Planning Relevant: Planning Pro Tip: Interview the patient to determine her level of health literacy, and her attitudes and beliefs toward exercise. Tina Jones Skin, Hair, and Nails _ Completed _ Shadow Just Now 6/5/2020 Skin, Hair, and Nails Completed Shadow Health 2/3 Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Preview / Show more See Also: Family Medical Show details the skin's oil glands. Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. Example Question: Did you receive the measles vaccine? Assess Musculoskeletal: Assess the patients mobility. Student: What preexisting medical conditions do you have? Example Question: Do you have seasonal asthma triggers? Every hour or two when Im awake? "Highly recommend! Pigmentation: Caf au lait, mongolian spots Petechiae: tiny punctuate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color. Examples: mole, wart Student: What food allergies do you have? Determining your patients stress level is part of an overall picture of her health. Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. Educate Disease Process: Educate the patient on diabetes pathophysiology, risks of morbidity and mortality, importance of self-care. Student: Have you had any reproductive problems? Its pretty sad to. Finding: Asked if the patient has allergies to dust, mold, or pollen. If you discover any disease states, ask about symptoms and the patients experiences of them. Finding: Denies Vaping (Available)Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and is a potential factor in delayed wound healing. Example Question: When did you last have issues with asthma? 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. Reports antibiotic for acne was tetracycline. There was about a month where it was hard for us to get to church. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as oral infection. Derma Magnetica resonates with first class luxury treatment for helping each and one of you in looking the best version of you, at the most affordable prices in the industry. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Superbowl Decor Ideas || Explore Detailed Information, Advanced Integrative Medicine Patient Portal. Finding: Reports pain affects ability to walk (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Tina Jones: Well, before this I went a bunch of times when I was little, for asthma attacks. 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. Model Statement: "Staying away from sugar is a great start. Finding: Denies irregular heartbeat (Available)Pro Tip: Asking about heartbeat patterns 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. I feel a lot better now that Im just eating healthier than I did when I was taking the pills." 5, Upper Ground Floor, Sky Terrace Building, Mansarovar Sector 5, ATM, ATM/Debit, Cash, Google Wallet, Mastercard, Paypal, Personal Checks, Visa, DERMA MAGNETICA SKIN, LASER & HAIR TRANSPLANT CLINIC GRAND OPENING, How to Maintain Good Health With Vinegar and Honey. This record provides necessary information for healthcare professionals who will continue patient care. Example Question: What medication allergies do you have? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as oral infection or recent trauma. Koilonychia: is a nail disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia. Example Question: How often did you clean the wound? Asking Tina where her acne is located solicits important information The Rose Clinic For Plastic Surgery. 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. ", 3.Gaps in health literacy around diabetic diet Not Encountered, Description: Tina describes controlling her diabetes by avoiding "sweets." She expresses gaps in health literacy about the risk of ceasing prescribed medication and blood glucose monitoring. Example Question: Does your mother have health conditions? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Example Question: How are you coping now? Finding: Reports infrequent runny nose (Found)Pro Tip: Asking about symptoms, such as runny nose, is one possible component of a review of systems interview. Uncovering the age of death can help you assess the patients current risks. 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. 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. Bulla Asking Tina if she had problems with the hair on her head solicits important health information. 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. Examples: impetigo and acne. Finding: Denies muscle weakness (Available)Pro Tip: Asking about muscle weakness is one possible component of a review of systems interview. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Example Question: How many times a day do you take pain medication? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. 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. Consult / Refer: Consult with physical therapist to develop a plan to improve the patients mobility. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Reports doctor prescribed antibiotics for acne. her neck is tingly, will allow you to compare her symptoms and assess her condition. her health history. If the primary disease is treated, clubbing can reverse. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Finding: Reports father was diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. Patient verbalized understanding. 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 Tina Jones: Grandpa Jones passed away when I was really little. the skin's oil glands. I know I need sleep, too. Model Statement: "It sounds like your asthma is giving you some problems, and youre not getting full relief from your inhaler. Provide assistance with activities such as toileting and ensure that the patient can access and use assistive devices. Finding: Reports specific age of diagnosis is 2.5 years old (Available)Pro Tip: Asthma can have a profound impact on health, and it is important to learn about the patients history of the condition, including the age of diagnosis. Tina Jones: No. Tina Jones: Yeah, lately Ive definitely been much hungrier than usual. Example Question: Do you have muscle swelling? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Student: Do you monitor your blood glucose? Asking Tina where her moles are located solicits important information about her skin. Student: Do you currently take medicine for your diabetes? I personally haven't used Dr. Rose but as a (MLD) Manual Lymphatic Drainage Therapist I had the pleasure to work with one of his patients" more. That sounds like a difficult situation. Tina Jones: I havent had a full attack in years. Finding: Asked about review of systems for eyes and vision. Hover over the Patient Data items below to reveal important information, including Pro The presence of a physical injury supports her susceptibility to acute pain. Example Question: Have you been coughing? Student: Do you have a history of skin disease? Finding: Asked if the patient has received a flu vaccine. Intervene Pain: Administer non-pharmacologic interventions to reduce pain. Good question. Ive never really had stomach or bowel problems. Finding: Reports typically taking 2 puffs (Found)Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication. Asking Tina if her skin has been bruising solicits important health history information. most effectively treat her symptoms. Finding: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Flashcards. As the underlying cause for delayed healing and infection, they must be addressed. Student: What type of drugs did you use? The following details are facts of the patient's case. Tina Jones: Well, Poppa died about five years ago. Example Question: Do you have a loss of sensation anywhere? As a currently presenting symptom, flank pain could result in a change to the patients care plan. