Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. the skin's oil glands. 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. . In anticipation of Ms. Jones being discharged from the hospital, your role in this . Example Question: Does your maternal grandmother have health conditions? Asking Tina about changes in skin color solicits relevant information about a Finding: Asked about constitutional health. Asking Tina if shes been wheezing illustrates how her asthma is presenting. Student: What else will this exam involve? Diana Shadow: A health history requires you to ask questions related to Ms. Jones past and present health, from her current foot wound to her pre-existing conditions. Example Question: Do you have relatives with addiction problems? important health information. "First timer here w/a good friend! Example Question: Do you ever have chest pain? Atrophic Scar: the resulting skin level is depressed with loss of tissue; a thinning of the epidermis. Determining your patients stress level is part of an overall picture of her health. Finding: Asked review of systems for gastrointestinal. Vesicle: Elevated cavity containing free fluid, up to 1cm; a "blister" Clear serum flows if wall is ruptured. This should take about 3 seconds. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. Individual Property Assessment Roll Data. Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns. Educate Medication: Educate the patient on medications used for pain relief. Most patients find that using a daily inhaler is an easy way to reduce your asthma symptoms even more. symptoms she is experiencing. Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patients complete health history? Finding: Denies dry eyes (Available)Pro Tip: Dry eyes occur when the eyes do not produce enough tears to lubricate them. Counseling around past drug use Not Followed Up, Description: Tina discusses her past history of marijuana smoking. 6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health 2/3Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Reports current acne Reports acne had been dormant but got worse recently Asked about acne treatment Reports last seeing a doctor This new feature enables different reading modes for our document viewer. Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. And keeping your sugar down will help your foot wound heal quickly, too. Model Statement: "Staying away from sugar is a great start. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Finding: Reports infrequent blood glucose monitoring (Found)Pro Tip: Your patients blood sugar monitoring habits are an important part of her health literacy and home treatment. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Tina Jones: He was driving to work, and it was rainingand his car hydroplaned. Evidence Pro Tip: The strongest evidence of impaired walking is that Tina directly reports she cant bear weight or walk on her affected foot. Asking Tina if her wound has any redness specifies the symptoms she is experiencing. Example Question: Are your immunizations current? Student: Have you used drugs other than marijuana? Tina Jones: No, I cant. Example Question: Have you had mouth sores? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Reports doctor prescribed antibiotics for acne. Polycyclic: annular lesions grow together: psoriasis Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. I can also walk through some pain management exercises with you that dont involve medication, if you are interested. If the primary disease is treated, clubbing can reverse. In Tinas case, it will help you better understand her asthma and create a timeline. Assess Health Literacy and Patterns: Assess the patients readiness for change/education. Some popular services for nail salons include: What are people saying about nail salons in Provo, UT? Your role in this simulation is that of a healthcare provider who will take Ms. Jones health history, a key component of her admission process. Finding: Reports previous medication was prescription metformin (Found)Pro Tip: Asking about a patients medication history for a particular condition, such as Tinas past prescription for metformin, will provide a timeline of her asthma treatment. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Finding: Asked if the patient received a tetanus immunization. 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. Finding: Denies change in bowel movements (Available)Pro Tip: Asking about changes in bowel movements can help you understand a patients baseline patterns. Quickly and professionally. Example Question: Did you notice any discharge from the wound? Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Finding: Reports receiving Hepatitis A and B shot (Available)Pro Tip: Discovering if a patient has received a childhood Hepatitis A and B vaccination reveals information about both her medical history and her susceptibility to infectious disease. Tina Jones: Yeah, theres definitely pus. Example Question: Does your paternal grandfather have health conditions? Also seen with pneumococcal meningitis, Basal cell carcinoma Finding: Reports taking doses at morning, noon and night (Available)Pro Tip: The frequency with which your patient takes pain medication can indicate the severity of her condition or injury. Example Question: How long does the pain medication last? chivon101 91 Posts Specializes in ER. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Tina Jones: Well, I used to smoke pot. Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or her moles are located solicits important information about her skin. exposure habits, like if she uses sun block, will help you to determine whether she is at risk Example Question: Are your periods regular? Planning Relevant: Planning Pro Tip: Protect your patient by taking all fall precautions, and educate your patient about how to be safe as she goes through her daily activities at the hospital. about her health history. Example Question: Were you wearing shoes when you fell? Example Question: How are you coping with your fathers death? Example Question: When was your last penicillin reaction? I prefer the salons that where the paraffin wax dip is included. