Download Shadow Health - Tina Jones, Health History (Complete Study Guide) Over 400 terms and more Exams Nursing in PDF only on Docsity!
(Complete Study Guide) Over 400 terms
Health History Tips & Tricks: - TJ Health Interview Student: Hello! - Diana Shadow : Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Student: What is the situation? - 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. 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. Student: What are my objectives in this assessment? - 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. You will also want to review Ms. Jones' systems,
(Complete Study Guide) Over 400 terms
psychosocial history, and family medical history. These assessments together will give you a comprehensive picture of Ms. Jones' overall health. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a 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 Finding s and nursing notes. You may complete the exam activities in any order and move between them as needed. After obtaining Ms. Jones' health history, you will complete an information processing activity. You will identify and prioritize diagnoses, then create a plan to address the identified diagnoses. Student: What else will this exam involve? - Diana Shadow : You will complete nursing tasks to protect the patients safety, privacy, and
(Complete Study Guide) Over 400 terms
students of all experience levels can take time to hone and review their skills. You can pause and resume the assignment at any time; your work is always saved automatically. Student: How does this assignment prepare me for the real world? - Diana Shadow : In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: º ask effective and comprehensive questions º obtain a thorough health history º evaluate the patient's risk of disease, infection, injury, and complications º educate and empathize º reflect on your experience and identify areas to improve º identify and prioritize nursing diagnoses º and develop a plan to address nursing diagnoses. Diana Shadow : In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patient's complete health history? - Student: So that you understand if there are any problems related to their chief complaint. Also, to help treat their current condition.
(Complete Study Guide) Over 400 terms
Diana Shadow : Time to begin. - Patient Exam - Vital signs : - Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98% Patient Exam - Interview: - Student: Hello, my name is Catlain, I am your nurse today. - Tina Jones : Hey. Student: Can you confirm your name? - Tina Jones : Tina Jones Student: Why did you come in today? - Tina Jones : I got this scrape on my foot a while ago, and it got really infected. It's killing me.
(Complete Study Guide) Over 400 terms
Student: What color was the pus? - Tina Jones : It's... white or maybe off-white. Student: How have you treated the wound? - Tina Jones : I've been taking Advil for my foot for a few days. Student: What did you do to treat your foot after your accident? - Tina Jones : I made sure to clean it and keep it bandaged. And I put Neosporin on it. Student: How effective was the Neosporin? - Tina Jones : Well, I'm here, so I guess it didn't do its job. Student: Can you walk with your foot being injured? - Tina Jones : No, I can't. I can't put any weight on it without like, shooting pain.
(Complete Study Guide) Over 400 terms
Student: What preexisting medical conditions do you have? - Tina Jones : I mean, I have asthma and diabetes, but right I now I just care about my foot! Student: I understand your foot hurts, but I need to know this information to make sure I take care of the problem correctly. - Tina Jones : Thanks. Student: When were you diagnosed with diabetes? - Tina Jones : I was diagnosed when I was 24. Student: What do you do to manage your asthma? - Tina Jones : I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. Student: What medications did you take for your diabetes? - Tina Jones : It was metformin.
(Complete Study Guide) Over 400 terms
Student: What is your current diet? - Tina Jones : It's pretty good, I think. I'm not a huge health nut or anything. Student: Have you had any change in appetite? - Tina Jones : Yeah, lately I've definitely been much hungrier than usual. Student: Has your weight changed? - Tina Jones : Yeah, I've lost some weight recently. Student: Do you know why you lost weight? - Tina Jones : I don't know what caused it, I just lost weight. Student: How often do you have asthma exacerbations? - Tina Jones : I haven't had a full attack in years. But my breathing definitely acts up.. .not always. Max twice a week.
(Complete Study Guide) Over 400 terms
Student: What asthma symptoms have you experienced? - Tina Jones : My chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't get enough air into my lungs. Student: How many puffs do you take when using your asthma inhaler?
- Tina Jones : I usually use two puffs from my inhaler, but sometimes I need three. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI] Student: What are some things that trigger your asthma? - Tina Jones : Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Student: What allergies do you have? - Tina Jones : I'm allergic to cats. Student: When did you realize you were allergic to cats? - Tina Jones : For as long as I've been around.
(Complete Study Guide) Over 400 terms
Student: What immunizations have you received? - Tina Jones : I got a tetanus booster for work about a year ago. For the other kinds, I got all the required ones when I was a kid, and for college...I'm sure I have a record somewhere at home. Student: Have you received a flu vaccine? - Tina Jones : No. Student: Have you had any prior hospitalizations? - Tina Jones : Well, before this I went a bunch of times when I was little, for asthma attacks. This is the first time I've been in the hospital since I was probably sixteen, though. Student: Have you had any gastrointestinal problems? - Tina Jones : No. I've never really had stomach or bowel problems. Student: Do you have a family history of psychiatric illness? - Tina Jones : No. They're crazy, but nobody's diagnosed with anything.
(Complete Study Guide) Over 400 terms
Student: Do you have any neck, throat or gland problems? - Tina Jones : No, not that I noticed. Student: Do you have any problems with your head? - Tina Jones : I don't think I have any problems. I get headaches sometimes, but that's all. Student: Any problems with your ears? - Tina Jones : No. Student: Any problems with your eyes and vision? - Tina Jones : I've actually been noticing problems lately. When I'm reading or studying I'll notice that things start to get kind of blurry. Student: Any problems with your nose? - Tina Jones : My nose is fine right now. Sometimes it runs, but not very often.
(Complete Study Guide) Over 400 terms
Student: Have you had any musculoskeletal problems? - Tina Jones : No. Student: Do you have a history of skin disease? - Tina Jones : Um, I have acne, if that counts. Student: Does your paternal grandfather have any health problems? - Tina Jones : Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and...I'm pretty sure he had diabetes. And high cholesterol like everyone else in my family. Student: Does your mother have any health problems? - Tina Jones : Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though. Student: Does your father have any health problems? - Tina Jones : Well, he passed away. But he had a couple things... Type 2 diabetes, like me, and high cholesterol and blood pressure.
(Complete Study Guide) Over 400 terms
Student: How did your father die? - Tina Jones : He died in a car accident. Student: Where is your wound located? - Tina Jones : It's on the ball of my foot. Student: Do you get thirsty often? - Tina Jones : You know, I did notice lately that I've been really thirsty. Student: What happened with your father's car accident? - Tina Jones : It was last year... I guess a little over a year ago. Student: How long ago was your dad's car accident? - Tina Jones : It was last year... I guess a little over a year ago.
(Complete Study Guide) Over 400 terms
around okay. I think she takes some pills, maybe for blood pressure? She might have high cholesterol too. She seems happy. Student: How is your paternal grandfather's health? - Tina Jones : Grandpa Jones passed away when I was really little. Student: How is your maternal grandfather's health? - Tina Jones : Well, Poppa died about five years ago. Student: How is your maternal grandmother's health? - Tina Jones : Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too. Student: How is your brother's health? - Tina Jones : He's a healthy guy. Kind of big like me.
(Complete Study Guide) Over 400 terms
Student: How is your sister's health? - Tina Jones : She's pretty healthy. She has asthma too, but she almost never has attacks. Student: Does your family have a history of obesity? - Tina Jones : No, I don't think so. My brother and my dad are kind of big, but I wouldn't say they were obese or anything. Student: Does your family have a history thyroid issue? - Tina Jones : No, I don't think so. Student: Does your family have a history of substance abuse? - Tina Jones : One person in the family, my dad's brother, has an alcohol problem, but we never see him. Student: Does your family have a history of headaches? - Tina Jones : No, not that I know of.
