Shadow Health - Tina Jones, Health History With
Complete Solution
Health History Tips & Tricks:Ans
Student: Hello!Ans Diana Shadow: Hi. I'm Preceptor
... [Show More] 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?Ans 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?Ans 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?Ans 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?Ans 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?Ans 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?Ans
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.Ans
Patient Exam - Vital Signs:Ans 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:Ans
Student: Hello, my name is Catlain, I am your nurse today.Ans Tina Jones: Hey.
Student: Can you confirm your name?Ans Tina Jones: Tina Jones:.
Student: Why did you come in today?Ans 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?Ans 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.
Student: Can you rate your current pain level on a scale of 0 to 10?Ans Tina Jones:
...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Please describe the pain.Ans Tina Jones: It's throbbing and like, sharp if I try
to put weight on it.
Student: How did you hurt your foot?Ans Tina Jones: I was changing a light bulb, and
I had to use our little stepstool to reach it. My foot slid off the bottom step and it got all
scraped up. I didn't realize how sharp the edg [Show Less]