NRS 434 Shadow Health Comprehensive Assessment

NRS 434 Shadow Health Comprehensive Assessment

Within the Shadow Health platform, complete the Comprehensive Assessment. The estimated average time to complete this assignment each time is 3 hours. Please note, this is an average time. Some students may need longer.

This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.

Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points, and students successfully scoring at the Proficiency Level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points).

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If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

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Subjective Data Gathering: 33 of 33 (100.0 percent )

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Experts chose these subjects as vital components of a strong, thorough interview with this patient.

Patient Information

Not Awarded

A combination of open and closed questions will produce more accurate patient data. The following information pertains to the patient’s case.

Current Health Situation

Finding:

When asked about current health issues,

Finding:

Denies the existence of contemporary urgent health concerns

(Found)

Pro Tip: Determining if the patient has any current acute health concerns is vital in completing a formative assessment and prioritizing the patient’s requirements.

Question Example:

Do you have any health issues?

Finding:

Diabetes is reported.

(Found)

Pro Tip: Confirming a patient’s medical problems, such as diabetes allows you to deliver the best possible care.

Question Example:

Can you confirm that you have diabetes? NRS 434 Tina Jones Shadow Health Assessment: Comprehensive Evaluation

Finding:

Asthma is reported

(Found)

Pro Tip: Confirming a patient’s medical issues, such as asthma allows you to deliver the best possible care.

Question Example:

Can you confirm that you have asthma?

Finding:

When asked about their most recent visit to a healthcare provider,

Finding:

According to reports, the most recent visit to a healthcare provider was four months ago.

(Found)

Pro Tip: Creating a chronology of Tina’s visits to healthcare providers will allow you to compile a detailed health history.

Question Example:

When was the last time you saw a doctor?

Finding:

According to reports, the reason for the most recent appointment was an annual gynecological exam.

(Found)

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Pro Tip: Establishing a timetable for Tina’s gynecological checkups will allow you to construct a detailed health history.

Question Example:

Why did you seek medical attention?

Finding:

According to reports, the most recent general physical checkup was five months ago.

(Found)

Pro Tip: Creating a chronology of Tina’s visits to healthcare providers will allow you to compile a detailed health history.

Question Example:

When was your most recent physical exam?

Finding:

When questioned about current prescription drugs,

Finding:

Diabetes medicine is mentioned. (Found)

Pro Tip: A patient’s prescriptions reflect their health concerns or problems, health literacy, and current treatment plans. Asking Tina if she has been taking diabetes medication would reveal her treatment strategy and the extent to which she is adhering. NRS 434 Shadow Health Tina Jones: Comprehensive Evaluation

Question Example:

Have you been using diabetes medication?

Finding:

Reports of possessing an inhaler

(Found)

Pro Tip: A patient’s prescriptions reflect their health concerns or problems, health literacy, and current treatment plans. Tina’s treatment plan and the extent to which she adheres to it can be determined by asking if she still has her inhaler.

Question Example:

Do you have a rescue inhaler?

Finding:

Prescription birth control tablets have been reported to be used.

(Found)

Pro Tip: A patient’s usage of birth control can impact the care plan, such as which medications are provided. Understanding a patient’s birth control history might be a sign of health literacy.

Question Example:

Do you use any birth control?

Finding:

I followed up on the diabetes medicine.

Finding:

Metformin is a diabetes treatment, according to reports.

(Found)

Pro Tip: Asking Tina follow-up questions regarding her diabetic medication can help you understand her treatment plan and current health history.

Question Example:

What are the brand and generic names of your diabetes medication?

Finding:

Diabetes treatment was started five months ago, according to reports.

(Found)

Pro Tip: Asking Tina about her diabetes medication history and timeline can help you understand her treatment strategy and current health history.

Question Example:

Have you been using metformin for a long time?

Finding:

There have been reports that the adverse effects of diabetic treatment have subsided over time.

(Found)

Pro Tip: Knowing whether Tina has had any side effects from her diabetic medication can help you analyze the efficacy and appropriateness of her prescription.

Question Example:

Have you had any metformin adverse effects?

Finding:

Diabetes medicine is taken twice daily, according to reports.

(Found)

Pro Tip: Asking Tina about her medication adherence can help you understand her treatment plan and recent health history.

Question Example:

How often do you take metformin each day?

