Shadow Health Assignments
Shawn Billings, a 28 year-old African American patient
Case Study 2
A patient named Shawn Billings, who is 28 years old and African American, comes to the clinic today. The clinic staff has labeled him as a “frequent flyer” because he comes here often. He was here last week and four days ago due to a migraine. During those visits, he got injections of Toradol and Ativan and then went home. Today, he’s back because he has a really bad headache. He seems upset and agitated today. He’s here with his dad, and they both seem worried that he might not get any medicine.
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Preparing for the Case Study:
Think about your experiences as a nurse and what you learned in your studies about diversity in health assessments.
By the first day of this week, your Instructor will give you a case study to work on. Check the “Course Announcements” section in your class to find out which case study you have.
Think about the patient’s background, lifestyle, culture, and other factors that could affect their health.
Imagine how you would gather information about the patient’s health. What questions would you ask, and how would you ask them in a way that’s respectful of their background and culture? Come up with five questions that you would ask the patient to understand their health history and potential health problems.
Consider the difficulties of talking to patients from different groups. What can you do as a nurse to understand their cultural factors while getting the right information?
By the Third Day of Week 2:
Share an explanation about the patient you were given, focusing on their background, lifestyle, culture, and other relevant factors. Explain the things you need to be careful about when talking to this patient and why. Give at least five specific questions you would ask the patient to learn about their health history and possible health risks.
CASE STUDY 2
Shawn Billings, a 28 year-old African American patient comes in to the clinic today. He has been deemed a “frequent flyer” by the staff at the clinic and was at the clinic last week and 4 days ago with a migraine, given a shot of Toradol and Ativan and sent home. He is here today again for an extreme headache. He is very agitated today. He is here with his father and worried that he will not get any medication.
To prepare:
- Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
- By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
- Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
- Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
- Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
BY DAY 3 OF WEEK 2
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
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