Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Do you have constipation? Diffusion Let us complete them for you. Planning Pro Tip: To gain a deep understanding of your patients situation, determine her level of health literacy, her feelings and beliefs about the disease, and the motivation behind her choices. Finding: Asked about maternal grandmothers health. 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. Example Question: How many nights a week do you drink alcohol? This can be achieved by asking for a 24-hour diet recall. Example Question: What pain medication have you been taking? Finding: Denies muscle weakness (Available)Pro Tip: Asking about muscle weakness is one possible component of a review of systems interview. Asking Tina if her Student: What happened with your fathers car accident? Finding: Reports acne (Found)Pro Tip: Adult acne can suggest stress or changes in hormone levels. Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. Finding: Denies swelling (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as swelling, is one way of assessing overall breast health. Atrophic Scar: the resulting skin level is depressed with loss of tissue; a thinning of the epidermis. If you would like, I can help you find a monitor that is as painless as possible. Finding: Asked if patient has experienced abuse. history information. Examples: mole, wart Infants: Lanugo, Vernix Caseosa, storkbite, milia Erosion: scooped but shallow depression. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. Example Question: What is the pain like when you stand on your foot? Finding: Reports confusion about what the numbers mean (Available)Pro Tip: Your patients blood sugar monitoring habits are an important part of her health literacy and home treatment. Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient. Student: What medications did you take for your diabetes? Finding: Reports that she does not currently take medication for diabetes (Found)Pro Tip: Asking about diabetes medication is important to understanding if your patients disease is under control. Finding: Asked to rate current pain level on a scale. ", 7. May extend deeper into dermis than papule. It feels like I cant take in air, like I cant get enough air into my lungs. Tina Jones: I havent smoked pot since I was twenty or twenty-one. a) A client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. Finding: Asked about maternal grandfathers health. Example Question: Have you had breast cancer? Example Question: Has your injury prevented you from going to class? Example Question: Do you live in a house? Finding: Reports infrequent sinus problems (Available)Pro Tip: Asking about symptoms, such as frequent sinus issues, is one possible component of a review of systems interview. 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. Kaposi's sarcoma. Empower the patient to take part in her own care by educating her on controlled breathing techniques. Finding: Asked about family history of headaches. Finding: Denies history of STIs (Available)Pro Tip: Asking about a patients history of STIs is one possible component of a review of systems interview. Example Question: Do you have flank pain? Example Question: Have you noticed changes in your sleep? Example Question: Do you have any skin discoloration? Lichenification: prolonged, intense scratching eventually thickens the skin and produces tightly packed sets of papules; looks like the surface of moss. Tina Jones: Right now, Im living at my moms place, which is out in the suburbs a bit. Planning Relevant: Assess Pain: Assess the patients pain at regular intervals and with each assessment of vital signs. Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. Read more Skin hair nails , 4 hours ago WebThe City's Tentative Assessment Roll lists the assessed value of every property. Example Question: What prescription medications do you take? Student: Have you used drugs other than marijuana? Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. Student: Have you received a flu vaccine? A history of flank pain could be a symptom of genitourinary problems. Asking Tina about her sun Student: Have you had any gastrointestinal problems? but I dont do that anymore. Pro Tip: Establishing information about the character of Tina's skin, like when she noticed the skin on her neck changing, will allow you to compare her symptoms and assess her condition. What are some popular services for nail salons? Tina Jones: Hes a healthy guy. the skin's oil glands. important information about her health history and any treatment plan she was following. 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. Example Question: Do you have a history of suicidal thinking? about her health history. Features. 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. 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: 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. Finding: Denies current wheezing (Available)Pro Tip: Patients who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Example Question: How many times a day do you take pain medication? Finding: Reports asthma triggered by cats (Found)Pro Tip: Discovering occasional environmental triggers, such as animal allergies, gives you insight into exacerbating factors of your patients condition. Required fields are marked *. Example Question: Have you ever been pregnant? Example Question: Do you ever get headaches? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Student: Do you monitor your blood glucose? Example Question: Do you have any mouth problems? Finding: Asked about childhood immunizations. Finding: Asked review of systems for skin, hair and nails. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Asked about patient belief system. Cyst So, I guess at first I just focused on getting things donegroceries, laundry, insurance papers and stuff. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. I would like to talk with you about changing your medication and your regimen, to reduce your frequent breathing problems, so that you feel better day-to-day. Example Question: Have you ever had a seizure? Example Question: Have you had breathing problems? Im Preceptor Diana. Educate the patient about the benefits to overall health and blood sugar control and finding an appropriate form of exercise. Tina Jones: Nana was 73 when she died of a stroke about five years ago. Finding: Reports last hospitalization was for asthma (Available)Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Example Question: Do you still have acne? 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. Student: What type of drugs did you use? Finding: Followed up on coping with fathers death. Jan 26, 2016 The first shadow health was pretty hard to pass. Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Tina Jones: Well, right after he died, after the funeral and everything, I just tried to get through that. 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. Example Question: Tell me more about living at home. In a sense, koilonychia is the opposite of nail clubbing. Finding: Reports increased thirst (Found)Pro Tip: Your patients thirst can offer insight into underlying medical conditions. Finding: Denies swollen glands (Found)Pro Tip: Asking about a patients glands in general could include lymph nodes or thyroid glands. Asking Tina if her maternal grandmother had high blood pressure can reveal generational patterns. Example Question: Have you had itchy eyes? Tina Jones: Well, I used to smoke pot. Has being in the hospital helped your wound? 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. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. I like a long foot/leg massage. "First timer here w/a good friend! My brother and my dad are kind of big, but I wouldnt say they were obese or anything. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will After an appropriate time interval, assess pain levels again to see how the intervention affected the pain. Finding: Reports taking ibuprofen (Advil) at home (Found)Pro Tip: Discovering how a patient has been medicating for pain is a crucial element of understanding and treating her condition or injury. Example Question: Does your maternal grandmother have health conditions? May indicate abnormal clotting factors. Asking Tina when the amount of body hair started to increase solicits important health history information. Student: What do you do to manage your asthma? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: Have you ever used a nebulizer? Example Question: What color is the drainage from your wound? 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. Nodule Objective Data-Skin SkinInspect and palpate (cont.) Other contributing factors are her family history of diabetes mellitus and a lack of physical exercise. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Finding: Asked about review of systems for head. Finding: Asked about other foot wound symptoms. As a currently presenting symptom, flank pain could result in a change to the patients care plan. This assignment takes on average between 90 and 110 minutes. Example Question: When was the last time you took your diabetes medication on a regular basis? Blood pressure can reveal generational patterns Tina when the amount of body hair started to solicits. 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