Shadow Health - Tina Jones, Health History
Health History Tips & Tricks:
Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this assignment
and your objectives, just as a preceptor would in real life. Pay close attention to this
Student: Hello! information as it will help guide your exam. At the end of this prebrief, you will
answer a short question about the upcoming assignment. During the simulation,
you may return to these instructions at any time by scrolling to the top of your
transcript.
Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman
who has just been admitted to Shadow General Hospital for a painful foot
Student: What is the situation?
wound. Your role in this simulation is that of a healthcare provider who will take
Ms. Jones' health history, a key component of her admission process.
Diana Shadow: A health history requires you to ask questions related to Ms. Jones'
past and present health, from her current foot wound to her pre-existing conditions.
You will also want to review Ms. Jones' systems, psychosocial history, and family
medical history. These assessments together will give you a comprehensive picture
of Ms. Jones' overall health. If you discover any disease states, ask about symptoms
and the patient's experiences of them. Your questioning should cover a broad array
of the symptoms' characteristics. Throughout the conversation, you should educate
Student: What are my objectives in this and empathize with Ms. Jones when appropriate to increase her health literacy and
assessment? sense of well-being. Regardless of whether you have assessed Ms. Jones previously,
ask all questions that are necessary for obtaining a complete health history. While
you should communicate with patients using accessible, everyday language, it is
standard practice to use professional medical terminology everywhere else, such
as in documenting physical findings and nursing notes. You may complete the exam
activities in any order and move between them as needed. After obtaining Ms. Jones'
health history, you will complete an information processing activity. You will identify
and prioritize diagnoses, then create a plan to address the identified diagnoses.
, Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy,
and health. You can document your findings, including vital signs, in the Electronic
Health Record. This record provides necessary information for healthcare
Student: What else will this exam involve? professionals who will continue patient care. Besides Subjective Data Collection, and
Education and Empathy, there are activities within the simulation that provide
valuable practice for their real-world counterparts, but they are not
automatically graded by the simulation.
Diana Shadow: In this assignment, you will be evaluated on your Subjective Data
Collection, as well as your Education and Empathy. Your success in Education
and Empathy is based on whether you promptly respond after identifying a
moment worthy of therapeutic communication. The evaluation of your interview is
dependent on how you word your questions therapeutically and precisely and
Student: How will I be evaluated? explore all relevant topics with comprehensive breadth and depth. You will also be
evaluated on your ability to collect data and form nursing diagnoses in the
information processing activity. This assignment takes on average between 90 and 110
minutes. This exam may take longer than in real life, because in this safe simulation,
students of all experience levels can take time to hone and review their skills. You
can pause and resume the assignment at any time; your work is always saved
automatically.
Diana Shadow: In this assessment, you will become familiarized with the structure and
content of a health history exam so that with real-life patients, you can: º ask effective
Student: How does this assignment prepare and comprehensive questions º obtain a thorough health history º evaluate the
me for the real world? patient's risk of disease, infection, injury, and complications º educate and
empathize º reflect on your experience and identify areas to improve º identify
and prioritize nursing diagnoses º and develop a plan to address nursing
diagnoses.
Diana Shadow: In 1 or 2 sentences, answer Student: So that you understand if there are any problems related to their
this question to help prepare for the chief complaint. Also, to help treat their current condition.
upcoming exam: Why is it important to
obtain a patient's complete health history?
Diana Shadow: Time to begin.
Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature:
Patient Exam - Vital Signs:
102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%
Patient Exam - Interview:
Student: Hello, my name is Catlain, I am Tina Jones: Hey.
your nurse today.
Student: Can you confirm your name? Tina Jones: Tina Jones:.
Tina Jones: I got this scrape on my foot a while ago, and it got really infected. It's
Student: Why did you come in today?
killing me.
Student: What additional symptoms have Tina Jones: I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like
you experienced? hell... It's got all that going on.
Student: Can you rate your current pain Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a
level on a scale of 0 to 10? little bit.
Student: Please describe the pain. Tina Jones: It's throbbing and like, sharp if I try to put weight on it.
Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach
Student: How did you hurt your foot? it. My foot slid off the bottom step and it got all scraped up. I didn't realize how
sharp the edge was!
Student: Has your foot been draining Tina Jones: Yeah, there's definitely pus.
any liquids?
