NUR 6111 | Shadow Health - Felipe Barbosa | 2026/2027
NUR 6111 SHADOW HEALTH
Felipe Barbosa
Sick Visit: Integumentary
Complete Subjective & Objective Assessment | Diagnosis | Treatment Plan | SOAP Note |
Reflection
2026/2027 Updated - William Paterson University
FULL-DOMAIN COVERAGE MODEL
Structured to cover the publicly documented Shadow Health domains for this case: subjective data collection,
objective data collection, education and empathy, professional documentation, problem selection, plan of care,
focused treatment planning, and reflection.
Independent educational resource. It is not an official Elsevier/Shadow Health score report, and no third-party resource can
guarantee an instructor or DCE score.
Page 1
, NUR 6111 | Shadow Health - Felipe Barbosa | 2026/2027
1. Course & Assignment Alignment
The current Spring 2026 NUR 6111 syllabus places the Shadow Health Primary Care: Integumentary
assignment in Module 1 alongside dermatologic disorders, including herpes zoster. The syllabus states that
students receive two attempts and need a DCE score of 90% or greater to receive full points. [1] This
resource is therefore organized around complete coverage rather than a short SOAP note alone.
Alignment Point Verified Detail
Course NUR 6111 - Advanced Nursing Practice I, William Paterson
University.
Module Module 1: Role of the NP in Primary Care / Dermatologic
Disorders.
Assignment Shadow Health Primary Care: Integumentary.
Patient Felipe Barbosa, 48-year-old Brazilian American man in the
Adult Primary Care DCE. [2]
Course scoring threshold Spring 2026 syllabus: two attempts; DCE score >=90%
required for full points. [1]
Core simulation workflow Subjective data -> objective exam -> education/empathy ->
documentation -> treatment plan -> reflection. Public
simulation previews identify the treatment plan as Problem
Selection, Plan of Care, and a Focused Treatment Plan
Activity. [7]
Why the diagnosis fits the module
The Module 1 topical outline explicitly includes herpes zoster. Felipe presents with the classic combination of
prodromal tingling, a painful unilateral vesicular eruption in a dermatomal distribution, and prior varicella infection
- the pattern that anchors the clinical reasoning in this case. [1,3]
Scored-domain coverage map
Domain What this PDF provides
Subjective Data Collection A 37-item interview map covering the chief complaint, HPI,
medication/allergy review, PMH, family/social history,
exposures, and relevant ROS.
Objective Data Collection The 10 focused exam actions publicly associated with the
case, with case-aligned findings.
Education & Empathy Patient-centered statements for pain, grief, inclusive
communication, disease education, transmission precautions,
medication adherence, and follow-up.
Documentation EHR-ready subjective and objective summaries using
professional terminology.
Page 2
, NUR 6111 | Shadow Health - Felipe Barbosa | 2026/2027
Domain What this PDF provides
Treatment Plan Problem selection with evidence and rationale;
pharmacologic/non-pharmacologic care; education;
diagnostics; prevention; referral criteria; follow-up.
Reflection Clinical reasoning, communication, bias-awareness, safety-
netting, and improvement points.
2. Patient Profile & Clinical Snapshot
Category Case-Aligned Information
Name / age Felipe Barbosa, 48 years old.
Identity Brazilian American man; married to his husband, Marvin, for
three years. [2]
Occupation Firefighter; proud of his work. [2]
Presenting concern Painful rash on the right lower back.
Symptom sequence Tingling in the involved area began about four days ago; the
visible painful rash appeared about two days ago.
Pain / rash quality Constant burning pain, approximately 7/10; red, clustered
vesicular/blistering lesions; localized pruritus and
tenderness.
Aggravating factors Heat and sweating worsen the burning pain.
Relieving attempts OTC ibuprofen gives limited relief; an ice pack did not
meaningfully help.
Pertinent history No chronic medical conditions reported; chickenpox in
childhood; no prior similar rash; no surgery or
hospitalization reported.
Psychosocial context Recent traumatic loss of a close friend and fellow firefighter
with ongoing grief; engaged in grief counseling and
supported by husband, family, friends, and coworkers. [2,6]
High-yield one-line summary
48-year-old otherwise healthy Brazilian American firefighter with childhood varicella history and recent major stress
presents with a 2-day painful, clustered, unilateral vesicular rash on the right lower back preceded by 4 days of
tingling - strongly favoring uncomplicated herpes zoster.
