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Shadow Health Tina Jones Cardiovascular ALL Subjective Objective Education Documentation

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Shadow Health Tina Jones Cardiovascular ALL Subjective Objective Education Documentation | Already Graded A+

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Voorbeeld van de inhoud

3/16/2021 Musculoskeletal | Completed | Shadow Health


Musculoskeletal Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Assignment (/assignments/433797/)




Your Results Reopen (/assignment_attempts/9400364/reopen)

Lab Pass (/assignment_attempts/9400364/lab_pass.pd




Overview
Experience Overview
Transcript

Subjective Data Collection
Patient: Tina Jones Student Performance Index
Objective Data Collection 50 out of 50
Education & Empathy

Documentation




Proficiency Level: Proficient
Beginning Developing Proficient

Students rated as “proficient” demonstrate an entry-level expertis
advanced practice competencies and clinical reasoning skills
Digital Clinical Experience Score comparable programs, the top 25% of students perform at the l
of a proficient practitioner.




100%
Subjective Data Collection Objective Data Collection
18 out of 18 28 out of 28

Education and Empathy
This score measures your performance on the Student Performance 4 out of 4
Index in relation to other students in comparable academic programs.
Your instructor has chosen to scale your Student Performance Index Time
score so that the average score on the index is a 86.0%. This score
may not be your final grade if your instructor chooses to include
84 minutes total spent in assignment
additional components, such as documentation or time spent.
Interaction with patient
84 minutes



Comments

If your instructor provides individual feedback on this assignment, it will appear here.




© Shadow Health® 2012 - 2021
(800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents
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Support
https://app.shadowhealth.com/assignment_attempts/9400364 1/1

,3/16/2021 Musculoskeletal | Completed | Shadow Health


Musculoskeletal Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Assignment (/assignments/433797/)




Your Results Reopen (/assignment_attempts/9400364/reopen)

Lab Pass (/assignment_attempts/9400364/lab_pass.pd




Overview
Subjective Data Collection: 18 of 18 (100.0%)
Transcript

Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
Documentation
Example Questions.




Category Scored Items Patient Data
Not Scored

Experts selected these topics as essential components A combination of open and closed questions will yield
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
patient's case.



Chief Complaint


Established chief complaint Reports low back pain
Describes injury as a "tweak" to her back




History of Present Illness


Asked about onset of pain Reports original injury occurred 3 days ago
Onset was sudden
Reports injury happened when lifting a heavy box



Asked about location of pain Reports pain located in low back and buttocks
Reports pain does not radiate or migrate
Denies neck pain
Denies pain between the shoulder blades
Reports pain is the same on both sides of her
back



Asked about frequency and duration of pain Reports pain has lasted three days
Reports pain is constant

Support
https://app.shadowhealth.com/assignment_attempts/9400364 1/3

, 3/16/2021 Musculoskeletal | Completed | Shadow Health
Asked about severity of pain Describes current pain as "pretty bad"
Rates pain of original injury as 6 or 7/10
Reports current pain rating of 5/10



Asked about character of pain Reports pain at the onset as sharp
Describes pain as aching
Denies burning pain
Reports back is sore to the touch
Reports pain accompanied by stiffness



Asked about aggravating factors Reports feeling least comfortable when sitting
Reports some pain with movement such as
bending or walking



Asked about relieving factors Reports slight pain relief with rest
Reports feeling most comfortable when lying flat
on back
Denies use of heating pad or ice



Asked about impact of pain on activities of daily Confirms pain is interfering with activities of daily
living living
Reports slight sleep disturbance due to the pain
Reports no exercise since accident
Reports receiving help with daily tasks from
mother and sister




Medical History


Confirmed use of medications Confirms medications
Reports increased ibuprofen use for pain



Followed up on ibuprofen use Has taken ibuprofen for the past 3 days
Last dose of ibuprofen was about 5 hours ago
Reports taking two Ibuprofens at a time
Takes ibuprofen every 5-6 hours as per
instructions
Unsure of dose, describes it as "not extra
strength"
Ibuprofen provides relief for several hours



Confirmed allergies Confirms allergies (no new allergies reported)



Asked about possible contributing factors in Reports no history of previous back pain or injury
health history Denies history of severe trauma such as car
accident or occupational injury
Denies past surgery
Denies increase in alcohol use since injury
Denies history of fractures
Denies heavy lifting at work




Social Determinants of Health


Asked about impact of pain on income and Reports no missed work due to pain
education Reports no missed school due to pain, but
discomfort sitting in class


https://app.shadowhealth.com/assignment_attempts/9400364 2/3

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Geschreven in
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