Health Assessment Student Handbook

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Your guide to the Shadow Health® Digital Clinical Experience UGV.1
Health Assessment
Student Handbook
Health Assessment Student Handbook | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
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Table of Contents
Welcome! ……………………………………………………………………………….. 3
HealtH History
Instructions……………………………………………………………………………..4-5
Self Reﬂection……………………………………………………………………………..6
HeeNt
Instructions………………………………………………………………………………. 7
respiratory
Instructions………………………………………………………………………………. 8
cardiovascular
Instructions………………………………………………………………………………. 9
abdomiNal
Instructions………………………………………………………………………………10
musculoskeletal
Instructions………………………………………………………………………………11
Neurological
Instructions………………………………………………………………………………12
skiN, Hair, & Nails
Instructions………………………………………………………………………………13
Focused exam: cougH
Instructions………………………………………………………………………………14
Focused exam: cHest paiN
Instructions………………………………………………………………………………15
Focused exam: abdomiNal paiN
Instructions………………………………………………………………………………16
compreHeNsive assessmeNt
Instructions………………………………………………………………………………17
Health Assessment Student Handbook | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
3
Shadow Health® understands that you want to learn your core nursing competencies in
the most engaging and effective way possible. The Shadow Health Digital Clinical
Experience (DCE) provides you with a dynamic, immersive experience designed to
enrich classroom instruction through the clinical examination of our Digital Standardized Patients. We are committed to providing you with an innovative, intuitive virtual
clinical experience that offers comprehensive participation in a safe learning environment.
Welcome!
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Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Health History

As healthcare professionals, the health history helps us compile important information to
better care for our patients. You should conduct a thorough patient interview to collect all the
necessary information to treat your patient.
Patient Narrative: In this assignment, your patient, Tina Jones, has been admitted to the
hospital for a painful foot wound, and you will conduct a health history as part of her admittal
process. This assignment occurs at midnight on Tina Jones’ frst day in the hospital. You will
interact with Ms. Jones throughout the course of her hospital stay, so this assignment is especially
important to establish baseline information about your patient.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
Getting Started:
View this tutorial for guidance on getting started with the Health History Assignment.
Tips for success:
Unlike the Conversation Concept Lab, there are no prompts during your interview, so you should
prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to remind your
self of what taking a health history entails. There are essential sections of patient information
that your interview will need to uncover. As you learned in the Conversation Concept Lab, there
are multiple essential questions for each of these topics:
q Chief Complaint
q History of Present Illness
q Pain Assessment
q Allergies
q Immunizations
q Medications
q Medical History
q Surgical History
q Previous Hospitalizations
q Gynecological History
q Family History (3 Generations)
q Social History
q Full Review of Systems

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 90 minutes 120 minutes 150 minutes

5
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Health History

Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.
In all assignments, remember to complete your Self Reﬂection:
What is Self Reﬂection?
Self reﬂection enables us to look at our performance – be it on the job, in the classroom, or out on
the feld – and critique our practice in a systematic and rigorous way. This process enables us to
develop a greater sense of self awareness and to create a plan to improve on areas of weakness
in our performance. We gain critical insights from this reﬂection that help us move from novices
to experts in our felds. Self-reﬂection is proven1 to improve our skills as providers, which leads to
better patient outcomes.
How do I begin?
As you reﬂect on your practice, thinking about things that have gone well will help you to
understand how you can make this happen more often. Conversely, thinking about things that
haven’t gone so well helps you to think about how things could be different in the future. Here
are some questions to ask yourself:
1. What are you reﬂecting on?
a. What assignment did you complete?
b. How did you do on the assignment?
c. Did you meet your goal and achieve a score you were happy with?
2. How were you thinking and feeling
a. What were you feeling while completing the assignment?
b. How do you feel about your score?
3. Evaluate
a. What are the highs and lows of your experience?
b. Were there any factors that inﬂuenced the outcome?
4. Analyze
a. What could I have done differently?
b. What did I do that was successful that I will continue to do?
c. What did I do that was unsuccessful that I will discontinue?
5. Conclusion
a. How do I feel about the overall experience?
b. What have I learned about my practice?
c. How will this experience change my nursing practice?
d. Are there any factors in a real life scenario that may be different than this virtual
environment that may prevent me from reaching my goal that I can anticipate?
_________
1Gustafsson, C., and Fagerberg, I. (2004), Reﬂection, the way to professional development?
Journal of Clinical Nursing, 13: 271–280.

