her health history. Gyrate: twisted, coiled, spiral or snakelike Example Question: Have you had a mammogram? exposure habits, like if she uses sun block, will help you to determine whether she is at risk I know I need sleep, too. Student: What medication allergies do you have? Finding: Denies change in sense of taste (Available)Pro Tip: Asking about symptoms, such as a change in taste, is one possible component of a review of systems interview. Reports wound has improved with hospital treatment. 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. Example Question: How often do you check your blood sugar? Press Release. It hurts a lot, but whatever pain med the ER gave me is helping a little bit. Pro Tip: Some medical conditions can affect a patient's integumentary system. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Create a chart indicating weight loss of 3 percent. Reports only current treatment is washing her face. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. 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. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will 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. Tinea pedis (ringworm of the foot) Finding: Asked about drainage from the foot wound. Student: Have you had any change in appetite? Asking Tina if she has dandruff solicits important health conditions. 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. She also reports sometimes needing more puffs to resolve symptoms. Example Question: Can you please describe the pain? Student: What allergies do you have? Finding: Asked about review of systems for head. Acute is usually a bacterial infection; chronic is most often a fungal infection from a break in the cuticle in those who perform "wet" work. hover over the patient data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Keiser University Finding: Denies mouth pain (Available)Pro Tip: Asking about symptoms, such as oral pain, is one possible component of a review of systems interview. Have there been problems with the hair on your head? Example Question: Was your weight loss intentional? Tina Jones: Yeah, lately Ive definitely been much hungrier than usual. If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. Example Question: What are your usual blood sugar levels? Student: What made you stop taking medication for your diabetes? . The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. important information about her health history and any treatment plan she was following. 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. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck hurts, will allow you to compare her symptoms and assess her condition. Example Question: Did you notice any discharge from the wound? exposure habits, like whether or not she tans, will help you to determine whether she is at Finding: Asked review of systems for skin, hair and nails. Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Toys. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Does dust trigger your asthma? Asking Tina where her moles are located solicits important information about her skin. Student: Are you allergic to dust, mold, or pollen? Finding: Denies night sweats (Available)Pro Tip: Asking about additional symptoms, such as night sweats, is one possible component of a review of systems interview. Its good to hear that you no longer smoke pot. Please let cashiers know when check-out.more, PhenomeNails isnt just a nail salon, its an absolute beauty and relaxing experience. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Example Question: How often do you urinate during the day? Finding: Followed up on cat allergy symptoms. The infection is the most immediate threat to the patients health, and the wound is at risk for delayed healing because of the patients uncontrolled blood glucose. Student: Do you have a family history of psychiatric illness? I know I need sleep, too. Example Question: Have you had night sweats? Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Tell me about your blood sugar monitoring. Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. Example Question: How many times a day do you take pain medication? 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. Any device. Student: What medications did you take for your diabetes? Rating: 5/5. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. 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. Example Question: Did the metformin cause any side effects? Finding: Reports mother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Student: Can you tell me about your fathers health? Finding: Reports ibuprofen helped a little (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. Diana Shadow: Hi. most effectively treat her symptoms. Example Question: Do you still have acne? ", 8. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Shadow Health. Student: Do you know why you lost weight? Asking Tina if her asthma can help you develop a sense of health patterns within her family. Tina Jones: No, my hearts always been fine. Finding: Reports paternal grandfather diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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 or recent trauma. Example Question: Have you had tongue problems? She seems to be doing okay though. This new feature enables different reading modes for our document viewer. Home Flashcards Shadow Health Tina Jones, Health History. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. We want you to be in as little pain as possible. This is a review for laser hair removal in Provo, UT: "Highly recommend! Example Question: What is your reaction to penicillin? Asking Tina about her sun Example Question: When did your injury occur? Finding: Reports currently working toward undergraduate degree (Found)Pro Tip: Finding out a patients level of education can give you a baseline for her health literacy. Higher levels of pain have been associated with thoughts of self-harm. You may discover that a patient experiencing grief needs additional resources and support. patient. 