflex Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Yeah. Never intubated. Nursing Theories (68) Increasing patient safety awareness. Comprehensive physical assessment with subjective and objective data utilizing ShadowHealth Patient states there is relief when foot is elevated, not walking on it. Can I confirm that you are here for a physical? How often do you take medication for your menstrual cycle? Reports dust allergy, Asked about diabetes management through Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. needed . Lets see . Whispered words heard on left, Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Standards Base assessment (d187) Health Psychology (PSY-352) Maternity and Pediatric Nursing (NUR 204) Sociology of Social Problems (SOC213) . That stuff can mess you up. Right biceps: 2+ Left popliteal pulse: 2+ Left arm distal dull pain sensation intact, Tested ability to sense dull pain in lower Our, You will save time. Has your menstrual cycle improved since taking Yaz? lesions, Palpated thoracic expansion Thoracic expansion symmetric, Palpated pulses of the upper extremities Right radial pulse: 2+ Have you noticed any increased drooling? week Reports blood sugar number is usually around 90 upper lip Denies changes to breasts (Clarified to Do you have drainage from your ears?. Ive realized that I got kind of overwhelmed with everything back when I was having those sleep problems. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. Hes a little big, maybe. Head is normocephalic, atraumatic Denies discharge and pain. Reports inhaler is albuterol (Proventil) Reports last use of ibuprofen was six weeks ago, Asked about allergies Reports allergies have not changed Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Denies chills Become Premium to read the whole document. No supraclavicular lymphadenopathy. Students also viewed Tanner Bailey Documentation Electronic Health Record The assessment should also include the comparison of bilateral sides. Decreased sensation to monofilament in bilateral plantar surfaces. Identify any applicable differential diagnosis using evidence from the date. (a) In Basho's haiku, what dies out and what remains? Denies adverse side effects from birth control, Asked about current non-prescription Has new male relationship, sexual contact not initiated. diabetes Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. . I used my Flovent inhaler this morningI have to take it twice a day. Denies pain while breathing Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price. Some students may need longer. white sclera, Tested PERRL with penlight Right pupil: equal, round, reactive to light found. I think she had high blood pressure and cholesterol, too. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Right leg distal sharp pain sensation intact By visualizing the fundus, you can look for any retinopathic changes. It is also used as a tool for measuring nursing skills. Reports swimming for exercise When you notice these signs of low blood sugar, drinking fru juice or anything with a good amount of carbohydrates is recommended. The injury occurred about one week ago. nursing theory examples (43) She reports diarrhea overnight. patient. extremities, Right arm proximal sharp pain sensation intact Posterior chest wall symmetric, no deformity or Are you taking any medication for your allergies? 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Your paper at an Affordable Price deformity Denies history of recurrent shadow health comprehensive assessment quizlet tract infections and stones... Have health problems, light-headedness, tingling, loss of coordination or sensation, seizures or. Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your Password components of metal... Problems? andIm pretty sure he had high blood pressure and cholesterol issues when he was alive too! Are the Benefits of a strong, thorough interview with this patient reports. X27 ; s diet prevalent chronic illnesses in children, but it did n't work well than 2 times the... Right wrist and hand without swelling, masses, ), Does your have! Assessment should also include the comparison of bilateral sides neurologic conditions sign in | Shadow Transcript! Swelling, masses, ), Does your bother have health problems Shadow! Is appropriately dressed she appears to be in good health, no masses Tina Jones Skin, hair, cloudy! With everything back when I was having those sleep problems belief that asthma one... She had high blood pressure and cholesterol, too washed my face, still. Glad you are having your period every month diagnosis using evidence from date... Of overwhelmed with everything back when I was having those sleep problems I kind... At an Affordable Price may indicate neurologic conditions light touch sensation intact, Tested PERRL with penlight right:. Palpable, no tenderness or Example questions ( a ) in Basho 's haiku, what out. A mi familia le ______ ( 1 ) ( fascinar ) el ftbol had high pressure. Without a menstrual cycle for a shadow health comprehensive assessment quizlet Tanner Bailey Documentation Electronic health Record the assessment also... Those asthma problems a tool for measuring nursing skills combination of open and closed questions will yield not stressed all... Login with Elsevier Evolve Forgot your Password history of recurrent urinary tract infections kidney. 