Tina Jones Skin,Hair,and Nails Transcript

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Transcript Question 01/18/19 6:19 PM PST Question 01/18/19 6:20 PM PST Question 01/18/19 6:20 PM PST Overview Transcript Subjective Data Collection Objective Data Collection Documentation Student Survey Interview Questions (40) Statements (0) Exam Actions (99) Hello! Hi. I'm Preceptor Diana. I will explain the details of this assignment and your 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. What is the situation? It's 4 p.m. on Tina Jones' second day as a patient here at Shadow General Hospital. In anticipation of Ms. Jones being discharged from the hospital, your role in this simulation is that of a healthcare provider who will assess her skin, hair, and nails for any additional wounds or signs of impaired healing. What are my objectives in this assessment? All Lines (139) 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 2/15 Question 01/18/19 6:22 PM PST Question 01/18/19 6:22 PM PST Question 01/18/19 6:23 PM PST In your interview with Ms. Jones, you will gather subjective data by asking about her skin, hair, and nails. These features, which help make up the integumentary system, are often an indicator of overall health. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family with regards to skin, hair, and nails so you can determine her genetic predisposition to any diseases. Regardless of whether you have assessed Tina previously, ask all questions that are medically relevant to her hair, skin, and nails. In addition to collecting subjective data, you will also examine Ms. Jones' skin, hair, and nails to gather objective data. 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 between them as needed. What else will this exam involve? You will complete nursing tasks to protect the patients safety, privacy, and health. 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. How will I be evaluated? 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 is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 50 and 70 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? In this assessment, you will become familiarized with the structure and content of skin, hair, and nail exams so that with real-life patients, you can: º ask effective and comprehensive questions º use therapeutic language º evaluate the patient's risk of disease, infection, injury, and complications º and obtain and assess objective data. 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 3/15 Statement 01/18/19 6:48 PM PST Greet 01/18/19 6:49 PM PST Question 01/18/19 6:53 PM PST Question 01/18/19 6:53 PM PST Question 01/18/19 6:54 PM PST Question 01/18/19 6:55 PM PST Question 01/18/19 6:56 PM PST In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What effect might a patient's diabetes have on their skin? Itching associated with yeast infections. Poor circulation can cause scaly skin on the front of their legs Time to begin. Hello Tina, I am karen and I will be your student nurse today. I will be doing an assessment on your skin, hair and nails Hey. How is your foot wound feeling I'm in less pain today, yeah. Do you have a history of slow wound healing Usually I heal up fine. . . I'm really surprised this scrape has taken so long to get better. But being in the hospital has helped it. Do you have any history of skin conditions No, unless acne counts. I suppose my dry skin counts, too. do you use any treatment for your acne I went to a doctor in high school for my acne, and she gave me antibiotics, I think. I also tried some prescription creams, but nothing really seemed to work. What do you usually do at home for your dry skin (Clarified to What do you use for your dry skin?.) I put lotion on my skin a lot, and that helps keep it from getting dry, it least for a while. (Clarified to what I do for my dry skin.) 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 4/15 Question 01/18/19 6:56 PM PST Question 01/18/19 6:56 PM PST Question 01/18/19 6:57 PM PST Question 01/18/19 6:57 PM PST Question 01/18/19 6:58 PM PST Question 01/18/19 6:58 PM PST Question 01/18/19 6:58 PM PST Question 01/18/19 6:59 PM PST where do you usually get acne (Clarified to Where do you get acne?.) My face breaks out a lot. . . and sometimes my back does, too. (Clarified to where I get acne.) do you have any moles I have some moles, yeah. do the moles change in size I haven't noticed anything different about them. what about appearance (Clarified to What do your moles look like?.) I don't know. . . they're just regular moles. (Clarified to what my moles look like.) where are your moles located I think most of my moles are on my back. have you noticed any darkening of your skin (Clarified to Have areas of your skin darkened?.) I think the skin on my neck has been darker lately, actually. (Clarified to if areas of my skin have darkened.) Do you have any sensation on the skin of your neck (No matching questions found.) Do you have any sensation changes on your neck No, I don't think so. do you still have sensation on the skin of your neck 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 5/15 Question 01/18/19 6:59 PM PST Question 01/18/19 6:59 PM PST Question 01/18/19 7:00 PM PST Exam Action 01/18/19 7:00 PM PST Question 01/18/19 7:01 PM PST Question 01/18/19 7:02 PM PST Question 01/18/19 7:02 PM PST Exam Action 01/18/19 7:03 PM PST No, I don't think so. Do you notice any changes of body hair Yeah, actually, I definitely have more hair places I didn't used to lately. Where do you have more hair Ugh, this is embarrassing. I definitely have more hair on my belly than I used to. Plus I have some on my face that didn't used to be there, too. Checked vitals do you feel any pain My foot still hurts a bit, but it's much better than it was when I came in. I think the medicine they've been giving me has helped. on a scale of 0 to 10 with 0 being no pain, where do you say you are at (Clarified to Can you rate your current pain level on a scale of 0 to 10?.) Now? I guess I would rate it about a five. (Clarified to how I would rate my pain on a scale.) are you feeling any discomfort at all (Clarified to Are you having discomfort?.) My foot still hurts a bit, but it's much better than it was when I came in. I think the medicine they've been giving me has helped. (Clarified to if I have discomfort.) Palpated scalp: No tenderness reported, no masses do you have any history on scalp problems (No matching questions found.) 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 6/15 Question 01/18/19 7:04 PM PST Question 01/18/19 7:04 PM PST Exam Action 01/18/19 7:05 PM PST Exam Action 01/18/19 7:05 PM PST Exam Action 01/18/19 7:05 PM PST Exam Action 01/18/19 7:05 PM PST Exam Action 01/18/19 7:05 PM PST Exam Action 01/18/19 7:06 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Do you have any scalp troubles like dandruff (Clarified to DO you have problems with your hair and scalp?.) No, I think my scalp and head hair are pretty normal. (Clarified to If I have hair and scalp problems.) Inspected hairline and top scalp Inspected left side of head Inspected hairline and top scalp Inspected right side of head Inspected hairline and top scalp Inspected general face Inspected nose and mouth Inspected right side of head Inspected general face Inspected left side of head Inspected general face 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 7/15 Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:07 PM PST Exam Action 01/18/19 7:08 PM PST Exam Action 01/18/19 7:08 PM PST Exam Action 01/18/19 7:08 PM PST Exam Action 01/18/19 7:08 PM PST Exam Action 01/18/19 7:08 PM PST Exam Action 01/18/19 7:09 PM PST Exam Action 01/18/19 7:09 PM PST Exam Action 01/18/19 7:09 PM PST Exam Action 01/18/19 7:09 PM PST Inspected left orbital area and sclera Inspected upper conjunctiva Inspected lower conjunctiva Inspected right orbital area and sclera Inspected lower conjunctiva Inspected front of neck Inspected right side of neck Inspected front of neck Inspected left side of neck Inspected front of neck Inspected left foot Inspected top of feet Inspected right foot Inspected soles of feet 3/6/2019 Skin, Hair, and Nails | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4349628 8/15 Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:10 PM PST Exam Action 01/18/19 7:11 PM PST Exam Action 01/18/19 7:11 PM PST Exam Action 01/18/19 7:11 PM PST Exam Action 01/18/19 7:11 PM PST Exam Action 01/18/19 7:11 PM PST Exam Action 01/18/19 7:11 PM PST Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Inspected right toenails Inspected left toenail

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