Xavier Daniels Shadow Health Assessment
Xavier Daniels, a 54-year-old African American gentleman, arrives at the clinic for an initial care appointment as part of the Advanced Primary Care: Adult DCE, a learning module aimed at teaching advanced primary care skills with adult patients. Xavier’s employment situation has been tumultuous, having been laid off from his job three years prior. It wasn’t until recently, just two months before his visit, that he obtained health insurance through his new occupation as an electrician.
His last encounter with a healthcare provider was over three years ago, during which he received a diagnosis of high blood pressure. Unfortunately, Xavier left that appointment feeling dissatisfied and overlooked by the provider. Not only did the provider fail to educate him on managing his high blood pressure, but there was also a hint of skepticism regarding Xavier’s ability to afford future medical visits.
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Xavier perceived his previous healthcare provider as “impolite and unhelpful,” speculating that racial bias might have played a role in the doctor’s demeanor. This form of racial bias within the healthcare system can severely hinder a patient’s access to appropriate care and treatment. In the Advanced Primary Care: Adult DCE, students are tasked with practicing the foundational elements of trust-building and rapport-building as they assume the role of Xavier’s new primary care provider. Moreover, they delve into the various barriers to healthcare that individuals like Xavier encounter, including the systemic racism that leads to unmet health needs.
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Within this educational context, students are not only responsible for assessing Xavier’s health concerns but also for engaging in therapeutic communication to establish a comprehensive treatment plan tailored to his specific needs and circumstances. Through these simulated interactions, students gain valuable insights into the complexities of providing equitable healthcare, particularly to marginalized communities, and develop the necessary skills to address such challenges effectively and empathetically in their future practice.
Xavier Daniels Shadow Health Assessment
Xavier Daniels Shadow Health Assessment
Xavier Daniels is a 54-year-old Black man who has come to the clinical for an establishing care visit during the Advanced Primary Care: Adult DCE. He was laid off three years ago and did not have health insurance until beginning his current job as an electrician two months prior to this visit. Xavier last saw a provider three and a half years ago, at which point he was diagnosed with high blood pressure. He felt dismissed by this provider, who did not offer education about high blood pressure management and insinuated Xavier would not be able to afford future visits.
Xavier felt his last provider was “rude and dismissive” – potentially due to his race. This type of racial bias by healthcare providers impacts patient’s ability to receive proper care. Students in this DCE practice building trust and rapport as a new primary care provider, exploring barriers to care including experienced racial bias that have resulted in unmet health needs. Students will also assess Xavier’s health concerns and engage in therapeutic communication to create a treatment plan for him.
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Simulations in Shadow Health
- Graduate DCE: Advanced Primary Care: Adult DCE