Finding:

Diabetes medicine dose is 850 mg, according to reports.

(Found)

Follow-up questions about Tina’s diabetic medication dosage can help you understand her treatment strategy and recent health history.

Question Example:

What is your metformin dosage?

Finding:

 

Denies that diabetic medicine has any adverse side effects.

(Found)

Pro Tip: Finding out if Tina has had any side effects from her diabetes medication will help you determine its efficacy and appropriateness. NRS 434 Shadow Health: Comprehensive Evaluation

Question Example:

Are you having side effects from your diabetic medication ?

Finding:

When questioned about asthma medicine,

Finding:

Asthma medicine has not altered, according to reports.

(Found)

Pro Tip: A patient’s prescription shows their current treatment plan and healthcare availability. Inquiring about Tina’s asthma medicine will reveal her treatment regimen and the extent to which she adheres to it.

Question Example:

Has your asthma medication been altered?

Finding:

Albuterol is said to be inhaler (Proventil)

(Found)

Pro Tip: A patient’s prescription shows their current treatment plan and healthcare availability. Asking Tina if she has a rescue inhaler for her asthma will reveal her treatment strategy and how she adheres.

Question Example:

Do you have a rescue inhaler on hand?

Finding:

According to reports, the inhaler is used no more than twice per week.

(Found)

Exacerbation of asthma can cause increased wheezing, shortness of breath, and chest tightness. Inquiring about Tina’s inhaler use can reveal how she’s been treating her problems.

Question Example:

How frequently do you use your inhaler?

Finding:

According to reports, the recommended dose is 1-3 puffs as needed.

(Found)

Pro Tip: Inquiring about Tina’s inhaler’s suggested dose can help you assess if the treatment is successful and acceptable for her health needs.

Question Example:

What is the ideal dosage for your inhaler?

Finding:

Takes two puffs on average, according to reports.

(Found)

Pro Tip: Inquire with Tina about how many puffs she regularly takes from her inhaler to assess if the treatment is successful and appropriate for her health needs.

Question Example:

How many puffs do you usually take from your inhaler?

Finding:

It has been reported that three puffs are occasionally required to control symptoms.

(Found)

Pro Tip: Ask Tina how many puffs she takes from her inhaler to assess if the treatment is successful and appropriate for her health needs.

Question Example:

How many puffs have you ever taken?

Finding:

Denies that asthma medicine has any negative side effects.

(Found)

Pro Tip: Inquiring with Tina about any side effects from her inhaler will help you assess whether the treatment is successful and acceptable for her health needs.

Question Example:

Does your inhaler offer you any unwanted effects?

Finding:

I followed up on the prescription for birth control.

Finding:

Birth control was started four months ago, according to reports.

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. When Tina is asked how long she has been on birth control, a timeline of her current treatment plan is established.

Question Example:

How long have you been using birth control?

Finding:

According to reports, the reason for birth control was to manage PCOS symptoms.

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. When you ask Tina why she started using birth control, she will convey any concerns or challenges in her own words.

Question Example:

Why did you decide to start using birth control? NRS 434 Shadow Health Comprehensive Evaluation

Finding:

Birth control is drospirenone and Ethinyl estradiol, according to reports (Yaz)

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. Tina’s health history and current treatment plan will be elicited by confirming the name of her birth control pill.

Question Example:

What method of birth control do you employ?

Finding:

Daily use of a birth control pill is reported.

(Found)

Follow-up questions concerning Tina’s birth control prescription might help you evaluate how well she adheres to her treatment plan.

Question Example:

How frequently do you use the birth control pill?

Finding:

Takes birth control tablet at the same time every day, according to reports

(Found)

Follow-up questions concerning Tina’s birth control prescription might help you evaluate how well she adheres to her treatment plan.

Question Example:

Do you take your medication at the same time each day?

Finding:

Denies that birth control has any negative side effects.

(Found)

Follow-up questions concerning Tina’s birth control prescription might help you evaluate how well she adheres to her treatment plan.

Question Example:

Do you experience any side effects from your birth control?

Finding:

When asked about current over-the-counter drugs,

Finding:

reports using ibuprofen on occasion

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. Tina’s current treatment regimen can be determined by asking if she takes ibuprofen.

Question Example:

Do you ever take Advil?

