During this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!
Shadow Health|Health History (Week 1 required) Results | Completed
Advanced Health Assessment and Diagnostic Reasoning - Spring 2024, N550
Return to Assignment (/assignments/473494/)
Your Results Turn In (/assignment_attempts/9573252/cho
Reopen (/assignment_attempts/9573252/reope
Lab Pass (/assignment_attempts/9573252/lab_pass.
Overview
Information Processing : 35 of 40 (94.5%)
Transcript
Subjective Data Collection Each relevant diagnosis is scored on a four-point scale:
Priority (1 point): the correct priority of the diagnosis was chosen
Objective Data Collection Evidence (up to 2 points): the strength of the patient cue(s) selected as evidence for the identified diagnosis
Required Evidence: selecting at least one cue that directly indicates the presence of a problem or risk is worth 2 points
Education & Empathy
Supporting Evidence: selecting at least one cue that is a contributing factor or cause of a problem or risk, without the
presence of Required Evidence, is worth 1 point
Documentation
Planning (1 point): the plan proposed to address the diagnosis includes at least one correct component
Information Processing
Program Competency Progress
Health History Tips and Tricks Relevant Diagnoses
Self-Reflection
1. Acute pain of the foot 2 of 4 poin
Priority 1/1
Student Response: High Priority Pro Tip: Managing acute pain is an immediate high
priority, because other health concerns cannot be effectively
Correct Priority: High addressed while a patient experiences severe pain.
Evidence 0/2
Relevant
(None provided)
Evidence Pro Tip: Tina reports intense pain and rates her pa
a numerical scale. She also reports characteristics of the pain,
Irrelevant
including its duration of one week; this timespan defines her pai
"I got this scrape on my foot a while ago, and I thought it acute.
would heal up on its own, but now it's looking pretty nasty.
And the pain is killing me!"
Planning 1/1
Support
, Relevant
Educate - Medication: Educate the patient on medications
used for pain relief. Planning Pro Tip: Intervene to reduce the pain by prescribin
appropriate analgesic and educating the patient on its effective
Educate - Medication: Educate the patient on non- and potential side effects. Provide the patient with options for n
pharmaceutical methods to reduce pain intensity. pharmacological pain relief, such as RICE (rest, ice, compressio
elevation).
Irrelevant
(None provided)
2. Local infection of skin and subcutaneous tissue of the foot 2 of 4 poin
Priority 1/1
Priority Pro Tip: Treating this infection is a high priority, as fa
Student Response: High to treat the infection may lead to it spreading to surrounding tiss
Correct Priority: High or systemically. Treating the infection can prevent adverse event
such as osteomyelitis and bacteremia.
Evidence 0/2
Relevant
Evidence Pro Tip: Tina presents with an open wound on the
(None provided) plantar surface of the foot. The wound is red, swollen, warm, an
produces purulent discharge. Tina reports that the appearance a
Irrelevant level of discomfort have worsened with time- all of these factors
support a diagnosis of acute infection.
"Yeah, there's definitely pus."
Planning 1/1
Relevant Planning Pro Tip: Assess the wound directly and obtain a cu
so that the infectious organism may be identified, then clean an
Intervene - Prescribe: Prescribe antibiotics. dress the wound. Regional lymph nodes may be swollen. Becau
the infection is the root cause of Tina's other acute issues,
Educate - Medication: Educate the patient on the course of prescribing an anti-infective will begin to resolve the issues; afte
antibiotics, importance of taking all prescribed antibiotics, receiving culture results, the specific anti-infective given may be
and side-effects. changed. Ensure that Tina understands how to treat the wound,
the anti-infective effectively, and to report symptoms of a worse
Irrelevant infection. Foot care is especially important for diabetics, so you
should help Tina better understand diabetes' impact on wound
(None provided) healing and the need to proactively monitor her foot health.
3. Uncontrolled type 2 diabetes mellitus 4 of 4 poin
Priority 1/1
Student Response: High Priority Pro Tip: Tina's uncontrolled diabetes will delay her w
healing and places her at risk for end organ damage. The need t
Correct Priority: High provide better glucose control for Tina makes this a high priority
Evidence 2/2
Relevant
"It's type 2." Required Evidence
Evidence Pro Tip: Tina's current blood glucose level support
diagnosis of uncontrolled type 2 DM. Tina reports symptoms
Irrelevant consistent with poor control such as polyuria, polydipsia, and
nocturia.
(None provided)
Planning 1/1