Shadow Health - Tina Jones, Health History With
Complete Solution
Health History Tips & Tricks: - ANSWER -
Student: Hello! - ANSWER -Diana Shadow: Hi.
... [Show More] 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? - ANSWER -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.
Student: What are my objectives in this assessment? - ANSWER -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 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? - ANSWER -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.
Student: How will I be evaluated? - ANSWER -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.
Student: How does this assignment prepare me for the real world? - ANSWER -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 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? -
ANSWER -Student: So that you understand if there are any problems related to their
chief complaint. Also, to help treat their current condition.
Diana Shadow: Time to begin. - ANSWER -
Patient Exam - Vital Signs: - ANSWER -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%
Patient Exam - Interview: - ANSWER -
Student: Hello, my name is Catlain, I am your nurse today. - ANSWER -Tina Jones: Hey.
Student: Can you confirm your name? - ANSWER -Tina Jones: Tina Jones:.
Student: Why did you come in today? - ANSWER -Tina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
Student: What additional symptoms have you experienced? - ANSWER -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 [Show Less]