Finding:

Denies over-the-counter herbals

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. Tina’s current treatment strategy will be revealed if you ask her if she uses herbal products.

Question Example:

Do you utilize any herbal remedies?

Finding:

OTC supplements are not permitted.

(Found)

Pro Tip: A patient’s medicine usage reflects their health literacy, treatment plan, and access to healthcare. Tina’s current treatment strategy will be revealed if you ask her if she takes supplements.

Question Example:

Do you use supplements?

Finding:

Ibuprofen was prescribed as a follow-up (Advil)

Finding:

Ibuprofen is being used to treat cramps, according to reports.

(Found)

Pro Tip: Finding out why a patient takes pain medication is essential for her ailment or injury history.

Question Example:

Why are you using ibuprofen?

Finding:

According to reports, ibuprofen is available in standard strength.

(Found)

Pro Tip: Knowing the exact dose of pain medication your patient takes can help you evaluate the severity of her disease or injury and will figure into your care strategy.

Question Example:

What dosage of ibuprofen do you take?

Finding:

According to reports, ibuprofen is effective.

(Found)

Pro Tip: The effectiveness of pain medicine varies from person to person. Discovering a patient’s unique response to pain medication is a critical component of your entire treatment approach.

Question Example:

Is ibuprofen effective for cramping?

Finding:

Ibuprofen was last used six weeks ago, according to reports.

(Found)

Pro Tip: Discovering the last time your patient has used pain medicine is a crucial aspect of her disease or injury history.

Question Example:

When was the last time you popped an ibuprofen pill?

Finding:

When asked about allergies,

Finding:

Allergies have not changed according to reports NRS 434 Shadow Health: Comprehensive Assessment

(Found)

Pro Tip: During a complete examination, it is critical to establish if the patient’s allergies have changed and manage those changes effectively.

Question Example:

Could you please confirm your allergies?

Finding:

Penicillin allergy has been reported.

(Found)

Pro Tip: Inquiring particularly about pharmaceutical allergies, such as penicillin, is critical to the patient’s safety while in your care since it influences which medications will be safe and suitable.

Question Example:

Do you have a penicillin allergy?

Finding:

Cat allergy has been reported.

(Found)

Pro Tip: Understanding a patient’s health requires identifying periodic environmental triggers, such as animal allergies. Tina, who has asthma, needs it very badly.

Question Example:

Do you have an allergy to animals?

Finding:

Dust allergies have been reported

(Found)

Dust is a common allergen, and it is critical to understand how it affects asthmatic sufferers.

Question Example:

Do you have a dust allergy?

Finding:

When asked about diabetes control through lifestyle changes,

Finding:

There have been reports of people who have lately started dieting to manage their diabetes.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

How are you dealing with your diabetes?

Finding:

There have been reports of people who have lately started exercising to manage their diabetes.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

Have you been working out?

Finding:

When questioned about blood glucose monitoring,

Finding:

Blood sugar is checked once a day, according to reports.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

How frequently do you check your blood glucose?

Finding:

There have been reports of people monitoring their sugar levels in the morning.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

When was the last time you checked your blood glucose?

Finding:

Reports utilizing a glucometer

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

Do you test your blood sugar with a glucometer?

Finding:

The average blood sugar level reported is around 90.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

What is your normal blood sugar level?

Finding:

There are reports of adequate supplies.

(Found)

Pro Tip: Tina’s response to a question on diabetes management will show the severity of her symptoms, her health literacy, and well she’s adhered to past treatment programs.

Question Example:

Do you have enough materials to keep track of your blood glucose levels?

Finding:

When questioned about asthma symptoms,

Finding:

Asthma symptoms have not changed, according to the doctor.

(Found)

Pro Tip: It is critical to establish the severity of Tina’s asthma, as increased symptoms suggest the need for more therapy.

Question Example:

Has your asthma gotten any worse?

Finding:

According to reports, asthma is well-controlled.

(Found)

Pro Tip: It is critical to ascertain Tina’s assessment of her asthma, as this may suggest a worsening condition that must be handled.

Question Example:

Do you believe you have your asthma under control?

Finding:

He denies having present asthma symptoms.

(Found)

Pro Tip: It is critical to obtain information regarding Tina’s present asthma symptoms since this will provide you with an accurate picture of her condition.

Question Example:

Do you have any trouble breathing?

