Example Question: When did your injury occur? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Asked about drainage from the foot wound. Asking Tina how she treats skin dryness solicits important health information. There was about a month where it was hard for us to get to church. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your Tina Jones: Nana was 73 when she died of a stroke about five years ago. Diana Shadow: A health history requires you to ask questions related to Ms. Jones past and present health, from her current foot wound to her pre-existing conditions. Tina Jones: Well, before this I went a bunch of times when I was little, for asthma attacks. Example Question: How often do you change your bandage? Finding: Reports eating mac and cheese for lunch yesterday (Available)Pro Tip: In a health history, it is important to get an idea of a patients typical dietary patterns. Finding: Reports infrequent discharge, crusting or wateriness (Available)Pro Tip: Asking about symptoms, such as eye discharge, is one possible component of a review of systems interview. Asking Tina if her skin gets dry solicits important health information. Asking Tina if she has a family history of hair problems solicits relevant health history. With a foot wound, it is imperative to discern if a patient can walk or not, as a lack of mobility can compromise quality of life. Finding: Asked about paternal grandmothers health. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. ", 8. Educate Medication: Educate the patient on medications used for pain relief. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. 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. 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. Asking Tina what her new moles are like solicits important information about her skin. Example Question: How many pain pills do you take at a time? Finding: Denies incontinence (Available)Pro Tip: As a currently presenting symptom, incontinence could result in a change to the patients care plan. Examples: healed area of surgery or injury, acne Example Question: What did you eat for breakfast yesterday? Example Question: Has your injury prevented you from going to class? Student: Do you have any neck, throat or gland problems? Example Question: Does your paternal grandfather have health conditions? Patient denies any abnormal masses currently on body. Risk for ineffective respiratory function. Tinea pedis (ringworm of the foot) Pro Tip: Establishing information about any skin condition Tina experiences will help you to Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. But my breathing definitely acts up. We want you to be in as little pain as possible. Example Question: Do you ever have chest pain? Assess the status of the wound itself and ensure proper cleaning and dressing per the physicians order. Example Question: Have you had gum problems? Tina Jones: I have a monitor at home, but to be honest I dont really use it that often. Uncovering the age of death can help you assess the patients current risks. Student: Does your family have a history of headaches? 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. She also reports sometimes needing more puffs to resolve symptoms. Example Question: Have you been urinating more often than usual? Swollen lymph nodes may appear in the neck when an infection is present. Finding: Denies receiving annual flu vaccine (Found)Pro Tip: The flu virus can be particularly hazardous in a hospital setting. You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. Example Question: How many puffs of your inhaler are you prescribed? Tina Jones: I havent smoked pot since I was twenty or twenty-one. I just get really bad periods, thats all. Asking Tina if her skin has been itching solicits important health history information. Tina Jones: Well, Im here, so I guess it didnt do its job. Student: What medications did you take for your diabetes? Asking Tina how she treats her acne solicits important information about Finding: Reports pain affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding the impact of your patients wound on daily activities helps inform your plan for care. Finding: Reports diabetes (Found)Pro Tip: It is important to identify any existing medical conditions, as that information is an integral part of a complete health history. .not always. This record provides necessary information for healthcare professionals who will continue patient care. the skin's oil glands. 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. Things were only hard like that for a few months. Pro Tip: Sun exposure can directly affect a patient's skin. the amount of body hair started to increase solicits important health history information. All Rights Reserved. Ulcer Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. 2. Even getting up and ready for church was too overwhelming. Example Question: Have you noticed bruising more than usual? 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. Finding: Asked about prior hospitalizations. Has 10 years experience. Well done.". 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. Student: Have you had any reproductive 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. Evidence Relevant: "No, I dont take anything for my diabetes anymore." If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. Finding: Asked about family history of thyroid issues. When was the last time you saw a doctor about acne? need. It feels like I cant take in air, like I cant get enough air into my lungs. Anytime. Asking Tina if she has had changes in her nails solicits Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Finding: Reports doing occasional breast exams (Available)Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patients level of health literacy. Examples: insect bites, scabies, dermatitis, varicella Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patients voice is one possible component of a review of systems interview. Example Question: Did you notice any discharge from the wound? Student: Can you rate your current pain level on a scale of 0 to 10? As a currently presenting symptom, it could impact the patients care plan. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. And I want my foot to stop hurting. 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. Tina Jones: I feel really stressed out right now! May indicate abnormal clotting factors. Planning Relevant: Assess Pain: Assess the patients pain at regular intervals and with each assessment of vital signs. Example Question: When was your last tetanus booster? Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. Finding: Followed up on stopping diabetes regimen. Finding: Asked about maternal grandmothers health. Example Question: Do you have muscle pain? Example Question: Do you still have acne? 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. 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. Example Question: Is there swelling around the wound? (b)(b)(b) What nucleus remains after C-111111 decays by positron emission? Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a complete health history. Home Flashcards Shadow Health - Tina Jones, Health History Flashcards Total word count: 18386 Pages: 67 Get Now Calculate the Price Deadline Paper type Pages - - 275 words Check Price Looking for Expert Opinion? Educate the patient about the benefits to overall health and blood sugar control and finding an appropriate form of exercise. Student: I cant even imagine how you feel about losing your father, Tina Jones: Dad was a little stricter than Mom growing up. Create a chart indicating weight loss of 3 percent. Student: What preexisting medical conditions do you have? Tina Jones: Whatever pain medication the ER gave me is helping. 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. But he never hit us or anything. Grouped: clusters of lesions (vesicles of contact dermatitis) Patch Student: Do you monitor your blood glucose? While the patient is in your care, work with other healthcare professionals to keep the pain managed and improve the patients mobility. Finding: Asked about prescription medications. Quickly and professionally. First, gain a deep understanding of your patients situation. her neck hurts, will allow you to compare her symptoms and assess her condition. The patient is unable to bear weight on her affected leg, which prevents walking. important health information. Reports only current treatment is washing her face. Example Question: Are your periods regular? Example Question: What prescription medications do you take? College Physics Raymond A. Serway, Chris Vuille. Example Question: Have you had any family members with cancer? Finding: Reports using an inhaler (Found)Pro Tip: Asking how your patient treats her asthma can provide important information about her medical history and health literacy. [Show more] Preview 4 out of 79 pages 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. I am not a big nail salon person; meaning, the last time I got a pedicure was 5 years ago. As a currently presenting symptom, it could indicate a change in patient status. Example Question: Do you have any food allergies? ", 5. Finding: Reports allergy to cats (Found)Pro Tip: Asking general questions about allergies is the first step to a conversation with a patient about her complete set of allergies. Finding: Asked about review of systems for head. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Example Question: Does your sister have health conditions? Finding: Asked about home treatment of foot wound. Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. Pigmentation: Caf au lait, mongolian spots most effectively treat her symptoms. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. Tina Jones: Mom has high cholesterol and blood pressure, I think. By Appointment Only. 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. 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. 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