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. Planning Relevant: Planning Pro Tip: Interview the patient to determine her level of health literacy, and her attitudes and beliefs toward exercise. Wheal: Superficial, raised, transient and erythematous; slightly irregular shape due to edema. Example Question: How many puffs of your inhaler are you prescribed? After obtaining Ms. Jones health history, you will complete an information processing activity. Freckles, flat nevi, hypopigmentation, petechiae, measles and scarlet fever Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Example Question: Do you have any lumps in your breasts? Caused by bleeding from superficial capillaries; will not blanch. 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. Asking Tina if her paternal grandfather had high cholesterol can reveal generational patterns. Finding: Reports last menstrual period was 3 weeks ago (Available)Pro Tip: Establishing the patients last menstrual period will help you determine if the patient could be pregnant. Finding: Denies corrective lenses (Available)Pro Tip: Asking about the patients use of corrective lenses is one possible component of a review of systems interview. Example Question: Can you bear weight on your foot? Anytime. "I have a monitor at home, but to be honest I dont really use it that often." This patient had a compression body suit, drains for the lymph fluid, and compression half boots. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. When assessing a client with partial-thickness burns over 60% of the body, which finding should the nurse report immediately? Experts selected these topics as essential components of a strong, thorough interview with this Student: How did you cope with your fathers death? Model Statement: "Staying away from sugar is a great start. Asking Tina if her wound is warm to the touch specifies the symptoms she is experiencing. Example Question: Why were you hospitalized last time? Example Question: Do you take any over the counter medications? Tina Jones: Ive been taking Advil for my foot for a few days. View ( 1) Transcript for Skin, Nails, Hair Tina Jones .pdf from RNSG 1115 at Lone Star College System, Woodlands. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. Student: Does your mother have any health problems? Jones Shadow Health Respiratory Physical assessment Assignment Latest shadow Health on the findings in the Shadow Health Skin Hair Nails assessment. 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. I like a long foot/leg massage. You may also need to provide further support and resources to the patient. Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Finding: Reports last tetanus vaccination was in the past year (Found)Pro Tip: For a patient with a recent scrape on a metal surface, confirming the last date of a tetanus shot is essential to prevent any diseases from contact. Example Question: Have you ever been diagnosed with a sexually transmitted infection? Example Question: Do you have muscle weakness? 15% for ALL students ALL services, student ID required. Asking Tina where her acne is located solicits important information Counseling around past drug use Not Followed Up, Description: Tina discusses her past history of marijuana smoking. Asking Tina when Example Question: Have you been vomiting? The following details are The patients response to questions about this topic may uncover additional problems, such as hearing loss, not discovered during the discussion of the patients chief complaint. Example Question: Did the metformin cause any side effects? Uncovering the cause of death can help you assess the patients current risks. Educate Medication: Educate the patient on medications used for pain relief. 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. important health information. Example Question: Does your paternal grandfather have health conditions? The Rose Clinic For Plastic Surgery. Plaque For all your skin and hair care problems, look no further. This is a review for nail salons in Provo, UT: "I got a last minute appointment for a pedicure. 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. Student: How is your maternal grandfathers health? Example Question: Does your paternal grandmother have health conditions? But it is important to keeping your diabetes under control. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will While the patient is in your care, educate her on the cause and symptoms of shortness of breath so that she can let you know about emerging problems. Student: How effective was the Neosporin? Examples: stasis ulcer, pressure ulcer chancre Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Example Question: When was the last time you took your diabetes medication on a regular basis? 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: Whats causing your pain? Seen in generalized disorders such as thrombocytopenia, and scurvy. Finding: Denies brother having diagnosed health problems (Found)Pro Tip: Family histories might indicate a genetic predisposition. Laser Hair Removal. Tina Jones: I havent noticed any pain there. Example Question: How has the pain changed over time? While the patient is in your care, ensure that their meals align with a low glycemic diet, and educate the patient on monitoring her own health status. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. Example Question: When was your last alcoholic drink? Fissure Student: What medications did you take for your diabetes? Priority High Priority Pro Tip: Uncontrolled blood glucose levels delay or prevent wound healing, and must be addressed to resolve the infection. Finding: Denies latex allergy (Available)Pro Tip: Confirming absence or presence of a latex allergy is essential in a hospital setting, where some instruments have latex parts. Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patients risk factors for injury. Example Question: Does dust trigger your asthma? Finding: Reports that family members are overweight (Found)Pro Tip: Asking about trends such as obesity 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. Keloid: A hypertrophic scar. 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Example Question: When did your injury occur? Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. . Finding: Denies loss of coordination (Available)Pro Tip: Asking if the patient has experienced loss of coordination is one possible component of a review of systems interview. Educated Diabetes can cause flakes or plaques to form on the front of your legs, to keep moisturized and not to scratch or pick the areas. Example Question: Do you get light-headed? Finding: Reports receiving HPV vaccine series (Available)Pro Tip: Discovering if a patient has received the HPV vaccination reveals information about both her medical history and her susceptibility to infectious disease. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. My brother and my dad are kind of big, but I wouldnt say they were obese or anything. Tina Jones: Well, I used to smoke pot. 3. Example Question: Have you noticed an increase in appetite? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Tina Jones: Well, he passed away. Student: What else will this exam involve? Erythema migrans of Lyme disease 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. Asking Tina if her father had high cholesterol can reveal generational patterns. Example Question: How many pain pills do you take at a time? Finding: Reports eating a bowl of cereal for breakfast yesterday (Available)Pro Tip: In a health history, it is important to get an idea of a patients typical dietary patterns. Student: When did you last use drugs? Asking Tina how she treats skin dryness solicits important health information. Students also viewed Shadow Health Heent Tina Jones Terms in this set (23) Asked . If a patient reports atypical discharge, it could indicate a yeast or sexually transmitted infection. Bulla: Larger than 1cm diameter; usually single chambered; superficial in epidermis, it is thin walled, so it ruptures easily. Finding: Reports asthma (Found)Pro Tip: It is important to identify any existing medical conditions, such as Tinas asthma, because that information is an integral part of her health history. Its killing me." Urticaria (hives) Student: Have you used drugs other than marijuana? Example Question: Do you remember what you were prescribed for diabetes? Examples: friction blister, burns, contact dermatitis her moles are located solicits important information about her skin. Example Question: Do you ever get tingling? Finding: Reports swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling helps you gather information about your patients complaint, as well as potential related illnesses. Student: Have you used illicit drugs? 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. . Finding: Denies change in sense of smell (Available)Pro Tip: Asking about symptoms, such as a change in smell, is one possible component of a review of systems interview. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Student: Do you have a family history of psychiatric illness? Tina Jones: Im Baptist. Finding: Reports her religious affiliation is Baptist (Found)Pro Tip: An important part of a health history is developing rapport with the patient and fostering an atmosphere of respect. Assess Musculoskeletal: Assess the patients mobility. 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. Example Question: Have you been coughing? Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. 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. Finding: Denies Vaping (Available)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and is a potential factor in delayed wound healing. Tina Jones: I mean, its all red and swollen, and theres pus, it feels hot, it hurts like hell Its got all that going on. Finding: Denies dental problems (Found)Pro Tip: Asking about symptoms, such as dental problems, is one possible component of a review of systems interview. Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. Finding: Denies stomach pain (Available)Pro Tip: Asking about stomach pain is one possible component of a review of systems interview. Tina Jones: My chest and throat get tight, and I start to wheeze. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. Examples: chickenpox, shingles, contact dermatitis Student: What are stressors? 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. It refers to abnormally thin nails (usually of the hand) which have lost their convexity, becoming flat or even concave in shape. You may discover that a patient experiencing grief needs additional resources and support. Then educate the patient on risks of obesity, recommended dietary changes, and healthy exercise. Example Question: Do you urinate frequently? Jan 26, 2016 The first shadow health was pretty hard to pass. Example Question: Does your sister have health conditions? Asking Tina when the amount of body hair started to increase solicits important health history information. And I want my foot to stop hurting. Model Statement: "This sounds like a challenging time for you. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Information about her skin asthma attacks, as well as sedentary lifestyle and obesity ( Found Pro! 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