Shadow Health - Tina Jones, Health History
1. Health History Tips & Tricks:: TJ Health Interview
2. Student: Hello!: 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 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.
3. Student: What is the situation?: 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 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.
4. Student: What are my objectives in this assessment?: 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 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 previ- ously, 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.
5. Student: What else will this exam involve?: 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 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.
,6. Student: How will I be evaluated?: 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 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.
7. Student: How does this assignment prepare me for the real world?:
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 effec- tive 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.
8. 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?: Student: So that you understand if there are any
problems related to their chief complaint. Also, to help treat their
current condition.
9. Diana Shadow: Time to begin.:
10.Patient Exam - Vital Signs:: Height: 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%
11. Patient Exam - Interview::
12.Student: Hello, my name is Catlain, I am your nurse today.: Tina
Jones: Hey.
13.Student: Can you confirm your name?: Tina Jones: Tina Jones:.
14.Student: Why did you come in today?: Tina Jones: I got this scrape
on my foot a while ago, and it got really infected. It's killing me.
15.Student: What additional symptoms have you experienced?: Tina
Jones: I mean, it's all red and swollen, and there's pus, it feels hot, it
hurts like hell... It's got all that going on.
1. Health History Tips & Tricks:: TJ Health Interview
2. Student: Hello!: 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 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.
3. Student: What is the situation?: 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 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.
4. Student: What are my objectives in this assessment?: 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 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 previ- ously, 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.
5. Student: What else will this exam involve?: 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 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.
,6. Student: How will I be evaluated?: 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 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.
7. Student: How does this assignment prepare me for the real world?:
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 effec- tive 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.
8. 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?: Student: So that you understand if there are any
problems related to their chief complaint. Also, to help treat their
current condition.
9. Diana Shadow: Time to begin.:
10.Patient Exam - Vital Signs:: Height: 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%
11. Patient Exam - Interview::
12.Student: Hello, my name is Catlain, I am your nurse today.: Tina
Jones: Hey.
13.Student: Can you confirm your name?: Tina Jones: Tina Jones:.
14.Student: Why did you come in today?: Tina Jones: I got this scrape
on my foot a while ago, and it got really infected. It's killing me.
15.Student: What additional symptoms have you experienced?: Tina
Jones: I mean, it's all red and swollen, and there's pus, it feels hot, it
hurts like hell... It's got all that going on.
