Shadow Health - Tina Jones, Health History
Medications - ANSWERAlbuterol MDI, 2 puffs every 4 hours as needed for
wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever
greater than 38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - ANSWER
Student: Hello! - ANSWERDiana 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 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.
Student: What is the situation? - ANSWERDiana 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 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.
Student: What are my objectives in this assessment? - ANSWERDiana 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 and empathize with Ms. Jones when appropriate to increase her
health literacy and 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.
Student: What else will this exam involve? - ANSWERDiana 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 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.
,Student: How will I be evaluated? - ANSWERDiana 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 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.
Student: How does this assignment prepare me for the real world? -
ANSWERDiana 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 and comprehensive questions º obtain a thorough health
history º evaluate the 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 this question to help prepare for the
upcoming exam: Why is it important to obtain a patient's complete health
history? - ANSWERStudent: Getting a complete health history enables the nurse
to make informed judgments about the client including formulating nursing
diagnoses requiring nursing care, identifying collaborative problems requiring
interdisciplinary care, medical issues requiring immediate referral, and the need
for client teaching.
, Diana Shadow: Time to begin. - ANSWER
Patient Exam - Vital Signs: - ANSWERHeight: 170 cm, Weight: 90 kg, BMI: 31,
Random blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90
mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%
Patient Exam - Interview: - ANSWER
Student: Hello, my name is Rachel and I am your nurse today. - ANSWERTina
Jones: Hey.
Student: Can you confirm your name? - ANSWERTina Jones: Tina Jones:.
Student: What brings you in today? - ANSWERTina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
Student: Where is your wound located? - ANSWERTina Jones: It's on the ball of
my foot.
Student: Which foot is injured? - ANSWERTina Jones: My right foot.
Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. -
ANSWERTina Jones: Thanks a lot.
Medications - ANSWERAlbuterol MDI, 2 puffs every 4 hours as needed for
wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever
greater than 38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - ANSWER
Student: Hello! - ANSWERDiana 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 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.
Student: What is the situation? - ANSWERDiana 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 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.
Student: What are my objectives in this assessment? - ANSWERDiana 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 and empathize with Ms. Jones when appropriate to increase her
health literacy and 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.
Student: What else will this exam involve? - ANSWERDiana 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 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.
,Student: How will I be evaluated? - ANSWERDiana 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 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.
Student: How does this assignment prepare me for the real world? -
ANSWERDiana 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 and comprehensive questions º obtain a thorough health
history º evaluate the 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 this question to help prepare for the
upcoming exam: Why is it important to obtain a patient's complete health
history? - ANSWERStudent: Getting a complete health history enables the nurse
to make informed judgments about the client including formulating nursing
diagnoses requiring nursing care, identifying collaborative problems requiring
interdisciplinary care, medical issues requiring immediate referral, and the need
for client teaching.
, Diana Shadow: Time to begin. - ANSWER
Patient Exam - Vital Signs: - ANSWERHeight: 170 cm, Weight: 90 kg, BMI: 31,
Random blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90
mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%
Patient Exam - Interview: - ANSWER
Student: Hello, my name is Rachel and I am your nurse today. - ANSWERTina
Jones: Hey.
Student: Can you confirm your name? - ANSWERTina Jones: Tina Jones:.
Student: What brings you in today? - ANSWERTina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
Student: Where is your wound located? - ANSWERTina Jones: It's on the ball of
my foot.
Student: Which foot is injured? - ANSWERTina Jones: My right foot.
Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. -
ANSWERTina Jones: Thanks a lot.
