Tina Jones _ Comprehensive Health History Assignment Results_Turned In | NR 509 Comprehensive_Health_History_Assignment_Completed_Shadow_Health_Transcript

Comprehensive Health History Assignment Results | Turned In Advanced Health Assessment - Chamberlain - June 2019, NR509-June-2019 Return to Assignment Shadow Health will have scheduled maintenance on Friday Shadow Health will have scheduled maintenance on Friday, July 26th from 7:00 am to 7:30 am Eastern T , July 26th from 7:00 am to 7:30 am Eastern Time. Assignment attempts will be disabled for the ime. Assignment attempts will be disabled for the duration of the maintenance window duration of the maintenance window. . Your Results Lab Pass Lab Pass Started: Jul 10, 2019 | Patient Exam Time: 124 min Transcript Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Information Processing Health History Tips and Tricks Self-Reflection Interview Questions (245) Interview Questions (245) Statements (34) Statements (34) Exam Actions (12) Exam Actions (12) Height: 170 cm Weight: 90 kg BMI: 31 Random blood glucose: 238 Temperature: 101.1 F Blood pressure: 142/82 Respiratory rate: 19 O2 sat: 99% All Lines (291) All Lines (291)7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Exam Action 07/10/19 6:45 PM CDT Exam Action 07/10/19 6:45 PM CDT Greet 07/10/19 6:47 PM CDT Question 07/10/19 6:47 PM CDT Question 07/10/19 6:47 PM CDT Question 07/10/19 6:47 PM CDT Question 07/10/19 6:48 PM CDT Empathize 07/10/19 6:48 PM CDT Question 07/10/19 6:48 PM CDT Heart rate: 86 hello. My name is Tneshia Richards. I will be your provider today. Hey. What is your name Tina Jones. what is your date of birth Mrs. Jones February 17th. what year were you born in I was born in . . . [Ms. Jones reports correct birth year.] what brings you in today? I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me! I'm sorry to hear that you are having pain. I appreciate you saying that. which foot did you scrape7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 6:49 PM CDT Question 07/10/19 6:49 PM CDT Question 07/10/19 6:50 PM CDT Question 07/10/19 6:50 PM CDT Question 07/10/19 6:51 PM CDT Question 07/10/19 6:51 PM CDT Question 07/10/19 6:51 PM CDT Question 07/10/19 6:52 PM CDT My right foot. when did the scrape occur Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days. which part of the foot is the scrape on (Clarified to Where is the cut on your foot?.) It's on the ball of my foot. (Clarified to where the scrape is on my foot.) what is your pain level I'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet. describe how the pain feels It's throbbing and like, sharp if I try to put weight on it. what makes the pain worse I'd say the pain is at its worst when I have to put any weight on my foot. . . otherwise, it's when the pain pills wear off. what makes the pain better The pain pills help for a few hours. does resting the foot help with the pain Putting my foot up helps a little I guess, but the only thing that makes a real difference is the pain pills. where did you get pain pills from7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 6:52 PM CDT Question 07/10/19 6:52 PM CDT Question 07/10/19 6:53 PM CDT Question 07/10/19 6:53 PM CDT Question 07/10/19 6:54 PM CDT Question 07/10/19 6:54 PM CDT Question 07/10/19 6:55 PM CDT The ER doctor prescribed them for me when I was in there a week ago. are you allergic to any medications Yeah, I'm allergic to penicillin. what happens when you take penicillin I don't remember that well because the last time I had penicillin I was pretty little. . . I think I got a rash, like, hives. The doctor told me not to take it again after that. are you allergic to any food Nope, no food allergies that I know of. what other allergies do you have Well, besides cats, I'm allergic to penicillin. What kind of reaction do you have to cap (Clarified to What happens when you are around a cat?.) Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. (Clarified to what the symptoms of my cat allergy are.) When were you diagnosed with asthma My doctor told me when I was pretty little... I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then. How do you manage your asthma now I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler.7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 6:56 PM CDT Question 07/10/19 6:56 PM CDT Question 07/10/19 6:56 PM CDT Question 07/10/19 6:57 PM CDT Question 07/10/19 6:58 PM CDT Educate 07/10/19 6:58 PM CDT Educate 07/10/19 6:59 PM CDT Educate 07/10/19 6:59 PM CDT What kind of inhaler do you use It's just a regular Proventil inhaler. How often do you use it (Clarified to How often do you use your inhaler?.) Not often. Maybe two or three times a week. (Clarified to how often I use my inhaler.) Do you know what the dosage is of the provincial (Clarified to What dosage of albuterol do you take?.) I usually use two puffs from my albuterol inhaler -- it's 90 micgrograms a spray -- but lately sometimes I need three puffs. [AUDIO COMING SOON] (Clarified to what dose of albuterol I take.) How long have you been taking an inhaler I've had an inhaler since I was two and a half, when I was diagnosed. Do you know how to take your inhaler (No matching questions found.) Using your inhaler properly is important. Sure, I think I understand what you mean. You should use your inhaler when you have shortness of breath. Alright, thanks for letting me know. Rinse your mouth after each use. OK, I understand.7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 6:59 PM CDT Question 07/10/19 7:00 PM CDT Question 07/10/19 7:00 PM CDT Question 07/10/19 7:01 PM CDT Question 07/10/19 7:01 PM CDT Educate 07/10/19 7:02 PM CDT Question 07/10/19 7:02 PM CDT Question 07/10/19 7:03 PM CDT What happened to cause the scrape on your foot I was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step. Do you clean the wound at home Yeah, I was really good about cleaning it. How did you clean the wound Since it happened, I've been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off. Do you smoke No. I think it's gross. Do you use any recreational drugs Well, I used to smoke pot. . . but I don't do that anymore. The use of marijuana is not recommended as it is an illegal substance Thanks for telling me. Do you use any other drugs No way, I have no interest in that. That stuff can mess you up. Do your friends use recreational drugs7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:03 PM CDT Question 07/10/19 7:03 PM CDT Question 07/10/19 7:04 PM CDT Question 07/10/19 7:04 PM CDT Question 07/10/19 7:05 PM CDT Question 07/10/19 7:05 PM CDT Question 07/10/19 7:06 PM CDT No. No one that I'm friends with does that stuff anymore. Do you drink alcohol I do sometimes, yeah, when I go out with my friends. How often do you consume alcohol No more than once or twice a week, sometimes less. Tell me about your past medical history I've had asthma since I was little, and I have sugar diabetes, too. When were you diagnosed with diabetes I was diagnosed when I was 24. Do you have type 1 or type 2 diabetes It's type 2. How do you have any major illnesses (Clarified to Do you have medical problems?.) Yeah. . . I have asthma and diabetes. (Clarified to if I have medical problems.) Have you ever been hospitalized Well, I went a week ago on the day I hurt my foot to get it checked out. That was the first time I've been in the hospital since I was probably sixteen, though. Why were you in the hospital at 167/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:06 PM CDT Empathize 07/10/19 7:07 PM CDT Educate 07/10/19 7:07 PM CDT Question 07/10/19 7:07 PM CDT Question 07/10/19 7:08 PM CDT Question 07/10/19 7:08 PM CDT Question 07/10/19 7:09 PM CDT Empathize 07/10/19 7:09 PM CDT I had a bad asthma attack, and my inhaler wasn't working, so I went to the hospital. That happened a lot when I was growing up, but I haven't been since. . . until last week, for my foot. Controlling asthma can be a challenge I'm glad that you were able to decrease the triggers Thanks for understanding. Rinse your mouth after each inhaler use That makes sense. Have you had your flu shot No. Are you at today on immunizations (Clarified to What immunization history do you have?.) 