Finding: Asked about current diabetes medication use. Anytime. Reports last seeing a doctor for acne in high school. Model Statement: "Thank you for sharing that information. Example Question: Does your paternal grandmother have health conditions? Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Student: How does this assignment prepare me for the real world? symptoms she is experiencing. Tina Jones: Im allergic to cats. Example Question: Do you get light-headed? symptom she might be experiencing. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. If the primary disease is treated, clubbing can reverse. Asking Tina if her skin has been itching solicits important health history information. Tina Jones: Shes pretty healthy. Asking Tina if she had problems with the hair on her head solicits important health information. College Physics Raymond A. Serway, Chris Vuille. Finding: Denies circulation problems (Available)Pro Tip: Poor circulation is the result of other diseases like obesity, diabetes, or cardiac conditions. Now part of the excitement to get my nails done is just coming inmore, It's a really nice place actually better then the previous nail salon.more, Love this nail salon! Student: Have you been around people that are smoking? Example Question: How has the pain changed over time? If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. Intervene Mobility: Assist the patient as needed with mobility. Tina Jones: Well, Im here, so I guess it didnt do its job. Im Preceptor Diana. 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. Finding: Followed up on reason for weight change. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Asking Tina how her foot wound has been healing specifies the symptoms she is Ulcer Finding: Asked about family history of substance abuse. Example Question: Have you had night sweats? 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. Model Statement: "It sounds like your asthma is giving you some problems, and youre not getting full relief from your inhaler. Example Question: How much weight have you lost? Finding: Denies smoking tobacco (Found)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health, and is a potential factor in delayed wound healing. Finding: Reports 1 uncle has alcoholism (Found)Pro Tip: Asking about trends in substance abuse can help you understand your patients risk for inherited diseases linked to addiction. Asking Tina if she currently has acne solicits important information Evidence Pro Tip: The strongest evidence of impaired walking is that Tina directly reports she cant bear weight or walk on her affected foot. Student: We are going to take care of everything as quickly as possible. As a currently presenting symptom, it could indicate a change in patient status. Asking Tina how she treats skin dryness solicits important health information. Past 24 Hours If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Assess Musculoskeletal: Assess the patients mobility. 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: What medication allergies do you have? You can document your findings, including vital signs, in the Electronic Health Record. 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. Example Question: Have you had a sore throat? Example Question: What are your usual blood sugar levels? Finding: Denies current nose problems (Found)Pro Tip: Asking about symptoms, such as nose problems, is one possible component of a review of systems interview. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following. Tina Jones: Like a 7. (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: _____. I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Example Question: What did you eat for lunch yesterday? Pro Tip: Monitoring moles is an important step in detecting skin cancer. Loss of a family member Not Followed Up, Description: Tina shares information about her father dying. I am not a big nail salon person; meaning, the last time I got a pedicure was 5 years ago. Finding: Reports inhaler is albuterol (Proventil) (Found)Pro Tip: Finding out the specific medication type or brand is essential in understanding whether its a maintenance or rescue medication. Pro Tip: Family histories might indicate a genetic predisposition to certain conditions. 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 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. her neck hurts, will allow you to compare her symptoms and assess her condition. Lack of blood glucose monitoring Not Followed Up, Description: Tina reveals that she does not check her blood sugar. Pro Tip: Sun exposure can directly affect a patient's skin. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. Asking Tina if her skin gets dry solicits important health Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Example Question: Have you had mouth pain? Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Does it hurt when you breathe? Unstable blood glucose levels could increase the patients risk for falls. Example Question: What allergies do you have? I know I need sleep, too. Student: How effective was the Neosporin? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Your email address will not be published. Examples: cheilosis at corners of the mouth due to excess moisture; athlete's foot Student: When did you realize you were allergic to cats? Example Question: Have you ever smoked cigarettes? Finding: Reports pain affects ability to walk (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Shadow Health - Skin, Hair, and Nails Lab - Objective Complete.docx.docx Uploaded by Ivan Ramirez Full description Download now of 11 You're Reading a Free Preview Pages 6 to 10 are not shown in this preview. Example Question: Have you had problems with your sinuses? Finding: Asked about review of systems for neck, throat and glands. Thanks Lim Nails!". Example Question: Do you wear glasses or contacts? Finding: Asked about review of systems for eyes and vision. Example Question: Have you had any family members with cancer? Priority Low Priority Pro Tip: A patients sedentary lifestyle compromises her overall health and problems such as diabetes. Example Question: Do you have any food allergies? experiencing. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Reviews on Nail Salons in Provo, UT - Lim Nails, Paradise Nails, Royal Nails III, City Nail & Spa, Bellagio Nail, PhenomeNails, G Nails Bar, Phat Nails, ProfessioNails, Essence Nails & Spa . Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Example Question: Whats the most puffs you ever take? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Match. Finding: Asked about review of systems for nose. Example Question: How often do you wake up at night to urinate? Tina Jones: Well, I used to smoke pot. the skin's oil glands. facts of the patient's case. What are some highly rated laser hair removal in Provo, UT? Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. I was pleasantly surprised by the massage chair I was seated in while each foot was pampered with nail trimming, sugar scrubbed, lotioned, and oiled. Example Question: Does the wound feel warm? he would sometimes get kind of mad at us when we did something wrong. Pro Tip: Sun exposure can directly affect a patient's skin. You may discover that a patient experiencing grief needs additional resources and support. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Student: What additional symptoms have you experienced? Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Asking Tina where her moles are located solicits important information about her skin. If the patient reports a history of diarrhea, it could be a symptom of dietary or gastrointestinal problems. 8. for skin cancer. 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. Things were only hard like that for a few months. Or like, hed make us rake the yard or wash his car or something. Vesicle: Elevated cavity containing free fluid, up to 1cm; a "blister" Clear serum flows if wall is ruptured. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Asking Tina about her moles solicits important information about her skin. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. Example Question: Are you ever exposed to secondhand smoke? Texture: smooth, firm and even surface Thickness: uniformly thin over most of the body Edema Mobility and turgor: ease of rising and ability to promptly return Vascularity or bruising: Cherry (senile) angiomas Edema: edema is fluid accumulating in the intercellular spaces. Finding: Denies irregular heartbeat (Available)Pro Tip: Asking about heartbeat patterns is one possible component of a review of systems interview. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. Example Question: How many nights a week do you drink alcohol? Example Question: Do you still have acne? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Tina Jones: Thanks. Test. Shes still living on her own. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. 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. As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. I didnt realize how sharp the edge was! Finding: Reports changes to neck skin (Available)Pro Tip: Asking about changes in skin color is one possible component of a review of systems interview. Finding: Reports last use of inhaler was 3 days ago (Available)Pro Tip: Determining the patients last use of an inhaler clues you in to any recent breathing problems. Planning Relevant: Educate Diet: Educate the patient on balanced nutritional intake. A history of irregular periods could indicate hormonal or endocrine problems. Finding: Reports receiving HPV vaccine series (Available)Pro Tip: Discovering if a patient has received the HPV vaccination reveals information about both her medical history and her susceptibility to infectious disease. Example Question: Do you have seasonal asthma triggers? Beau's Line: Transverse furrow or groove. Example Question: Have you had nosebleeds? Finding: Reports only prescription is an inhaler (Available)Pro Tip: Determining what, if any, prescription medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Tina Jones: Ive been taking Advil for my foot for a few days. Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. This record provides necessary information for healthcare professionals who will continue patient care. 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. Example Question: How are your lymph nodes? Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. Asking Tina when she last saw a doctor about her acne solicits important information about her health history and any treatment plan she was following. Objective Data-Skin SkinInspect and palpate (cont.) Finding: Asked review of systems for gastrointestinal. Example Question: Did you use any ointment on the wound? Anywhere. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Have you ever had a urinary infection? Its like a half hour from here. A depression across the nail that extends down to the nail bed. Adolescents: Acne Example Question: Do you have any skin discoloration? Example Question: Have you ever had a seizure? Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. Student: When did you last use drugs? Herpes zoster (shingles) Asking Tina if she currently has acne solicits important information about her health history. 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. Example Question: When was the last time you took your diabetes medication on a regular basis? Finding: Asked about prior hospitalizations. Determining your patients stress level is part of an overall picture of her health. Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. Bruising easily can be indicative of anemia or a more serious blood disorder. Linear: a scratch, streak, line or stripe Tina Jones: I dont know what caused it, I just lost weight. Example Question: When did you first notice the pus? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Example Question: How many puffs do you typically take? Asking Tina if she has ever been diagnosed with skin cancer solicits important health Example Question: How often do you change your bandage? It was much needed and I will be back every 3 weeks until I can do it myself. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Finding: Reports history of recreational marijuana smoking (Found)Pro Tip: Determining any recent or past history of drug use is essential to revealing any substance abuse issues, and if the patient is likely to seek drugs while admitted. This is a review for nail salons in Provo, UT: "I got a last minute appointment for a pedicure. Example Question: Have you had ear discharge? Finding: Reports recommended dose is 1-3 puffs as needed (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Finding: Reports last alcoholic drink was 3 weeks ago (Available)Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive medications while admitted, and alcohol is often contraindicated. "Its throbbing and like, sharp if I try to put weight on it." 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. Asking Tina when Evidence Relevant: Evidence Pro Tip: The strongest evidence of Tinas fall risk is reports of being unable to bear weight or walk on her foot. 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. Example Question: Does your foot pain affect your work? Student: We are going to take care of everything as quickly as possible. Existing conditions can also inform your treatment and understanding of the patients current health issues. 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. Student: What immunizations have you received? 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. A week do you Have seasonal asthma triggers food allergies: One in. 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