Shadow Health-Health History Experience Overview Patient: Tina Jones

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Experience Overview Patient: Tina Jones Digital Clinical Experience Score 100% This score measures your performance on the Student Performance Index in relation to other students in comparable ac... ademic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 91 out of 94 Proficiency Level: Proficient  Beginning  Developing  Proficient Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. Subjective Data Collection 88 out of 88 Objective Data Collection 0 out of 0 Education and Empathy 3 out of 6 Care Plan 0 out of 0 Time 195 minutes total spent in assignment Interaction with patient 193 minutes Post-exam activities 2 minutes 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. Chief Complaint  Finding: Established chief complaint  Finding: Reports pain (Found) Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Example Question: Do you have any pain?  Finding: Reports foot wound (Found) Pro Tip: If a patient mentions pain, it's important to determine what specifically is causing her pain, if she knows. Example Question: What's causing your pain? History of Presenting Illness  Finding: Asked to rate current pain level on a scale  Finding: Reports current pain is 7/10 (Found) Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care. Example Question: Can you rate the pain on a scale of 0 to 10?  Finding: Asked for details about the pain  Finding: Reports pain is throbbing (Found) Pro Tip: Determining how your patient describes the characteristics of the pain can be important data to support the cause of the pain. Example Question: Can you please describe the pain?  Finding: Reports pain is sharp when she attempts to stand (Found) Pro Tip: Determining what physical activities and movements exacerbate the patient's pain can help you better understand the problems and assess treatment needs. This can also alert you if a patient's activities of daily living are hindered. Example Question: What is the pain like when you stand on your foot?  Finding: Reports pain has increased in the past 2 days (Found) Pro Tip: Finding out how the patient's pain has changed will give you insight into the acceleration of infection. Example Question: How has the pain changed over time?  Finding: Reports feeling pain radiating into ankle (Available) Pro Tip: Asking about where else the patient's pain radiates can help determine the progression of infection. Example Question: Does the pain radiate anywhere else?  Finding: Reports pain prevents bearing weight on foot (Found) Pro Tip: Determining if your patient can bear weight on an injury is important to determine their risk for falls while in your care. Example Question: Can you bear weight on your foot?  Finding: Asked location of wound  Finding: Reports right foot is injured (Found) Pro Tip: Confirming which extremity an injury is located is a best practice for your patient's safety. Example Question: Which foot is in pain?  Finding: Reports wound is on the plantar surface of her foot (Found) Pro Tip: Confirming where a wound is located ensures you are aware of your patient's biggest complaint. Example Question: Where is the wound?  Finding: Asked details of the injury  Finding: Reports she scraped foot on b [Show More]

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