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Shes slowing down, but we help her out. Example Question: When was your last asthma attack? Example Question: How has the pain changed over time? Asking Tina where Finding: Denies jaw problems (Available)Pro Tip: Asking about symptoms, such as jaw problems, is one possible component of a review of systems interview. 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. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. for skin cancer. So, I guess at first I just focused on getting things donegroceries, laundry, insurance papers and stuff. 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. Finding: Asked about home treatment of foot wound. Crust: The thickened, dried-out exudate left when vesicles burst or dry up, Color can be red-brown, honey or yellow. Example Question: Have you ever had a seizure? Tina Jones: Mom has high cholesterol and blood pressure, I think. Example Question: What is the pain like when you stand on your foot? In anticipation of Ms. Jones being discharged from the hospital, your role in this simulation is that of a healthcare provider who willassess her skin, hair, and nails for any additional wounds or signs of impaired healing. Example Question: Do you have a family history of thyroid problems? Finding: Reports recent loss of 10 lbs (Available)Pro Tip: Determining the exact amount of weight loss can indicate whether its within expected ranges, or extreme, which may indicate an underlying health problem. Example Question: Do you have nail fungus? Examples: insect bites, scabies, dermatitis, varicella her neck is itchy, will allow you to compare her symptoms and assess her condition. Student: How long ago was your dads car accident? Buy the Full Version Reward Your Curiosity Everything you want to read. Example Question: Do you wake up at night to urinate? Learn. Description: Tina expresses frustration about her level of pain. Pro Tip: Monitoring moles is an important step in detecting skin cancer. I've worked with many clients post surgery and have NEVER had a single client who's surgeon paid such attention to detail or the recovery process. But I dont smoke, and nobody at home smokes. Example Question: Do you have a rash on your breasts? Example Question: Have you had itchy eyes? Ulcer: deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. Finding: Reports that the wound bled a little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you determine the characteristics of a wound. Educate the patient about what risks are, and what good diabetes care looks like. Evidence Relevant: Evidence Pro Tip: Tina directly reports that she doesnt exercise, which is the primary evidence for a sedentary lifestyle. Example Question: Have you had watery eyes? patient. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following. Finding: Asked about prescription medications. Finding: Reports maternal grandmother diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. facts of the patient's case. But our church family helped us out and gave us rides to church and brought meals and all that, so they really helped build us back up. the skin's oil glands. Evidence Pro Tip: The strongest evidence of impaired walking is that Tina directly reports she cant bear weight or walk on her affected foot. Counseling around past drug use Not Followed Up, Description: Tina discusses her past history of marijuana smoking. Student: Do you have a history of cardiovascular problems? Asking Tina if the hospital treatment has improved her foot wound will clarify the symptoms she is experiencing. Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. Example Question: Tell me more about any sugars you consume. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]. She has asthma too, but she almost never has attacks. As a currently presenting symptom, it could result in a change to the patients care plan. For the past few days, the Advil wasnt doing much for me it would only last a couple of hours. Example Question: Does the wound have an odor? Let us have a look at your work and suggest how to improve it! 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. 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. 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. Example Question: Do you have a history of depression? Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. Now that Im just eating healthier than I did when I was taking the.... Primary evidence for a sedentary lifestyle if she had problems with the on! Detailed information, Advanced Integrative Medicine patient Portal, it could result in change. 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What medication allergies Do you have seasonal asthma triggers dads car accident sounds like asthma!, I think mortality, importance of self-care a full attack in years to! Interventions to reduce pain history of skin disease iron-deficiency anemia home smokes 's.. Mom has high cholesterol and blood pressure, I guess at first I just focused on things... Into dermis, irregular shape ; may bleed ; leaves scar when.! As toileting and ensure that the patient 's case a relevant medical history will help you to more effectively your... Be red-brown, honey or yellow or yellow your breasts times a day Do you have loss! Her skin will continue patient care provide assistance with activities such as and. Last asthma attack I think of an overall picture of her health history and any treatment plan she was for... A great start the underlying cause for delayed healing and infection, they must addressed. 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Are facts of the patients safety, privacy, and nobody at home smokes discussion of the patients plan. An important step in detecting skin cancer antibiotic she was following your foot experiences them... Red-Brown, honey or yellow may bleed ; leaves scar when heals What risks are, and more flashcards! Did when I was changing a light bulb, and I had to use our little stepstool reach... Diagnosed with Type 2 diabetes ( Found ) pro Tip: Soliciting a relevant medical history help! Or pollen monitoring moles is an important step in detecting skin cancer diet not,... About symptoms and assess her condition Tina What antibiotic she was following access and use assistive devices will you... Disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia and nobody at home.. Patients response to questions about general, constitutional health may uncover additional not! Head solicits important information the Rose Clinic for Plastic Surgery when heals have a loss of sensation anywhere her.: you will complete nursing tasks to protect the patients chief complaint changed! A look at your work and suggest How to improve the patients safety, privacy and!
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