NSG 516Neurological | Completed | Shadow Health 1. Patient: Tina Jones Digital Clinical Experience Score 100% Beginning Developing Proficient Subjective Data Collection 20 out of 20 Objective Data Collection 37 out of 37 Student Performance Index 59 out of 61. Proficiency Level: Proficient

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Neurological Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Your Results Reopen Reopen Lab Pass Lab Pass This score measures your performance on t... he Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 87.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. 20 out of 20 Objective Data Collection 67 minutes total spent in assignment Student Performance Index 59 out of 61 Proficiency Level: Proficient Students rated as “proficient” demonstrate an entrylevel expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Self-Reflection Experience Overview All Lines (187) All Lines (187) Interview Questions (81) Interview Questions (81) Statements (7) Statements (7) Exam Actions (99) Exam is sore too. Oh Tina, I am sorry to hear you got into an accident. Its so scary. I hope it was not too serious! (No matching questions found.) Oh Tina, I am sorry to hear you got into an accident. Its so scary. I hope it was not too serious! I appreciate you saying that. When did the headaches start? Five days ago... The headaches started two days after the accident. How often do you get the headaches? It's been every day for like, the last five days. Oh, that must make it tough to get things done! Lets see if we can make these headaches go away. I appreciate you telling me that. How long do the headaches last? About an hour or two.Question How severe is the headache? The headaches I've been getting aren't horrible, I'm just getting them much more often than I usually do. How do you rate the headaches from 0 to 10? It's not horrible or anything, but it's no fun. Maybe a 3. I bet you its no fun! Thanks. Can you explain the car accident? (No matching questions found.) How did the car accident happen? We were in my friend's car during the accident. It wasn't serious at all-- we were going pretty slowly--but it was still scary. Were you wearing seat belts? Yes, I always do. No, I didn't hit my head in the accident or anything. Can you describe the headaches? The headaches feel like a dull ache, kind of in the crown of my head, and the back of my head. Does anything make the headache worse? ed getting these headaches. How many Tylenol have you been taking every day? I take two of the regular strength kind when I feel a headache coming on, but it's only been once a day. Are you taking other medications? No -- Tylenol is all I've taken recently.Question Do you take prescription medications? I have a Flovent inhaler and a Proventil inhaler. Do you have any allergies? Yeah, I'm allergic to cats. How do you react to cats? Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. Do you have any allergy to medications? Yeah, I'm allergic to penicillin. How do you react to penicillin? I don't remember that well because the last time I had penicillin I was pretty little. . . I think I got a rash, like, hives. The doctor told me not to take it again after that. Do you smoke? No. I think it's gross. Good for you! Smoking can cause so many health problems! I do sometimes, yeah, when I go out with my friends. How many drinks do you have per month? Oh, I don't know. Let's see... I might go out every few weeks, so twice a month... and I maybe have 2 or 3 drinks at a time, so maybe 6 drinks a month. Even if I go out more than usual, no more than ten. Do you use recreational drugs? No. Does anything relieve the neck pain? I haven't been doing anything in particular for my neck. . . just resting and trying not to move it too much. How is your sleep? I think I usually get enough sleep. I don't think I have any sleeping problems or anything. [AUDIO COMING SOON] EST Have you lost weight? I think I've gained a pound or two recently, but I don't weigh myself Do you have tingling? No, I haven't been tingling at all. Do you have vision problems? Well, no, my vision hasn't changed recently -- not since the accident. But sometimes my vision gets blurry when I do a lot of reading... that's been going on for awhile. Since when you have the vision problems? (Clarified to When did you first notice blurry vision?.)Question blurry vision began.) Since when do you have these vision problems? Well -- first off, my vision's been fine since the car accident. But in headaches? It's been every day for like, the last five days. Do you have problems with hearing? No. Did you get headaches before the car accident? The only time I got headaches before the accident was when I would read or study for a long time. Do you have a headache right now? No, I'm fine right now. Do you have trouble swallowing? Nope.Question aches? No, not that I know of. Do you have a history of seizures? No. I've seen somebody have one, though. It's scary. It understand. It can be scary to witness a person having a seizure. Thanks. What building are you in now? I'm at the doctor's office. . . it's Shadow Health General Clinic. Evaluated orientation to place What is the date and year? Um, today's date is [Tina says correct date and year]. Evaluated orientation to time How are apples and oranges alike? How are they alike? Um.... they're both kinds of fruit. Evaluated abstract thinking: similarities among fruit How are a lake and an ocean alike? Uh.... they're both bodies of water. Evaluated abstract thinking: similarities among bodies of waterQuestion . . 