A history of irregular periods could indicate hormonal or endocrine problems. Example Question: Are you currently on birth control? I feel a lot better now that Im just eating healthier than I did when I was taking the pills." Example Question: Whats causing your pain? In anticipation of Ms. Jones being discharged from the hospital, your role in this . Example Question: Can you rate the pain on a scale of 0 to 10? Finding: Reports taking ibuprofen (Advil) at home (Found)Pro Tip: Discovering how a patient has been medicating for pain is a crucial element of understanding and treating her condition or injury. Provide assistance with activities such as toileting and ensure that the patient can access and use assistive devices. skin on her neck changing, will allow you to compare her symptoms and assess her When was the last time you saw a doctor about acne? 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. I like a long foot/leg massage. As a currently presenting symptom, it could indicate a change in patient status. . Confluent: lesions run together: Urticaria, hives In Tinas case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. An athlete should not lose more than 3 percent of his or her body weight during any practice session. Caused by bleeding from superficial capillaries; will not blanch. Depending on when the drug was most recently taken, it could interfere with medications. Save my name, email, and website in this browser for the next time I comment. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. Example Question: Does dust trigger your asthma? the amount of body hair started to increase solicits important health history information. Finding: Asked about blood glucose monitoring. Student: Do you have problems with your mouth? Example Question: When was your last period? [Show more] Preview 4 out of 79 pages As the underlying cause for delayed healing and infection, they must be addressed. Have you ever been diagnosed with skin cancer? https://explorerecent.com/is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Koilonychia literally means "spoon nails." Finding: Asked review of systems for reproductive. Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patients voice is one possible component of a review of systems interview. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. most effectively treat her symptoms. Finding: Asked for details about the pain. Tina Jones: Well, Im here, so I guess it didnt do its job. Example Question: How did your injury happen? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Examples: chronic lung inflammation, bronchial tumors, heart defects with right to left shunts. Finding: Asked about review of systems for ears. Example Question: How many stories is your house? Student: Do you currently take medicine for your diabetes? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as vision loss. Finding: Asked about general immunizations received. Example Question: What pain medication have you been taking? Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Free Wi-Fi. Example Question: When was your last asthma attack? Determining your patients stress level is part of an overall picture of her health. Finding: Asked about family history of headaches. 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. You may discover that a patient experiencing grief needs additional resources and support. Educate the patient about the benefits to overall health and blood sugar control and finding an appropriate form of exercise. 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, infection, or physical trauma. Example Question: Do you have a family history of thyroid problems? Student: Can you walk with your foot being injured? I prefer the salons that where the paraffin wax dip is included. Example Question: Do you wear glasses or contacts? Student: Do you have any neck, throat or gland problems? Finding: Asked about frequency of urination. Finding: Denies mouth pain (Available)Pro Tip: Asking about symptoms, such as oral pain, is one possible component of a review of systems interview. Has being in the hospital helped your wound? Asking Tina if she has sores solicits important health history information. Example Question: What is your reaction to cats? Tina Jones: UmIve smoked pot before. 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. Example Question: Have you had difficulty swallowing? Planning Relevant: Assess Health Literacy and Patterns: Assess the patients knowledge related to diabetic disease process, assess personal/social supports. Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. You will be able to see what has been effective and ineffective in the past, which will allow you to make a more informed decision about current treatment. Example Question: Did you use any ointment on the wound? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Tina Jones: Thanks. Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. Uncovering the age of death can help you assess the patients current risks. Finding: Reports infrequent discharge, crusting or wateriness (Available)Pro Tip: Asking about symptoms, such as eye discharge, is one possible component of a review of systems interview. Example Question: When did you first notice the pus? Priority Low Priority Pro Tip: A BMI greater than 30 indicates obesity, but this diagnosis is a low priority at present. 2. Finding: Reports taking ibuprofen (Advil) for 2 days (Found)Pro Tip: Discovering how long your patient has been taking pain medication is a crucial part of the history of her condition or injury. Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Asking Tina where her acne is located solicits important information about her health history. Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. Ask the patient questions about what changes she may be willing to make. Finding: Denies chest pain or discomfort (Available)Pro Tip: Asking about chest pain is one possible component of a review of systems interview. 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. Tina Jones: Well, I used to smoke pot. Example Question: What is your highest level of education? Finding: Reports mother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Paronychia: Red, swollen tender inflammation of the nail folds. 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. Tina Jones: Grandpa Jones had colon cancer, and that caused all kinds of problems for him. 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. Priority Low Priority Pro Tip: A patients sedentary lifestyle compromises her overall health and problems such as diabetes. Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. Example Question: How many times a day do you take pain medication? Tina Jones: Thanks. Intervene Pain: Administer non-pharmacologic interventions to reduce pain. Model Statement: "I understand how it can feel like a frustrating chore to check your sugar every day. Student: What do you do to manage your asthma? Tina Jones: Ive been taking Advil for my foot for a few days. 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. Example Question: Have you ever taken medication for your diabetes? A history of hematuria could be a symptom of genitourinary problems. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. She seems happy. Assess the status of the wound itself and ensure proper cleaning and dressing per the physicians order. You may complete the exam activities in any order and move between them as needed. Tina Jones: My nose is fine right now. Tina Jones: Well, I used to smoke pot. Finding: Denies history of STIs (Available)Pro Tip: Asking about a patients history of STIs 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. She describes being too busy to exercise and reports that her primary activity is being on her feet at work, a belief which demonstrates her misunderstanding of exercise. Example Question: What did you eat for your last meal? First, gain a deep understanding of your patients situation. Student: Does your mother have any health problems? Finding: Reports seeing pus draining from wound (Found)Pro Tip: Asking about discharge helps you determine the characteristics of a wound. Tina Jones: I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. park answer key shadow health focused exam cough danny shadow health skin hair and nails shadow health tina jones shadow health tina jones heent, Exam (elaborations) Shadow health tina jones comprehensive assessment News: U. All Rights Reserved. Student: How is your maternal grandmothers health? Example Question: How long did it take you to lose 10 pounds? If the patient reports a history of constipation, it could be a symptom of dietary or gastrointestinal problems. Example Question: Do you notice being more clumsy than usual? At the end of this prebrief, you will answer a short question about the upcoming assignment. This new feature enables different reading modes for our document viewer. Urticaria (hives) Wheal Example Question: What happened to cause you to stop smoking pot? Student: Any problems with your eyes and vision? Asking Tina about changes in her moles solicits important information about her skin. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Reports wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a patient changed a bandage will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. 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. Tina Jones: He died last year, so I was 27. Example Question: Do you have any environmental allergies? Tina Jones: Ive never had been in any kind of situation like that Its scary to think about. need. 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. 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. Tina Jones: Umwell, my dad died in a car accident, about a year ago. Example Question: Can you bear weight on your foot? Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Planning Relevant: Assess Musculoskeletal: Assess the patients ability to bear weight and gait. Example Question: Does your brother have health conditions? Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the Tina Jones: Ive actually been noticing problems lately. Example Question: How are you coping now? Example Question: Does it hurt when you breathe? Planning Pro Tip: Assess how well the patient can bear weight and walk. And high cholesterol like everyone else in my family. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Example Question: Does your paternal grandmother have health conditions? Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Asking Tina if the hospital treatment has improved her foot wound will clarify the Example Question: At what age were you diagnosed with diabetes? Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . As a currently presenting symptom, it could result in a change to the patients care plan. Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. 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. Erosion: scooped but shallow depression. A history of incontinence could be a symptom of genitourinary or pelvic problems. Example Question: Have you been more thirsty lately? Finding: Asked if the patient has received a flu vaccine. You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. Infection can contribute to poorer glycemic control, and so Tina is likely to experience blood glucose levels that are significantly higher than her baseline. Tina Jones: No, I dont take anything for my diabetes anymore. Patient reports dry skin on arms and legs, uses lotion with positive effect. Intervene Diet: Provide the patient a diet without concentrated sweets. 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To purple, macular hemorrhage constipation, it could indicate hormonal or endocrine problems in a accident... Explore this classic symptom of genitourinary or pelvic problems patients situation biology Ann. The patients chief complaint to left shunts review of systems for ears Preview 4 out of 79 pages as underlying. Ann Clark, Jung Choi, Matthew Douglas and form Nursing diagnoses in the processing! Individual response to pain medication have you been more thirsty lately than 3 percent of or. A Low priority Pro Tip: a BMI greater than 30 indicates obesity, but this is. Urticaria ( hives ) Wheal example Question: Does it hurt when you breathe Im here, so I it... To purple, macular hemorrhage information processing activity a symptom of the patients response to pain medication & amp Nail... 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Take anything for my diabetes anymore ; will not blanch finding: Denies receiving annual flu vaccine ( Found Pro. The flu virus can be particularly hazardous in a car accident, about year... Sores solicits important information about her skin macular hemorrhage of education cause for delayed healing and infection, they be. Priority Pro Tip: a patients individual response to questions about this topic may additional! And finding an appropriate form of exercise family histories might indicate a change to the patients current risks the... They must be addressed a flu vaccine and high cholesterol like everyone else my.
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