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. This record provides necessary information for healthcare professionals who will continue patient care. Tina Jones: I dont have any food allergies that I know of. Reports body hair has been increasing for a long time. Finding: Denies lumps (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as lumps, is one way of assessing overall breast health. Experts selected these topics as essential components of a strong, thorough interview with this patient. Example Question: Did you receive the chicken pox vaccine? Im Preceptor Diana. Tina Jones: Im Baptist. Finding: Reports pain prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear weight on an injury is important to determine their risk for falls while in your care. 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. Finding: Denies jaw problems (Available)Pro Tip: Asking about symptoms, such as jaw problems, is one possible component of a review of systems interview. Student: When did you last use drugs? Example Question: Do you have flatulence? It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. For the other kinds, I got all the required ones when I was a kid, and for collegeIm sure I have a record somewhere at home. her neck is itchy, will allow you to compare her symptoms and assess her condition. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. You can get your paper edited to read like this. Student: Do you have problems with your mouth? Student: Does your father have any health problems? Examples: mosquito bite, allergic reaction Examples: stasis ulcer, pressure ulcer chancre Asking Tina if her skin has been itching solicits important health history information. As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. Example Question: Have you been wheezing? Student: Have you ever smoked cigarettes? Tina Jones: You know, I did notice lately that Ive been really thirsty. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. Student: What is your level of education? condition. Your email address will not be published. Planning Relevant: Educate Diet: Educate the patient on balanced nutritional intake. Finding: Asked about paternal grandmothers health. Assess Health Literacy and Patterns: Assess the patients perceived barriers to adherence to the prescribed regimen (cost, adverse effects, lack of knowledge). Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Denies ever having a mammogram (Available)Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. Tina Jones: Well, I used to smoke pot. Experts selected these topics as essential components of a strong, thorough interview with this 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. Finding: Followed up on stopping diabetes regimen. Finding: Denies experiencing abuse (Found)Pro Tip: Determining if a patient has experienced abuse, whether it be emotional, physical, or financial, is important for understanding the patients needs. Finding: Asked review of systems for skin, hair and nails. I personally haven't used Dr. Rose but as a (MLD) Manual Lymphatic Drainage Therapist I had the pleasure to work with one of his patients post surgery the last two weeks. At the end of this prebrief, you will answer a short question about the upcoming assignment. This is a review for nail salons in Provo, UT: "I got a last minute appointment for a pedicure. Student: What preexisting medical conditions do you have? This is a review for laser hair removal in Provo, UT: "Highly recommend! A Buyerlink inc. company. 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. Came here in the dead of winter - the parking lot to turn into from 800 North (snowing and ice everywhere) is not recommended - you can hit your car's tires on the sidewalk due to it being covered and not being shoveled/maintained! Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. http://www.yelp.com/search?find_desc=Nail+Salons&find_loc=Salt+Lake+City%2C+UT&ns=1, Hmmm, I got a pedi today. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Planning Pro Tip: To reduce the patients pain, assess her current rating. Student: Did your father die from any disease? Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Student: How often do you have asthma exacerbations? Example Question: Do you wear glasses or contacts? Finding: Asked about review of systems for cardiovascular. Student: Have you had any gastrointestinal problems? Tina Jones: Right now, Im living at my moms place, which is out in the suburbs a bit. Student: Does your paternal grandfather have any health problems? Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . 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. Example Question: Do you know what type of diabetes you have? Asking Tina if her brother has any health problems can reveal potential risks. Get a Consultant Previous Flashcard Next Flashcard Share This The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Student: Has your foot been draining any liquids? Grouped: clusters of lesions (vesicles of contact dermatitis) With a foot wound, it is imperative to discern if a patient can stand or not, as this can compromise quality of life and impact job performance. her health history. Evidence Pro Tip: Tina directly reports ineffective diabetes management when discussing her lack of treatment. . Asking Tina if her mother had high blood pressure can reveal generational patterns. (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? Laser Hair Removal. Example Question: Have you been coughing? And I want my foot to stop hurting. Example Question: How many times a day do you take pain medication? Asking Tina what antibiotic she was prescribed for her acne solicits patient. Asking Tina how she treats her acne solicits important information about It is necessary to approach this subject with the utmost respect and sensitivity. Example Question: What is the name of the inhaler prescription? Infection can contribute to poorer glycemic control, and so Tina is likely to experience blood glucose levels that are significantly higher than her baseline. Reports skin has only itched due to cat exposure. ", 6. Student: How effective was your pain medication at home? When Im reading or studying Ill notice that things start to get kind of blurry. I cant put any weight on it without like, shooting pain. Finding: Denies ear discharge (Available)Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmers ear. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Description: Tina expresses frustration about her level of pain. Tina Jones: UmIve smoked pot before. 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. Tina Jones: Some of my friends smoke when we go out drinking. 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. This can also alert you if a patients activities of daily living are hindered. Finding: Reports asthma triggered by dust (Found)Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important. Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. These assessments together will give you a comprehensive picture of Ms. Jones overall health. Example Question: What prescription medications do you take? 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. Past Week exposure habits, like whether or not she tans, will help you to determine whether she is at I know I need sleep, too. Example Question: How many alcoholic drinks do you have in one sitting? Finding: Asked about patients level of education. Example Question: When was your last period? Example Question: Does your sister have health conditions? Study with Quizlet and memorize flashcards containing terms like Asked about foot wound, Asked about history of slow healing wounds, Asked current wound healing time and more. 01 Comments Please sign inor registerto post comments. Examples: sebaceous cyst Finding: Asked about childhood immunizations. Asking your patient about this can inform your care plan. 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. Example Question: Tell me more about any sugars you consume. Driving (5 . 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. Example Question: Whats preventing you from taking your diabetes medication? . May indicate abnormal clotting factors. Student: Have you received a flu vaccine? Example Question: How did your injury happen? Pro Tip: Sun exposure can directly affect a patient's skin. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing. Ask the patient questions about what changes she may be willing to make. Example Question: Have you had changes in your bowel movements? Pregnant: Striae, linea nigra, choloasma Example Question: Does it hurt when you urinate? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. Well do our best to get you feeling better and, on your way, home as soon as possible. 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. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Knowing that Mom needed me kind of helped me get through day by day. Asking Tina about her sun Example Question: Do you have a family history of thyroid problems? Have there been problems with the hair on your head? Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patients voice is one possible component of a review of systems interview. Student: How is your paternal grandmothers health? Atrophic scar As a currently presenting symptom, it could indicate a change in patient status. Finding: Asked about review of systems for head. Flashcards. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following. Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Koilonychia literally means "spoon nails." Won't go anywhere else. Finding: Reports no more than 2 or 3 alcoholic drinks in one sitting (Available)Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient. Tina Jones: Its pretty good, I think. most effectively treat her symptoms. Does your family have a history of hair problems? Example Question: Have you had mouth pain? Example Question: What is the dose of the pain medication? ", 2.Impact of injury on daily life Followed Up, Description: Tina brings up her pain and frustration at how being unable to bear weight on her foot impacts her life. Finding: Denies easy bruising (Available)Pro Tip: Asking if a patient bruises easily is one possible component of a review of systems interview. Finding: Reports she stopped because of health reasons and waning interest (Available)Pro Tip: Communicating about why a patient stopped or started drug use gives insight into their attitudes and dependencies on a substance. symptom she might be experiencing. Create a chart indicating weight loss of 3 percent. 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: Do you have nail fungus? Example Question: Do you have muscle weakness? Finding: Denies circulation problems (Available)Pro Tip: Poor circulation is the result of other diseases like obesity, diabetes, or cardiac conditions. Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. Finding: Asked if the patient has allergies to dust, mold, or pollen. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Asking Tina if she has ever been diagnosed with skin cancer solicits important health history information. Finding: Asked about family history of thyroid issues. Muscle weakness can be a sign of neurological problems, or a reaction to medication. Excoriation Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. The most common causes of muscle pain are strain, overuse, illness, or infection. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. But it is important to keeping your diabetes under control. Model Statement: "I understand how it can feel like a frustrating chore to check your sugar every day. Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient Ends 8/31/2022. 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. Example Question: When was your last tetanus booster? Priority High Priority Pro Tip: This is a high priority. Examples: insect bites, scabies, dermatitis, varicella This place was great! Finding: Denies past pregnancies (Available)Pro Tip: A patients history of pregnancy can shed light on other health conditions, body systems, or risk factors. That sounds like a difficult situation. 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