Finding:

According to reports, the last time Proventil inhaler was used was yesterday.

(Found

Pro Tip: Knowing when Tina last used her inhaler will provide you with an up-to-date picture of her condition and allow you to assess the efficacy of her current medicine.

Question Example:

When was the last time you took a puff from your inhaler?

Finding:

When asked about vision,

Finding:

Reports on an optometrist visit

(Found)

Pro Tip: Asking Tina if she’s gone to an eye doctor will reveal the extent to which she’s perceived her vision as requiring medical attention.

Question Example:

Have you seen an ophthalmologist?

Finding:

According to reports, the last visit to the optometrist was three months ago.

(Found)

Pro Tip: Ask Tina when she last saw an eye doctor determine the extent to which she has perceived her vision as requiring medical attention.

Question Example:

When was the last time you saw an eye doctor?

Finding:

According to reports, freshly prescribed eyeglasses

(Found)

Pro Tip: Identifying any outcomes from Tina’s most recent optometrist visit is critical since it may identify therapies that require further investigation.

Question Example:

Have you gotten your prescription glasses yet?

Finding:

According to reports, glasses increase general vision.

(Found)

Pro Tip: Once you learn that Tina has recently been issued eyeglasses, it is crucial to follow up on any effects, both positive and harmful, that she may have noticed.

Question Example:

How do you like your spectacles?

Finding:

When asked about the reproductive system,

Finding:

According to reports, the last menstrual cycle was two weeks ago.

(Found)

Pro Tip: Knowing when a patient’s LMP was indicated whether or not she is pregnant (but this query alone cannot rule out pregnancy).

Question Example:

When was your most recent menstrual period?

Finding:

The menstrual cycle is said to be expected.

(Found)

Pro Tip: Inquiring about a patient’s period frequency and duration and the degree of cramps and heaviness of flow will help you grasp what is typical for the patient. Abnormalities can also indicate underlying concerns that need to be addressed.

Question Example:

Is there anything out of the ordinary about your menstrual cycle?

Finding:

Reports of unusual cramps

(Found)

Pro Tip: Obtaining a subjective evaluation of the heaviness of a patient’s cramps can assist you in comprehending her feelings about her menstrual symptoms.

 

Question Example:

Do you still experience menstruation cramps?

Finding:

When questioned about breast health,

Finding:

Reports of doing sporadic breast examinations

(Found)

Pro Tip: Asking if a patient performs breast self-examinations reflects a patient’s degree of health literacy.

Question Example:

Do you undertake self-examinations of your breasts?

Finding:

She refuses to have a mammogram

(Found)

Inquiring about Tina’s breast screenings can lead to discussing any test results and their implications for her cardiovascular health. If she hasn’t had any screenings yet, this is an opportunity for patient education.

Question Example:

Have you had a mammogram before?

Finding:

Denies breast alterations

(Found)

Pro Tip: It is critical to identify any new changes in the breast, such as swelling, rashes, lumps, or nipple discharge, as these may indicate a significant underlying problem.

Question Example:

Have your breasts changed in any way?

Finding:

Denies having a history of breast cancer

(Found)

Pro Tip: If a patient has a history of breast cancer, it is critical to screen for indicators of recurrence and provide preventative care and patient education. You may also need to provide additional assistance and resources to the patient.

Question Example:

Have you had breast cancer in the past?

Finding:

When asked about weight fluctuations,

Finding:

Describes recent weight loss

(Found)

Weight fluctuations might indicate underlying health issues or an unhealthy lifestyle. Inquiring about Tina’s weight loss may signal recent changes in her health.

Question Example:

Have you slimmed down?

Finding:

Weight loss of approximately ten pounds has been reported.

(Found)

Pro Tip: Determining the precise quantity of weight loss might reveal if it is within normal ranges or excessive, indicating an underlying health condition.

Question Example:

What was the total amount of weight you lost?

Psychosocial Background

Finding:

When asked about diet,

Finding:

According to reports, a smoothie with probiotic yogurt or an egg on wheat bread with probiotic yogurt.

(Found)

Pro Tip: Because nutrition is an important aspect of the GI system, asking Tina about her diet can be quite enlightening. Tina’s recent food trends can be revealed by asking what she usually has for breakfast.

Question Example:

What do you usually eat for breakfast?

