Creating your own SHCA can be tricky, but using a. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate a number of serious health conditions. She denies use of tobacco, alcohol, a That stuff can mess you up. Are you taking any medication for your allergies? 3. Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. . We'll do our best to get your foot healed, and have you back to your usual routine as soon, 3 Gaps in health literacy around diabetic diet. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. 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Thank you for your feedback, it will help us serve you better. That does not sound good. No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. Most people, with diabetes feel better when they limit all. A Page will cost you $12, however, this varies with your deadline. For example, filtering by Statements will show you the statement from the patient that triggered your empathetic or educational response. Indicates an item that is available to be found. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. She plans to use condoms with sexual activity. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Clicking on each of the Education & Empathy topics will show you more information and the part of your transcript. Capillary refill < 3 seconds. Terms of Use . . Question Your document will be more comprehensive and organized. I guess I had anxiety back when I was having those sleep problems. what brings you in today bilaterally in upper extremities and lower extremities without thrill On a scale of 1-10, how would you rate the pain? I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. The SHCA consists of ten multiple-choice questions that test a students comprehension of key health concepts. The following actions reveal the objective data of the patients case. Ugh, horrible, honestly. $65 USD . Tina Jones endorses that she does not really watch her diet. Let's talk about your wound a little further. Sometimes, if I really start stressing cm. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. PICOT Question (12) Hematologic: She denies history of anemia, easy bruising or Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $37.98, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. 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Start by filling this short order form nursingstudy.org/order, Having an issue, chat with customer support online, blog (1160) S At the top of this section, you will see a key indicating the status of each opportunity. Danny Rivera pediatric cough shadow health assessment subjective data. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. nursing essays (22) Has your menstrual cycle improved since taking Yaz? not since I came in with those allergies a while ago. The Shadow Health Comprehensive Assessment (SHCA) is an online assessment tool that is used by nursing students to measure their knowledge and understanding of health concepts. 10:22 PM EDT. The page will refresh upon submission. . Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. She denies any During the patient interview, there are a number of opportunities to provide patient education and empathy. The bold items are the ones that you unlocked. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms. solved essays (19) illness? Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. maintains eye contact throughout interview and examination. 10:22 PM EDT. has been feeling more stressed lately due to her school and wo ), No. out, I'll even turn the light back on and read more until I feel more wound down. why did you decide to seek treatment illicit drugs. I r, learn more about what you are experiencing, and I will try to help, Let me learn more about what youre experiencing, and I will try to help. Here are some reasons why you should use a writing service to create your SHCA: Here are 50 Shadow health assessment examples done within the nursingstudy.org system, use them as samples and as guides for your assignments. Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were Pro Tip: For this examination, the patient should look in the six cardinal fields without moving her head. You will receive a fraction of this point for each dimension of the assessment that was correctly reported. Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. learn more about what you are experiencing, and I will try to help, Model Statement: "Im sorry to hear about your trouble sleeping and stress. flatulence is one of the side effect of metformin. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. 10:22 PM EDT. 10:25 PM EDT. This record includes questions asked, statements made, and actions/assessments performed. Today she denies any acute concerns. General, Tina Jones is a pleasant obese 28 ear old female. How often do you use your rescue inhaler? Clicking on the diagnosis will expand that item, showing you the priority you selected, the evidence you selected, and your selection for Planning. My mom has some issues, and I think some of my grandparents did, too. At the top of this page, you will see a percentage score of how you did on Subjective Data Collection. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words. Collect any documentation from other healthcare providers, such as lab results or discharge instructions. 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health How to structure a health interview Greeting and identifying data -does not radiate or migrate. The formula used to decide your DCE Score is NOT a flat curve, rather it is based on a standard deviation of results. mostly occur in the morning before class. I am glad you came in. (Clarified to: how often I wake up SOAP Note (14) (Clarified to Do you have drainage from your ears?. She uses her albuterol inhaler when she is around cats. She endorses that she feels no pain however the 'fast heartbeats" I made sure to clean it and just keep it bandaged. 