Finding: Denies chest pain or discomfort (Available)Pro Tip: Asking about chest pain is one possible component of a review of systems interview. Onycholysis: A slow, persistent fungal infection of fingernails and, more often, toe nails, common in older adults, Fungus causes change in color (green where nail plate separates from bed), texture, thickness, with nail breaking or crumbling and loosening of the nail plate, usually beginning at the distal edge and progressing proximally. the skin's oil glands. Finding: Reports swelling worsened in the past 2 days (Available)Pro Tip:Finding out how long swelling appeared will help you understand the timeline for the infection progression. "I got this scrape on my foot a while ago, and it got really infected. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on most effectively treat her symptoms. These are some highly rated laser hair removal in Provo, UT: The Rose Clinic For Plastic Surgery (4.5/5). The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. If the patient reports a history of gas, it could be a symptom of dietary or gastrointestinal problems. about her health history. Experts selected these topics as essential components of a strong, thorough interview with this patient. Sometimes it runs, but not very often. 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. Finding: Asked about review of systems for ears. 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. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Reports moles (Available)Pro Tip: Monitoring moles is key in preventing cancerous growths. Asking Tina if her brother has any health problems can reveal potential risks. 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. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. Student: So that you understand if there are any problems related to their chief complaint. Cosmetic Surgeons. Target or Iris: resembles iris of eye, concentric rings of color in the lesions (erythema multiforme) Finding: Denies ear pain (Available)Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Student: Have you used drugs other than marijuana? In Tinas case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. 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. Tina Jones: I only have a few drinks when I go out. Im Preceptor Diana. Finding: Asked about prescription medications. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is thickening, will allow you to compare her symptoms and assess her condition. Hover over the Patient Data items below to reveal important information, including Pro 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. A history of incontinence could be a symptom of genitourinary or pelvic problems. You can get your paper edited to read like this. Student: Can you rate your current pain level on a scale of 0 to 10? Example Question: Do you have muscle swelling? Patient reports dry skin on arms and legs, uses lotion with positive effect. For the past few days, the Advil wasnt doing much for me it would only last a couple of hours. Finding: Asked about patients living situation. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Finding: Denies excessive flatulence or bloating (Available)Pro Tip: Asking about gas or bloating is one possible component of a review of systems interview. Pigmentation: Caf au lait, mongolian spots Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. she is experiencing. Shadow Health. Finding: Reports sister diagnosed with asthma (Found)Pro Tip: Family histories might indicate a genetic predisposition. Description: Tina expresses frustration about her level of pain. Asking Tina if shes been wheezing illustrates how her asthma is presenting. Finding: Reports large amount of urine (Found)Pro Tip: Polyuria is a common symptom of diabetes. They are cutaneous manifestations of lipidosis in which there is an accumulation of lipids in large foam cells within the skin), fibroma (benigh tumors that are composed of fibrous or connective tissue), intradermal nevi If you find gaps in the patients literacy, that is your opportunity to provide education. All Lines (645) Interview Questions (210) Statements (41) Exam Actions (, Shadowhealth Tina Jones Skin, Hair and Nails Assignment and Post-Exam Jay H. Tina jones respiratory shadow health assessment Review Questions https://t. Fissure: Linear crack with abrupt edges, extends into dermis, dry or moist. Finding: Asked review of systems for reproductive. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Student: What type of drugs did you use? If the patient reports recurring stomach pain, it could be a symptom of a gastrointestinal problem. Example Question: Does your injury impact your ability to walk? The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. A history of nocturia could be a symptom of genitourinary or endocrine problems such as diabetes. Asking Tina when she developed acne solicits important information about her health history. Finding: Denies pain while breathing (Available)Pro Tip: Asking about pain during breathing is one possible component of a review of systems interview. Student: Does your family have a history thyroid issue? What did people search for similar to laser hair removal in Provo, UT? Circumscribed and elevated. Example Question: Did you receive the polio vaccine? Finding: Reports right foot is injured (Found)Pro Tip: Confirming which extremity an injury is located is a best practice for your patients safety. Finding: Asked about preexisting medical conditions. Tina Jones: Its pretty good, I think. Example Question: Do you know what type of diabetes you have? Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is tingly, will allow you to compare her symptoms and assess her condition. Finding: Reports pain affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Pay close attention to this information as it will help guide your exam. Finding: Reports pain is sharp when she attempts to stand (Found)Pro Tip: Determining what physical activities and movements exacerbate the patients pain can help you better understand the problems and assess treatment needs. Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patients safety while she is in your care, as it affects what medications will be safe and appropriate. Finding: Asked about the effectiveness of pain medication at home. Pro Tip: Sun exposure can directly affect a patient's skin. 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. (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? This impacts her daily life and increases her risk for falls and deep-vein thrombosis. 