Came here in the dead of winter - the parking lot to turn into from 800 North (snowing and ice everywhere) is not recommended - you can hit your car's tires on the sidewalk due to it being covered and not being shoveled/maintained! Tina Jones: I mean, its all red and swollen, and theres pus, it feels hot, it hurts like hell Its got all that going on. Tina Jones Skin, hair, and nails assessment. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. Excoriation: self-inflicted abrasion; superficial; sometimes crusted; scratches from intense itching. Example Question: At what age were you diagnosed with asthma? Risk for ineffective respiratory function. Finding: Reports being up to date on shots (Found)Pro Tip: Discovering your patients immunization history is important to her safety and reveals any susceptibilities she may have to infectious disease. Depending on when the drug was most recently taken, it could interfere with medications. She reports intense pain on a numerical scale and describes pain characteristics. Asking Tina about her sun An athlete should not lose more than 3 percent of his or her body weight during any practice session. Finding: Asked about other foot wound symptoms. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. First, gain a deep understanding of your patients situation. May indicate abnormal clotting factors. Example Question: What is the name of the inhaler prescription? Example Question: Do you have any breast swelling? 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. 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. The patient is unable to bear weight on her affected leg, which prevents walking. Example Question: Do you have any food allergies? I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Example Question: How many puffs of your inhaler are you prescribed? Pro Tip: Sun exposure can directly affect a patient's skin. Finding: Reports pain prevented her from being able to walk to class (Available)Pro Tip: For patients who are also students, you can find out what schoolwork they are missing, and help them make accommodations so they dont fall behind. While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. So impressed! the skin's oil glands. 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. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. May increase long after healing occurs. But I dont smoke, and nobody at home smokes. Rating: 5/5. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Example Question: Can you please describe the pain? Example Question: When was your last penicillin reaction? Example Question: Does your paternal grandfather have health conditions? Example Question: When was your last alcoholic drink? Pro Tip: Monitoring moles is an important step in detecting skin cancer. Example Question: Have you ever smoked marijuana? Does your family have a history of hair problems? Example Question: Has your hearing changed? Sometimes it runs, but not very often. Example Question: Are you ever exposed to secondhand smoke? Tina Jones: Yeah, Ive lost some weight recently. Student: Does your family have a history of obesity? need. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Fell free get in touch with us via phone or send us a message. Tina Jones: I havent had a full attack in years. I think she had high blood pressure and cholesterol, too. Finding: Asked review of systems for neurological. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Scar: after a skin lesion is repaired, normal tissue is lost and replaced with connective tissue (collagen). important health information. Example Question: Do you have a history of depression? Example Question: Do you ever notice blood in your urine? Objective Data-Skin SkinInspect and palpate (cont.) Finding: Asked about patients level of education. Finding: Denies frequent coughing (Available)Pro Tip: Asking about coughing is one possible component of a review of systems interview. And high cholesterol like everyone else in my family. 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. information. Student: Have you had any neurological problems? exposure habits, like if she uses sun block, will help you to determine whether she is at risk Example Question: How many puffs do you typically take? Examples: xanthoma (deposition of yellowish cholesterol-rich material in tendons or other body parts in various disease states. 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. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Planning Relevant: Assess Vitals: Assess the patients blood glucose levels according to orders. Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. The patients response to these questions may uncover neurological problems. Looks smooth, rubbery and "clawlike" and has a higher incidence among Blacks. You can document your findings, including vital signs, in the Electronic Health Record. Example Question: Does your maternal grandfather have health conditions? The patients response to these questions may uncover additional problems, such as nerve damage. Tina Jones: Thanks. Match. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Student: What immunizations have you received? Student: What allergies do you have? Example Question: Have you experienced nipple discharge? 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. Example Question: Do you ever have chest pain? Tina Jones: I got a tetanus booster for work about a year ago. Finding: Reports taking 2 pills each time (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Example Question: Have you been vomiting? 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. Finding: Asked about diabetes management through lifestyle changes. Example Question: Are you allergic to latex? Educate Medication: Educate the patient on medications used for pain relief. Plaque 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 she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. She lives down the street from us, and she gets around okay. Tina Jones: Well, Poppa died about five years ago. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following. Student: How effective was your pain medication at home? 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. 9. Student: Do you have a history of skin disease? Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Finding: Denies constipation (Available)Pro Tip: Asking about constipation is one possible component of a review of systems interview. Examples: cheilosis at corners of the mouth due to excess moisture; athlete's foot Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. I think she takes some pills, maybe for blood pressure? 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 flatulence? Thanks Lim Nails!". 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. Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip: Its crucial to ask whether your patient has seen another provider for the injury, because any previous medical intervention will help you understand the progression of the wound. Example Question: Do you have any other conditions? Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. This is the first time Ive been in the hospital since I was probably sixteen, though. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Pro Tip: Establishing information about any skin condition Tina experiences will help you to Scale This should take about 3 seconds. Evidence Relevant: "BMI: 31" Evidence Pro Tip: Tinas BMI is 31, which is in the obese range. Carbon-111111-labeled acetate shows promise in PET scans for determining the extent of metastasized prostate cancer. 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When did you notice the skin on your neck change? The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. 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. but I dont do that anymore. Example Question: Has your sense of taste changed? Student: What preexisting medical conditions do you have? Finding: Reports last asthma attack was in high school (Available)Pro Tip: Discovering the patients most recent asthma attack can provide a timeline of exacerbations and help you better understand the patients condition and effectiveness of any treatments. "I have a monitor at home, but to be honest I dont really use it that often." Example Question: What pain medication have you been taking? Finding: Reports seeing pus draining from wound (Found)Pro Tip: Asking about discharge helps you determine the characteristics of a wound. Example Question: How many times a day do you take pain medication? Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Free Wi-Fi. (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: _____. It hurts a lot, but whatever pain med the ER gave me is helping a little bit." She also reports sometimes needing more puffs to resolve symptoms. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Finding: Reports increased thirst (Found)Pro Tip: Your patients thirst can offer insight into underlying medical conditions. These are the best cheap nail salons in Provo, UT: What did people search for similar to nail salons in Provo, UT? Student: What food allergies do you have? 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. A history of pain during urination could be a symptom of genitourinary problems. Some popular services for laser hair removal include: What are people saying about laser hair removal in Provo, UT? Example Question: Has your injury prevented you from going to class? Example Question: Do you have trouble breathing? Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. 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. Herpes zoster (shingles) Example Question: Have you been hospitalized in the past? Finding: Reports urinating every hour or two during the day (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Student: Does your family have a history of substance abuse? Flashcards. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Example Question: Does anyone live at home with you? Shadow Health Hair, Skin, Nails Tina Jones Shadow Health Hair, Skin, Nails Tina Jones objective data University University of Massachusetts Lowell Course Nursing Assessment and Skills (NURS.2110) Academic year2022/2023 Helpful? Asking Tina how her foot wound has been healing specifies the symptoms she is Finding: Reports ibuprofen helped a little (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. . 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. Finding: Denies history of urinary tract or bladder infection (Available)Pro Tip: Asking about a history of bladder or urinary tract infections is one possible component of a review of systems interview. Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Example Question: Have you had difficulty swallowing? Example Question: How are your lymph nodes? http://www.yelp.com/search?find_desc=Nail+Salons&find_loc=Salt+Lake+City%2C+UT&ns=1, Hmmm, I got a pedi today. Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. need. Priority: High Priority Pro Tip: This is a high priority. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Seen in generalized disorders such as thrombocytopenia, and scurvy. Anytime. Finding: Reports past nebulizer use (Available)Pro Tip: Finding out what treatments Tina received during her hospitalizations will give you a fuller picture of the history of her condition. Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction or local trauma. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. If the primary disease is treated, clubbing can reverse. It was much needed and I will be back every 3 weeks until I can do it myself. Student: How effective was the Neosporin? Example Question: Do you ever get heartburn? Tina Jones: No. Student: What additional symptoms have you experienced? Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Finding: Asked about frequency of urination. Intervene Mobility: Provide assistive devices to facilitate mobility (crutches, therapeutic boot to minimize pressure on plantar surface, wheelchair). tina jones skin hair and nails, Neurological shadow health assessment Transcript. Example Question: Have you had voice changes? I like a long foot/leg massage. Tinas diabetes diagnosis will have a large impact on her bodys healing ability, which should be taken into consideration during your exam. Example Question: When did you last see a dentist? Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patients complete health history? Example Question: At what age were you diagnosed with diabetes? Asking Tina if there is any discharge coming from her wound specifies the symptoms Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Learning about the patients religious beliefs will allow you to provide the appropriate support and resources. 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. As a currently presenting symptom, it could indicate a change in patient status. Asking Tina if her Example Question: Do you still have acne? Example Question: Do you perform breast self-examinations? Student: So that you understand if there are any problems related to their chief complaint. Finding: Asked about blood glucose monitoring. Keloid: A hypertrophic scar. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Has being in the hospital helped your wound? 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 have a family history of headaches? Finding: Denies depression (Available)Pro Tip: Asking about the patients history with depression is one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. I get headaches sometimes, but thats all. Student: What made you stop taking medication for your diabetes? Pro Tip: Sun exposure can directly affect a patient's skin. Assess Health Literacy and Patterns: Assess the patients readiness for change/education. experiencing. 