9, and 2. Evaluated attention with serial sevens Established one-stage comprehension Who was the first president of the United States? That's George Washington. Evaluated knowledge of first president Who are the last four presidents of the United States? Well, right now it's Donald Trump. Before him it was Obama. Before *him* we had Bill Clinton and George W. Bush.Exam Action York City. . . and Chicago. . . Detroit. . . Los Angeles. . . and Houston. That's five. Evaluated knowledge of five large cities What would you do if you found a stamped addressed envelope on the sidewalk? What How did you celebrate your last birthday? Wow. . . it's weird, birthdays were huge for us before Dad died because he would always make a really big deal out of them, like he loved planning these huge celebrations. But the past two birthdays, he hasn't been there, so it's been kind of sad, thinking about what he's missing, and we haven't done huge parties or anything. Last birthday. . . Michael and his fiance came over, and we all had dinner at the house, and I opened presents, and we had a really good cake from this bakery I love. It was nice.Exam Action Evaluated remote memory Repeat the four words from before Burger. . . tulip. . .nose. . . and tea. Evaluated immediate learning Observed patient's general vocabulary What classes are you taking? I'm taking two classes right now, one on auditing and one on managerial accounting Observed patient's general ability to articulate Can you tell me more about school? School's good, although it's a little stressful because I keep thinking about everything I have to do to graduate, and then after that, too. I'm about two months from being done with my last semester. Tested CN I (olfactory nerve) with smell test Tested visual acuity of right eye Inspected fundus of right eye Inspected fundus of left eye Inspected right pupil and tested pupillary light reflex Inspected left pupil and tested left pupillary light reflex Follow my finger with just your eyes Ok. Tested EOM to the upper center Tested EOM to the upper left Tested EOM to the lower left Tested EOM to the lower center Tested EOM to the lower right Tested convergence Close your eyes and tell me if the touch is sharp, dull or soft. Tested facial sensation: soft stimulus Soft. Tested facial sensation: soft stimulus Sharp. Inspected front of face for asymmetry and facial droop Inspected left side of face for asymmetry and facial droopExam Action Inspected back of head for asymmetry Inspected right side of face for asymmetry and facial droop Inspected front of face for asymmetry and facial droop Is the volume the same in both ears or louder in one ear? Ok. reflex Tested trapezius muscle strength against resistance: 5 strength against resistanceExam Action Tested sternocleidomastoid muscle strength against resistance - head turned to the right: 5 strength against resistance Tested sternocleidomastoid muscle strength against resistance - head turned to the left: 5 strength against resistance Inspected mouth Inspected mouth: pushed tongue left with tongue blade Inspect mouth: pushed tongue right with tongue blade Tested reflexes of right patellar tendon: 2+ Tested reflexes of right achilles tendon: 2+ Tested reflexes of left achilles tendon: 2+ Close your eyes and touch your fingers to your nose I can do that. Observed left heel moving to shin Place your hands on your knees and turn them over Ok, like this? Observed rapid alternating hand movements: Movement is smooth, performed without difficultyExam Action Close your eyes and tell me what I trace on your palm Ok. That's an "A." Tested left-hand graphesthesia by letter identification A figure "8." Tested right-hand graphesthesia by number identification Close your eyes and tell me if the touch is sharp, dull, or soft. Ok. Tested right arm proximal dull sensation Dull. Tested left arm proximal dull sensation Dull. 02/14/19 9:52 AM EST touch is sharp, dull or soft. Ok. Tested right leg proximal dull sensation Dull. Tested left leg proximal dull sensation Dull. Tested left leg distal light sensation Soft. Tested right leg distal light sensation Tested sensation of right big toe with monofilament Yes. Tested sensation of right big toe with monofilament Tested sensation of left heel with monofilament Yes. Tested sensation of left ball of foot under small toe with Tested position sense of toe on right foot Down. Close your eyes and tell me what I put in your hand Ok, sure.Exam Action 02/14/19 9:55 AM ...Some kind of coin. Tested right-hand stereognosis with coin This is... some wire thing... paperclip? Tested right-hand stereognosis with paper clip Um... that feels like a key. Tested right-hand stereognosis with key Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018 [Show More]

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