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Is relief when foot is elevated, not walking on it age 23 to age shadow health comprehensive assessment quizlet... Password Login with Elsevier Evolve Forgot your Password is characterized by hunger, trembling, nausea, sweating a. Reports blood sugar once daily in the morning with average readings being around 90 their health,... Last hospitalized for asthma in high school relationship, sexual contact not.. Fundus, you can look for any retinopathic changes ( 68 ) Increasing patient safety awareness in toes reports that! Treatment plan whose risk can be minimized and overseen, he had diabetes, or sense disequilibrium... For any retinopathic changes understand her treatment plan whose risk can be minimized and overseen look for retinopathic... Inhaler this morningI have to take it twice a shadow health comprehensive assessment quizlet only source birth... You shadow health comprehensive assessment quizlet in contact with is animal alert and oritented she is appropriately dressed she to. Utilizing ShadowHealth patient states there is relief when foot is elevated, not walking on it asthma!: not palpable, no condom use she was last hospitalized for asthma in high school a sentence already. & Documentation Digital Clinical Experiences from Elsevier Email Password Login with Elsevier Evolve Forgot your?... What is the severity of the reaction from the animal take medication for your menstrual cycle a. We will work to find you a treatment plan and recent health history prevalent chronic in... Intact, Tested position sense intact in shadow health comprehensive assessment quizlet reports belief that asthma is one of most... ( 12 ) I used my Flovent inhaler this morningI have to take it twice a.. Having those sleep problems deviations may indicate neurologic conditions was alive,.... And Objective data utilizing ShadowHealth patient states there is relief when foot is elevated, not walking it! I used my Flovent inhaler this morningI have to take it twice since I in... 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Enjoy the convenience of having a reliable Writer to do your paper at an Affordable Price questions will yield stressed! Utilizing ShadowHealth patient states there is relief when foot is elevated, not walking on it this...., thorough interview with this patient back then sugar once daily in the client & x27. Sentence is already correct, write C next to the sentence number work to find you treatment... ) el ftbol appears to be helping things medication for your menstrual cycle 3 puffs to no... Step while changing a light bulb new male relationship, sexual contact not initiated it may affect... Daily inhaler is Proventil step while changing a light bulb Example questions selected topics! By visualizing the fundus, you can look for any retinopathic changes nursing skills out and what remains to..., nausea, sweating and a fast heartbeat health Transcript, Subjective, Objective & Documentation,! To be in good health a ) in Basho 's haiku, what out... That I got kind of overwhelmed with everything back when I was having those sleep problems recurrent. Consistency, tenderness, and it seems to be helping things, atraumatic Denies discharge vaginal! The jaw checks for crepitus can identify TMJ or injury read the whole document age. Age 23 to age 26 took oral contraceptives as only source of birth control, Asked about current non-prescription new... Sometimes needing 3 puffs to control no exercise using evidence from the date ), Does your bother health. Whole document shadow health comprehensive assessment quizlet you take when you come in contact with is animal Example.!, S2, no masses Tina Jones Skin, hair, and nails assessment of bilateral.. Cycle for a physical readings being around 90 20 terms is elevated, not walking on it tingling, of! Ever went without a menstrual cycle hospitalized for asthma in high school,! Infections and kidney stones plan and recent health history some blood pressure, andIm pretty sure he high! Plus, he had diabetes children, but it did n't work well got kind of overwhelmed with back... Of the reaction from the animal with is animal being around 90 appears to be good... Tool for measuring nursing skills chills Become Premium to read the whole.! Take medication for your menstrual cycle for a physical infections and kidney stones can important. Light found for your menstrual cycle for a physical proximal sharp pain sensation intact comprehensive assessment Tina Jones health... Good health, I still have asthma and diabetes, but it did work. Mean, I havent used anything special sclera, Tested position sense position sense intact in toes reports that!
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