Page 3
NUR 6111 SHADOW HEALTH
Felipe Barbosa
Sick Visit: Integumentary
Complete Subjective & Objective Assessment | Diagnosis | Treatment Plan | SOAP Note |
Reflection
2026/2027 Updated - William Paterson University
FULL-DOMAIN COVERAGE MODEL
Structured to cover the publicly documented Shadow Health domains for this case: subjective data collection,
objective data collection, education and empathy, professional documentation, problem selection, plan of care,
focused treatment planning, and reflection.
Independent educational resource. It is not an official Elsevier/Shadow Health score report, and no third-party resource can
guarantee an instructor or DCE score.
Page 1
, NUR 6111 | Shadow Health - Felipe Barbosa | 2026/2027
1. Course & Assignment Alignment
The current Spring 2026 NUR 6111 syllabus places the Shadow Health Primary Care: Integumentary
assignment in Module 1 alongside dermatologic disorders, including herpes zoster. The syllabus states that
students receive two attempts and need a DCE score of 90% or greater to receive full points. [1] This
resource is therefore organized around complete coverage rather than a short SOAP note alone.
Alignment Point Verified Detail
Course NUR 6111 - Advanced Nursing Practice I, William Paterson
University.
Module Module 1: Role of the NP in Primary Care / Dermatologic
Disorders.
Assignment Shadow Health Primary Care: Integumentary.
Patient Felipe Barbosa, 48-year-old Brazilian American man in the
Adult Primary Care DCE. [2]
Course scoring threshold Spring 2026 syllabus: two attempts; DCE score >=90%
required for full points. [1]
Core simulation workflow Subjective data -> objective exam -> education/empathy ->
documentation -> treatment plan -> reflection. Public
simulation previews identify the treatment plan as Problem
Selection, Plan of Care, and a Focused Treatment Plan
Activity. [7]
Why the diagnosis fits the module
The Module 1 topical outline explicitly includes herpes zoster. Felipe presents with the classic combination of
prodromal tingling, a painful unilateral vesicular eruption in a dermatomal distribution, and prior varicella infection
- the pattern that anchors the clinical reasoning in this case. [1,3]
Scored-domain coverage map
Domain What this PDF provides
Subjective Data Collection A 37-item interview map covering the chief complaint, HPI,
medication/allergy review, PMH, family/social history,
exposures, and relevant ROS.
Objective Data Collection The 10 focused exam actions publicly associated with the
case, with case-aligned findings.
Education & Empathy Patient-centered statements for pain, grief, inclusive
communication, disease education, transmission precautions,
medication adherence, and follow-up.
Documentation EHR-ready subjective and objective summaries using
professional terminology.
Page 2
, NUR 6111 | Shadow Health - Felipe Barbosa | 2026/2027
Domain What this PDF provides
Treatment Plan Problem selection with evidence and rationale;
pharmacologic/non-pharmacologic care; education;
diagnostics; prevention; referral criteria; follow-up.
Reflection Clinical reasoning, communication, bias-awareness, safety-
netting, and improvement points.
2. Patient Profile & Clinical Snapshot
Category Case-Aligned Information
Name / age Felipe Barbosa, 48 years old.
Identity Brazilian American man; married to his husband, Marvin, for
three years. [2]
Occupation Firefighter; proud of his work. [2]
Presenting concern Painful rash on the right lower back.
Symptom sequence Tingling in the involved area began about four days ago; the
visible painful rash appeared about two days ago.
Pain / rash quality Constant burning pain, approximately 7/10; red, clustered
vesicular/blistering lesions; localized pruritus and
tenderness.
Aggravating factors Heat and sweating worsen the burning pain.
Relieving attempts OTC ibuprofen gives limited relief; an ice pack did not
meaningfully help.
Pertinent history No chronic medical conditions reported; chickenpox in
childhood; no prior similar rash; no surgery or
hospitalization reported.
Psychosocial context Recent traumatic loss of a close friend and fellow firefighter
with ongoing grief; engaged in grief counseling and
supported by husband, family, friends, and coworkers. [2,6]
High-yield one-line summary
48-year-old otherwise healthy Brazilian American firefighter with childhood varicella history and recent major stress
presents with a 2-day painful, clustered, unilateral vesicular rash on the right lower back preceded by 4 days of
tingling - strongly favoring uncomplicated herpes zoster.
Page 3