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. (Clarified to what my immunization history is.) Have you had any surgeries Nope. No surgeries... I've been lucky. You said you were student what are you studying I'm going to get my bachelor's in accounting. You sound like a busy person7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:09 PM CDT Educate 07/10/19 7:10 PM CDT Question 07/10/19 7:10 PM CDT Question 07/10/19 7:11 PM CDT Question 07/10/19 7:11 PM CDT Question 07/10/19 7:12 PM CDT Question 07/10/19 7:12 PM CDT Thanks for saying that. Do you have any hobbies I read a lot, especially since I bought one of those e-book readers. My friends and I have thought about starting a book club actually. Oh, and there's these free talks at church that I like to go to if I have time. I watch TV, but usually on DVD or streaming. I like to marathon the shows I really like. I'm really interested in documentaries too. Reading helps to keep the Mind Sharp Thanks for telling me. Are you married Nope, never been married. Do you live alone I live at home with my mom and my sister -- we're a pretty tight-knit family. They've been helping me out. Does anyone in your family have diabetes Dad had sugar diabetes, and I think my Grandpa Jones did too. Did anyone die at a early age in the family (No matching questions found.) Are your grandparents still living Granny's the only one who's still alive. What did your grandfather died of7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:13 PM CDT Empathize 07/10/19 7:13 PM CDT Question 07/10/19 7:14 PM CDT Question 07/10/19 7:14 PM CDT Empathize 07/10/19 7:14 PM CDT Question 07/10/19 7:15 PM CDT Question 07/10/19 7:16 PM CDT Question 07/10/19 7:16 PM CDT My grandfather on my dad's side died when I was young...he must have been mid-sixties when he passed. My grandfather on my mother's side lived until his late 70s I think...maybe until 80. I'm sorry for your loss I appreciate you telling me that. Have you lost any siblings No way! They're both alive. Are both your parents still living No. Dad passed away last year. In a car accident. I'm sorry for your loss Thanks. Have you had any fatigue Most days I feel pretty exhausted by the end of the day...I'm tired now, too, but I think that's just because I slept terribly. Do you feel weak No, I wouldn't say I feel weak. Have you had a fever or chills (Clarified to Have you had a fever?.)7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:17 PM CDT Question 07/10/19 7:17 PM CDT Question 07/10/19 7:17 PM CDT Question 07/10/19 7:18 PM CDT Question 07/10/19 7:19 PM CDT Question 07/10/19 7:19 PM CDT Question 07/10/19 7:19 PM CDT Question 07/10/19 7:20 PM CDT Yeah, I was running a fever last night. (Clarified to if I have had a fever.) Did you take any medication for the fever I really didn't do much for it at home. Have you had any weight changes recently Yeah, I've lost some weight recently. How much weight have you lost It was about ten pounds in a little over a month, actually. You said you had trouble sleeping how often does this happen (Clarified to How long did your sleep trouble last?.) My sleep problems lasted for a couple of months. They just kind of faded away. (Clarified to how long my sleep trouble lasted.) Does your skin itch Um, no. Do you have any skin rashes I don't have any rashes. Have you had any changes in your nails No...I haven't noticed anything like that. Any changes in the color of your skin7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:20 PM CDT Question 07/10/19 7:21 PM CDT Question 07/10/19 7:21 PM CDT Question 07/10/19 7:22 PM CDT Question 07/10/19 7:22 PM CDT Question 07/10/19 7:23 PM CDT Question 07/10/19 7:23 PM CDT Question 07/10/19 7:23 PM CDT Maybe. I do notice the skin on my neck is looking weird. what does the skin look like on the neck Um, it's red and puffy, and there's pus in it. Have you had any vision changes Um, it's probably gotten a little worse in the past few years. Do you see double No. Do you have eye pain I guess it's not eye pain exactly, but when I read for too long I'll start to get a headache. Is your eyes sensitive to light No. Any problems with hearing No. do you have any ringing in the ears No, I haven't heard anything like that. Have you been busy7/25/2019 Comprehensive Health History Assignment | Completed | Shadow Health Question 07/10/19 7:24 PM CDT Question 07/10/19 7:24 PM CDT Question 07/10/19 7:24 PM CDT Question 07/10/19 7:25 PM CDT Question 07/10/19 7:25 PM CDT Question 07/10/19 7:26 PM CDT Question 07/10/19 7:26 PM CDT I've just got a lot going on--I work full time, and I go to school part time, too. So I'm either at class or work, and then when I'm home, I'm studying. have you been dizzy No, I can't remember the last time I got dizzy. Have you had any hearing changes - - - - - Continued