nurs 5190 comprehensive assessment completed shadow health comprehensive assessment results | turned in holistic health assessment and practicum fall 2020
Comprehensive Assessment Results | Turned In
Holistic Health Assessment and Practicum - Fall 2020, NURS 5190
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Transcript
Started: Oct 08, 2020 | Total Time: 130 min
Subjective Data
Collection
All Lines (461) Interview Questions (103) Statements (13) Exam Actions (345)
Objective Data
Collection
Questio
Hello
10/08/20 8:58 PM C
Documentation !
Program Competency
Hi. Im Preceptor Diana. I will explain the details of this assignment and your
Progress Self-Reflection 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.
Questio
What is the
10/08/20 8:58 PM C
situation?
Six months have passed since Tina Jones was admitted to Shadow General
Hospital, and her foot wound has healed. Your role in this simulation is that of a
healthcare provider who will perform a comprehensive assessment on Ms. Jones
to demonstrate your clinical competency.
Questio
What are my objectives in this
10/08/20 8:58 PM C
assessment?
You will collect subjective data from Ms. Jones: inquire into her current health
status, body systems, mental health, and psychosocial history. Regardless of
whether you have assessed Tina previously, ask all questions that are medically
relevant to understanding her current health status. In addition to collecting
subjective data, you will perform a physical exam on Ms. Jones systems to
gather objective data about her overall health. Ms. Jones has no new abnormal
findings, so after you complete an exam task, you do not need to make
selections in the Electronic Health Record, though you may document your
findings if you like. 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. You may complete the exam activities in any order and move
, Questio
What else will this exam
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involve?
Support
, You will complete nursing tasks to protect the patients safety, privacy, and health. While it
is not required for this assignment, you can document your findings, including vital signs,
in the Electronic Health Record. This record provides necessary information for healthcare
professionals who will continue patient care. Activities other than Subjective and Objective Data
Collection, such as Documentation and Education and Empathy, provide valuable practice for
their real-world counterparts. However, they are not automatically graded by the simulation.
Questio
How will I be evaluated? 10/08/20 8:58 PM C
In this assignment, you will be evaluated on your Subjective and Objective Data Collection.
The evaluation of your interview is dependent on how you word your questions
therapeutically and precisely and explore all relevant topics with comprehensive breadth
and depth. The evaluation of your physical exam requires you only to complete all exam
actions. Documentation of the exam is encouraged, as it can provide you valuable real-world
experience, but they are not automatically graded by the simulation. This assignment takes on
average between 140 and 170 minutes. You can
pause and resume the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world? Questio
10/08/20 8:58 PM C
In this assessment, you will become familiarized with the structure and content of comprehensive
assessments so that with real-life patients, you can: º develop a mental model for sequencing a
comprehensive exam º ask effective and comprehensive questions º evaluate the patients
risk of disease, infection, injury, and complications º and document data with
professional terminology.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: How does
interviewing a healthy patient differ from interviewing a patient with a known health condition?
When you are interviewing a healthy patient it's important to ask them what they perceive their health
state to be as well as address any prevention strategies for avoiding the development of health Stateme
conditions 10/08/20 9:01 PM C
Time to begin.
Hi Tina, my name is Jenna and I will be your student nurse todya Gre
10/08/20 9:01 PM C
Hey.
What brought you into the clinic today? Questio
10/08/20 9:03 PM C
I came in because I'm required to have a recent physical exam for the health insurance at my new job.
Questio
Where are you working? 10/08/20 9:07 PM C
I'll be working at Smith, Stevens, Stewart, Silver & Company as an Accounting Clerk starting two weeks
from now.
Empathi
That is great! 10/08/20 9:09 PM C
Thanks.
, When was your last physical examination? Questio
10/08/20 9:09 PM C
I came in right after I was in the hospital, about five months ago, I'd say.
Do you take any prescription medications? (Clarified to Do you take prescription medication?.)
Questio
10/08/20 9:11 PM C
I'm taking metformin now, that's every day. And I take Yaz, the birth control pill. And my inhaler is
albuterol. (Clarified to if I have prescribed medications.)
What is your dose of metformin? Questio
10/08/20 9:11 PM C
It's 850 mg. And I take one pill, twice a day.
Questio
When was the last time you took your metformin? 10/08/20 9:12 PM C
I took it this morning.
Questio
Do you experience any side effects with metformin? 10/08/20 9:14 PM C
Last time I took it I felt sick and gassy all the time, and it happened again when I started taking it, but
now I eat yogurt every day and it seems to have helped.
I'm glad to hear you are feeling better Empathi
10/08/20 9:14 PM C
Thanks.
How often do you take your birth control? Questio
10/08/20 9:14 PM C
I take it every morning, with breakfast.
Do you know the dosage on your birth control? Questio
10/08/20 9:15 PM C
I can't remember the dose off the top of my head. [AUDIO COMING SOON]
How long have you been on birth control? Questio
10/08/20 9:15 PM C
About four months ago. I went to the gynecologist, and she prescribed it.
When was the last time you had a papsmear? Questio
10/08/20 9:15 PM C
I just went in four months ago.
What were the results of your papsmear? Questio
10/08/20 9:16 PM C
I think they were all fine.
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