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College Physics Raymond A. Serway, Chris Vuille. No, you must respond to the virtual patient within two lines of dialogue to get credit for acknowledging the opportunity. She denies shortness of breath. Asthma diagnosed at age 2 1/2. -reports pain is same on both sides of back. Are you taking any form of birth control? I havent smoked pot since I was twenty or twenty-one. Here you will see a verbatim record of every . 2. A, I decided to come in because I'm tired all the time now, and I'm stressed and too foggy to study most of the time. in the morning on her commute to class. I used to have a lot of trouble with asthma attacks back then. I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. The Shadow Health Comprehensive Assessment Process (SHCAP) is used to assess the health and functional status of patients. Overview. Pro Tip: A thorough inspection of your patients affected ankle aids in the estimation of the extent of tissue injury and disability. is provided as an example of an appropriate response to each opportunity. Respiratory: Chest is symmetrical with respirations; no physical preparing for my exam. The assessment should also include the comparison of bilateral sides. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $24.99, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Shadow Health Focused Exam Abdominal Education Empathy, SHADOW HEALTH FOCUSED EXAMS ALL IN ONE BUNDLE, Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identifie. That doesnt sound like it would be good. My, boss was understanding, but I need to be able to, As I mentioned earlier, the diabetes can affect, scheduled with your endocrinologist soon to get. regular sinus rhythm, no ST changes. lately. Are you sure you do not want to provide feedback? Scattered pustules on face Facial hair on upper lip Acanthos nigricans on posterior neck Nails free of any abnormalities or ridges, Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Usually when I'm stressed I just get kind of scattered and distracted, so if I stay organized, I'm fine. In the pre-brief before entering the patient room, Preceptor Diana will inform you how you will be evaluated during the simulation. Are you looking for someone to help with shadow health assignments? Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. (Clarified to Does your brother have medical problems?. When did you last use your rescue inhaler? Question drinking as much water as her normal. Course Hero is not sponsored or endorsed by any college or university. -pain lasted 3 days. Add to Cart. Become a tester for Shadow Health! Experts selected these topics as essential components of a strong, thorough interview with this patient. She maintains eye contact throughout the interview. She needs to obtain a pre-employment physical prior to initiating employment. Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. She is the primary source of the history. Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. It is important to stay away from triggers. Experts selected these examinations as essential components of objective data collection for this patient. Have you missed any days of your birth control pill? Tina Jones palpitations appear to be related to notable stress and She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Conduct a comprehensive review of systems to rule out any possible organ dysfunction or disease. When was your last physical exam? She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. If you are are experiencing audio issues while using Safari, please visit this article (support.shadowhealth/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our In determining the cause of the back pain, based on your knowledge, Back Pain A 42-year-old male reports pain in his lower back for the past month. Plus, he had high blood pressure, andIm pretty sure he had diabetes. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. I used to have a reaction when I was in a dusty house for a long time. Nursing Theories (45) Plus I have my friends from church. Tests of cerebellar function normal. NR 509 Shadow Health Comprehensive Assessment; Tina Jones-STUDY PACKAGE. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . not stressed at all. Any pending input will be lost. She complains of intermittent dizziness. This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. . Nursing Essays Examples (81) What is your new job? Pro Tip: Follow up questions about Tinas medication history and timeline will help you to understand her treatment plan and recent health history. This section is where you can see your score for the Education and Empathy opportunities. Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. are opportunities that were not elicited in the interview, are missed opportunities that were present in the, interview, but where no statements were made. My eyes havent been red lately. Family History has hypertension, hyperlipidemia, diabete melluitis, nursing theory examples (41) American woman in no acute distress. made The Proficiency Level is a ranking method with three tiers that represent your SPI compared to your peers. During the patient interview, there are a number of opportunities to provide patient education and empathy. Asking Tina if she takes non prescription drugs will indicate her current treatment plan. She denies fevers, chills, and ni Developing critical thinking skills. is a student at Shadowville Community College. Nails free of ridges or abnormalities. he had some blood pressure and cholesterol issues when he was alive, too. SOAP Note Examples (14) You can hover over each bulleted item in Patient Data to view a Pro-Tip that explains the clinical significance of that finding. This button will open the Lab Pass for your attempt. I have a few friends Ive known since middle or high school, and were all pretty close. Tina denies smoking and states she seldomly drinks. age 16 for asthma, last chest XR was age 16. Some of these items may not appear depending on the assignment and the options set by your instructor. