Asking Tina if she currently has acne solicits important information about her health history. Superficial; epidermis lost; moist but no bleeding; heals without scar bc erosion does not extend into dermis Student: Have you had any musculoskeletal problems? If the primary disease is treated, clubbing can reverse. Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. 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. Asking Tina what her new moles are like solicits important information about her skin. Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. Asking Tina if her maternal grandmother had high blood pressure can reveal generational patterns. Finding: Reports paternal grandfather diagnosed with Type 2 diabetes (Found)Pro Tip: Family histories might indicate a genetic predisposition. The patients response to these questions may uncover neurological problems. Anytime. Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing. 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. Scale Scar Example Question: What is your religious affiliation? Finding: Reports that she used to take diabetes medication (Found)Pro Tip: Asking about Tinas medication history for asthma will provide a timeline of treatment. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Example Question: Have you been more thirsty lately? "I got this scrape on my foot a while ago, and it got really infected. Asking Tina if she has had skin rashes solicits important health history information. Example Question: How are you coping with your fathers death? A combination of open and closed questions will yield better patient data. Asking Tina how her foot wound has been healing specifies the symptoms she is Well done.". Asking Tina if her asthma can help you develop a sense of health patterns within her family. Pitting: Sharply defined pitting and crumbling of the nails with distal detachment often occurs with psoriasis. What are some highly rated laser hair removal in Provo, UT? Example Question: Have you had palpitations? Finding: Reports recommended dose is 1-3 puffs as needed (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. ", 5. 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. Most importantly, ask about her goals and changes she may be willing to make. the skin's oil glands. However, for a patient with no active respiratory complaints, this problem does not need to be addressed immediately. Does your family have a history of hair problems? Example Question: How often do you urinate during the day? Tina Jones: Well, right after he died, after the funeral and everything, I just tried to get through that. Clean, organized, open, and calm -more, I really with I could give this nail salon/chop shop 0 stars. Finding: Reports past condom use (Available)Pro Tip: Asking about a patients past condom use is one possible component of a review of systems interview. Finding: Reports mother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. 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. Tina Jones: UmIve smoked pot before. Tina Jones: Well, before this I went a bunch of times when I was little, for asthma attacks. Finding: Asked about maternal grandmothers health. Finding: Asked about prescription medications. 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. Let us have a look at your work and suggest how to improve it! 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. Finding: Reports being barefoot at the time of injury (Available)Pro Tip: Asking about clothing, footwear, and other protective elements being worn at the time of injury helps you discover the totality of the circumstances. What could they do to make you happier? So, it was really sudden. She lives down the street from us, and she gets around okay. Example Question: How many puffs do you typically take? Polycyclic: annular lesions grow together: psoriasis Example Question: Have you had jaw problems? As a currently presenting symptom, it could indicate a change in patient status. Denies current or past history of eczema. Student: Have you used illicit drugs? Student: How is your paternal grandmothers health? Example Question: Did you injure anything besides your foot? Tina Jones Skin, hair, and nails assessment skin hair nails subjective data collection: 23 of 23 hover to reveal hover over the patient. Plaque for skin cancer. . Example Question: Do you ever get headaches? 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. Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. Finding: Reports change in appetite began a month ago (Available)Pro Tip: Determining the onset of appetite change can reveal important details about underlying health conditions. Finding: Asked about drainage from the foot wound. A Buyerlink inc. company. Tina Jones: Yeah, theres definitely pus. Finding: Denies dizziness or vertigo (Available)Pro Tip: Asking about dizziness or vertigo is one possible component of a review of systems interview. Tina Jones: I dont think I have problems in that area. Finding: Denies irregular heartbeat (Available)Pro Tip: Asking about heartbeat patterns is one possible component of a review of systems interview. Finding: Reports more frequent urination (Found)Pro Tip: Your patients urination habits can offer insight into underlying medical conditions and general health. Lichenification Tina Jones: No, I dont take anything for my diabetes anymore. information. Student: When were you diagnosed with diabetes? Example Question: Can you bear weight on your foot? Hover over the Patient Data items below to reveal important information, including Pro And I put Neosporin on it. 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. Learn. 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. 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. (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: _____. Tina Jones: He died last year, so I was 27. Start studying Shadow Health- Tina Jones- Hair, Skin, Nails. 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. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Reports large amount of urine (Found)Pro Tip: Polyuria is a common symptom of diabetes. Tina Jones: Well, I used to smoke pot. 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. Asking Tina if the hospital treatment has improved her foot wound will clarify the Example Question: What do your asthma symptoms feel like? Example Question: Does anyone live at home with you? Example Question: Do you have muscle pain? Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a complete health history. Finding: Reports waking up to urinate during the night (Available)Pro Tip: Frequent urination at night can be a sign of uncontrolled blood sugar or UTI. her moles are located solicits important information about her skin. Finding: Reports injury occurred 1 week ago (Available)Pro Tip: Discovering how long ago the pain began is the first step in understanding whether the pain is chronic or acute. Student: Do you have problems with your mouth? Finding: Asked about review of systems for head. Example Question: How many pain pills do you take at a time? Example Question: Does obesity run in your family? Evidence Relevant: "BMI: 31" Evidence Pro Tip: Tinas BMI is 31, which is in the obese range. Asking Tina what antibiotic she was prescribed for her acne solicits Example Question: What are your usual blood sugar levels? Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns. It hurts a lot, but whatever pain med the ER gave me is helping a little bit. But its important to keep your blood sugar under control to prevent long-term damage to your health, and medication can really help. Pro Tip: Monitoring moles is an important step in detecting skin cancer. When was the last time you saw a doctor about acne? Example Question: Have you had a mammogram? Example Question: Do you drink sugary drinks? Asking Tina if her mother had high blood pressure can reveal generational patterns. Finding: Asked about diabetes management through lifestyle changes. Finding: Asked about family history of substance abuse. the skin's oil glands. 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? 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. Tina Jones: Well, Im here, so I guess it didnt do its job. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Example Question: Do you ever notice blood in your urine? Finding: Reports past grief (Found)Pro Tip: Asking about Tinas reaction to her fathers death is a vital part of patient-centered care. Pro Tip: Monitoring moles is an important step in detecting skin cancer. 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. My foot slid off the bottom step and it got all scraped up. What are some laser hair removal with a large number of reviews in Provo, UT? Diffusion Let us complete them for you. Finding: Reports moles (Available)Pro Tip: Monitoring moles is key in preventing cancerous growths. 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. Asking Tina if her Example Question: Have you ever had a seizure? patient. Finding: Reports no more than 1 or 2 nights a week drinking alcohol (Available)Pro Tip: Finding out how many nights a week your patient has alcohol gives insight into potential habits or abuse. The patient is unable to bear weight on her affected leg, which prevents walking. Example Question: Do you have a family history of thyroid problems? Model Statement: "I understand that it can be challenging to keep up with daily medication. Assess Pain: Assess the patients response to pain medication. 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. Example Question: Have you had watery eyes? Finding: Denies history of STIs (Available)Pro Tip: Asking about a patients history of STIs is one possible component of a review of systems interview. 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. Example Question: Did you use any ointment on the wound? Tina Jones: I made sure to clean it and keep it bandaged. xample Question: Have your moles changed? Example Question: Have you had any family members with cancer? 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. Uncovering the age of death can help you assess the patients current risks. Discrete: distinct, individual lesions that remain separate: skin tags, acne Finding: Reports wound is on the plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located ensures you are aware of your patients biggest complaint. Student: Have you had any problems with your breasts? 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