Finding:

A typical lunch consists of supper leftovers or a tuna or chicken sandwich on wheat bread.

(Found)

Pro Tip: Because nutrition is an important aspect of the GI system, asking Tina about her diet can be quite enlightening. Tina’s recent food trends can be revealed by asking what she usually has for lunch.

Question Example:

What do you usually have for lunch?

Finding:

According to reports, a typical dinner consists of veggies with protein and brown rice or quinoa.

(Found)

Pro Tip: Because nutrition is a critical aspect of the GI system, asking Tina about her diet can be enlightening. Tina’s recent dietary patterns can be revealed by asking what she usually has for dinner.

Question Example:

What is a typical dinner for you?

Finding:

According to reports, a typical snack is carrot sticks or an apple.

(Found)

Pro Tip: Because nutrition is an essential aspect of the GI system, asking Tina about her diet can be quite enlightening. Tina’s recent food trends can be revealed by asking her what she usually consumes for a snack.

Question Example:

What exactly is a usual snack?

Finding:

When asked about caffeine consumption,

Finding:

Denies consuming coffee

(Found)

Pro Tip: Knowing whether or not a patient drinks coffee can help you determine how much caffeine she consumes regularly.

Question Example:

Do you consume coffee?

Finding:

According to reports, the only caffeine is found in diet coke.

(Found)

Pro Tip: Because nutrition is a critical aspect of the GI system, asking Tina about her diet can be quite enlightening. Asking Tina if she consumes soda will reveal her most recent food habits.

Question Example:

Do you consume soda?

Finding:

He claims to have two diet Cokes every day.

(Found)

Pro Tip: Because nutrition is an essential aspect of the GI system, asking Tina about her diet can be enlightening. Tina’s current dietary trends can be revealed by asking how many diet cokes she consumes every day.

Question Example:

How much soda do you consume each day?

Finding:

When asked about alcohol consumption,

Finding:

Drinks 2-3 evenings every month, according to reports.

(Found)

Pro Tip: Knowing how many nights per week/month your patient consumes alcohol can shed light on potential habits or misuse.

Question Example:

How many evenings do you drink in a month?

Finding:

When out with friends, he reports having two or three drinks.

(Found)

Pro Tip: Knowing how many alcoholic drinks a patient consumes in a single session is critical for identifying any binge-drinking patterns that may harm your patient.

Question Example:

How many drinks do you consume in a single sitting?

Finding:

When asked about cigarette use,

Finding:

He denies using tobacco.

(Found)

Pro Tip: Determining whether or not a patient uses tobacco products is critical to assessing her general health and detecting potential health risks.

Question Example:

Do you use tobacco?

Finding:

Denies using a vaporizer

(Found)

Pro Tip: Knowing if a patient uses tobacco or inhales substances is critical to evaluating her general health and detecting potential health problems.

Question Example:

Do you use e-cigarettes?

Finding:

When asked about illegal drugs,

Finding:

Reports on a history of marijuana use for recreational purposes.

(Found)

Pro Tip: Identifying any recent or past history of drug usage is critical for identifying any substance abuse concerns and determining whether the patient is likely to seek drugs while admitted. It’s also a good idea to figure out why you’re using drugs, whether it’s for fun or pain relief.

Question Example:

Do you consume marijuana?

Finding:

When asked about exercise,

Finding:

Walking for exercise has been reported.

(Found)

Pro Tip: Exercise, along with diet, is an essential component of physical and mental health. Inquiring about Tina’s workout habits will assist you in assessing her present state of health and nutrition.

Question Example:

What kind of physical activity do you engage in?

Finding:

Swimming for exercise has been reported.

(Found)

Pro Tip: Exercise, along with food, is an essential component of physical and mental wellness. Inquiring about Tina’s workout habits will assist you in assessing her present state of health and nutrition.

Question Example:

How do you work out?

Finding:

Walking four or five times per week is reported.

(Found)

Pro Tip: Exercise, along with food, is an essential component of physical and mental wellness. Tina’s current health and nutrition levels can be assessed by asking how many days she exercises weekly.

Question Example:

How many times a week do you work out?

Finding:

According to reports, a typical walk lasts thirty to forty minutes.

(Found)

Pro Tip: Exercise, along with food, is an essential component of physical and mental wellness. Inquiring about Tina’s daily walks can help you assess her current state of health and nutrition.

