Description
Shadow Health: Skin, Hair, and Nails Tina Jones
Assignment Description: Assess the Skin, Hair, and Nails 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: Skin, Hair, and Nails 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 foot wound
Finding:
Reports swelling has improved
(Found)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing.Example Question:
Does your wound have any swelling?
Finding:
Reports wound warmth has improved
(Available)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound is warm to the touch specifies the symptoms she is experiencing.Example Question:
Does your wound feel warm to the touch?
Finding:
Reports wound discharge has improved
(Available)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing.Example Question:
Is discharge coming from your wound?
Finding:
Reports wound is still a little red
(Available)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound has any redness specifies the symptoms she is experiencing.Example Question:
Does your wound have any redness?
Finding:
Asked history of slow healing wounds
Finding:
Denies history of slow healing wounds
(Found)
Pro Tip: Specific questions about Tina’s wounds can help you to assess the care that she will need. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing.Example Question:
Do you have a history of slow healing wounds?
Finding:
Asked current wound healing time
Finding:
Reports wound had been getting worse over the past week
(Found)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina how her foot wound has been healing specifies the symptoms she is experiencing.Example Question:
How has your foot wound been healing?
Finding:
Reports wound has improved with hospital treatment
(Found)
Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if the hospital treatment has improved her foot wound will clarify the symptoms she is experiencing.Example Question:
Has being in the hospital helped your wound?
Finding:
Asked about history of skin conditions
Finding:
Reports acne
(Found)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has acne solicits important health history information.Example Question:
Have you ever had acne?
Finding:
Reports dry skin
(Found)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if her skin has been dry solicits important health history information.Example Question:
Have you ever had dry skin?
Finding:
Denies skin cancer
(Available)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has ever been diagnosed with skin cancer solicits important health history information.Example Question:
Have you ever been diagnosed with skin cancer?
Finding:
Denies skin rashes
(Available)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has had skin rashes solicits important health history information.Example Question:
Have you had skin rashes?
Finding:
Denies sores other than foot wound
(Available)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has sores solicits important health history information.Example Question:
Do you have sores?
Finding:
Reports skin has only itched due to cat exposure
(Available)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if her skin has been itching solicits important health history information.Example Question:
Has your skin been itching?
Finding:
Denies bruising
(Available)
Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if her skin has been bruising solicits important health history information.Example Question:
Have you noticed unusual bruising?
Finding:
Followed up on skin dryness
Finding:
Reports arms and legs get dry
(Available)
Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if her skin gets dry solicits important health information.Example Question:
What part of your skin gets dry?
Finding:
Reports using lotion
(Found)
Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina how she treats skin dryness solicits important health information.Example Question:
How do you treat skin dryness?
Finding:
Followed up on acne
Finding:
Reports having acne since middle school
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina about her history of acne solicits important information about her health history.Example Question:
How long have you had acne?
Finding:
Reports current acne
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina if she currently has acne solicits important information about her health history.Example Question:
Do you have acne now?
Finding:
Reports acne had been dormant but got worse recently
(Available)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina when she developed acne solicits important information about her health history.Example Question:
When did you develop acne?
Finding:
Asked about acne treatment
Finding:
Reports last seeing a doctor for acne in high school
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina when she last saw a doctor about her acne solicits important information about her health history and any treatment plan she was following.Example Question:
When was the last time you saw a doctor about acne?
Finding:
Reports doctor prescribed antibiotics for acne
(Available)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following.Example Question:
How did the doctor treat your acne?
Finding:
Reports antibiotic for acne was tetracycline
(Available)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following.Example Question:
What antibiotic were you prescribed for your acne?
Finding:
Reports antibiotics were ineffective
(Available)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following.Example Question:
Were the antibiotics effective on your acne?
Finding:
Reports only current treatment is washing her face
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina how she treats her acne solicits important information about her health history.Example Question:
How do you treat your acne now?
Finding:
Reports washing her face every night
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina how she treats her acne solicits important information about her health history.Example Question:
How do you treat your acne now?
Finding:
Asked acne location
Finding:
Reports acne is located on her face
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina where her acne is located solicits important information about her health history.Example Question:
Where is your acne located?
Finding:
Reports acne is located on her back
(Found)
Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina where her acne is located solicits important information about her health history.Example Question:
Where is your acne located?
Finding:
Asked if patient has moles
Finding:
Reports moles
(Found)
Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina about her moles solicits important information about her skin.Example Question:
Do you have moles?
Finding:
Asked about mole changes
Finding:
Denies mole changes
(Found)
Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina about changes in her moles solicits important information about her skin.Example Question:
Have your moles changed at all?
Finding:
Asked about mole appearance
Finding:
Reports moles are “just regular moles”
(Found)
Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina what her new moles are like solicits important information about her skin.Example Question:
What are your moles like?
Finding:
Asked about mole location
Finding:
Reports moles are located on her back
(Found)
Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina where her moles are located solicits important information about her skin.Example Question:
Where are your moles located?
Finding:
Asked about changes in skin color
Finding:
Reports folds in neck are getting darker
(Found)
Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or conditions. Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing.Example Question:
How has the skin on your neck changed?
Finding:
Asked about neck skin sensation
Finding:
Denies itchy neck skin
(Available)
Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck is itchy, will allow you to compare her symptoms and assess her condition.Example Question:
Is the skin on your neck itchy?
Finding:
Denies neck skin tingling
(Available)
Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck is tingly, will allow you to compare her symptoms and assess her condition.Example Question:
Does the skin on your neck tingle?
Finding:
Denies neck skin pain
(Found)
Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck hurts, will allow you to compare her symptoms and assess her condition.Example Question:
Does the skin on your neck hurt?
Finding:
Reports belief that neck skin has thickened
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- Related: (Completed) Shadow Health: Discharge Tina Jones
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