Tina Jones Objective HEENT Completed Shadow Health 3

HEENT Results | Completed Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Your Results Turn In Turn In Lab Pass Lab Pass This score measures your performance on the 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 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Patient: Tina Jones Digital Clinical Experience Score 100% Beginning Developing Proficient Subjective Data Collection 28 out of 28 Objective Data Collection 23.33 out of 25 Education and Empathy 2 out of 5 Interaction with patient 108 minutes Time 108 minutes total spent in assignment Student Performance Index 53.33 out of 58 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 practitioner. Objective Data Collection: 23.33 of 25 (93.32%) Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Student Survey Experience Overview This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHCorrect Partially correct Incorrect Missed Inspected head and face 0.33 of 1 point 0.33 of 1 point Skull Symmetry (No point) Symmetric Asymmetric Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Appearance (No point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners Sclera (1/4 point) White Injection Icterus Conjunctiva (1/4 point) Moist and pink Pale Dry appearance Erythema Edema Conjunctival Discharge (1/4 point) No discharge Clear, watery discharge Purulent discharge Inspected nasal cavities 0.75 of 1 point 0.75 of 1 point Color (No point) Pink Pale Erythemic Bluish Discharge (1/4 point) No discharge Clear discharge Bloody discharge Purulent discharge Turbinate Patency (1/4 point) Patent Decreased patency Not patent Observations (1/4 point) No additional visible abnormal findings Foreign body present Polyp This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHSeptum perforated Septum deviated Lesion Inspected ears 1 of 1 point 1 of 1 point Right: Auditory Canal Color (1/10 point) Pink Red Pallor Right: Tympanic Membrane Color (1/10 point) Pearly gray Red Opaque Yellow Not visible because of cerumen Right: Tympanic Membrane Appearance (1/10 point) No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Right: Cone Of Light (1/10 point) 5:00 Cone of light distorted Right: Discharge (1/10 point) No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Left: Auditory Canal Color (1/10 point) Pink Red Pallor Left: Tympanic Membrane Color (1/10 point) Pearly gray Red Opaque Yellow Not visible because of cerumen Left: Tympanic Membrane Appearance (1/10 point) No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Left: Cone Of Light (1/10 point) 7:00 Cone of light distorted Left: Discharge (1/10 point) No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Inspected mouth and throat 0.5 of 1 point 0.5 of 1 point Oral Mucosa (No point) Moist and pink Dry appearance Erythemic Tonsils (No point) No visible abnormal findings Edema Erythema This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHTonsil Grade (No point) 0: Tonsils fit within tonsillar fossa 1+: Tonsils <25% of space between pillars 2+: Tonsils <50% of space between pillars 3+: Tonsils <75% of space between pillars 4+: Tonsils >75% of space between pillars Posterior Oropharynx Color (1/6 point) Pink Erythemic Posterior Oropharynx Texture (1/6 point) No abnormal findings Cobblestoning Exudate Post Nasal Drip (1/6 point) No discharge Clear discharge Purulent discharge Inspected neck 1 of 1 point 1 of 1 point Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Swelling Visible pulsation Visible mass Discoloration Palpated scalp 1 of 1 point 1 of 1 point Tenderness (1/2 point) None reported Tenderness reported Observations (1/2 point) No additional abnormal findings Balding or thinning areas in hair distribution Palpable masses Palpated sinuses 1 of 1 point 1 of 1 point Frontal (1/2 point) None reported Tenderness reported Maxillary (1/2 point) None reported Tenderness reported Palpated temporal arteries 1 of 1 point 1 of 1 point Right: Vibration (1/4 point) No thrill Thrill Right: Intensity (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) No thrill Thrill Left: Intensity (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseH3+ Increased 4+ Bounding pulse Palpated carotid arteries 1 of 1 point 1 of 1 point Right: Vibration (1/4 point) No thrill Thrill Right: Intensity (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) No thrill Thrill Left: Intensity (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Palpated jaw 1 of 1 point 1 of 1 point Observations (1/1 point) No palpable abnormal findings Limited range of motion Popping or clicking Palpated lymph nodes 1 of 1 point 1 of 1 point Head And Neck (1/3 point) No palpable nodes Palpable nodes on right side Palpable nodes on left side Supraclavicular (1/3 point) No palpable nodes Palpable nodes on right side Palpable nodes on left side Axillary (1/3 point) No palpable nodes Palpable nodes on right side Palpable nodes on left side Palpated thyroid gland 1 of 1 point 1 of 1 point Observations (1/2 point) No palpable abnormal findings Nodules Enlarged Irregular Tenderness (1/2 point) None reported Tenderness reported Auscultated breath sounds 1 of 1 point 1 of 1 point This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHBreath Sounds (1/3 point) Present in all areas Diminished in some areas Absent in some areas Adventitious Sounds (1/3 point) No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales Location (1/3 point) All areas clear Adventitious sounds in anterior right upper lobe Adventitious sounds in anterior right middle lobe Adventitious sounds in anterior right lower lobe Adventitious sounds in anterior left upper lobe Adventitious sounds in anterior left lower lobe Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe Auscultated temporal arteries 1 of 1 point 1 of 1 point Right (1/2 point) No bruit Bruit Left (1/2 point) No bruit Bruit Auscultated carotid arteries 1 of 1 point 1 of 1 point Right (1/2 point) No bruit Bruit Left (1/2 point) No bruit Bruit Tested pupillary reaction 1 of 1 point 1 of 1 point Observations With Penlight (1/1 point) No visible abnormal findings (PERRL) Unequal Irregular Miosis Mydriasis Non-reactive to light Tested extraocular eye movements 1 of 1 point 1 of 1 point Cardinal Fields (1/2 point) No visible abnormal findings Nystagmus Convergence (1/2 point) No visible abnormal findings Unequal bilaterally This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHFixed pupil Fixed pupil Tested peripheral vision 1 of 1 point 1 of 1 point Observations (1/1 point) No abnormal findings Reduced right visual field Reduced left visual field Examined fundus with ophthalmoscope 0.75 of 1 point 0.75 of 1 point Right: Retina (1/4 point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies Cotton wool bodies Hemorrhage Right: Disc Margin (No point) Sharp Blurred Left: Retina (1/4 point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies Cotton wool bodies Hemorrhage Left: Disc Margin (1/4 point) Sharp Blurred Tested visual acuity 1 of 1 point 1 of 1 point Right (1/2 point) 20/100 20/70 20/50 20/40 20/30 20/25 20/20 20/15 20/13 20/10 Left (1/2 point) 20/100 20/70 20/50 20/40 20/30 20/25 20/20 20/15 20/13 20/10 Performed Weber test 1 of 1 point 1 of 1 point Results (1/1 point) Normal Conductive or sensorineural loss This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseHPerformed Rinne test 1 of 1 point 1 of 1 point Right (1/2 point) Normal Conductive loss Left (1/2 point) Normal Conductive loss Performed whisper test 1 of 1 point 1 of 1 point Right (1/2 point) Normal Unable to hear whispered words Left (1/2 point) Normal Unable to hear whispered words Tested gag reflex 1 of 1 point 1 of 1 point Observations (1/1 point) Intact Absent Hypersensitive Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018 This study source was downloaded by from CourseH on :11:31 GMT -05:00 This study resource was shared via CourseH Powered by TCPDF ()