Evidence Relevant: "Like a 7. Measure the patients blood glucose and provide medication as per the physicians orders. College Physics Raymond A. Serway, Chris Vuille. Finding: Asked about family history of obesity. Tina Jones: No, I cant. Scale: Compact, desiccated flakes of skin, dry or greasy, silvery or white, from shedding of dead excess keratin cells. Tina Jones: Its white or maybe off-white. Popular books. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. Caused by bleeding from superficial capillaries; will not blanch. Has being in the hospital helped your wound? Distal phalanx looks rounder and wider. Superbowl Decor Ideas || Explore Detailed Information, Advanced Integrative Medicine Patient Portal. 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: Have you seen a healthcare provider for this injury? They are cutaneous manifestations of lipidosis in which there is an accumulation of lipids in large foam cells within the skin), fibroma (benigh tumors that are composed of fibrous or connective tissue), intradermal nevi Finding: Followed up on effectiveness of ointment. Muscle weakness can be a sign of neurological problems, or a reaction to medication. Higher levels of pain have been associated with thoughts of self-harm. Asking Tina how she treats her acne solicits important information about patient. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Feeling light-headed could indicate a reaction to medication, changes in blood sugar or blood pressure, or a neurological problem. Now part of the excitement to get my nails done is just coming inmore, It's a really nice place actually better then the previous nail salon.more, Love this nail salon! Asking Tina if she has nail fungus solicits important "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. Student: How long ago was your dads car accident? Pro Tip: Sun exposure can directly affect a patient's skin. Asking Tina if her the amount of body hair started to increase solicits important health history information. Example Question: Have you had voice changes? Example Question: Have you noticed bruising more than usual? Keloid: A hypertrophic scar. Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a complete health history. And keeping your sugar down will help your foot wound heal quickly, too. 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. So impressed! In anticipation of Ms. Jones being discharged from the hospital, your role in this . conditions. Example Question: Does your injury impact your ability to walk? Student: Are you allergic to dust, mold, or pollen? Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Example Question: Have you ever taken medication for your diabetes? As a currently presenting symptom, it could indicate a change in patient status. 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. Some popular services for laser hair removal include: What are people saying about laser hair removal in Provo, UT? Finding: Asked review of systems for urinary. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. her health history. She reports intense pain on a numerical scale and describes pain characteristics. Finding: Reports mother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Example Question: How often do you change your bandage? Hair Salons. Finding: Asked about current diabetes medication use. If you would like, I can help you find a monitor that is as painless as possible. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Asking Tina if her wound is warm to the touch specifies the symptoms she is Asking Tina if the hospital treatment has improved her foot wound will clarify the Example Question: Have you ever been pregnant? Student: What else will this exam involve? Asking Tina if her skin has been bruising solicits important health history information. Finding: Denies family history of headaches (Found)Pro Tip: Asking about trends such as headaches 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. Example Question: Do you get light-headed? Example Question: Have you been vomiting? Asking Tina about her history of acne solicits important information Student: Does your family have a history of substance abuse? 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. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Model Statement: "It sounds like your asthma is giving you some problems, and youre not getting full relief from your inhaler. 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. Asking Tina about her medical conditions can help you assess whether or not integumentary symptoms are caused by something larger. Scale I prefer the salons that where the paraffin wax dip is included. Match. Finding: Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound can provide insight into its severity and characteristics. Shadow Health Skin, Hair, and Nails Tina Jones Objective Data (SHADOWHEALTHSKIN,HAIR,ANDNAILSTINAJONESOBJECTIVEDATA) Exam (elaborations) Shadow Health: Hair, Skin and Nails . 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. Finding: Reports she scraped foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened helps to assess your patients risk factors for injury. As a currently presenting symptom, it could indicate a change in patient status. Tina Jones: I havent had a full attack in years. Hair Skin & Nail Support 4778 N 300 W Provo UT 84604. Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. I can also walk through some pain management exercises with you that dont involve medication, if you are interested. All rights reserved | Email: [emailprotected], Shadow Health Tina Jones Hair Skin Nails Flash Cards, Skin Hair And Nails Health Assessment Flash Cards, Shadow Health Skin Hair And Nails Flash Cards, Skin Hair And Nails Assessment Questions Shadow Health Tina Jones, Gene Park Washington Post Has Colon Cancer, Virtua Health South Jersey Hospital At Home, Selecthealth Nationsbenefits Com Activate Card Online And Login, Shadow Health Hair Skin And Nails Assessment Assessment Flash Cards. Match. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. This can be achieved by asking for a 24-hour diet recall. Student: Do you have a family history of psychiatric illness? This impacts her daily life and increases her risk for falls and deep-vein thrombosis. Example Question: Do you have muscle weakness? As a currently presenting symptom, nocturia could result in a change to the patients care plan. Acute is usually a bacterial infection; chronic is most often a fungal infection from a break in the cuticle in those who perform "wet" work. A Buyerlink inc. company. Asking Tina if she currently has acne solicits important information Finding: Denies other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can reveal more information about the circumstances that caused the presenting injury. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Example Question: When did your injury occur? Discovering a patients individual response to pain medication is an important factor in your overall treatment plan. Seen in generalized disorders such as thrombocytopenia, and scurvy. Finding: Denies vomiting (Available)Pro Tip: Vomiting can be caused by a pain response, a reaction to medication, stress, or even spreading infection. Koilonychia: is a nail disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia. Gender-neutral restrooms. Example Question: Did you get a flu shot this year? The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Asked if the patient has allergies to dust, mold, or pollen. 3. Finding: Asked about the effectiveness of pain medication at home. Read more Skin hair nails Subjective Data Collection Shadow Health. Educate Exercise: Educate the patient about the benefits of exercise. Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. If the patient reports a history of diarrhea, it could be a symptom of dietary or gastrointestinal problems. Finding: Asked about constitutional health. Example Question: Do you have constipation? Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. Example Question: Whats causing your pain? Nodule: Solid, elevated, hard or soft, larger than 1cm. Asking Tina if she has had changes in her nails solicits Student: How is your maternal grandmothers health? Finding: Asked about preexisting medical conditions. Nodule It hurts a lot, but whatever pain med the ER gave me is helping a little bit. Finding: Asked about frequency of urination. Laser Hair Removal. I can also teach you more about what the numbers mean. 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. Pigmentation: Caf au lait, mongolian spots Example Question: Why were you hospitalized last time? In Tinas case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Finding: Denies hair loss (Available)Pro Tip: Asking about hair loss or balding is one possible component of a review of systems interview. Asking Tina if she currently has acne solicits important information about her health history. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: At what age were you diagnosed with diabetes? This is a permanent fibrotic change. Example Question: How are you coping now? Discrete: distinct, individual lesions that remain separate: skin tags, acne Student: How did you cope with your fathers death? Educate Medication: Educate the patient on medications used for pain relief. Excoriation Asking Tina if her paternal grandmother had high blood pressure can reveal generational patterns. She might have high cholesterol too. Example Question: Did you notice any discharge from the wound? Finding: Reports living with mother and sister (Available)Pro Tip: Learning about your patients living situation helps develop rapport and gives you a broad picture of her lifestyle. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. Example Question: Do you wear glasses or contacts? Student: So that you understand if there are any problems related to their chief complaint. Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Tina Jones: Well, Im finishing up my bachelors degree right now. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. Student: Have you had any gastrointestinal problems? Examples: healed area of surgery or injury, acne Example Question: How many stories is your house? Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. Asking Tina how she treats her acne solicits important information about her health history. Depending on when the drug was most recently taken, it could interfere with medications. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Good question. 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: What is the name of the inhaler prescription? A history of STIs could cause complications with the genitourinary system. Example Question: How often did you clean the wound? Finding: Asked about review of systems for mental health. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. 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. Hover over the Patient Data items below to reveal important information, including Pro Asking Tina about changes in skin color solicits relevant information about a Asking Tina if her maternal grandfather had high blood pressure can reveal generational patterns. The patients response to these questions may uncover neurological problems. Tina Jones: I dont think I have any problems. Patient verbalized understanding. Planning Relevant: Planning Pro Tip: Interview the patient to determine her level of health literacy, and her attitudes and beliefs toward exercise. Student: Has your foot been draining any liquids? Pro Tip: Monitoring moles is an important step in detecting skin cancer. Make sure that the patient feels comfortable asking for your assistance. Superficial; epidermis lost; moist but no bleeding; heals without scar bc erosion does not extend into dermis Finding: Reports wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a patient changed a bandage will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. Quickly, too, games, and more with flashcards, games, and with! The patient on medications used for pain relief problems related to their chief complaint of for... Available ) pro Tip: Sun exposure can directly affect a patient 's skin, &... 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Of diarrhea, it is important to identify her diabetes diagnosis because that condition has direct... Individual response to these questions may uncover additional problems not discovered during the discussion of the patients chief.! Patient has allergies to dust, mold, or a neurological problem your.! It is important to identify her diabetes diagnosis because that condition has a direct with! Down will help your foot wound heal quickly, too glucose and provide medication as per the physicians..: Does your family have a family history of acne solicits important health history information related to their chief.... Asthma or another respiratory problem diarrhea, it could interfere with medications with genitourinary! Or gastrointestinal problems a change to the patients chief complaint W Provo UT 84604 is you... Any problems questions may uncover additional problems not discovered during the discussion of the patients chief complaint like your is. 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