6
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Health History
Excerpt from an Excellent Self
Reﬂection
Excerpt from a Satisfactory
Self Reﬂection
Excerpt from an Unsatisfactory Self Reﬂection
I asked Mrs. Smith about her health
history and tried to fnd more information about her low back pain,
cough, and frequent urinary tract
infections. OLDCARTS helped guide
me through the 7 dimensions of her
complaints. I assumed that if I went
through OLDCARTS I would capture
all of the information, and it seems
that it really helped me get a very
clear picture of the problem. I asked
about her self-care related to her
frequent urinary tract infections to
get a good idea of what education
and care she would need to prevent
them. I should have addressed Mrs.
Smith’s nutrition plan. This would
help her manage her obesity, which
is probably contributing to her low
back pain. I should have asked
Mrs. Smith about the possibility of
quitting smoking and about whether
she had ever tried to quit (Stead et
al., 2008).
When I reviewed my transcript,
it became apparent that I kept it
purely medical and rarely asked
any social or cultural questions. I
used Jarvis to ask the subjective
questions but didn’t think much
about fnding much else out. This
has been really good for me to
remember to think of my patients
as people with families and lives as
well as medical problems.
Citation: Stead, L. F., Bergson, G.,
& Lancaster, T. (2008). Physician
advice for smoking cessation. Cochrane Database Syst Rev, 2 (2).
This reﬂection describes the experience. It also describes clinical
reasoning and supporting citation.
It demonstrates analysis of missed
items. It recognizes assumptions
and failings, and it addresses how
these may be addressed in the
future.
Mrs. Smith was a very easy
patient to interview. I used
OLDCARTS to interview her, and
it worked well. I think I really did
well. I missed a few things about
her diet and personal hygiene,
but I won’t forget about these
things in the future.
While the student identifed areas
that should improve, he or she
does not make a specifc and
measurable improvement plan
or challenge any of his or her
assumptions or practices. The reﬂection is incomplete with limited
introspection.
I loved this experience!
This is an incomplete reﬂection. A deep reﬂection
should explain what about
the experience was found
to be meaningful and how
it can help one become a
better nurse. Deep reﬂections involve practitioners
examining and questioning
their practices and assumptions.
7
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
HEENT

The HEENT exam is an interview and physical exam that is concerned with the head, eyes, ears,
nose and throat. It is performed when a patient presents with a problem with the HEENT system.
Patient Narrative: In this assignment, your patient, Tina Jones, said that she felt congested.
This is an opportunity for you to practice a full HEENT exam on Ms. Jones. This assignment occurs
at 8 a.m. on Ms. Jones’ second day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
Getting Started:
View this tutorial for guidance on getting started with the HEENT Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing an HEENT assessment entails. There are essential sections of pa
tient information that your interview will need to uncover. There are multiple essential questions
for each of these topics:
q Medical History pertaining to the HEENT system
q Targeted Review of Systems related to the HEENT system
q Family History related to the HEENT system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

8
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Respiratory

The respiratory exam is an interview and physical assessment that is performed when a patient
presents with a respiratory problem or a history that is suggestive of a pathology of the lungs.
Patient Narrative: Because Tina Jones has a history of asthma, you will perform a full
respiratory exam on her. This assignment occurs at noon on Ms. Jones’ second day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Respiratory Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a respiratory assessment entails. There are essential sections of
patient information that your interview will need to uncover. There are multiple essential ques
tions for each of these topics:
q Medical History pertaining to the respiratory system
q Targeted Review of Systems related to the respiratory system
q Risk factors associated with respiratory disease
q Family History related to the respiratory system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

