Gender-neutral restrooms. Example Question: Can you rate the pain on a scale of 0 to 10? Student: What immunizations have you received? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Infants: Lanugo, Vernix Caseosa, storkbite, milia Priority High Priority Pro Tip: The patients foot wound impairs her walking, which in turn increases her risk for falls while she is an admitted patient. Example Question: How often do you use your inhaler? If the patient reports recurring stomach pain, it could be a symptom of a gastrointestinal problem. Obesity is a long-term health concern that cannot be addressed in a single visit. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Pustule, Crust Tina Jones: My chest and throat get tight, and I start to wheeze. Example Question: Do you have relatives with addiction problems? Free Wi-Fi. In Tinas case, it will help you better understand her asthma and create a timeline. Asking Tina if her skin has been dry solicits important health history information. Example Question: What happened to cause you to stop smoking pot? Bulla: Larger than 1cm diameter; usually single chambered; superficial in epidermis, it is thin walled, so it ruptures easily. If she has not had any screenings, it provides an opportunity for patient education. Student: How does this assignment prepare me for the real world? Example Question: Are your immunizations current? Finding: Reports moles (Available)Pro Tip: Monitoring moles is key in preventing cancerous growths. Finding: Asked if the patient has received a flu vaccine. Student: What made you stop taking medication for your diabetes? Knowing that Mom needed me kind of helped me get through day by day. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Finding: Denies experiencing abuse (Found)Pro Tip: Determining if a patient has experienced abuse, whether it be emotional, physical, or financial, is important for understanding the patients needs. Asking Tina how her foot wound has been healing specifies the symptoms she is experiencing. Example Question: Do you ever get tingling? Finding: Reports normal vaginal discharge (Available)Pro Tip: Asking about vaginal discharge is one possible component of a review of systems interview. Thanks Lim Nails!". Tina Jones: Well, Poppa died about five years ago. Asking Tina where Asking Tina if she has had skin rashes solicits important health history information. Tina Jones: Ive never had been in any kind of situation like that Its scary to think about. Pregnant: Striae, linea nigra, choloasma Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Denies breast rashes (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as a rash, is one way of assessing overall breast health. Ulcer: deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. Driving (5 . Carbon-111111-labeled acetate shows promise in PET scans for determining the extent of metastasized prostate cancer. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. So, I guess at first I just focused on getting things donegroceries, laundry, insurance papers and stuff. The patients response to these questions may uncover additional problems, such as nerve damage. Example Question: Have you had palpitations? Example Question: How many puffs do you typically take? 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. 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. Example Question: What do your asthma symptoms feel like? Asking Tina where her moles are located solicits important information about her skin. . Press Release. 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. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. If you discover any disease states, ask about symptoms and the patients experiences of them. You will be able to see what has been effective and ineffective in the past, which will allow you to make a more informed decision about current treatment. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Pro Tip: Changes in body hair can indicate a change in hormone levels. Finding: Denies stomach pain (Available)Pro Tip: Asking about stomach pain is one possible component of a review of systems interview. 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. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. You may discover that a patient experiencing grief needs additional resources and support. Determining your patients stress level is part of an overall picture of her health. Finding: Followed up on home pain medication. 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. Example Question: Have you noticed bruising more than usual? Asking Tina if her brother has any health problems can reveal potential risks. Counseling around past drug use Not Followed Up, Description: Tina discusses her past history of marijuana smoking. Finding: Denies dandruff (Available)Pro Tip: Dandruff is a chronic scalp condition characterized by flaking skin. As the underlying cause for delayed healing and infection, they must be addressed. Tina Jones: No, I dont take anything for my diabetes anymore. Shes still living on her own. Example Question: Have you noticed an increase in appetite? Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Past 24 Hours I cant put any weight on it without like, shooting pain. Finding: Asked about use of OTC medication. Anytime. Vesicle Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Examples: insect bites, scabies, dermatitis, varicella chivon101 91 Posts Specializes in ER. need. Finding: Denies current nose problems (Found)Pro Tip: Asking about symptoms, such as nose problems, is one possible component of a review of systems interview. 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. Auscultate the lungs to listen for abnormal sounds. Evidence Relevant: "Like a 7. Example Question: Have you had nosebleeds? Finding: Asked about general immunizations received. Asking Tina if she has sores solicits important health history information. "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. Most patients find that using a daily inhaler is an easy way to reduce your asthma symptoms even more. "Its throbbing and like, sharp if I try to put weight on it." Example Question: Do you ever have ringing in your ears? Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: How often do you wake up at night to urinate? You should assess her needs to determine if providing any addition resources or support is appropriate. Model Statement: "I understand that it can be challenging to keep up with daily medication. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. She seems to be doing okay though. Finding: Denies hair loss (Available)Pro Tip: Asking about hair loss or balding is one possible component of a review of systems interview. Finding: Denies muscle pain (Found)Pro Tip: Asking about muscle pain is one possible component of a review of systems interview. Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Why not give the Shadow Health customer support team a call at 800-860-3241 and let's talk about it? Finding: Asked about frequency of urination. Example Question: Does the wound feel warm? Finding: Reports no more than 1 or 2 nights a week drinking alcohol (Available)Pro Tip: Finding out how many nights a week your patient has alcohol gives insight into potential habits or abuse. Example Question: Can you please describe the pain? What antibiotic were you prescribed for your acne? Pro Tip: Changes in body hair can indicate a change in hormone levels. Tina Jones: UmIve smoked pot before. Asking Tina if her moles have changed will indicate whether any of her moles should be assessed further.E. Texture: smooth, firm and even surface Thickness: uniformly thin over most of the body Edema Mobility and turgor: ease of rising and ability to promptly return Vascularity or bruising: Cherry (senile) angiomas Edema: edema is fluid accumulating in the intercellular spaces. Herpes zoster (shingles) Tina Jones: He was driving to work, and it was rainingand his car hydroplaned. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. Evidence Relevant: Evidence Pro Tip: Tinas asthma puts her at general risk for breathing problems. In high school, and after high school I definitely dont anymore, though. Example Question: How many times a day do you take pain medication? Lichenification Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Denies night sweats (Available)Pro Tip: Asking about additional symptoms, such as night sweats, is one possible component of a review of systems interview. Objective Data-Skin SkinInspect and palpate (cont.) I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Required fields are marked *. Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. Student: What happened with your fathers car accident? Finding: Reports family members will be able to help with activities (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. Finding: Reports that periods are irregular (Available)Pro Tip: Asking about menstrual regularity is one possible component of a review of systems interview. Finding: Asked about home treatment of foot wound. Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing. Finding: Denies circulation problems (Available)Pro Tip: Poor circulation is the result of other diseases like obesity, diabetes, or cardiac conditions. Example Question: How often do you urinate during the day? Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. Finding: Reports father was diagnosed with high cholesterol (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. Planning Pro Tip: First, gauge your patients current status by checking hydration, vital signs, and perfusion. Example Question: Have you had any family members with cancer? Asking Tina if her mother had high blood pressure can reveal generational patterns. Finding: Reports asthma triggered by dust (Found)Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important. Example Question: Can you bear weight on your foot? Educate Medication: Educate the patient on medications used for pain relief. Student: How many puffs do you take when using your asthma inhaler? Finding: Reports maternal grandfather diagnosed with high cholesterol (Available)Pro Tip: Family histories might indicate a genetic predisposition. With a foot wound, it is imperative to discern if a patient can stand or not, as this can compromise quality of life and impact job performance. Swollen lymph nodes may appear in the neck when an infection is present. Pro Tip: Sun exposure can directly affect a patient's skin. Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. Finding: Asked about current diabetes medication use. But my breathing definitely acts up. Anywhere. Examples: impetigo and acne. Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. Student: What additional symptoms have you experienced? Order Online Tickets Tickets See Availability Directions {{::location.tagLine.value.text}} . 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. Lumps have a range of severity, as they could be the result of breast injury or cancerous growths, but any abnormalities should be handled with the highest level of concern. Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patients biggest complaint. Finding: Asked about family history of obesity. Finding: Asked about number of puffs when using asthma inhaler. 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Tina Jones: I dont know. I understand your frustration at having your life interrupted by foot pain. Its good to hear that you no longer smoke pot. It feels like I cant take in air, like I cant get enough air into my lungs. Finding: Denies taking supplements (Available)Pro Tip: Finding out about your patients use of supplements will help you get a complete health history and avoid unwanted drug interactions. Example Question: Have you had a sore throat? Depending on when the drug was most recently taken, it could interfere with medications. Example Question: Have you been wheezing? Malignant melanoma, Primary contact dermatitis Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patients risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas to improve identify and prioritize nursing diagnoses and develop a plan to address nursing diagnoses. What are some popular services for laser hair removal? Asking Tina when she last saw a doctor about her acne solicits important information about her health history and any treatment plan she was following. Patient verbalized understanding. Example Question: Have you had jaw problems? . Hair Skin & Nail Support 4778 N 300 W Provo UT 84604. Finding: Denies change in hearing (Available)Pro Tip: Asking about changes in hearing is one possible component of a review of systems interview. Other supporting data points are the presence of her foot wound and her general reports of pain. 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. 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. Asking Tina if her father had high cholesterol can reveal generational patterns. These are some laser hair removal with a large number of reviews in Provo, UT: Skin Science Institute of Laser & Esthetics (24 reviews), Acaydia Spa & School of Aesthetics (23 reviews), Simplicity Laser Hair Removal (19 reviews), Skin Science Institute of Laser & Esthetics. You also want to identify any potential issues with substance abuse. Shadow Health - Skin, Hair, and Nails Lab - Objective Complete.docx.docx Uploaded by Ivan Ramirez Full description Download now of 11 You're Reading a Free Preview Pages 6 to 10 are not shown in this preview. Example Question: Do you ever have chest pain? Asking Tina about her sun Asking Tina if her maternal grandmother had high blood pressure can reveal generational patterns. Patch Asking Tina about her sun exposure habits, like if she uses sun block, will help you to determine whether she is at risk for skin cancer. Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. Asking Tina if she has dry eyes solicits information about one particular symptom. 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. Student: When did you last use drugs? (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? 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. Tinea corporis (ringworm of the body) Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. 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