Shadow Health Assignments
Anita Douglas Shadow Health Assessment
Anita Douglas is a 72-year-old African American woman who is featured in both graduate and undergraduate Dynamic Clinical Experiences (DCEs). In the graduate program, Anita is part of the Advanced Pharmacology and Advanced Diagnostics DCEs. In the Advanced Diagnostics scenario, Anita has been feeling tired and weak for a few months, making it hard for her to do daily activities. Sadly, her symptoms have been brushed off as just a part of getting older.
When dealing with older patients like Anita, students need to be careful about how they treat them to avoid unintentional age discrimination. Age discrimination in healthcare can affect the quality of care given, the rates of health problems, and how much healthcare costs. Moreover, older minority individuals, like Anita, often face even more discrimination, which can lead to delays in getting care and difficulties in communication. In these simulated scenarios, students must remember how biases based on race, gender, and age might affect how they understand a patient’s symptoms during the process of diagnosing an illness. They should also consider any potential risk factors when deciding on a medical diagnosis.
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Arun Patel Hypertension and Type 2 Diabetes shadow health Subjective Data
In the Undergraduate Leadership scenario, Anita is one of five patients that students are responsible for caring for over three days at Shadow General Hospital. Students must apply various leadership skills, such as setting priorities, assigning tasks, handling ethical dilemmas, managing changes, and advocating for patients. For Anita, this means assessing her condition to ensure she receives the best care possible. Anita has injured her hip and has been in the hospital for three days already. On the morning of the third day, Anita wants to walk on her own and maintain her independence. She also asks for information about physical therapy and how to prevent falls in the future. If she requests to leave the hospital early even though her goals haven’t been met, students will need to decide on the best course of action using their leadership skills.
Anita Douglas Shadow Health Assessment
Anita Douglas, a 72-year-old woman of African American descent, is featured prominently in both graduate and undergraduate Dynamic Clinical Experiences (DCEs). Within the graduate curriculum, Anita’s presence is felt in the Advanced Pharmacology and Advanced Diagnostics DCEs. Specifically, in the Advanced Diagnostics scenario, Anita’s health narrative unfolds with a poignant tale of enduring fatigue and weakness over several months, significantly impeding her ability to perform routine activities. Tragically, her symptoms have been summarily attributed to the inevitabilities of advancing age, dismissing potential underlying medical concerns.
In navigating the complexities of engaging with older patients like Anita, students are urged to exercise heightened sensitivity to avoid unwittingly perpetuating ageist attitudes. Ageism within healthcare contexts poses a formidable barrier to delivering optimal care, exacerbating the prevalence of health conditions and inflating healthcare expenditures (Levy et al, 2018). Moreover, the burden of discrimination disproportionately burdens older individuals from minority backgrounds, compounding issues of delayed access to care and breakdowns in effective communication (Rhee et al, 2019). Thus, within the simulated environments of DCEs, students are implored to remain vigilant to the subtle influences of bias stemming from race, gender, and age, cognizant of their potential impacts on the accurate interpretation of a patient’s clinical presentation during the diagnostic process. Additionally, they are tasked with conscientiously factoring in potential risk factors when formulating differential diagnoses, fostering a holistic approach to patient care.
Transitioning to the Undergraduate Leadership DCE, Anita assumes a pivotal role among five patients entrusted to the care of students over a three-day period at Shadow General Hospital. Here, students are afforded a unique opportunity to apply an array of leadership competencies, encompassing the prioritization of tasks, the delegation of responsibilities, ethical decision-making, change management, and patient advocacy. Within this framework, Anita’s case presents a multifaceted challenge, demanding a nuanced assessment of her condition to ensure favorable patient outcomes.
Having sustained a hip injury and already endured a three-day hospitalization, Anita expresses a fervent desire to regain her autonomy, articulating her aspiration to ambulate independently. Furthermore, she seeks guidance on rehabilitative measures and strategies to mitigate future falls, underscoring her proactive engagement in her own care journey. In the event of her premature desire for discharge, notwithstanding unmet therapeutic objectives, students are tasked with navigating this ethical quandary with poise and proficiency, drawing upon their leadership acumen to chart the most judicious course of action in the interest of Anita’s well-being.
Anita Douglas Shadow Health Assessment
Anita Douglas is a 72-year-old Black woman who appears in both graduate and undergraduate DCEs. Anita appears in Advanced Pharmacology and Advanced Diagnostics DCEs for graduate students. In the Advanced Diagnostics DCE, Anita has been experiencing fatigue and weakness that has impaired her activities of daily living for a few months and has had her symptoms dismissed as ‘old age’.
As an older patient, students should be mindful of how they interact with Anita to avoid implicit ageism. Ageism in the healthcare setting can impact adequate care, prevalence of health conditions, and healthcare costs (Levy et al, 2018). Additionally, discrimination is even more prevalent among older minority individuals particularly as it relates to delayed care and poor communication (Rhee et al, 2019). In these simulations, students must remain aware of how implicit bias toward race, gender, and age may impact interpretation of a patient’s signs and symptoms throughout the diagnostic process. They must also take potential risk factors into consideration when determining their working medical diagnosis.
In the Undergraduate Leadership DCE, Anita is one of five patients that students manage care for over three consecutive days at Shadow General hospital. Students must apply several leadership concepts, including prioritization, delegation, ethics, change management, and patient advocacy. For Anita, this means evaluating her condition to ensure positive outcomes for patient care. Anita suffers a hip injury and has already been in the hospital for three days. During the morning of the third day, Anita wants to ambulate by herself and maintain her independence. She also requests education on physical therapy and how to avoid future falls. When she asks for an expedited discharge even though her goals have not been met, students will need to consider the best course of action utilizing leadership skills.
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Simulations in Shadow Health
- Graduate DCEs: Advanced Pharmacology DCE | Advanced Diagnostics DCE
- Undergraduate DCE: Leadership DCE