Description
Shadow Health: Neurological Tina Jones
Assignment Description: Assess the Neurological system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, document your findings, and complete post-exam activities.
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Estimated Time to Complete:45-65 minutes
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Solution: Shadow Health: Neurological Tina Jones

Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Relevant Medical History
Finding:
Asked about numbness
Finding:
Denies history of numbness
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her sensation, like if she has a history of numbness, will allow you to see the ways in which her individual symptoms manifest.Example Question:
Do you have a history of numbness?
Finding:
Denies current numbness
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her sensation, like if she has current numbness, will allow you to see the ways in which her individual symptoms manifest.Example Question:
Are you experiencing numbness?
Finding:
Asked about tingling
Finding:
Denies tingling
(Found)
Pro Tip: Tingling sensations can suggest a herniated disc. Asking Tina whether she’s experiencing tingling sensations might indicate additional musculoskeletal damage.Example Question:
Are you experiencing tingling?
Finding:
Asked about vision
Finding:
Reports vision problems
(Found)
Pro Tip: Patients with diabetes may often experience issues with visual impairment, so it is important to ask Tina if she has had any changes to her eyesight that may indicate a diabetic complication.Example Question:
Are you having vision problems?
Finding:
Followed up on vision problems
Finding:
Reports vision problems for past few months
(Available)
Pro Tip: Establishing a timeline of Tina’s visual problems will enable you to most effectively treat her symptoms.Example Question:
How long have you had vision problems?
Finding:
Reports periods of blurry vision
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina broad, open questions about her vision will allow you to see the ways in which her individual symptoms manifest.Example Question:
How would you describe your vision problems?
Finding:
Reports vision problems occur only when reading
(Found)
Pro Tip: Uncovering any aggravating factors for Tina’s vision problems will help you better under the severity of the condition and determine any necessary treatments.Example Question:
When do your vision problems occur?
Finding:
Denies double vision
(Available)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina questions about her vision, like whether or not she has double vision, will allow you to see the ways in which her individual symptoms manifest.Example Question:
Do you have double vision?
Finding:
Asked about headaches
Finding:
Reports occasional headaches
(Available)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina if she experiences headaches will allow you to see the ways in which her individual symptoms manifest.Example Question:
Do you experience headaches?
Finding:
Reports last headache was a few days ago
(Available)
Pro Tip: Establishing a timeline of Tina’s headaches will enable you to most effectively treat her symptoms.Example Question:
Have you had a headache recently?
Finding:
Denies current headache
(Found)
Pro Tip: Establishing if Tina currently has a headache will allow you to assess her medication needs and improve her comfort level.Example Question:
Do you have a headache right now?
Finding:
Asked about headache patterns
Finding:
Reports headaches have been occurring for six months
(Available)
Pro Tip: Establishing a timeline of Tina’s headaches will enable you to most effectively treat her symptoms.Example Question:
How long have your headaches been occurring?
Finding:
Reports headaches occur a few times per month
(Available)
Pro Tip: Establishing the frequency of Tina’s headaches can help you determine what type of headaches she has, which will allow you to assess the seriousness of her condition and effectively treat her symptoms.Example Question:
How often do you have headaches?
Finding:
Reports headaches last a few hours
(Available)
Pro Tip: Establishing the duration of Tina’s headaches can help you determine what type of headaches she has, which will allow you to assess the seriousness of her condition and effectively treat her symptoms.Example Question:
How long do your headaches last?
Finding:
Asked about headache triggers
Finding:
Reports headaches occur only when reading or studying
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina when the headaches begin specifies the way her individual symptoms and pain manifest.Example Question:
When do your headaches occur?
Finding:
Asked about headache character
Finding:
Reports headaches are not severe
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina about the severity of her headaches will allow you to see the ways in which her individual symptoms manifest.Example Question:
Are your headaches severe?
Finding:
Reports headaches feel the same on both sides of the head
(Available)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina about the location of her headaches will allow you to see the ways in which her individual symptoms manifest.Example Question:
Do your headaches feel the same on both sides of your head?
Finding:
Reports headaches are tight
(Found)
Pro Tip: Because symptoms often vary from patient to patient, asking Tina about the character of her headaches will allow you to see the ways in which her individual symptoms manifest.Example Question:
What do your headaches feel like?
Finding:
Reports headaches are throbbing


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