When dealing with Anita, students need to be careful about how they treat her to avoid assuming things about her age. Thinking this way in healthcare can affect how well someone gets treated, how common certain health problems are, and how much healthcare costs. Also, older people who are minorities often face even more discrimination, like getting care late or not being talked to properly.

In these practice situations, students need to remember how their own biases about race, gender, and age could affect how they understand a patient’s signs and symptoms when trying to figure out what’s wrong. They also need to think about possible things that might make a person more likely to have certain health problems when making their diagnosis.

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DSM-5 Diagnosis Case Study of a 26-yr-old with Obsessive-Compulsive Disorder

In the Undergraduate Leadership DCE, Anita is one of five patients students take care of for three days at Shadow General Hospital. Students have to use different leadership ideas, like deciding what’s most important, giving tasks to others, being fair, making changes, and speaking up for patients. For Anita, this means making sure she gets better. She hurt her hip and has already been in the hospital for three days. On the morning of the third day, Anita wants to walk by herself and not rely on others. She also wants to learn about exercises to help her hip and how to stop falling in the future. If she asks to leave the hospital early but isn’t fully better, students will need to think carefully about what to do, using their leadership skills.

Anita Douglas Shadow Health Assessment

Anita Douglas is a 72-year-old African American woman who is part of some learning activities for medical students. She appears in both advanced and basic medical scenarios. In one scenario, she’s dealing with feeling tired and weak, and some people are saying it’s just because she’s old.

When students interact with Anita, they need to be careful not to treat her differently because of her age. Treating someone differently because of their age can affect how well they get treated, how common certain health problems are, and how much healthcare costs. Older people who are minorities often face even more discrimination, like not getting care when they need it or not being talked to respectfully.

In these practice situations, students need to remember that their own ideas about race, gender, and age could affect how they understand a patient’s signs and symptoms when trying to figure out what’s wrong. They also need to think about possible things that might make a person more likely to have certain health problems when making their diagnosis.

In another learning activity, Anita is one of five patients students take care of for three days at a pretend hospital. Students have to use different leadership ideas, like deciding what’s most important, giving tasks to others, being fair, making changes, and speaking up for patients. For Anita, this means making sure she gets better. She hurt her hip and has already been in the hospital for three days. On the morning of the third day, Anita wants to walk by herself and not rely on others. She also wants to learn about exercises to help her hip and how to stop falling in the future. If she asks to leave the hospital early but isn’t fully better, students will need to think carefully about what to do, using their leadership skills.

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 Douglas 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