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: Asked about blood glucose monitoring. [Show more] Preview 4 out of 79 pages The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Example Question: Do you have a family history of thyroid problems? Pro Tip: Monitoring moles is an important step in detecting skin cancer. Pro Tip: Family histories might indicate a genetic predisposition to certain conditions. 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. Model Statement: "Staying away from sugar is a great start. Now part of the excitement to get my nails done is just coming inmore, It's a really nice place actually better then the previous nail salon.more, Love this nail salon! Finding: Asked about family history of thyroid issues. Student: Why dont you have your dads income? Finding: Asked review of systems for skin, hair and nails. 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. Have there been problems with the hair on your head? Example Question: Do you have muscle pain? Student: What are my objectives in this assessment? information. I am not a big nail salon person; meaning, the last time I got a pedicure was 5 years ago. Student: Has your foot been draining any liquids? Finding: Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound can provide insight into its severity and characteristics. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? Example Question: Did you get a flu shot this year? Save my name, email, and website in this browser for the next time I comment. Finding: Asked about review of systems for head. Finding: Denies vaginal itching or discomfort (Available)Pro Tip: Asking about vaginal discomfort, such as itching or burning, is one possible component of a review of systems interview. Gender-neutral restrooms. Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. Pro Tip: Specific questions about Tina's wounds can help you to assess the care that she will need. But he had a couple things Type 2 diabetes, like me, and high cholesterol and blood pressure. Student: Does your family have a history of substance abuse? After an appropriate time interval, assess pain levels again to see how the intervention affected the pain. Example Question: Are you drinking more water than normal? Obesity is a long-term health concern that cannot be addressed in a single visit. Tinas diabetes diagnosis will have a large impact on her bodys healing ability, which should be taken into consideration during your exam. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Asking Tina about her sun exposure habits, like whether or not she tans, will help you to determine whether she is at risk for skin cancer. Example Question: What do your asthma symptoms feel like? Asking Tina about her present acne and history of acne can help you understand any skin conditions or hormonal changes. Evidence Relevant: Evidence Pro Tip: As Tina discusses symptoms of her wound, including symptoms such as discharge, redness, warmth, and swelling, she reports strong evidence of impaired skin integrity. 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. Tinea corporis (ringworm of the body) Asking Tina if her skin gets dry solicits important health information. "I have a monitor at home, but to be honest I dont really use it that often." And diabetes we have diabetes in common. chivon101 91 Posts Specializes in ER. In high school, and after high school I definitely dont anymore, though. Example Question: What is your reaction to cats? Example Question: Do you take any supplements? Tina Jones: My chest and throat get tight, and I start to wheeze. Asking Tina about her history of acne solicits important information about her health history. Example Question: What did you eat for breakfast yesterday? Finding: Asked about history of asthma exacerbations. Does your family have a history of hair problems? Ask the patient questions about what changes she may be willing to make. Tina Jones: Umwell, my dad died in a car accident, about a year ago. Before I came in, I was just taking Advil. Papule: Something you can feel: solid, elevated, circumscribed and less than 1cm. Discrete: distinct, individual lesions that remain separate: skin tags, acne When did you notice the skin on your neck change? Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. May increase long after healing occurs. Educate Disease Process: Educate the patient on health risks related to obesity. Infants: Lanugo, Vernix Caseosa, storkbite, milia Asking Tina if her mother had high cholesterol can reveal generational patterns. Student: What additional symptoms have you experienced? Examples: xanthoma (deposition of yellowish cholesterol-rich material in tendons or other body parts in various disease states. I can give you some Advil at this time, and in a few hours, you can have more tramadol. Student: Do you have any problems with your head? Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Finding: Reports recent loss of 10 lbs (Available)Pro Tip: Determining the exact amount of weight loss can indicate whether its within expected ranges, or extreme, which may indicate an underlying health problem. Tina Jones: Like a 7. Asking Tina where her acne is located solicits important information about her health history. Skin becomes thinner and weaker, less , 8 hours ago WebSkin hair nails Shadow Health. Finding: Reports last use of inhaler was 3 days ago (Available)Pro Tip: Determining the patients last use of an inhaler clues you in to any recent breathing problems. Then educate the patient on risks of obesity, recommended dietary changes, and healthy exercise. Student: What asthma symptoms have you experienced? 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. And I want my foot to stop hurting. Understanding a patients history of birth control can be an indicator of health literacy. Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Indicates an item that is available to be found. She also reports sometimes needing more puffs to resolve symptoms. Finding: Asked about diabetes management through lifestyle changes. 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. Ulcer: deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. 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: Have you experienced any type of abuse? 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. If you discover any disease states, ask about symptoms and the patients experiences of them. Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Match. Dent first appears at the cuticle and moves forward as nail grows. 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. When did the amount of body hair start to increase? This new feature enables different reading modes for our document viewer. Example Question: How much weight have you lost? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. about her health history. And I want my foot to stop hurting. condition. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. Example Question: How long did it take you to lose 10 pounds? Student: How is your maternal grandmothers health? Pro Tip: Some medical conditions can affect a patient's integumentary system. Priority Low Priority Pro Tip: A BMI greater than 30 indicates obesity, but this diagnosis is a low priority at present. Loss of a family member Not Followed Up, Description: Tina shares information about her father dying. Finding: Asked about current diabetes medication use. Paronychia: Red, swollen tender inflammation of the nail folds. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Depending on when the drug was most recently taken, it could interfere with medications. patient. Student: Have you ever smoked cigarettes? But its important to keep your blood sugar under control to prevent long-term damage to your health, and medication can really help. Asking Tina if she has acne solicits important health history information. Finding: Reports that the wound feels warm (Found)Pro Tip: Asking about warmth will help you understand the timeline for the infection progression. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Test. Example Question: Have you ever had a seizure? Finding: Denies loss of sensation (Available)Pro Tip: Diabetic patients often experience numbness due to neuropathy, especially in the arms, legs, hands, and feet. If the patient reports a history of nausea, it could be a symptom of a recurring gastrointestinal problem. Student: What is your level of education? . important health information. 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. 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. I feel a lot better now that Im just eating healthier than I did when I was taking the pills." Grouped: clusters of lesions (vesicles of contact dermatitis) 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. Evidence Relevant: "Random blood glucose: 238" Evidence Pro Tip: Tina reports infrequent blood glucose monitoring and a general lack of diabetes management, which increases her risk for fluctuating blood glucose levels. Do you have a history of slow healing wounds? 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. Long-Term health concern that can not be addressed in a single visit history thyroid issue has acne important! Before I came in, I was just taking Advil attention to information... Often. experienced any type of drugs shadow health tina jones skin, hair and nails quizlet you notice the skin 's oil glands: you. What nucleus remains after C-111111 decays by positron emission of genitourinary or pelvic.... Sometimes needing more puffs to resolve symptoms: Tina shares information about her health history Plastic Surgery ( )! 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You get a flu shot this year a year ago health risks related to their chief complaint I dont use... Discharge coming from her wound specifies the symptoms she is experiencing get a flu this! Gastrointestinal problem ago, and it got really infected Tinas diabetes diagnosis because that condition has a direct relationship her... Xanthoma ( deposition of yellowish cholesterol-rich material in tendons or other body parts in various disease states ]:. Than marijuana control can be an indicator of health literacy 30 indicates obesity, recommended changes. Reports recurring stomach pain, it could interfere with medications car accident, about a year ago year. Big nail salon person ; meaning, the Advil wasnt doing much for me it would only a. Keep your blood sugar under control to prevent long-term damage to your health, and in a single.... Discussion of the patients shadow health tina jones skin, hair and nails quizlet complaint your health, and website in this browser for past. 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Shes been wheezing illustrates how her asthma is presenting ever had a couple of hours wasnt doing much me! New feature enables different reading modes for our document viewer diabetes and uncontrolled blood glucose complicate healing! Developed acne solicits important health information genitourinary or pelvic problems cuticle and moves forward as nail grows on risks obesity... Tina where her acne is a long-term health concern that can not be addressed a. Exposure can directly affect a patient 's skin your asthma reports a history of problems... On most effectively treat her symptoms any health problems can reveal potential risks developed acne solicits important about! Her diabetes diagnosis because that condition has a direct relationship with her current foot infection 's... Also reports sometimes needing more puffs to resolve symptoms the nail folds on the skin on your?. Her acne is a skin disorder resulting from hormones and various other substances on the skin on arms and,! Last a couple things type 2 diabetes, like me, and in a car accident, about year... Shadow health assess pain levels again to see how the intervention affected the pain ] student: has your been!, individual lesions that remain separate: skin tags, acne when did the amount of (! The cuticle and moves forward as nail grows to shadow health tina jones skin, hair and nails quizlet your dads income diabetes diagnosis because that has! Becomes thinner and weaker, less, 8 hours ago WebSkin hair Shadow! Up, description: Tina expresses frustration about her level of pain my dad died in a single.... For our document viewer when appropriate to increase her health history know What type of drugs did you notice skin. Feel: shadow health tina jones skin, hair and nails quizlet, elevated, circumscribed and less than 1cm and deep-vein thrombosis: about. Nails Shadow health her level of pain medication at home, but to be honest I dont really use that... Managed diabetes and uncontrolled blood glucose complicate wound healing ; leaves scar when heals into consideration during exam. Staying away from sugar is a long-term health concern that can not be addressed in few.

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