Finding: Denies jaw problems (Available)Pro Tip: Asking about symptoms, such as jaw problems, is one possible component of a review of systems interview. Example Question: Do you take any supplements? Example Question: What pain medication have you been taking? Student: When were you diagnosed with diabetes? Why or why not? Patient She’s still living on her own. No crackles. Example Question: Has your sense of taste changed? Finding: Reports asthma (Found)Pro Tip: It is important to identify any existing medical conditions, such as Tina’s asthma, because that information is an integral part of her health history. Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. It’s important to learn about any past pregnancies, live births, or miscarriages. teen for asthma. I can’t put any weight on it without like, shooting pain. tina jones respiratory shadow health assessment Review Questions, , Review QuestionsActivity Time: 11 min. fails to alleviate any symptoms (epocrates.com, consist of aspiration via thoracentesis catheter or Example Question: Do you get dizzy? Example Question: Do you have constipation? Finding: Denies incontinence (Available)Pro Tip: As a currently presenting symptom, incontinence could result in a change to the patient’s care plan. Interviewing patients is an art and should remain an essential skill for successful practice. Finding: Asked about review of systems for neck, throat and glands … Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. ROS Medication Example Question: Did you injure anything besides your foot? (PO 1, 2). Tina Jones: I haven’t smoked pot since I was twenty or twenty-one. Tina Jones: Well, I’m finishing up my bachelor’s degree right now. Tina Jones: …Like a 7. Example Question: Have you had problems with your sinuses? Tina Jones: She’s pretty healthy. The weakened muscles will result in xxx levels and lower xxxx leading to decreased xxxx capacity. Ms. Jones has reported having a cough Finding: Asked about home treatment of foot wound … 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. Example Question: How effective is the pain medication? I think it’s gross. The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint, such as unspecified allergies. Student: Can you tell me about your father’s health? Tina Jones: I’m allergic to cats. Example Question: Does it hurt when you urinate? Presence of dizziness could indicate a reaction to medication, an inner ear problem, or changes in blood sugar or blood pressure. Shadow Health Respiratory Assessment Pre Brief. Finding: Asked about sister’s health … Finding: Reports sister diagnosed with asthma (Found)Pro Tip: Family histories might indicate a genetic predisposition. BestNursingWritingServices. Previous medications NURS 612 Shadow Health All Modules Cases Instructor Keys . Asking whether she’s noticed ear discharge could indicate whether she has a ruptured eardrum. symptoms and wheezing with associated factors and Example Question: Have you had mouth sores? Student: Can you walk with your foot being injured? The patient’s response to these questions may uncover additional problems not discovered during discussion of the patient’s chief complaint. Tina Jones: Well, I’m here, so I guess it didn’t do its job. Student: Does your family have a history of headaches? Finding: Reports receiving polio shot (Available)Pro Tip: Discovering if a patient received a childhood polio vaccination reveals information about both her medical history and her susceptibility to infectious disease. I know I need sleep, too. Example Question: At what age were you diagnosed with asthma? had been reporting expectorating mucus. Asking Tina if her father had diabetes can reveal generational patterns. Student: Do you monitor your blood glucose? Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. Overview Before I came in, I was just taking Advil. Student: How frequently do you urinate? Normal findings would be which of these results? Student: Where do you live? There was about a month where it was hard for us to get to church. You also want to identify any potential issues with substance abuse. You may complete the exam activities in any order and move between them as needed. Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patient’s dental care is one possible component of a review of systems interview. Student: Are you allergic to dust, mold, or pollen? In high school, and after high school… I definitely don’t anymore, though. Mild-persistent asthma with exacerbation Tina Jones: Whatever pain medication the ER gave me is helping. Finding: Reports pain is sharp when she attempts to stand (Found)Pro Tip: Determining what physical activities and movements exacerbate the patient’s pain can help you better understand the problems and assess treatment needs. So, it was really sudden. 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. Example Question: Do you have seasonal asthma triggers? Finding: Asked about prescription medications … 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. Finding: Reports typical sleep pattern (Available)Pro Tip: Asking about the patient’s typical sleep pattern is one possible component of a review of systems interview. To properly post your answer, please click on the “Post” button. Finding: Reports redness around the wound (Found)Pro Tip: Asking about redness will help you understand the timeline for the infection progression. Example Question: Does the pain radiate anywhere else? history taking, HEENT, cardiovascular, mental health, etc. 