Health History Tips & Tricks:
Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this assignment
and your objectives, just as a preceptor would in real life. Pay close attention to this
Student: Hello! information as it will help guide your exam. At the end of this prebrief, you will
answer a short question about the upcoming assignment. During the simulation,
you may return to these instructions at any time by scrolling to the top of your
transcript.
Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman
who has just been admitted to Shadow General Hospital for a painful foot
Student: What is the situation?
wound. Your role in this simulation is that of a healthcare provider who will take
Ms. Jones' health history, a key component of her admission process.
Diana Shadow: A health history requires you to ask questions related to Ms. Jones'
past and present health, from her current foot wound to her pre-existing conditions.
You will also want to review Ms. Jones' systems, psychosocial history, and family
medical history. These assessments together will give you a comprehensive picture
of Ms. Jones' overall health. If you discover any disease states, ask about symptoms
and the patient's experiences of them. Your questioning should cover a broad array
of the symptoms' characteristics. Throughout the conversation, you should educate
Student: What are my objectives in this and empathize with Ms. Jones when appropriate to increase her health literacy and
assessment? sense of well-being. Regardless of whether you have assessed Ms. Jones previously,
ask all questions that are necessary for obtaining a complete health history. While
you should communicate with patients using accessible, everyday language, it is
standard practice to use professional medical terminology everywhere else, such
as in documenting physical findings and nursing notes. You may complete the exam
activities in any order and move between them as needed. After obtaining Ms. Jones'
health history, you will complete an information processing activity. You will identify
and prioritize diagnoses, then create a plan to address the identified diagnoses.
, Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy,
and health. You can document your findings, including vital signs, in the Electronic
Health Record. This record provides necessary information for healthcare
Student: What else will this exam involve? professionals who will continue patient care. Besides Subjective Data Collection, and
Education and Empathy, there are activities within the simulation that provide
valuable practice for their real-world counterparts, but they are not
automatically graded by the simulation.
Diana Shadow: In this assignment, you will be evaluated on your Subjective Data
Collection, as well as your Education and Empathy. Your success in Education
and Empathy is based on whether you promptly respond after identifying a
moment worthy of therapeutic communication. The evaluation of your interview is
dependent on how you word your questions therapeutically and precisely and
Student: How will I be evaluated? explore all relevant topics with comprehensive breadth and depth. You will also be
evaluated on your ability to collect data and form nursing diagnoses in the
information processing activity. This assignment takes on average between 90 and 110
minutes. This exam may take longer than in real life, because in this safe simulation,
students of all experience levels can take time to hone and review their skills. You
can pause and resume the assignment at any time; your work is always saved
automatically.
Diana Shadow: In this assessment, you will become familiarized with the structure and
content of a health history exam so that with real-life patients, you can: º ask effective
Student: How does this assignment prepare and comprehensive questions º obtain a thorough health history º evaluate the
me for the real world? patient's risk of disease, infection, injury, and complications º educate and
empathize º reflect on your experience and identify areas to improve º identify
and prioritize nursing diagnoses º and develop a plan to address nursing
diagnoses.
Diana Shadow: In 1 or 2 sentences, answer Student: So that you understand if there are any problems related to their
this question to help prepare for the chief complaint. Also, to help treat their current condition.
upcoming exam: Why is it important to
obtain a patient's complete health history?
Diana Shadow: Time to begin.
Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature:
Patient Exam - Vital Signs:
102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%
Patient Exam - Interview:
Student: Hello, my name is Catlain, I am Tina Jones: Hey.
your nurse today.
Student: Can you confirm your name? Tina Jones: Tina Jones:.
Tina Jones: I got this scrape on my foot a while ago, and it got really infected. It's
Student: Why did you come in today?
killing me.
Student: What additional symptoms have Tina Jones: I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like
you experienced? hell... It's got all that going on.
Student: Can you rate your current pain Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a
level on a scale of 0 to 10? little bit.
Student: Please describe the pain. Tina Jones: It's throbbing and like, sharp if I try to put weight on it.
Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach
Student: How did you hurt your foot? it. My foot slid off the bottom step and it got all scraped up. I didn't realize how
sharp the edge was!
Student: Has your foot been draining Tina Jones: Yeah, there's definitely pus.
any liquids?