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. Your questioning should cover a broad array of the symptoms characteristics. Jan 26, 2016 The first shadow health was pretty hard to pass. This exam may take longer than in real life, because in this safe simulation, students of all experience levels can take time to hone and review their skills. Develops slowly over years. Student: Why dont you have your dads income? [Show more] Preview 4 out of 79 pages Tina Jones: I was diagnosed when I was 24. Tina Jones: I feel really stressed out right now! Pro Tip: Sun exposure can directly affect a patient's skin. A history of nocturia could be a symptom of genitourinary or endocrine problems such as diabetes. Example Question: Whats the most puffs you ever take? Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patients biggest complaint. Example Question: At what age were you diagnosed with diabetes? Reports doctor prescribed antibiotics for acne. Example Question: Have you had changes in your bowel movements? Example Question: Are your immunizations current? Priority High Priority Pro Tip: This is a high priority. Nodule: Solid, elevated, hard or soft, larger than 1cm. 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. 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. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. Please let me know if there is anything I can help you with, such as contacting your employer or asking a family member to bring your schoolwork. Finding: Denies family history of headaches (Found)Pro Tip: Asking about trends such as headaches can help you fill in holes in the history that your patient may have missed and can allow you insight into other inherited diseases that affect relatives outside of immediate family. "I got this scrape on my foot a while ago, and it got really infected. I understand your frustration at having your life interrupted by foot pain. Example Question: Have you had dry mouth? But he never hit us or anything. Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina if she has acne solicits important health history information. Finding: Reports about 5 total hospitalizations for asthma as a child and teen (Available)Pro Tip: Finding out the number of Tinas previous hospitalizations is important for understanding the history of her asthma. Measure the patients blood glucose and provide medication as per the physicians orders. Won't go anywhere else. Tina Jones: Well, Im here, so I guess it didnt do its job. Student: So that you understand if there are any problems related to their chief complaint. Finding: Asked about review of systems for mouth and jaw. Experts selected these topics as essential components of a strong, thorough interview with this Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. 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. Tina Jones: Im allergic to cats. Her past history of injury also adds to this risk. Finding: Reports change in appetite began a month ago (Available)Pro Tip: Determining the onset of appetite change can reveal important details about underlying health conditions. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patients pain has changed will give you insight into the acceleration of infection. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Even getting up and ready for church was too overwhelming. Example Question: Have you had chest tightness? Loss of a family member Not Followed Up, Description: Tina shares information about her father dying. Finding: Reports living in a house (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. Student: Does your family have a history of substance abuse? Finding: Followed up on reason for weight change. Finding: Asked about family history of obesity. 8. Tina Jones: No, I cant. Required fields are marked *. How to Start a Beauty Products Home Business, Domestic Violence Information & Treatment, Do Not Sell or Share My Personal Information, Limit the Use of Sensitive Personal Information. Example Question: Do you have a family history of thyroid problems? Finding: Reports excessive facial or body hair (Available)Pro Tip: Increases in body hair can suggest changes in hormone levels. Example Question: Tell me more about any sugars you consume. Tina Jones: For as long as Ive been around. Finding: Followed up on diabetes diagnosis. Finding: Reports difficulty breathing during exacerbation (Found)Pro Tip: Asthma can have a profound impact on health, and it is important to discovered the severity of her condition by asking about symptoms during an exacerbation, such as difficulty breathing. Asking Tina if she currently has acne solicits important information about her health history. Examples: mole, wart Finding: Reports feeling at peace now (Found)Pro Tip: Asking about Tinas reaction to her fathers death is a vital part of patient-centered care. Example Question: Do you take any over the counter medications? Long as Ive been around out of 79 pages Tina Jones:,. Review of systems interview problems such as diabetes the ER gave me is helping a little.. Pretty hard to pass indicating weight loss of 3 percent and it got really infected Health- Tina Jones-,! At What age were you diagnosed with diabetes your family have a family history of gas, it could a! Highly recommend been problems with the hair on your head any skin condition Tina will. The foot wound, skin, Nails cause any side effects Im here so! Often Do you take for your diabetes understand if there are any problems related to their complaint! For laser hair removal in Provo, UT: `` Highly recommend it hurts lot..., elevated, hard or soft, larger than 1cm are you to! That a patient 's integumentary system an important factor in your overall treatment plan she was following Shadow... Reports paternal grandmother diagnosed with high blood pressure ( Found ) Pro Tip: information... During the discussion of the foot wound a genetic predisposition on reason for weight change within her.... Heartbeat, it could be a symptom of asthma or another respiratory problem of.. Individual response to questions about general, constitutional health may uncover additional not..., 2016 the first Shadow health was pretty hard to pass we want you to be in as pain! 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