Shadow Health_Health History_Tina Jones _ Advance Assessment_ Infor

Health History Results | Turned In Advanced Health Assessment - Fall 2020, NGR 6002 Return to Assignment (/assignments//) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time (/site_notice_dismissals?from_flash=true&site_noti assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! Information Processing : 39 of 40 (97.5%) Each relevant diagnosis is scored on a four-point scale: Priority (1 point): the correct priority of the diagnosis was chosen Evidence (up to 2 points): the strength of the patient cue(s) selected as evidence for the identified diagnosis Required Evidence: selecting at least one cue that directly indicates the presence of a problem or risk is worth 2 points Supporting Evidence: selecting at least one cue that is a contributing factor or cause of a problem or risk, without the presence of Required Evidence, is worth 1 point Planning (1 point): the plan proposed to address the diagnosis includes at least one correct component Relevant Diagnoses Priority 1 / 1 Student Response: High Correct Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. Evidence 2 / 2 Relevant "I mean, the last two days I couldn't walk on my foot, so it's gotten in the way of everything -- I had to basically stay home and off my foot. I didn't think it could get to the point where it caused so many problems." Required Evidence Irrelevant "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 mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on." Evidence Pro Tip: Tina reports intense pain and rates her pain a numerical scale. She also reports characteristics of the pain, including its duration of one week; this timespan defines her pain a acute. Planning 1 / 1 Your Results Lab Pass (/assignment_attempts//lab_pass.p Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Information Processing Program Competency Progress Health History Tips and Tricks Self-Reflection 1. Acute pain of the foot 4 of 4 points Support This study source was downloaded by from CourseH on :31:10 GMT -05:00 10/1/2020 Health History | Completed | Shadow Health Relevant Intervene - Prescribe: Prescribe medications to treat pain. Educate - Medication: Educate the patient on medications used for pain relief. Irrelevant Educate - Health Maintenance: Educate the patient on wound care procedure. Planning Pro Tip: Intervene to reduce the pain by prescribing a appropriate analgesic and educating the patient on its effective use and potential side effects. Provide the patient with options for nonpharmacological pain relief, such as RICE (rest, ice, compression, elevation). Priority 1 / 1 Student Response: High Correct Priority: High Priority Pro Tip: Treating this infection is a high priority, as failu to treat the infection may lead to it spreading to surrounding tissue systemically. Treating the infection can prevent adverse events suc as osteomyelitis and bacteremia. Evidence 2 / 2 Relevant "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!" Supporting Evidence "I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on." Required Evidence Irrelevant "Measured wound: 2 cm x 1.5 cm, 2.5 mm deep" Evidence Pro Tip: Tina presents with an open wound on the plantar surface of the foot. The wound is red, swollen, warm, and produces purulent discharge. Tina reports that the appearance and level of discomfort have worsened with time- all of these factors support a diagnosis of acute infection. Planning 1 / 1 Relevant Intervene - Labs: Obtain blood for culture x2 (blood from two sites). Intervene - Prescribe: Prescribe antibiotics. Intervene - Other: Clean wound and cover with sterile dressing. Irrelevant (None provided) Planning Pro Tip: Assess the wound directly and obtain a cultu so that the infectious organism may be identified, then clean and r dress the wound. Regional lymph nodes may be swollen. Because the infection is the root cause of Tina's other acute issues, prescrib an anti-infective will begin to resolve the issues; after receiving cul results, the specific anti-infective given may be changed. Ensure th Tina understands how to treat the wound, use the anti-infective effectively, and to report symptoms of a worsening infection. Foot c is especially important for diabetics, so you should help Tina bette understand diabetes' impact on wound healing and the need to proactively monitor her foot health. Priority 1 / 1 Student Response: High Correct Priority: High Priority Pro Tip: Tina's uncontrolled diabetes will delay her wo healing and places her at risk for end organ damage. The need to provide better glucose control for Tina makes this a high priority. Evidence 2 / 2 2. Local infection of skin and subcutaneous tissue of the foot 4 of 4 points 3. Uncontrolled type 2 diabetes mellitus 4 of 4 points This study source was downloaded by from CourseH on :31:10 GMT -05:00 10/1/2020 Health History | Completed | Shadow Health Relevant "Random blood glucose: 238" Required Evidence "You know, I did notice lately that I've been really thirsty." Supporting Evidence Irrelevant "I haven't taken it in about three years, honestly." "I don't take anything for my diabetes anymore." "I just got sick of dealing with it!" "I have a monitor at home, but to be honest I don't really use it that often. It's such a hassle to check my blood sugar, and my diabetes is under control right now so I don't really need to." Evidence Pro Tip: Tina's current blood glucose level supports diagnosis of uncontrolled type 2 DM. Tina reports symptoms consistent with poor control such as polyuria, polydipsia, and noctu Planning 1 / 1 Relevant Assess - Neurological: Assess for peripheral neuropathy, by testing position sense and deep tendon reflex at the ankle. Assess - Neurological: Assess for sensory neuropathy, by testing sensation in the feet, using monofilament. Intervene - Labs: Order a hemoglobin A1C test to establish baseline. Intervene - Prescribe: Prescribe a first-line drug for blood glucose control, such as metformin. Educate - Medication: Educate the patient on diabetes medication action, dose, and schedule. Educate - Health Maintenance: Educate the patient on selfmonitoring of blood glucose level procedure and its role in treating diabetes. Educate - Health Maintenance: Educate the patient on the impact of diet, exercise, and weight loss on glycemic control. Educate - Health Maintenance: Educate the patient on the importance of screening tests and foot care, as relates to diabetes. Educate - Disease Process: Educate the patient on diabetes pathophysiology, risks of morbidity and mortality, importance of self-care. Educate - Disease Process: Educate the patient on the signs and symptoms of hyper- and hypoglycemia. Irrelevant Intervene - Labs: Order a fasting plasma glucose test. Educate - Health Maintenance: Educate the patient on the role of lifestyle changes, including diet and exercise, in improving health outcomes. Educate - Disease Process: Educate the patient on associated risks of hypertension with diabetes. Educate - Disease Process: Educate the patient on relation of genetic and lifestyle factors, including diet, with hypertension. Educate - Disease Process: Educate the patient on the role of diabetes mellitus in the healing of wounds. Educate - Disease Process: Educate the patient regarding the relationship of diabetes mellitus and peripheral vascular