Question Example:

How long do your walks last?

Finding:

Weekly swimming reports

(Found)

Pro Tip: Exercise, along with food, is an essential component of physical and mental wellness. Inquiring about Tina’s workout habits will assist you in assessing her present state of health and nutrition.

Question Example:

What kind of exercise do you do?

Finding:

When asked about sexual behavior,

Finding:

Denies having sexual relations

(Found)

Pro Tip: Asking Tina if she is sexually active will help you decide if she engages in safe sex and poses any health hazards.

Question Example:

Are you currently sexually active?

Finding:

When asked about their mental health,

Finding:

Denies having a mental illness

(Found)

Pro Tip: Inquiring about a patient’s mental health is critical to know their entire well-being. It may also uncover issues that are not covered elsewhere in the exam.

Question Example:

Do you suffer from any mental health issues?

System Evaluation

Finding:

When questioned about constitutional health,

Finding:

He denies weariness.

(Found)

Pro Tip: Inquire with Tina about unusual weariness to better understand her overall health.

Question Example:

Are you tired?

Finding:

Denies having a fever

(Found)

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Pro Tip: Inquiring about Tina’s fevers will help you better understand her overall health.

Question Example:

Have you ever experienced a fever?

Finding:

Denies having chills

(Found)

Pro Tip: Inquiring about Tina’s chills will help you better comprehend her overall health.

Question Example:

Have you felt any chills?

Finding:

Denies present sleep problems

(Found)

Pro Tip: Inquiring about Tina’s sleep habits will help you better comprehend her overall health.

Question Example:

Do you get enough sleep?

Finding:

Denies having night sweats

(Found)

Pro Tip: Inquiring about Tina’s night sweats will help you better comprehend her overall health.

Question Example:

Have you ever woken up sweating in the middle of the night?

Finding:

He denies swelling.

(Found)

Pro Tip: Inquiring into Tina’s swelling will help you better comprehend her overall health.

Question Example:

Is there any swelling?

Finding:

When asked about HEENT,

Finding:

Denies general HEENT concerns

(Found)

Pro Tip: Broad, open questions about HEENT systems will allow Tina to describe any specific head conditions and symptoms she is experiencing in her own words.

Question Example:

Have you noticed any issues with your brain?

Finding:

When asked about a review of respiratory systems,

Finding:

Denies existing breathing difficulties

(Found)

Pro Tip: Identifying Tina’s current breathing issues is critical for assessing her respiratory health and providing quality patient care.

Question Example:

Have you ever had trouble breathing?

Finding:

Shortness of breath is reported on occasion.

(Found)

Pro Tip: Identifying Tina’s current breathing issues is critical for assessing her respiratory health and providing quality patient care.

Question Example:

Have you ever felt short of breath?

Finding:

Reports of wheezing on occasion

(Found)

Pro Tip: Identifying whether Tina has wheezing is critical for assessing her respiratory health and providing quality patient care.

Question Example:

Have you been having wheezing fits?

Finding:

He complains of intermittent chest stiffness.

(Found)

Pro Tip: Identifying Tina’s chest discomfort is critical for assessing her respiratory health and providing appropriate patient care.

Question Example:

Have you ever felt your chest tighten?

Finding:

Denies feeling pain when inhaling

(Found)

Pro Tip: Determining whether Tina feels pain when breathing is critical for assessing her respiratory health and providing appropriate patient treatment.

Question Example:

Is it painful to breathe?

Finding:

He denies coughing.

(Found)

Pro Tip: Determining whether Tina’s coughs are abnormal, persistent, or recurring is critical for assessing her respiratory health and providing quality patient care.

Question Example:

Have you been coughing recently?

Finding:

When asked about the review of cardiovascular systems,

Finding:

He denies having cardiovascular problems.

(Found)

Pro Tip: Broad questions about the cardiovascular system allow the patient to express any symptoms, concerns, or conditions that she may be experiencing.

Question Example:

Do you have any heart conditions?

Finding:

A review of gastrointestinal systems was requested.

Finding:

Denies gastrointestinal issues

(Found)

Pro Tip: Broad questions concerning the gastrointestinal system will allow the patient to voice any symptoms, concerns, or issues she may be experiencing.

Question Example:

Have you ever had stomach or intestinal issues?

Finding:

A review of genitourinary systems was requested.