9
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Cardiovascular

The cardiovascular exam is an interview and physical assessment that is performed when a patient
presents with symptoms suggestive of a pathology such as chest pain or high blood pressure.
Patient Narrative: Ms. Jones’ attending physician is considering putting her on a medication
for her blood pressure. Before the doctor prescribes the medication, you’ll need to conduct a
cardiovascular exam. This assignment occurs at 4 p.m. on Ms. Jones’ second day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Cardiovascular Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a cardiovascular assessment entails. There are essential sections
of patient information that your interview will need to uncover. There are multiple essential
questions for each of these topics:
q Medical History pertaining to the cardiovascular system
q Targeted Review of Systems related to the cardiovascular system
q Risk factors associated with cardiovascular disease
q Family History related to the cardiovascular system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

10
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Abdominal

The abdominal exam is an interview and physical assessment to pick up on any gastrointestinal
pathology that may be causing symptoms such as abdominal pain, distention, or altered bowel habits.
Patient Narrative: Because Ms. Jones has been admitted to Shadow General for almost
24 hours, you will conduct a full gastrointestinal exam and check her intake and output. This
assignment occurs at 8 p.m. on Ms. Jones’ second day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Abdominal Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a abdominal assessment entails. There are essential sections of
patient information that your interview will need to uncover. There are multiple essential ques
tions for each of these topics:
q Medical History pertaining to the abdominal system
q Targeted Review of Systems related to the abdominal system
q Risk factors associated with abdominal disease
q Family History related to the abdominal system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

11
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Musculoskeletal

The musculoskeletal exam is an interview and physical assessment that assesses the overall
functionality of the muscles and bones.
Patient Narrative: Ms. Jones will be receiving a physical therapy consultation later today. Before
the physical therapist arrives, you will conduct a full musculoskeletal system to collect subjective
and objective data. This assignment occurs at 8 a.m. on Ms. Jones’ third day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Musculoskeletal Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a musculoskeletal assessment entails. There are essential sec
tions of patient information that your interview will need to uncover. There are multiple essential
questions for each of these topics:
q Medical History pertaining to the musculoskeletal system
q Targeted Review of Systems related to the musculoskeletal system
q Risk factors associated with musculoskeletal disease
q Family History related to the musculoskeletal system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

12
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Neurological

The neurologic exam is an interview and physical assessment that assesses the nervous system,
which includes the brain and spinal cord.
Patient Narrative: Because Ms. Jones has a history diabetes, you will conduct a complete
neurologic exam to collect subjective and objective data to assess her risk for neuropathy. This
assignment occurs at noon on Ms. Jones’ third day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Neurological Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a neurologic assessment entails. There are essential sections of
patient information that your interview will need to uncover. There are multiple essential ques
tions for each of these topics:
q Medical History pertaining to the neurological system
q Targeted Review of Systems related to the neurological system
q Risk factors associated with neurological disease
q Family History related to the neurological system
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

13
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Skin, Hair, and Nails

The skin, hair, and nails exam is an interview and physical exam that assesses the integumentary
system. It is performed when a patient presents with a wound or hair loss, among many other
clinical reasons.
Patient Narrative: In preparation for Tina Jones’ discharge from Shadow General, you will
assess Ms. Jones’ skin, hair and nails for any additional wounds or signs of impaired healing. This
assignment occurs at 4 p.m. on Ms. Jones third day in the hospital.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
Getting Started:
View this tutorial for guidance on getting started with the Skin, Hair, and Nails Assignment.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what doing a skin, hair, and nails assessment entails. There are essential sec
tions of patient information that your interview will need to uncover. There are multiple essential
questions for each of these topics:
q Medical History pertaining to skin, hair, and nails
q Targeted Review of Systems related to skin, hair, and nails
q Family History related to skin, hair, and nails
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Remember when you are doing these exams that this simulation is designed to help you improve
your health assessment skills. Preparing ahead of time will help to set you up for success.
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

