Shadow Health: Tina Jones - Complete Health History
& Virtual Patient Encounter- Family History Significant
for Hypertension, Hypercholesterolemia, Diabetes
Mellitus & Colon Cancer
,PREBRIEF WITH PRECEPTOR DIANA
Student: Hello!
Preceptor Diana: 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?
Preceptor Diana: 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?
Preceptor Diana: 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.
Student: What else will this exam involve?
Preceptor Diana: 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?
Preceptor Diana: 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.
Student: How does this assignment prepare me for the real world?
Preceptor Diana: 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: ask effective and comprehensive questions, obtain a thorough health history,
evaluate the patient's risk of disease, infection, injury, and complications, educate
and empathize, reflect on your experience and identify areas to improve, identify
and prioritize nursing diagnoses, and develop a plan to address nursing diagnoses.
Preceptor Diana: 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.
Preceptor Diana: Time to begin.
VITAL SIGNS & INITIAL ASSESSMENT
Parameter Value
Height 170 cm
& Virtual Patient Encounter- Family History Significant
for Hypertension, Hypercholesterolemia, Diabetes
Mellitus & Colon Cancer
,PREBRIEF WITH PRECEPTOR DIANA
Student: Hello!
Preceptor Diana: 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?
Preceptor Diana: 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?
Preceptor Diana: 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.
Student: What else will this exam involve?
Preceptor Diana: 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?
Preceptor Diana: 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.
Student: How does this assignment prepare me for the real world?
Preceptor Diana: 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: ask effective and comprehensive questions, obtain a thorough health history,
evaluate the patient's risk of disease, infection, injury, and complications, educate
and empathize, reflect on your experience and identify areas to improve, identify
and prioritize nursing diagnoses, and develop a plan to address nursing diagnoses.
Preceptor Diana: 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.
Preceptor Diana: Time to begin.
VITAL SIGNS & INITIAL ASSESSMENT
Parameter Value
Height 170 cm