Finding:

Denies having genitourinary problems.

(Found)

Pro Tip: Broad questions about the genitourinary system will allow the patient to communicate any symptoms, concerns, or issues she may be experiencing.

Question Example:

Have you ever had any urinary issues?

Finding:

A review of musculoskeletal systems was requested.

Finding:

Denies any musculoskeletal problems

(Found)

Pro Tip: When reviewing the musculoskeletal system, ask Tina about general symptoms that will help her to express any specific bone or muscle abnormalities that she is experiencing in her own words.

Question Example:

Do you suffer from any bone issues?

Finding:

A review of neurological systems was requested.

Finding:

Denies having any neurological problems

(Found)

Pro Tip: When reviewing the neurological system, ask Tina about broad symptoms that will help her to express any specific neurological difficulties that she is experiencing in her own words.

Question Example:

Have you ever had any neurological issues?

Finding:

Requested a review of skin, hair, and nail systems

Finding:

NRS 434 Shadow Health Comprehensive Assessment denies integumentary problems

CLASSROOM ADDITIONAL INSTRUCTIONS

Questions for Discussion (DQ)

Initial DQ replies should address all aspects of the questions posed, include at least one scholarly source, and be 250 words long.

Successful comments are substantive (that is, they add to the dialogue, engage others in it, and have a well-developed idea) and include at least one scholarly source.

One- or two-sentence responses, simple affirmations of agreement or “great post,” and off-topic responses will not be considered substantive. The length of substantive responses must be at least 150 words.

I encourage you to remark on the readings for the week (if applicable).

Participation every week

Individual responses to the mandatory DQ are not assessed and contribute to participation.

You must also post at least one reply to peers (or me) on three distinct days in addition to the DQ responses, for a total of three responses.

An academic source/citation is not necessary (unless you cite someone else’s work).

Your weekly involvement is watching the weekly announcement and confirming that you did so in the comments. These notices are supplied so that you are informed of everything due this week.

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The APA Style Guide and Writing Quality

Learn how to use the APA format and put it to good use. It’s what you’ll use in many of your writing assignments. Go to the Writing Center in the Student Success Center, which can be accessed under the Resources tab in LoudCloud, for APA paper templates, citation examples, and recommendations. For insufficient use of APA format or the lack of APA format (if required), points will be deducted (if needed).

Cite all sources of information! When possible, cite the source. When paraphrasing, a citation is also required.

I strongly suggest you use the 6th edition of the APA Publication Manual.

Making Use of Direct Quotes

Direct quotes in DQs and assignments are discouraged at the master’s level, and I deduct points accordingly.

You must critically evaluate and grasp information from journal articles and other sources as master’ level students. Replacing someone else’s words with your own does not demonstrate comprehension or critical thinking about the subject.

It’s better to paraphrase and reference your sources.

Policy LopesWrite

Before you conduct a “final submit” to me for assignments that must be submitted to LopesWrite, please make sure you have received your report and SI percentage.

Please review your report after you have received it. This report will identify easy-to-correct language, punctuation, and spelling errors. Rather than getting penalized for these mistakes, take a few extra minutes to review them.

Examine your parallels. Have you forgotten to add a citation? Is it possible that you misunderstood? Is your paper dominated by the thoughts of someone else rather than your own?

For assistance on enhancing your paper and SI score, go to the Writing Center in the Student Success Center, which may be located under the Resources tab in LoudCloud.

Late submission policy

The penalty for late assignments at the university is 10% PER DAY LATE. This holds for late DQ responses as well.

Please let me know if you anticipate having to submit an assignment late. I am willing to be flexible with early notice. We may be able to work out an extension due to unforeseen circumstances.

The GCU late policy will apply if you do not contact me before submitting an assignment late.

I will not accept assignments two or more weeks late unless we have agreed to an extension.

As a rule, no assignments are accepted after the last day of class. Any assignment submitted after the last day of class, at midnight, will not be graded.

Communication

It is impossible to miscalculate the importance of communication. You can get in touch with me in several ways, including:

Requests for information to the Instructor Forum: This is a great place to ask questions about the course material or assignments. If you have a question, there’s a good possibility that one of your coworkers does, too. This is the public forum for the class.

This is a private forum where you may ask me questions or send me notes. This will be checked at least once every 24 hours. PICOT Question Examples