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. Understanding a patients history of birth control can be an indicator of health literacy. Finding: Asked about general immunizations received. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . Empower the patient to take part in her own care by educating her on controlled breathing techniques. Diana Shadow: In this assignment, you will be evaluated on your Subjective Data Collection, as well as your Education and Empathy. While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Finding: Denies incontinence (Available)Pro Tip: As a currently presenting symptom, incontinence could result in a change to the patients care plan. Herpes zoster (shingles) "No, I cant. Finding: Reports occasional dry skin (Available)Pro Tip: Chronic or severe dry skin might require a patient to be seen by a dermatologist. Student: We are going to take care of everything as quickly as possible. Tina Jones: Grandpa Jones passed away when I was really little. Example Question: Do you have any mouth problems? the skin's oil glands. Good question. Tina Jones: No. Student: What type of drugs did you use? Tina Jones: I made sure to clean it and keep it bandaged. Tina Jones: I feel really stressed out right now! Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. 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. Distance. Finding: Reports sister diagnosed with asthma (Found)Pro Tip: Family histories might indicate a genetic predisposition. Evidence Relevant: Evidence Pro Tip: Tina directly reports that she doesnt exercise, which is the primary evidence for a sedentary lifestyle. 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. Finding: Denies mouth pain (Available)Pro Tip: Asking about symptoms, such as oral pain, is one possible component of a review of systems interview. Student: Can you tell me about your fathers health? Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Example Question: Did you notice any discharge from the wound? Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or Tina Jones: I dont know what caused it, I just lost weight. Finding: Followed up on effectiveness of ointment. Student: How old were you when your father died? Example Question: Have you experienced nipple discharge? . Student: Can you walk with your foot being injured? Tina Jones: Well, I used to smoke pot. Finding: Asked about family history of obesity. Example Question: Do you have a family history of headaches? The following details are facts of the patient's case. Experts selected these topics as essential components of a strong, thorough interview with this patient. Intervene Pain: Administer prescribed analgesics to provide optimal pain relief. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing. Student: Do you have problems with your mouth? Measure the patients blood glucose and provide medication as per the physicians orders. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Example Question: Have you had any head injuries? Anytime. Example Question: How many stories is your house? Finding: Reports normal vaginal discharge (Available)Pro Tip: Asking about vaginal discharge is one possible component of a review of systems interview. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Finding: Reports past condom use (Available)Pro Tip: Asking about a patients past condom use is one possible component of a review of systems interview. Finding: Denies tingling (Available)Pro Tip: Asking about tingling sensations is one possible component of a review of systems interview. Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. 3. Finding: Denies exposure to secondhand smoke (Found)Pro Tip: Exposure to secondhand smoke can be especially detrimental to an asthmatic patients health. Learn. Most of the diseases that cause bleeding and microembolism formation- such as thrombocytopenia, subacute bacterial endocarditis and other septicemias are charcterized by petechiae in the mucus membranes as well as on the skin Example Question: Do you ever have ringing in your ears? Example Question: Do you notice being more clumsy than usual? This is the first time Ive been in the hospital since I was probably sixteen, though. Please let cashiers know when check-out.more, PhenomeNails isnt just a nail salon, its an absolute beauty and relaxing experience. Target or Iris: resembles iris of eye, concentric rings of color in the lesions (erythema multiforme) Asking Tina how she treats skin dryness solicits Student: What do you do to manage your asthma? In anticipation of Ms. Jones being discharged from the hospital, your role in this . Pro Tip: Establishing information about any skin condition Tina experiences will help you to 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. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. Asking Tina whether shes experienced poor circulation indicates whether she might suffer from underlying cardiac concerns. Tina Jones: Umwell, my dad died in a car accident, about a year ago. Id like to talk with you more about getting back onto a prescription. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Do you still have acne? Student: When did you realize you were allergic to cats? 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. 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. Example Question: When was your last hospitalization? Finding: Denies excessive flatulence or bloating (Available)Pro Tip: Asking about gas or bloating is one possible component of a review of systems interview. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Then educate the patient on risks of obesity, recommended dietary changes, and healthy exercise. Pustule: Turbid fluid (pus) in the cavity. Pro Tip: Sun exposure can directly affect a patient's skin. "First timer here w/a good friend! Student: Can you rate your current pain level on a scale of 0 to 10? Example Question: Do you have flank pain? Student: What preexisting medical conditions do you have? Finding: Asked about home treatment of foot wound. Elderly: Senile Lentigines, keratosis, dry skin, decreased turgor, hair loss, Shadow Health- Tina Jones- Hair, Skin, Nails, Shadow Health | Tina Jones | Respiratory Asse, Shadow Health- Danny Rivera- Focused Exam: Co, Shadow Health | Tina Jones | Cardiovascular, Muskuloskeletal Disorders-Pathophysiology, Disorder Female Reproductive System- Pathophy, Planning, Implementing, and Evaluating Health Promotion Programs, Brad Neiger, James McKenzie, Rosemary Thackeray, ultrasound physics: chapter 3 transducers(not. Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. A Buyerlink inc. company. 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. Patient denies any abnormal masses currently on body. Sexual activity without condoms increases a patients risk of STIs, and can be an indicator of a patients health literacy. most effectively treat her symptoms. Tina Jones: Well, I used to smoke pot. This record provides necessary information for healthcare professionals who will continue patient care. Student: How old was your father when he died? The patients response to these questions may uncover neurological problems. Hover over the Patient Data items below to reveal important information, including Pro Asking Tina if she has acne solicits important health history information. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Symptoms like these could indicate a yeast or sexually transmitted infection. Student: Do you know why you lost weight? Pregnant: Striae, linea nigra, choloasma Muscle weakness can be a sign of neurological problems, or a reaction to medication. Finding: Reports her major is accounting (Available)Pro Tip: Asking about a patients course of study is a good practice to establish rapport with your patient. Finding: Reports increased thirst (Found)Pro Tip: Your patients thirst can offer insight into underlying medical conditions. Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. Tina Jones: Well, Im here, so I guess it didnt do its job. Examples: impetigo and acne. Student: Have you had any prior hospitalizations? What did people search for similar to laser hair removal in Provo, UT? Example Question: What prescription medications do you take? The most common causes of muscle pain are overuse, and conditions such as arthritis. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Make sure that the patient feels comfortable asking for your assistance. Atrophic Scar: the resulting skin level is depressed with loss of tissue; a thinning of the epidermis. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Are your periods regular? Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports past hospitalizations (Found)Pro Tip: Finding out if the patient has any past hospitalizations is the first step in understanding any past serious medical issues. The care that she doesnt exercise, which is the first time Ive been the. 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