Atrophic scar Call: 707-357-0736, get directions to Shop No. Target or Iris: resembles iris of eye, concentric rings of color in the lesions (erythema multiforme) Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Priority Low Priority Pro Tip: A patients sedentary lifestyle compromises her overall health and problems such as diabetes. As a currently presenting symptom, it could indicate a change in patient status. Planning Relevant: Assess Vitals: Assess the patients blood glucose levels according to orders. Planning Relevant: Planning Pro Tip: Take a general survey of the patient for changes in skin color, and assess respiratory rate, rhythm, depth, and quality to confirm there are no acute breathing issues. Example Question: Does your brother have health conditions? Work with our consultant to learn what to alter, Shadow Health Tina Jones, Health History. Sexual activity without condoms increases a patients risk of STIs, and can be an indicator of a patients health literacy. Ulcer The following details are facts of the patient's case. Evidence Relevant: "I mean, its all red and swollen, and theres pus, it feels hot, it hurts like hell Its got all that going on." Example Question: What happened to cause you to stop smoking pot? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Finding: Reports periods of blurry vision (Found)Pro Tip: Asking about changes in vision is one possible component of a review of systems interview. Example Question: Do you live in a house? . Provide an appropriate intervention (pharmaceutical or otherwise) and educate the patient. Tina Jones: Im allergic to cats. Finding: Asked about family history of headaches. Tina Jones: Well, I used to smoke pot. Student: Have you used drugs other than marijuana? Asking Tina if she has sores solicits important health history information. Finding: Followed up on stopping diabetes regimen. Priority Low Priority Pro Tip: A BMI greater than 30 indicates obesity, but this diagnosis is a low priority at present. (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: _____. Example Question: Have you had changes in your bowel movements? Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Student: Have you had any problems with your breasts? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Example Question: How are you coping with your fathers death? Example Question: What medication allergies do you have? 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Reports skin has only itched due to cat exposure. Example Question: Have you been hospitalized in the past? Example Question: Do you have any environmental allergies? 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. 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. Finding: Asked about review of systems for mouth and jaw. As a currently presenting symptom, it could indicate a change in patient status. Example Question: Do you remember what you were prescribed for diabetes? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Reports last seeing a doctor for acne in high school. 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. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. 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. Example Question: Does your maternal grandfather have health conditions? If there was. Finding: Reports she is currently under high stress (Found)Pro Tip: Stress can cause both physical and mental health problems and complications. Finding: Asked about review of systems for eyes and vision. Save my name, email, and website in this browser for the next time I comment. I can also walk through some pain management exercises with you that dont involve medication, if you are interested. Example Question: When was your last period? Good for Kids. Student: When did you last use drugs? Finding: Reports occasional dry skin (Available)Pro Tip: Chronic or severe dry skin might require a patient to be seen by a dermatologist. Examples: cheilosis at corners of the mouth due to excess moisture; athlete's foot Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. The most common causes of muscle pain are overuse, and conditions such as arthritis. Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or about her health history. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Auscultate the lungs to listen for abnormal sounds. chivon101 91 Posts Specializes in ER. 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. Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Tina Jones: No. Bruising easily can be indicative of anemia or a more serious blood disorder. Finding: Asked about family history of obesity. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Presence of dizziness could indicate a reaction to medication, an inner ear problem, or changes in blood sugar or blood pressure. Example Question: Do you have circulation problems? Get a Consultant Previous Flashcard Next Flashcard Share This Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Bird's-eye View. Cyst: encapsulated fluid-filled cavity in the dermis or subcutaneous layer, tensely elevating the skin. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. I like a long foot/leg massage. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Koilonychia literally means "spoon nails." Circumscribed and elevated. Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Example Question: Do you have nail fungus? Asking Tina about her history of acne solicits important information about her health history. Match. Crust: The thickened, dried-out exudate left when vesicles burst or dry up, Color can be red-brown, honey or yellow. Educate the patient about the benefits to overall health and blood sugar control and finding an appropriate form of exercise. Finding: Denies other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can reveal more information about the circumstances that caused the presenting injury. "I got this scrape on my foot a while ago, and it got really infected. Educate Medication: Educate the patient on medications used for pain relief. Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. Example Question: Does your maternal grandmother have health conditions? Example Question: Have you been vomiting? All rights reserved | Email: [emailprotected], Shadow Health Tina Jones Hair Skin Nails Flash Cards, Skin Hair And Nails Health Assessment Flash Cards, Shadow Health Skin Hair And Nails Flash Cards, Skin Hair And Nails Assessment Questions Shadow Health Tina Jones, Gene Park Washington Post Has Colon Cancer, Virtua Health South Jersey Hospital At Home, Selecthealth Nationsbenefits Com Activate Card Online And Login, Shadow Health Hair Skin And Nails Assessment Assessment Flash Cards. Higher levels of pain have been associated with thoughts of self-harm. 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. Student: Do you currently take medicine for your diabetes? Pro Tip: Sun exposure can directly affect a patient's skin. Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the skin on her neck changing, will allow you to compare her symptoms and assess her condition. about her health history. Existing conditions can also inform your treatment and understanding of the patients current health issues. her moles are located solicits important information about her skin. Things were only hard like that for a few months. Asking Tina if she has had skin rashes solicits important health history information. Evidence Relevant: "BMI: 31" Evidence Pro Tip: Tinas BMI is 31, which is in the obese range. Lichenification Student: Why dont you have your dads income? Example Question: Do you have facial hair? It was much needed and I will be back every 3 weeks until I can do it myself. Finding: Asked about paternal grandmothers health. Pro Tip: Changes in body hair can indicate a change in hormone levels. Example Question: When did you notice the increase in your appetite? Wheal: Superficial, raised, transient and erythematous; slightly irregular shape due to edema. Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. Example Question: How often do you check your blood sugar? Example Question: Has your sense of taste changed? Example Question: Do you have muscle pain? If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. Example Question: Does dust trigger your asthma? Example Question: Are you currently on birth control? Example Question: Are your immunizations current? As a currently presenting symptom, it could indicate a change in patient status. 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. Can directly affect a patient 's case things that trigger your asthma next time I comment systems! 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