Student: How many puffs do you take when using your asthma inhaler? Lumps have a range of severity, as they could be the result of breast injury or cancerous growths, but any abnormalities should be handled with the highest level of concern. Get a Consultant Previous Flashcard Next Flashcard Share This Finding: Reports sometimes needing 3 puffs to control symptoms (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. Pro Tip: Sun exposure can directly affect a patient's skin. Example Question: What caused your fathers death? Finding: Denies exposure to secondhand smoke (Found)Pro Tip: Exposure to secondhand smoke can be especially detrimental to an asthmatic patients health. Ive been going to the same church since I was a kid, too, so the people at church are practically part of my family. When you monitor your sugar, it helps you understand what foods, activities, and times of day contribute to you feeling your best. Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a complete health history. Finding: Denies nipple discharge (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as nipple discharge, is one way of assessing overall breast health. This is a permanent fibrotic change. Shadow Health Hair, Skin, Nails Tina Jones Shadow Health Hair, Skin, Nails Tina Jones objective data University University of Massachusetts Lowell Course Nursing Assessment and Skills (NURS.2110) Academic year2022/2023 Helpful? Priority High Priority Pro Tip: This is a high priority. Example Question: Are you currently on birth control? Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. Tina Jones: He was driving to work, and it was rainingand his car hydroplaned. 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: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Priority Low Priority Pro Tip: When caring for a patient diagnosed with asthma, its important to be aware of the possibility of emerging respiratory symptoms. Example Question: Do you ever have chest pain? Tina Jones: For as long as Ive been around. I prefer the salons that where the paraffin wax dip is included. Student: How is your paternal grandfathers health? This is the first time Ive been in the hospital since I was probably sixteen, though. Before the use of systematic names, many compounds had common names. Example Question: When did you last have issues with asthma? The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Call: 707-357-0736, get directions to Shop No. This can also alert you if a patients activities of daily living are hindered. 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 record provides necessary information for healthcare professionals who will continue patient care. Example Question: How many alcoholic drinks do you have in one sitting? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. It hurts a lot, but whatever pain med the ER gave me is helping a little bit. Loss of a family member Not Followed Up, Description: Tina shares information about her father dying. . Ulcer: deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. Uncovering the cause of death can help you assess the patients current risks. And hit a tree. Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. But he never hit us or anything. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. Student: Have you had any musculoskeletal problems? the skin's oil glands. Nodule Patient denies any abnormal masses currently on body. Student: Can you walk with your foot being injured? Example Question: When was your last hospitalization? Example Question: What is the dose of the pain medication? 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. Asking Tina if she has had skin rashes solicits important health history information. Example Question: How many times a day do you take pain medication? Sexual activity without condoms increases a patients risk of STIs, and can be an indicator of a patients health literacy. Gather data on the patients breathing status by checking pulse and blood pressure. Asking Tina if her maternal grandmother had high blood pressure can reveal generational patterns. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. This can be achieved by asking for a 24-hour diet recall. Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature: 102.4 F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%. Example Question: Do you have muscle weakness? Example Question: Do you have a history of suicidal thinking? Example Question: Have you had a runny nose? click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of the People Maryville University Harvard University Example Question: Have you had voice changes? Finding: Reports urinating every hour or two during the day (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. The following details are Asking Tina if she has ever been diagnosed with skin cancer solicits important health history information. The most common causes of muscle pain are overuse, and conditions such as arthritis. Finding: Reports last asthma attack was in high school (Available)Pro Tip: Discovering the patients most recent asthma attack can provide a timeline of exacerbations and help you better understand the patients condition and effectiveness of any treatments. Example Question: Does your father have health conditions? Tina Jones: Grannys doing good. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Some popular services for nail salons include: What are people saying about nail salons in Provo, UT? Student: How is your maternal grandfathers health? Student: Does your family have a history thyroid issue? Finding: Explored impact of patients foot injury on activities of daily living. Most importantly, ask about her goals and changes she may be willing to make. When did the amount of body hair start to increase? Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Do you lose your balance often? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Followed up on home pain medication. Pro Tip: Specific questions about Tina's wounds can help you to assess the care that she will need. Example Question: Do you have any existing conditions? As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. I am not sure where I should begin!more, I am on the hunt for a nail salon that does a beautiful job at a great price while also providing amore, EASILY one of the best pedicures I've ever had and EASILY one of my favorite nail salons I've evermore, Best nail salon in all of Utah!! College Physics Raymond A. Serway, Chris Vuille. Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Finding: Asked review of systems for skin, hair and nails. Example Question: Have you ever used a nebulizer? Finding: Asked if the patient has allergies to dust, mold, or pollen. Example Question: When did you last see a dentist? Example Question: Has your hearing changed? Tina Jones: You know, I did notice lately that Ive been really thirsty. Free Wi-Fi. [Show more] Preview 4 out of 79 pages My faith is a big part of my lifewhen things get hard like theyve been this past year, I know I can trust that Gods looking out for me. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is itchy, will allow you to compare her symptoms and assess her condition. Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. 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. Its killing me." 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. Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. Student: What asthma symptoms have you experienced? tina jones skin hair and nails, Neurological shadow health assessment Transcript. Asking Tina how she treats skin dryness solicits important health information. Discovering her reason for noncompliance will allow you to make a more informed decision about current treatment. Kaposi's sarcoma. Finding: Reports maternal grandfather diagnosed with high blood pressure (Available)Pro Tip: Family histories might indicate a genetic predisposition. Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. And diabetes we have diabetes in common. Example Question: Do you have constipation? Example Question: Do you have any skin discoloration? Student: What additional symptoms have you experienced? Student: Does your paternal grandfather have any health problems? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Jan 26, 2016 The first shadow health was pretty hard to pass. Pregnant: Striae, linea nigra, choloasma Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. Example Question: Have you had breast cancer? Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . It is important to ask your patient about the flu vaccine. Finding: Asked about use of OTC medication. Scale Example Question: When did you last smoke marijuana? need. Bulla Evidence Relevant: Evidence Pro Tip: Tina directly reports that she doesnt exercise, which is the primary evidence for a sedentary lifestyle. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Example Question: What is the name of the inhaler prescription? This should take about 3 seconds. Honestly, I didnt realize that Id be admitted to the hospital for my foot. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Finding: Reports using an inhaler (Found)Pro Tip: Asking how your patient treats her asthma can provide important information about her medical history and health literacy. Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Finding: Reports feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the patients pain radiates can help determine the progression of infection. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. 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: Do you ever get headaches? Shadow Health- Tina Jones- Hair, Skin, Nails. Student: What preexisting medical conditions do you have? Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following. Example Question: Do you urinate frequently? Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal. Finding: Denies seasonal allergies (Available)Pro Tip: Asking about seasonal allergies can help you understand a patients complete set of allergies over the course of a year. Example Question: Were you wearing shoes when you fell? Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. May indicate abnormal clotting factors. I understand your frustration at having your life interrupted by foot pain. Finding: Asked about family history of substance abuse. The presence of a physical injury supports her susceptibility to acute pain. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. shadow health skin, hair and nails quizlet tina jones Welcome to, Transcript. Student: When did you realize you were allergic to cats? Finding: Denies food allergies (Found)Pro Tip: Inquiring about food allergies is important for an admitted patient, who will be receiving food during her stay. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. Finding: Reports last hospitalization was age 16 (Available)Pro Tip: Finding out the date of Tinas last hospitalization is important for understanding the timeline of her medical issues, asthma in particular. Example Question: Are you able to hold your urine? Has being in the hospital helped your wound? And high cholesterol like everyone else in my family. Finding: Reports doing occasional breast exams (Available)Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patients level of health literacy. She expresses gaps in health literacy about the risk of ceasing prescribed medication and blood glucose monitoring. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. most effectively treat her symptoms. Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. Her past history of injury also adds to this risk. Have there been problems with the hair on your head? Lichenification: prolonged, intense scratching eventually thickens the skin and produces tightly packed sets of papules; looks like the surface of moss. Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. As a currently presenting symptom, flank pain could result in a change to the patients care plan. I can give you some Advil at this time, and in a few hours, you can have more tramadol. need. In high school, and after high school I definitely dont anymore, though. Finding: Reports noticing pus 2 days ago (Available)Pro Tip: Pinpointing exactly when the patient noticed the arrival of pus gives you an important data point for when an active infection began. Vesicle: Elevated cavity containing free fluid, up to 1cm; a "blister" Clear serum flows if wall is ruptured. What could they do to make you happier? 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. Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Student: Have you had any reproductive problems? Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Example Question: Have you had any family members with cancer? Finding: Asked about patient belief system. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Asking Tina what antibiotic she was prescribed for her acne solicits Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Keloid: A hypertrophic scar. the skin's oil glands. Student: What made you stop taking medication for your diabetes? Finding: Asked about drainage from the foot wound. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as vision loss. Finding: Asked about patients living situation. Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. Example Question: Have you noticed changes in your sleep? Student: Why dont you have your dads income? Driving (5 . Finding: Denies lymph node problems (Available)Pro Tip: Asking about a patients lymph nodes is one possible component of a review of systems interview. facts of the patient's case. Finding: Reports weight loss was unintentional (Found)Pro Tip: Unintentional weight loss can be a sign of underlying medical conditions or a reflection of unhealthy lifestyle choices. Example Question: Are you feeling feverish right now? Finding: Reports occasionally taking acetaminophen (Tylenol) for headaches (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Asking Tina how her foot wound has been healing specifies the symptoms she is experiencing. Finding: Reports acne (Found)Pro Tip: Adult acne can suggest stress or changes in hormone levels. the skin's oil glands. Finding: Denies lightheadedness (Available)Pro Tip: Asking about light-headedness is one possible component of a review of systems interview. She also reports sometimes needing more puffs to resolve symptoms. information. Student: Are you allergic to dust, mold, or pollen? 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. a) A client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. Tina Jones Skin, Hair, and Nails _ Completed _ Shadow Just Now 6/5/2020 Skin, Hair, and Nails Completed Shadow Health 2/3 Review 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 Preview / Show more See Also: Family Medical Show details Learn. Finding: Denies joint pain (Available)Pro Tip: Asking about joint pain is one possible component of a review of systems interview. Asking Tina what her new moles are like solicits important information about her skin. Objective Data-Skin SkinInspect and palpate (cont.) Finding: Followed up on coping with fathers death. We could start you at a low dose, which reduces the side effects. 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. Asking Tina if her asthma can help you develop a sense of health patterns within her family. 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. ", 7. Finding: Reports normal vaginal discharge (Available)Pro Tip: Asking about vaginal discharge is one possible component of a review of systems interview. ", 4.Lack of treatment with diabetes medication Not Followed Up, Description: Tina reveals that she does not treat her diabetes with medication. All Rights Reserved. Planning Pro Tip: To reduce the patients pain, assess her current rating. Student: What food allergies do you have? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Infection can contribute to poorer glycemic control, and so Tina is likely to experience blood glucose levels that are significantly higher than her baseline. Example Question: Does dust trigger your asthma? Finding: Denies change in hearing (Available)Pro Tip: Asking about changes in hearing is one possible component of a review of systems interview. Its good to hear that you no longer smoke pot. Student: Do you have any neck, throat or gland problems? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. 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. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Finding: Denies muscle swelling (Available)Pro Tip: Asking about muscle swelling is one possible component of a review of systems interview. Finding: Reports past nebulizer use (Available)Pro Tip: Finding out what treatments Tina received during her hospitalizations will give you a fuller picture of the history of her condition. Tina Jones: No. Give the systematic name for each of the following:\ Then educate the patient on risks of obesity, recommended dietary changes, and healthy exercise. Student: How often do you have asthma exacerbations? Examples: insect bites, scabies, dermatitis, varicella Finding: Reports current pain is 7/10 (Found)Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care. Example Question: How often did you clean the wound? Example Question: Do you have any mouth problems? Educate Medication: Educate the patient on medications used for pain relief. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Example Question: What do your asthma symptoms feel like? Finding: Reports infrequent itchy eyes (Available)Pro Tip: Asking about symptoms, such as itchy eyes, is one possible component of a review of systems interview. Finding: Asked about prescription medications. A history of STIs could cause complications with the genitourinary system. Empower the patient to take part in her own care by educating her on controlled breathing techniques. Carbon-111111-labeled acetate shows promise in PET scans for determining the extent of metastasized prostate cancer. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Example Question: Do you take any herbal supplements? Example Question: Have you seen a healthcare provider for this injury? Tina Jones: Like a 7. Student: Can you tell me about your fathers health? Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Model Statement: "Thank you for sharing that information. "Its throbbing and like, sharp if I try to put weight on it." Finding: Reports that the wound feels warm (Found)Pro Tip: Asking about warmth will help you understand the timeline for the infection progression. Finding: Asked about review of systems for eyes and vision. Pro Tip: Sun exposure can directly affect a patient's skin. Tina Jones: I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. 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. Finding: Asked about other foot wound symptoms. Example Question: Do you notice being more clumsy than usual? I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Example Question: Why were you hospitalized last time? See all. Finding: Reports father died at age 58 (Found)Pro Tip: Following up on the death of an immediate family member is important for gathering details that could be relevant to the patients case. Work with our consultant to learn what to alter, Shadow Health Tina Jones, Health History.

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