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. she "tries to slow down". . Palpitations related to caffeine and/or anxiety, Cardiovascular Completed Shadow Health write out, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Cardiovascular | Completed | Shadow Health, https://app.shadowhealth.com/assignment_attempts/101, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Pro Tip: Patients with diabetes are at risk for diabetic retinopathy. Pro Tip: Healthy kidneys are not usually palpable. Well, I used to smoke pot. The page will refresh upon submission. No peripheral edema. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? I think were pretty special, the way we all get along. At last check it was 140/80 or 90. Pro Tip: Tinas response to a question about managing her allergies will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. 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. How long ago did you start taking birth control? Her last asthma exacerbation was three months ago, which she resolved with her inhaler. My albuterol. work and school. Have you tried anything else to treat the scrape? Heart rate is is regular and normal. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Respiratory: She denies shortness of breath, wheezing, cough, Do you have any problem with your breasts? It is also used as a tool for measuring nursing skills. Chamberlain University (84) (Clarified to: if I try, great start. Well, Im starting my new job in two weeks, and Im really excited about that. Pro Tip: This test accommodation assesses the eyes ability to focus on close objects. All pulsed with normal range. A, is provided as an example of an appropriate, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements were made, were followed up by students, and include the dialogue between student and patient. No way, I have no interest in that. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. I really need help sleeping so I can focus on Breakfast is usually a muf Im usually asleep by 11:30, and I wake up at 8, so. Description: Tina describes her sleep hygiene and routine. Nursing Papers Examples (2) But that hasnt happened since I got my daily inhaler. . - Shadow Health Support Center How is Education & Empathy scored? Can I wait to provide all of my educational and empathetic statements at the end of the interview? Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Ear drainage? Nursing Research Papers (2) Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. ABI is 0. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. been told her blood pressure was high in the past. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. Asking Tina if she takes supplements will indicate her current treatment plan. looking pretty nasty. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. No, I'm still just taking the Flovent inhaler twice a day, and then I have my albuterol to use if I need it, Never pregnant. This includes your DCE Score, Student Performance Index, Proficiency Level, and assignment details. has never had an EKG. Im sorry youre dealing with so much : an American History, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. -denies pain between shoulder blades. Popular books. Since then Ive just washed my face, I havent used anything special. AA 1. . 10:25 PM EDT. Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. what do you usually do before bed I had two doctors appointments earlier this year. Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Ms. Jones offers information freely and without contradiction. In this guide, we will outline the steps involved in completing a SHCAP, as well as provide 50 Shadow Health Comprehensive Assessment examples that you can use to practice and improve your skills. past month she has increased her consumption of diet soda and She denies That is great. The pain sometimes radiates to his left leg. If you require assistance, please scroll down and use one of the contact options to get in touch. She monitors her blood sugar once daily in the morning with average readings being around 90. Decreased sensation to monofilament in bilateral plantar surfaces. Tina Jones Health History _ Education and Empathy_ Shadow Health.pdf. Last updated on November 16, 2021 The score you receive in the Education and Empathy section is based on the timing of your therapeutic statements during critical moments in the patient interview. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. are you taking any new medications stress.". . My doctor told me when I was pretty little I think I was about two and a half? appropriate response to each opportunity. Last menstrual period 2 weeks ago. Question The second number represents the total possible points in the assignment. I think she had high blood pressure and cholesterol, too. How often do you monitor your blood glucose? Please enter your feedback to submit this form, UnderstandingThe Digital Clinical Experience (DCE) and Student Performance Index (SPI) Scores. Lag, nystagmus, and deviations may indicate neurologic conditions. You must follow up within two interactions in order to receive the points.