Shadow Health - Tina Jones, Health History
TJ Health Interview
1. Health History
Tips & Tricks:
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 Diana Shadow: Your patient is Tina Jones:, a 28-year-old
the situation? 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 Diana Shadow: A health history requires you to ask ques-
are my objec- tions related to Ms. Jones' past and present health, from
tives in this as- her current foot wound to her pre-existing conditions. You
sessment? 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 med-
ical 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
, Shadow Health - Tina Jones, Health History
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 Diana Shadow: You will complete nursing tasks to protect
else will this the patients safety, privacy, and health. You can document
exam involve? 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.
6. Student: How will Diana Shadow: In this assignment, you will be evaluat-
I be evaluated? ed 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 communica-
tion. The evaluation of your interview is dependent on
how you word your questions therapeutically and pre-
cisely 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 simu-
lation, 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 Diana Shadow: In this assessment, you will become famil-
does this assign- iarized with the structure and content of a health history
ment prepare me exam so that with real-life patients, you can: º ask effective
for the real and comprehensive questions º obtain a thorough health
world? history º evaluate the patient's risk of disease, infection,
injury, and complications º educate and empathize º re-
, Shadow Health - Tina Jones, Health History
flect on your experience and identify areas to improve º
identify and prioritize nursing diagnoses º and develop a
plan to address nursing diagnoses.
8. Diana Shadow: Student: So that you understand if there are any problems
In 1 or 2 sen- related to their chief complaint. Also, to help treat their
tences, answer current condition.
this question to
help prepare for
the upcoming
exam: Why is it
important to ob-
tain a patient's
complete health
history?
9. Diana Shadow:
Time to begin.
10. Patient Exam - Vi- Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood
tal Signs: glucose: 238, Temperature: 102.4° F, Blood pressure:
138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2
sat: 98%
11. Patient Exam - In-
terview:
12. Student: Hello, Tina Jones: Hey.
my name is Cat-
lain, I am your
nurse today.
13. Student: Can Tina Jones: Tina Jones:.
you confirm your
name?
14. Student: Why did Tina Jones: I got this scrape on my foot a while ago, and
you come in to- it got really infected. It's killing me.
day?
, Shadow Health - Tina Jones, Health History
15. Student: What Tina Jones: I mean, it's all red and swollen, and there's
additional symp- pus, it feels hot, it hurts like hell... It's got all that going on.
toms have you
experienced?
16. Student: Can you Tina Jones: ...Like a 7. It hurts a lot, but whatever pain
rate your current med the ER gave me is helping a little bit.
pain level on a
scale of 0 to 10?
17. Student: Please Tina Jones: It's throbbing and like, sharp if I try to put
describe the weight on it.
pain.
18. Student: How did Tina Jones: I was changing a light bulb, and I had to use
you hurt your our little stepstool to reach it. My foot slid off the bottom
foot? step and it got all scraped up. I didn't realize how sharp
the edge was!
19. Student: Has Tina Jones: Yeah, there's definitely pus.
your foot been
draining any liq-
uids?
20. Student: What Tina Jones: It's... white or maybe off-white.
color was the
pus?
21. Student: How Tina Jones: I've been taking Advil for my foot for a few
have you treated days.
the wound?
22. Student: What Tina Jones: I made sure to clean it and keep it bandaged.
did you do to And I put Neosporin on it.
treat your foot
after your acci-
dent?
23. Tina Jones: Well, I'm here, so I guess it didn't do its job.
