Exam (elaborations)
Shadow Health - Tina Jones, Health History/474 Q’s and A’s
Shadow Health - Tina Jones, Health History/474 Q’s and A’s
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Shadow Health - Tina Jones,Health History/474 Q’s and A’s
Health History Tips & Tricks: - -TJ Health Interview
-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.
-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.
-Student: What are my objectives in this assessment? - -Diana Shadow: 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. 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 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.
-Student: What else will this exam involve? - -Diana Shadow: 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? - -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.
-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 effective 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.
-Diana Shadow: 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.
-Diana Shadow: Time to begin. - -
-Patient Exam - Vital Signs: - -Height: 170 cm, Weight: 90 kg, BMI: 31,
Random blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90
mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%
-Patient Exam - Interview: - -
-Student: Hello, my name is Catlain, I am your nurse today. - -Tina Jones:
Hey.
-Student: Can you confirm your name? - -Tina Jones: Tina Jones:.
-Student: Why did you come in today? - -Tina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
, -Student: What additional symptoms have you experienced? - -Tina Jones: I
mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell...
It's got all that going on.
-Student: Can you rate your current pain level on a scale of 0 to 10? - -Tina
Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is
helping a little bit.
-Student: Please describe the pain. - -Tina Jones: It's throbbing and like,
sharp if I try to put weight on it.
-Student: How did you hurt your foot? - -Tina Jones: I was changing a light
bulb, and I had to use our little stepstool to reach it. My foot slid off the
bottom step and it got all scraped up. I didn't realize how sharp the edge
was!
-Student: Has your foot been draining any liquids? - -Tina Jones: Yeah,
there's definitely pus.
-Student: What color was the pus? - -Tina Jones: It's... white or maybe off-
white.
-Student: How have you treated the wound? - -Tina Jones: I've been taking
Advil for my foot for a few days.
-Student: What did you do to treat your foot after your accident? - -Tina
Jones: I made sure to clean it and keep it bandaged. And I put Neosporin on
it.
-Student: How effective was the Neosporin? - -Tina Jones: Well, I'm here, so
I guess it didn't do its job.
-Student: Can you walk with your foot being injured? - -Tina Jones: No, I
can't. I can't put any weight on it without like, shooting pain.
-Student: What preexisting medical conditions do you have? - -Tina Jones: I
mean, I have asthma and diabetes, but right I now I just care about my foot!
-Student: I understand your foot hurts, but I need to know this information to
make sure I take care of the problem correctly. - -Tina Jones: Thanks.
-Student: When were you diagnosed with diabetes? - -Tina Jones: I was
diagnosed when I was 24.
, -Student: What do you do to manage your asthma? - -Tina Jones: I try to
avoid things that give me breathing problems, but when my asthma starts to
act up, I just use my inhaler.
-Student: What medications did you take for your diabetes? - -Tina Jones: It
was metformin.
-Student: Do you currently take medicine for your diabetes? - -Tina Jones:
No, I don't take anything for my diabetes anymore.
-Student: What made you stop taking medication for your diabetes? - -Tina
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
overwhelming, remembering to take pills and check my sugar. I feel a lot
better now that I'm just eating healthier than I did when I was taking the
pills.
-Student: Do you monitor your blood glucose? - -Tina Jones: I have a
monitor at home, but to be honest I don't really use it that often.
-Student: How frequently do you urinate? - -Tina Jones: I don't know. Every
hour or two when I'm awake?
-Student: What is your current diet? - -Tina Jones: It's pretty good, I think.
I'm not a huge health nut or anything.
-Student: Have you had any change in appetite? - -Tina Jones: Yeah, lately
I've definitely been much hungrier than usual.
-Student: Has your weight changed? - -Tina Jones: Yeah, I've lost some
weight recently.
-Student: Do you know why you lost weight? - -Tina Jones: I don't know what
caused it, I just lost weight.
-Student: How often do you have asthma exacerbations? - -Tina Jones: I
haven't had a full attack in years. But my breathing definitely acts up. . .not
always. Max twice a week.
-Student: What asthma symptoms have you experienced? - -Tina Jones: My
chest and throat get tight, and I start to wheeze. It feels like I can't take in
air, like I can't get enough air into my lungs.
-Student: How many puffs do you take when using your asthma inhaler? - -
Tina Jones: I usually use two puffs from my inhaler, but sometimes I need
three. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]
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