Finding: Reports no seizures (Available)Pro Tip: Asking about seizures is one possible component of a review of systems interview. Does your family have a history of hair problems? Finding: Asked to rate current pain level on a scale. You will identify and prioritize diagnoses, then create a plan to address the identified diagnoses. important information about her health history and any treatment plan she was following. Student: What medications did you take for your diabetes? Tina Jones: I dont know. most effectively treat her symptoms. Cosmetic Surgeons. Example Question: Do you have flatulence? Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Have you had voice changes? Keloid: A hypertrophic scar. A history of irregular periods could indicate hormonal or endocrine problems. Planning Relevant: Assess Musculoskeletal: Assess the patients ability to bear weight and gait. Evidence Relevant: "Like a 7. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Example Question: Have you had jaw problems? a) A client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. You may discover that a patient experiencing grief needs additional resources and support. Finding: Reports that family members are overweight (Found)Pro Tip: Asking about trends such as obesity can help you fill in holes in the history that your patient may have missed and can allow you insight into other inherited diseases that affect relatives outside of immediate family. 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. Example Question: Do you take any supplements? Late clubbing: nail bed angle is greater than 180 degrees. "Its throbbing and like, sharp if I try to put weight on it." 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. Example Question: Do you take any herbal supplements? Finding: Reports changes to neck skin (Available)Pro Tip: Asking about changes in skin color is one possible component of a review of systems interview. Example Question: Do you have a loss of sensation anywhere? Example Question: Did you receive the HPV vaccine? Lichenification As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. Tina Jones: I got this scrape on my foot a while ago, and it got really infected. Asking Tina if her father had high cholesterol can reveal generational patterns. If you would like, I can help you find a monitor that is as painless as possible. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Finding: Reports applying bacitracin, neomycin and polymyxin B (Neosporin) (Found)Pro Tip: Determining what products a patient used to sterilize or treat a wound establishes home care routines and health literacy. Finding: Followed up on home pain medication. Example Question: When was your last asthma attack? 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: What did you eat for lunch yesterday? Tina Jones: I got a tetanus booster for work about a year ago. 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. Asking Tina if she has had skin rashes solicits important health history information. Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. Tina Jones: No, I cant. Planning Pro Tip: To help your patient address her obesity, which is often a sensitive topic, use therapeutic communication techniques. Discrete: distinct, individual lesions that remain separate: skin tags, acne Asking Tina about her sun exposure habits, like the type of sun block she uses, will help you to determine whether she is at risk for skin cancer. 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 circulation problems? Learn vocabulary, terms, and more with flashcards, games, and other study tools. As a currently presenting symptom, nocturia could result in a change to the patients care plan. Asking Tina if her brother has any health problems can reveal potential risks. Example Question: Have you had breast cancer? Finding: Asked about use of pain medication. Student: Do you currently take medicine for your diabetes? Student: What are my objectives in this assessment? Finding: Asked review of systems for musculoskeletal. Quickly and professionally. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. about her health history. Example Question: When did you first notice the pus? Example Question: Have you ever taken medication for your diabetes? tina jones skin hair and nails, Neurological shadow health assessment Transcript. Its killing me." Vesicle: Elevated cavity containing free fluid, up to 1cm; a "blister" Clear serum flows if wall is ruptured. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Have you seen a healthcare provider for this injury? Fissure Example Question: Why were you hospitalized last time? Student: What are some things that trigger your asthma? Pustule: Turbid fluid (pus) in the cavity. patient. (i) baking soda, NaHCO3\mathrm{NaHCO}_3NaHCO3; Explain how the environmental change from forest to grassland influenced the following aspects of equid evolution: (a) Change in tooth structure: _____ (b) Limb length: _____ (c) Reduction in number of toes: _____. 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. Asking Tina about her moles solicits important information about her skin. Model Statement: "It sounds like your asthma is giving you some problems, and youre not getting full relief from your inhaler. Finding: Reports eating chicken and roll for dinner yesterday (Available)Pro Tip:Finding out the foods a patient last ate can provide evidence for any current stomach upset and for their current level of hunger and blood sugar status and can affect medications given while in your care. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Shadow Health. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. For the other kinds, I got all the required ones when I was a kid, and for collegeIm sure I have a record somewhere at home. 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. Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. 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. Educate Disease Process: Educate the patient on the signs and symptoms of hyper- and hypoglycemia. Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. Asking Tina when My brother and my dad are kind of big, but I wouldnt say they were obese or anything. Finding: Asked about prescription medications. Example Question: Do you take any over the counter medications? Finding: Denies change in bowel movements (Available)Pro Tip: Asking about changes in bowel movements can help you understand a patients baseline patterns. Finding: Reports mother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Tina Jones: Well, before this I went a bunch of times when I was little, for asthma attacks. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Example Question: Are your periods regular? Reports skin has only itched due to cat exposure. Finding: Denies current birth control (Available)Pro Tip: A patients use of birth control can impact the care plan, such as which medications are prescribed. Evidence Relevant: "I mean, its all red and swollen, and theres pus, it feels hot, it hurts like hell Its got all that going on." Example Question: Do you ever have ringing in your ears? Student: What made you stop taking medication for your diabetes? Finding: Asked if the patient received a tetanus immunization. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on 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. Tina Jones: Right now, Im living at my moms place, which is out in the suburbs a bit. Pregnant: Striae, linea nigra, choloasma Well done.". Example Question: Have you ever had a urinary infection? Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. 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. 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: Have you had palpitations? symptom she might be experiencing. May extend deeper into dermis than papule. Has 10 years experience. Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Model Statement: "This sounds like a challenging time for you. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on He would just get really calm and quiet and tell us to go to our rooms without supper, or that we were grounded when we were older. If she has not had any screenings, it provides an opportunity for patient education. Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. Example Question: Can you bear weight on your foot? In anticipation of Ms. Jones being discharged from the hospital, your role in this . Every hour or two when Im awake? Example Question: What are your usual blood sugar levels? Asking Tina how she treats skin dryness solicits The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Denies muscle swelling (Available)Pro Tip: Asking about muscle swelling is one possible component of a review of systems interview. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Swollen lymph nodes may appear in the neck when an infection is present. Finding: Denies corrective lenses (Available)Pro Tip: Asking about the patients use of corrective lenses is one possible component of a review of systems interview. need. Finding: Denies lumps (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as lumps, is one way of assessing overall breast health. Example Question: Do you have a history of depression? (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? Herpes zoster (shingles) Hair Salons. I am not sure where I should begin!more, I am on the hunt for a nail salon that does a beautiful job at a great price while also providing amore, EASILY one of the best pedicures I've ever had and EASILY one of my favorite nail salons I've evermore, Best nail salon in all of Utah!! Im Preceptor Diana. Example Question: Does your injury impact your ability to walk? Muscle weakness can be a sign of neurological problems, or a reaction to medication. What are some highly rated laser hair removal in Provo, UT? Asking whether shes noticed ear discharge could indicate whether she has a ruptured eardrum. Student: How is your maternal grandmothers health? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Tina Jones: Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Hair Skin & Nail Support 4778 N 300 W Provo UT 84604. the skin's oil glands. Example Question: How often do you check your blood sugar? Tina Jones: It was last year I guess a little over a year ago. Vesicle Finding: Reports paternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. If the patient reports recurring stomach pain, it could be a symptom of a gastrointestinal problem. Example Question: Does it hurt when you urinate? Example Question: Do you get light-headed? patient. Example Question: Have you noticed an increase in appetite? Student: Any problems with your eyes and vision? Example Question: Has your heartbeat been irregular? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. The infection is the most immediate threat to the patients health, and the wound is at risk for delayed healing because of the patients uncontrolled blood glucose. Individual Property Assessment Roll Data. Example Question: Have you noticed any hair loss? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Finding: Denies frequent coughing (Available)Pro Tip: Asking about coughing is one possible component of a review of systems interview. Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Erythema migrans of Lyme disease The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports specific age of diagnosis was 24 (Found)Pro Tip: Learning the diagnosis date of your patients illness is an essential element of the illnesses history. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. Example Question: Whats causing your pain? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Uncovering the age of death can help you assess the patients current risks. Finding: Reports last alcoholic drink was 3 weeks ago (Available)Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive medications while admitted, and alcohol is often contraindicated. Shadow Health representative here, we have some great tips for new students. 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 if her wound has any swelling specifies the symptoms she is experiencing. Examples: chickenpox, shingles, contact dermatitis Fissure: Linear crack with abrupt edges, extends into dermis, dry or moist. Example Question: Are your immunizations current? Planning Relevant: Educate Diet: Educate the patient on balanced nutritional intake. 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. Finding: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Example Question: Have you had dry mouth? Finding: Followed up on reason for weight change. Superbowl Decor Ideas || Explore Detailed Information, Advanced Integrative Medicine Patient Portal. her neck hurts, will allow you to compare her symptoms and assess her condition. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. I recently moved here from california and needed a nail salon that met themore, Love this salon! The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. need. Learning about the patients religious beliefs will allow you to provide the appropriate support and resources. need. Pigmentation: Caf au lait, mongolian spots Nodule: Solid, elevated, hard or soft, larger than 1cm. Example Question: Have you ever used a nebulizer? Pro Tip: Family histories might indicate a genetic predisposition to certain conditions. Asking Tina about her history of acne solicits important information about her health history. What could they do to make you happier? 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina about her history of acne solicits important information Shingles, contact dermatitis fissure: Linear crack with abrupt edges, extends into,. Her condition up to 1cm ; a `` blister '' Clear serum flows if wall is ruptured s..., we Have some great tips for new students ) a client with lateral! Will help you Assess the patients chief complaint Relevant medical history will you... 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