Shadow Health: Focused Exam: Cough Results Danny Riviera. Example Question: Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem. The BIG Picture. Have you done anything to treat your cough? Monitor your glucose levels daily. Example Question: Denies smoking Denies taking medication Pro Tip: Children should only take medication under the supervision of an adult who can assure it is taken as directed. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. Example Question: Regardless of the patient’s presenting illness, it is critical to identify current medical conditions in order to treat the patient appropriately. Example Question: Tina Jones, 29 year old young female admitted to hospital for R foot ulcer. Asking your patient about food allergies will allow you to most effectively treat him. Brian Foster Chest Pain Shadow Health Assessment. Finding: Example Question: The postpartum period refers to the first six weeks after childbirth. Finding: Example Question: Pro Tip: Ability to remain active indicates that the patient’s breathing is not dangerously affected, and that the patient isn’t seriously fatigued. Your initial responses to the mandatory DQ do not count toward participation and are graded separately. Do you have night sweats? Denies chest tightness (Available) Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key information about the type of illness the patient has. (Available) Finding: Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. (Found) Example Question: (Available) Asking your patient about medicine allergies will allow you to most effectively treat him. (Available) Make sure you are reading the rubric for each Shadow Health assignment, because sometimes you will only have 1 try to pass, and other times you may only have 3, but with significant point reduction each try. Finding: Finding: You need to consume modera, portions of carbohydrates and increase your vegetable intake. Example Question: You do not need a PIN to sign in. You will see: Shadow Health Digital Clinical Experience. Do you have eye redness? Do you have unusually frequent colds? Finding: Did you not paraphrase well enough? She states that these symptoms started spontaneously and have been constant in nature. Asking about whether a patient is exposed to secondhand smoke allows you to assess this risk factor. Pre-brief. Example Question: Pro Tip: Chest pain may indicate cardiac conditions, muscular inflammation, gastric upset, or respiratory distress. Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 10 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 90 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 80 points. Reports nasal discharge is thin Denies medication allergies (Available) Asked about typical medication use. Pro Tip: Patients sometimes try non-medicinal home remedies to treat coughs, such as breathing steam, or drinking tea with honey. Finding: Denies headaches Example Question: (Available) Do you have any ear pain? Do you produce any phlegm or sputum with your cough? Finding: Example Question: (Available) Finding: You should ask younger patients whether the medicine was given to them and by whom. Example Question: Tested lung capacity with spirometer: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%) Danny Rivera Pediatric Cough Shadow Health Assessment Transcript Exam Action 04/09/20 11:12 AM PDT (Available) Example Question: Finding: Pro Tip: Mental lethargy and difficulty concentrating are common symptoms when a patient is sick. Do you have seasonal allergies? Have you tried any home remedies for your cough? Finding: (Available) Do you have food allergies? Finding: Reports he doesn’t know what triggers the cough Pro Tip: Asking about how the patient has been managing their pain assesses their current condition and their approach to self-care. Example Question: Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. Example Question: Example Question: Specific questions should be asked about previous medical problems, even if the patient doesn’t notice current symptoms. Denies fever It is used for most writing assignments for your degree. Shadow Health’s patient cases are designed for both novice and expert students to practice communicating with and examining patients. A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. Pro Tip: The type of cough medicine a patient takes, and how they take it, can impact its effectiveness. Example Question: – Education level (health literacy) – Access to health care Insurance/Financial status – Is the patient able to afford medications and health diet, and other out-of-pocket expenses? (Found) Pro Tip: A patient such as Danny who is presenting with a cough and a runny nose may have a cold, so you should ask about his history of colds to determine whether this is part of a larger pattern. (Available) Example Question: Denies hearing problems (Available) Finding: Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Denies difficulty breathing. Do you have asthma? Example Question: Finding: Finding: The estimated average time to complete this assignment each time is 1 hour and 15 minutes. (Found) Pro Tip: The consistency of a patient’s nasal discharge can provide you key information as to the type of condition the patient has. Finding: (Available) Introduction and Pre-brief. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. … has treated her throat pain with occasional throat lozenges which has “helped a little”. Have you been sneezing? Pro Tip: Pneumonia is a serious medical condition that can be life-threatening if not managed appropriately. Make sure to drink mostly water and avoid sugar-sweetened, beverages. Determine allergies, presence and dates of childhood and adult illnesses, chronic health problems, immunization history, and past hospitalizations Family History Determine age and health, or age and cause of death, of parents, sibling, and grandparents, noting the presence of specific illnesses in family (e.g. Take the extra few minutes to review instead of getting counted off for these mistakes. College Physics Raymond A. Serway, Chris Vuille. Write all the important information you need to teach Tina on the topics below before she is discharged from Shadow General Hospital. Pro Tip: Asking about aggravating factors of Danny’s cough will allow you to determine potential causes and educate the patient on what to avoid. This clinical experience is a focused exam. Pro Tip: Establishing how long Danny’s coughs last will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers. Example Question: Pro Tip: Simply talking with the patient assesses his hearing; however, some types of hearing loss are only apparent in specific settings such as noisy environments. Pro Tip: A health assessment should include an evaluation of the patient’s immunization status in order to identify diseases to which the patient is vulnerable. Shadow health respiratory assessment transcript Pre Brief. You fail to control your diabetes yo, will be at risk for diabetic neuropathy. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6. Reports frequent colds (Available) Do you have fatigue? Denies dizziness Denies home remedies Within the Shadow Health platform, complete the Focused Exam: Cough Results. Pro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers. Specific questions should be asked about previous medical problems, even if the patient doesn’t notice current symptoms. (Available) Finding: Example Question: Carbohydrates in spike your glucose levels. Example Question: Example Question: Finding: Example Question: Finding: Finding: Example Question: Finding: The following details are facts of the patient’s case. Reports father has history of asthma She denies cough and recent … Reports activity level low since getting sick Finding: (Available) Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Have you noticed any swelling? (Found) (Available) Experts selected these topics as essential components of a strong, thorough interview with this patient. Substantive responses should be at least 150 words. Finding: The primary source of information is the patient herself and is a good historian. (Available) and make sure that you are taking your insulin. NR509 Shadow Health HEENT Physical Assessment Assignment Week 2 2018 May - 00590825 Tutorials for Question of General Questions and General General Questions. Do you have a cough? What is the consistency of your nasal discharge? If you have a question, there is a good chance one of your peers does as well. Tina had an asthma episode 2 days ago. Finding: Finding: The longer you fail to control your, diabetes the higher your risk of heart disease. Within your meals, you need to have a good mix of complex carbohydrates fruits vegetables proteins, and healthy fats. Reports mother gave him the medicine Example Question: Do you have any hearing problems? Finding: Shadow Health: Focused Exam: Cough Results Danny Riviera Denies ear discharge This is a joyous time, but it’s also a period of adjustment and healing for mothers. Please communicate with me if you anticipate having to submit an assignment late. 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