Shadow Health - Tina Jones, Health History
1. Health History Tips & Tricks:: TJ Health Interview
2. Student: Hello!: Diana Shadow: 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.
3. Student: What is the situation?: 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.
4. Student: What are my objectives in this assessment?: Diana Shadow: A
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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 previ-
ously, 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.
5. Student: What else will this exam involve?: Diana Shadow: You will complete
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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.
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6. Student: How will I be evaluated?: 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.
7. Student: How does this assignment prepare me for the real world?: 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 effec-
tive 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.