14
Undergraduate Student Handbook Spring 2017 | | Copyright© 2017 Shadow Health® | | ShadowHealth.com
Focused Exam: Cough

Patient Narrative: Daniel “Danny” Rivera is an 8-year-old boy who is sent to the school nurse’s
offce because he has been coughing. You will act as a school nurse to gather data and decide if
Danny is in respiratory distress, and he should be sent home.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Focused Exam: Cough Assignment.
Tips for success:
You should prepare prior to meeting Danny Rivera in the nurse’s offce. We suggest taking out
your textbook to remind yourself of what doing a focused, complaint oriented respiratory exam
assessment entails. There are essential sections of patient information that your interview will
need to uncover. There are multiple essential questions for each of these topics:
q History of Present Illness (HPI)
q Targeted review of systems related to the HPI
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

Patient Narrative: The simulation takes place in a hospital, where Mr. Foster, 58, is on his third
day of recovery after a simple open prostatectomy. He has had an uneventful postoperative course
so far. When the simulation begins, Mr. Foster has started complaining of chest pain.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Focused Exam: Cough Assignment.
Tips for success:
You should prepare prior to meeting Brian Foster in his hospital room. We suggest taking out
your textbook to remind yourself of what doing a focused, complaint oriented cardiovascular
exam assessment entails. There are essential sections of patient information that your interview
will need to uncover. There are multiple essential questions for each of these topics:
q History of Present Illness (HPI)
q Family history related to the cardiovascular system
q Targeted review of systems related to the HPI
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

Patient Narrative: Mrs. Esther Park is a 78-year-old woman who comes to the emergency
department complaining of abdominal pain. She reports that the pain isn’t severe, but that her
daughter was concerned and brought her in. You will have to decide whether or not the situation
an emergency and try to determine the underlying cause of Mrs. Park’s discomfort.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Getting Started:
View this tutorial for guidance on getting started with the Focused Exam: Abdominal Pain.
Tips for success:
You should prepare prior to meeting Esther Park in her room in the emergency department. We
suggest taking out your textbook to remind yourself of what doing a focused, complaint orient
ed abdominal exam assessment entails. There are essential sections of patient information that
your interview will need to uncover. There are multiple essential questions for each of these
topics:
q History of Present Illness (HPI)
q Targeted review of systems related to the HPI
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 75 minutes 90 minutes 115 minutes

Patient Narrative: In this assignment, your patient, Tina Jones presents in your outpatient clinic
for a pre-employment physical. This visit takes place 6 months after her hospitalization and is a
well visit.
Planning your time:
• Review the assignment settings your instructor selected on the assignment
overview page.
• Every assignment setting allows you to stop and resume an assignment until you leave
the patient’s room. Your progress is automatically saved every 30 seconds.
Tips for success:
You should prepare prior to entering Ms. Jones’ room. We suggest taking out your textbook to
remind yourself of what taking a health history entails. There are essential sections of patient
information that your interview will need to uncover. There are multiple essential questions for
each of these topics:
q Reason for Visit
q History of Present Illness
q Allergies
q Medications
q Medical History
q Surgical History
q Health Maintenance
q Family History (3 Generations)
q Social History
q Mental Health History
q General Review of Systems
Know all of your qualifying questions for any symptom that may be reported:
q Onset
q Location
q Duration
q Characteristics
q Aggravating/alleviating factors
q Related symptoms
q Treatments tried
Technical Support: Contact Shadow Health with any questions or technical issues before
contacting your instructor. Support is available at http://support.shadowhealth.com.

Assignment Setting First Turn-in Allow Reopening Flexible Turn In
Time Estimate 240 minutes 260 minutes 280 minutes

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