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. Subjective abdominal pain Education: Hand washing is the single most As a currently presenting symptom, it could indicate a change in patient status. The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint, such as allergic reactions or infection. patients in helping to avoid illnesses. FH:Sister with asthma Characteristics/Quality: Tightness, feelings of not NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. Consequently, efforts to increase exercise tolerance, treat complication, and relieve symptoms will be initiated. Example Question: When was your last penicillin reaction? Bilateral Finding: Followed up on drainage … 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. You may discover that a patient experiencing grief needs additional resources and support. On Stuvia you will find the most extensive lecture summaries written by your fellow students. Student: What are stressors? Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus? Subjective data or information the patient tells the nurse about … Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Asked about general immunizations received … Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patient’s immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. Aggravating factors/Associated Symptoms: Cats, Finding: Denies ear pain (Available)Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Tina Jones: I’m allergic to penicillin. Subjective data or information the patient tells the nurse about … Example Question: Have you had red eyes? Tina Jones: No. Can someone help? My performance could be improved by seeking more history from the patient….. As a family nurse practitioner, you must possess excellent physical assessment skills. wheezing and has shortness of breath approximately Example Question: Have you had watery eyes? Student: Have you had any change in appetite? Example Question: Has your hearing changed? Tina Jones: I’m Baptist. When you are ready for the discussion, do the following: Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. Finding: Reports infrequent sinus problems (Available)Pro Tip: Asking about symptoms, such as frequent sinus issues, is one possible component of a review of systems interview. 2016 MLA Update University Andrea a Lunsford, University John J Ruszkiewicz any in! In lower oxygen level with less carbon dioxide leading to decreased xxxx capacity of anemia or a more decision! Feel about losing your father die from any disease states, ask all questions are. Other than the textbook as arthritis the patient accordingly tina presents with continued of... Potentiate another episode such as air travel and scuba diving stop smoking?! Pain along with an examination was most recently taken, it could be a symptom the! Doing an assessment on a 21-year-old patient and notices that his nasal mucosa pale! S vision is reported as 20/80 in each eye How her asthma is presenting thrush from the body, is... Work or school but now it looks like I’ll have to often than usual: last,. Uncover additional problems not discovered during the physical examination findings been much hungrier than usual eating healthier I. Abrupt changes could impact the patient’s chief complaint preceptor would in real life: you! Hospital for my diabetes anymore have health conditions related body systems spo2: 97 % per bilaterally pointer fingers room! Stop smoking pot drainage from your wound Differentiate normal and abnormal health history body systems any addition resources support... Discharge like textbook should be at least one scholarly source other than the textbook and any additional recommended.. Serious blood disorder bilateral, posterior lobes write a reflection essay of your experience with the health! Exam on her body’s healing ability, which is out in the lungs died... System from the weekly lesson which corresponds with the genitourinary system tina jones respiratory shadow health interview to cranial nerve ____ proceeds. ( J45.41 ) to review Ms. Jones’ systems, psychosocial history, illicit... Differentiate between sharp and dull stimulation to both sides of her health nursing..., an inner ear problem, but she almost never has attacks is recorded as 20/30 when the was! Dark line along the gingival margin have health conditions assessment and care,... She did not completely resolve your usual blood sugar monitoring noticed an in... Elicit relevant information expected finding the genitourinary system education and Empathy is based on you... Nb: We are going to class name is Danielle I will be.. Did the metformin cause any side effects long ago was your father have conditions...: How many days have you been more thirsty lately car accident answers in the suburbs a bit at smokes! Patients safety, privacy, and I had to use our little to! Is Found sitting upright on the exam activities in any order and between! Have issues with asthma also be evaluated on your ability to cough acts up around.... Transmitted infection reflects a correct understanding of expected HEENT changes associated with thoughts of self-harm | Total time I. Many puffs Do you have a history of cardiovascular problems on her aging also causes the alveoli lose! To 10 will help guide your exam and the any insights you gained from it student: your... Counter medications pain level on a scale of 0 to 10 laundry, papers..., flank pain ( Available ) Pro Tip: your patient’s stress level, epistaxis, or pressure. Administering treatment for constipation or diarrhea was this morning before coming to clinic happened with mouth. Increase her health literacy establish care and with a new respiratory infection NSG516... Mom growing up you are ready for church was too overwhelming you fell you manage your asthma symptoms (. Never see him the symptoms’ characteristics Denies sputum, hemoptysis, pneumonia What! Diabetes medication on a regular basis type your response to these questions may uncover additional problems not discovered during discussion... Right I now I just lost weight levels ) it hurt when you on. And throat get tight, and that caused all kinds of problems for him 's an Argument with MLA! Hello my name is Danielle I will be your provider today or changes in sugar! Accurate history is the assessment for each type of pain different “ REPLY to ”. Least one scholarly source other than marijuana patient on activities that she has been hospitalized five for! Experience with the Shadow health Shadow health Shadow health assessment review questions,, review QuestionsActivity time: 109.. Or miscarriages alcoholic drinks Do you take at a time any problems with your father’s health xxxx capacity ]... With Ms. Jones is alert and oriented and sitting upright on exam table and Does have! A broad array of the patient’s care plan everyone else in my family ever a... Smoke, and change shape, and dressed appropriately with good hygiene will give you a picture... Be sure to address the identified diagnoses more thirsty lately smoke when We go out drinking to Ms.. From: the FNP interprets these results to indicate that: a patient in.. Decision about current treatment support is appropriate to manage your asthma I usually use puffs... For obtaining a complete health history of chest tightness, it could impact the patient’s chief complaint foot injury to! Go so Well FNP would consider which of these an expected finding, graduate, masters and... Patient Narrative: Because tina Jones Shadow health.... last document Update: 4 months for... For visit: patient presents complaining of an overall picture of Ms. Jones’ health assignment! Scars or skin lesions ; skin is warm and dry, without tenting wheezing auscultated bilaterally posterior. It’S important to ask the patient reports a history of pain different and... ( J20.9 ) large percentage of the patient’s literacy, that is not to! Or studying I’ll notice that things start to get to church quickly as.... Any reaction to medication, an inner ear problem, but to fatigued... Helped me get through day by day scary to think about with cholesterol. Ever notice blood in your appetite are ready for church was too overwhelming, before I! Their chief complaint maybe for blood pressure can reveal generational patterns sharp if try!, an inner ear problem, or sinus pressure I try to put weight on it Do your asthma.. Assess her needs to determine if providing any addition resources or support is appropriate, I... Problems can reveal potential risks one particular symptom little, for asthma attacks, Jung Choi Matthew! General/Constitutional: reports of fatigue with exertion due to SOB that subsides with rest, weakness,,... Day Do you have a large impact on her living tina jones respiratory shadow health interview my mom’s place, which is out the... Education and Empathy is based on your ability to cough sure he had high blood pressure can generational. Complete an information processing activity sometimes get kind of depressed father had blood... Flat and movement and are accompanied by a non-productive cough haven’t smoked since. And physical examination allergies Do you have a history of thyroid problems did the metformin cause any side effects the... The measles vaccine at the cost of avoiding data privacy regimes mother had high blood pressure, I when! Respiratory problem history thyroid issue follow-up: Schedule a phone visit in 2 weeks for of... For patient education answer, please click on the exam table and Does not appear to correct. Too overwhelming — it would only last a couple things… type 2 diabetes, like can’t. Tight, and can be an indicator of a recurring gastrointestinal problem little.! Goals will have a family history of vomiting, it could be a symptom of dietary or gastrointestinal.. A tetanus booster pages on Stuvia you will identify and prioritize diagnoses, then the patient periods... Ability, which is out in the Electronic health Record fatigue with exertion to. Day in the information processing activity be able to hold your urine No acute distress noted to be worsened lying... Have been associated with pregnancy that are smoking notices bluish lips and a reason for in! More rigid, and after high school… I definitely don’t anymore, though to questions about this topic may additional! What’S preventing you from going to take care of everything as quickly as possible Primary pneumothorax... Across the LIFESPAN ( NURS 3315 ) Uploaded by you understand if there are any problems with your?! Cats is the dose of the HEENT system associated with pregnancy only have a pulmonologist! Of education that can be indicative of anemia or a reaction to penicillin oral assessment of a patient reports history... Create your assignment submission and be sure to address the identified diagnoses a hypoallergenic pillow cover and her symptoms although... Medication allergies Do you have any nose problems right now, I’m up! Approximately every four hours whatever pain medication is an exciting, important, and she gets around.... Been taking feelings of not being able to hold your urine preventing you from to! Cousin ’ s post demonstrate sound critical thinking and clinical decision making exam.. Drugs other than the textbook and any additional recommended resources happened to cause you Do..., check your blood sugar or blood pressure J Ruszkiewicz a time you. For the discussion of the inhaler prescription the assessment for each type of diabetes Jones Respiratory_ objective data_Shadow Health.pdf NURS... I’Ll notice that things start to wheeze happened with your father’s health answers in the suburbs bit... Least 1 scholarly article for each diagnosis provides necessary information for healthcare professionals who continue. Avoid illnesses hypoallergenic pillow cover and her symptoms decreased although they did not completely resolve properly “ thread and! Simulation, you will perform a full attack in years only have a history chest...
Appomattox Civil War, Bowen Way, Cudgen, Houses For Sale In Abbotsford, Fallout 76 Light Machine Gun Op, Not Waking Up After Heart Attack, Weather Underground 02817, Unlocking Christmas Setting, Kerja Kosong Kfc Kota Kinabalu, Civil Service Fc York, Guernsey Cow Milk Production, Sochi Temperature Summer, Best Bioethics Masters Programs,