NUR 6121 | Advanced Nursing II | Shadow Health: Xavier Daniels
NUR 6121 Shadow Health
Xavier Daniels
Well Visit: New Patient
Complete Subjective & Objective Assessment • Diagnosis • Treatment Plan • SOAP Note •
Reflection
2026/2027 Updated - William Paterson University
CASE FOCUS
A 54-year-old Black man establishes primary care after 3.5 years without routine medical follow-up. The encounter
centers on untreated high blood pressure, preventive care gaps, health-access barriers, therapeutic
communication, and rebuilding trust after a prior dismissive healthcare experience.
Advanced Nursing II • Adult Primary Care • Module 6 Well Visit
William Paterson University | 2026/2027 | Page 1
, NUR 6121 | Advanced Nursing II | Shadow Health: Xavier Daniels
Contents
Section Page
1. Course and Case Alignment 3
2. Patient Profile and Encounter Priorities 4
3. Subjective Data Collection 5
4. Review of Systems 7
5. Objective Data Collection 8
6. Assessment and Clinical Reasoning 10
7. Treatment Plan and Preventive Care 11
8. Education & Empathy 13
9. EHR-Style Documentation 14
10. Complete SOAP Note 15
11. Reflection 17
12. Final Completeness Checklist 18
References 19
STRUCTURE
The sequence mirrors the major Shadow Health DCE domains publicly visible for this case: Subjective Data
Collection, Objective Data Collection, Education & Empathy, Documentation, Treatment Plan, and Reflection.
William Paterson University | 2026/2027 | Page 2
, NUR 6121 | Advanced Nursing II | Shadow Health: Xavier Daniels
1. Course and Case Alignment
William Paterson University NUR 6121 - Advanced Nursing II uses Shadow Health Digital Clinical Experience -
Primary Care. Publicly available 2025 course syllabi list three Shadow Health assignments worth 15% of the
course grade: Endocrine, Musculoskeletal, and a Well Visit assignment. The Well Visit appears in Module 6
under Primary Care Issues.
Verified case identity
Elsevier identifies Xavier Daniels as the patient for "Well Visit: New Patient" in the Advanced Primary Care: Adult
DCE. Elsevier describes Xavier as a 54-year-old Black man establishing care after 3.5 years without a healthcare
visit and with a prior diagnosis of high blood pressure.
Encounter goals
Establish a respectful therapeutic relationship and acknowledge the impact of Xavier’s prior healthcare
experience.
Complete a comprehensive new-patient history and targeted health-risk assessment.
Identify barriers to care, including prior insurance loss and possible racial bias in healthcare.
Perform a complete adult well-visit physical examination with cardiovascular focus.
Assess previously diagnosed but untreated hypertension and screen for target-organ risk.
Close preventive-care gaps, including colorectal screening and age/risk-appropriate laboratory testing.
Develop an individualized treatment plan using shared decision-making and contemporary hypertension
guidance.
Provide clear education, empathy, follow-up, and safety-net instructions.
Shadow Health workflow represented
DCE Domain What this document covers
Subjective Data Collection Reason for visit, social determinants, medical history,
medications, allergies, family/social/sexual history, diet,
preventive history, ROS.
Objective Data Collection Complete well-visit exam sequence with cardiovascular,
funduscopic, abdominal, GU/prostate, and peripheral
vascular elements.
Education & Empathy Trust-building statements, bias-sensitive communication,
hypertension education, prevention counseling.
Documentation Concise EHR-style documentation and a full SOAP note.
Treatment Plan Hypertension evaluation, labs, screening, risk reduction,
follow-up.
Reflection Clinical reasoning, communication, and improvement
points.
William Paterson University | 2026/2027 | Page 3
NUR 6121 Shadow Health
Xavier Daniels
Well Visit: New Patient
Complete Subjective & Objective Assessment • Diagnosis • Treatment Plan • SOAP Note •
Reflection
2026/2027 Updated - William Paterson University
CASE FOCUS
A 54-year-old Black man establishes primary care after 3.5 years without routine medical follow-up. The encounter
centers on untreated high blood pressure, preventive care gaps, health-access barriers, therapeutic
communication, and rebuilding trust after a prior dismissive healthcare experience.
Advanced Nursing II • Adult Primary Care • Module 6 Well Visit
William Paterson University | 2026/2027 | Page 1
, NUR 6121 | Advanced Nursing II | Shadow Health: Xavier Daniels
Contents
Section Page
1. Course and Case Alignment 3
2. Patient Profile and Encounter Priorities 4
3. Subjective Data Collection 5
4. Review of Systems 7
5. Objective Data Collection 8
6. Assessment and Clinical Reasoning 10
7. Treatment Plan and Preventive Care 11
8. Education & Empathy 13
9. EHR-Style Documentation 14
10. Complete SOAP Note 15
11. Reflection 17
12. Final Completeness Checklist 18
References 19
STRUCTURE
The sequence mirrors the major Shadow Health DCE domains publicly visible for this case: Subjective Data
Collection, Objective Data Collection, Education & Empathy, Documentation, Treatment Plan, and Reflection.
William Paterson University | 2026/2027 | Page 2
, NUR 6121 | Advanced Nursing II | Shadow Health: Xavier Daniels
1. Course and Case Alignment
William Paterson University NUR 6121 - Advanced Nursing II uses Shadow Health Digital Clinical Experience -
Primary Care. Publicly available 2025 course syllabi list three Shadow Health assignments worth 15% of the
course grade: Endocrine, Musculoskeletal, and a Well Visit assignment. The Well Visit appears in Module 6
under Primary Care Issues.
Verified case identity
Elsevier identifies Xavier Daniels as the patient for "Well Visit: New Patient" in the Advanced Primary Care: Adult
DCE. Elsevier describes Xavier as a 54-year-old Black man establishing care after 3.5 years without a healthcare
visit and with a prior diagnosis of high blood pressure.
Encounter goals
Establish a respectful therapeutic relationship and acknowledge the impact of Xavier’s prior healthcare
experience.
Complete a comprehensive new-patient history and targeted health-risk assessment.
Identify barriers to care, including prior insurance loss and possible racial bias in healthcare.
Perform a complete adult well-visit physical examination with cardiovascular focus.
Assess previously diagnosed but untreated hypertension and screen for target-organ risk.
Close preventive-care gaps, including colorectal screening and age/risk-appropriate laboratory testing.
Develop an individualized treatment plan using shared decision-making and contemporary hypertension
guidance.
Provide clear education, empathy, follow-up, and safety-net instructions.
Shadow Health workflow represented
DCE Domain What this document covers
Subjective Data Collection Reason for visit, social determinants, medical history,
medications, allergies, family/social/sexual history, diet,
preventive history, ROS.
Objective Data Collection Complete well-visit exam sequence with cardiovascular,
funduscopic, abdominal, GU/prostate, and peripheral
vascular elements.
Education & Empathy Trust-building statements, bias-sensitive communication,
hypertension education, prevention counseling.
Documentation Concise EHR-style documentation and a full SOAP note.
Treatment Plan Hypertension evaluation, labs, screening, risk reduction,
follow-up.
Reflection Clinical reasoning, communication, and improvement
points.
William Paterson University | 2026/2027 | Page 3