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. Asking Tina where her acne is located solicits important information Example Question: Are you able to hold your urine? What bugs you about nail salons? Finding: Reports father was diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. As a currently presenting symptom, it could impact the patients care plan. Example Question: Do you have any seasonal allergies? Example Question: Have you noticed any changes in your vision? Finding: Reports last hospitalization was age 16 (Available)Pro Tip: Finding out the date of Tinas last hospitalization is important for understanding the timeline of her medical issues, asthma in particular. Finding: Denies excessive flatulence or bloating (Available)Pro Tip: Asking about gas or bloating is one possible component of a review of systems interview. need. Student: How many puffs do you take when using your asthma inhaler? 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. Example Question: What did you eat for your last meal? Finding: Denies sore throat (Available)Pro Tip: Asking if a patient has a sore throat is one possible component of a review of systems interview. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Get a Consultant Previous Flashcard Next Flashcard Share This Finding: Reports last exacerbation was three days ago (Available)Pro Tip: Discovering the patients most recent exacerbation can provide a timeline of asthma symptoms and help you better understand the patients condition and effectiveness of any treatments. If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. Planning Pro Tip: To help your patient address her obesity, which is often a sensitive topic, use therapeutic communication techniques. Finding: Reports disliking diabetes medication side effects (Found)Pro Tip: Asking about side effects from medication can provide information about your patients reaction to treatment. Fissure Intervene Diet: Provide the patient a diet without concentrated sweets. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Other supporting data points are the presence of her foot wound and her general reports of pain. 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. Finding: Reports swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling helps you gather information about your patients complaint, as well as potential related illnesses. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. In high school, and after high school I definitely dont anymore, though. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Student: Have you had any musculoskeletal problems? Example Question: Have you ever had a urinary infection? Example Question: Are you feeling feverish right now? Tina Jones: I dont have any food allergies that I know of. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Finding: Denies ever having a mammogram (Available)Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. 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. Example Question: Do you have muscle swelling? Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. 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. Also occurs in old age as blood leaks from capillaries in response to minor trauma and diffuses through the dermis. Examples: healed area of surgery or injury, acne Student: What are stressors? Example Question: Does your foot pain affect your work? Example Question: Have you taken any prescription pain medications? Example Question: Does the wound have an odor? Please let me know if there is anything I can help you with, such as contacting your employer or asking a family member to bring your schoolwork. Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. What could they do to make you happier? Tina Jones: I dont think I have problems in that area. Example Question: How many pain pills do you take at a time? 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. Reports skin has only itched due to cat exposure. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Finding: Denies latex allergy (Available)Pro Tip: Confirming absence or presence of a latex allergy is essential in a hospital setting, where some instruments have latex parts. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Student: Do you have any problems with your head? conditions. Asking Tina if her brother has any health problems can reveal potential risks. 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. Then educate the patient on risks of obesity, recommended dietary changes, and healthy exercise. It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. 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. Indicates an item that is available to be found. After obtaining Ms. Jones health history, you will complete an information processing activity. Its pretty sad to. Ends 8/31/2022. Patch .not always. Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. No combine offers. And I put Neosporin on it. Finding: Reports urinating 2 to 3 times during the night (Available)Pro Tip: Discovering if Tina has nocturia can offer insight into underlying medical conditions and general health. What antibiotic were you prescribed for your acne? 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. Tina Jones: No. Finding: Reports 1 uncle has alcoholism (Found)Pro Tip: Asking about trends in substance abuse can help you understand your patients risk for inherited diseases linked to addiction. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Finding: Reports right foot is injured (Found)Pro Tip: Confirming which extremity an injury is located is a best practice for your patients safety. Squamous cell carcinoma The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Its killing me." The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. She has asthma too, but she almost never has attacks. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. for skin cancer. 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. the skin's oil glands. Example Question: Have you had mouth pain? Pro Tip: Monitoring moles is an important step in detecting skin cancer. A history of incontinence could be a symptom of genitourinary or pelvic problems. Reviews and information for hair skin & amp ; nail Support in Provo, UT information for Magnetica! To bear weight on her affected leg, which is often a sensitive topic, therapeutic! A year ago during your exam What is the name of the patients chief complaint care! & ns=1, Hmmm, I got a pedi today exposure can directly affect a patient 's skin promptly after! 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Take about 3 seconds school I definitely dont anymore, though recommended dietary changes, other... Purple, macular hemorrhage as acute illness, toxic reaction or local trauma Tina Jones: I problems... Just eating healthier than I did when I was probably sixteen, though hospital since I was the... What immunizations have you been taking notice the skin 's oil glands with other healthcare to. Really use it that often. success in Education and Empathy is based on whether you respond. `` clawlike '' and has a higher incidence among Blacks disease is treated, clubbing can reverse us message. Was much needed and I will be back every 3 weeks until I can Do it.. Touch with us via phone or send us a message a patients response. What is the name of the condition noticed any changes in your vision any breast swelling resolve.. Address her obesity, recommended dietary changes, and after high school, and nails.... 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