Shadow Health

Shadow health is a virtual simulation platform that helps students learn and practice key nursing skills. It uses patient simulations to create a realistic learning experience, enabling students to practice and refine their clinical reasoning, communication, physical assessment, and documentation skills in a safe, virtual environment. Shadow Health also provides instructors with real-time feedback on student performance, allowing them to quickly identify areas where additional instruction may be needed.

Evolve Shadow Health

  • Evolve Shadow Health is a digital clinical simulation platform that allows nursing and medical students to practice and hone their clinical skills. It provides an immersive experience with virtual patients and allows students to practice taking medical histories, performing physical examinations, and making diagnoses. They can also create care plans, order tests and medications, and document their findings. Additionally, the platform provides educators with analytics to track and assess student progress.

  • Evolve Shadow Health is an online learning platform designed to help healthcare professionals gain knowledge and skills in patient care. It provides interactive virtual simulations that replicate real-life patient encounters, allowing users to practice and refine their communication, physical exam, and assessment skills in a safe and supportive environment. The platform includes a library of case studies and tutorials, as well as tools to track progress and measure performance.

  • Shadow Health is a digital health education platform designed to help healthcare professionals and students cultivate the skills necessary to succeed in the modern healthcare environment. Shadow Health’s platform provides immersive virtual simulation experiences that can be used to teach and assess a variety of healthcare skills, ranging from patient assessment and communication to medical documentation and physical exam techniques.

Shadow Health Assessment


Patient is a 28-year-old male who presents with complaints of feeling fatigued and having difficulty sleeping. Patient reports that he has been feeling this way for about two weeks. He denies any shortness of breath, chest pain, or dizziness. Patient reports that he does not have any other medical conditions and is not taking any medications.


Vital signs: Blood pressure: 120/80 mmHg, Pulse: 79 beats/min, Respiratory rate: 16 breaths/min, Temperature: 98.6°F

General Appearance: Patient is alert, awake and oriented. He is well-nourished and appears to be in no distress.

Skin: Skin is warm and dry to touch, with no rashes, lesions, or bruising present.

HEENT: No signs of infection present. Eyes are clear, with no redness or discharge. Tonsils and pharynx clear.

Lungs: Clear to auscultation bilaterally.

Cardiovascular: Regular rate and rhythm. No murmurs or rubs.

Abdomen: Soft, nontender, and with normal bowel sounds.

Shadow Health Neurological Assessment


  • Patient states that she has been feeling weak and dizzy lately
  • Reports occasional headaches
  • Reports feeling stressed and anxious
  • Reports occasional tingling sensation in her hands


Vital signs: Pulse rate: 80bpm, Blood pressure: 120/80mmHg, Respiratory rate: 16 breaths/min.
Motor strength: 5/5 in all muscles.
Cranial Nerves: CN I-XII intact.
Gait: Normal.
Coordination: Normal.
Sensory: Normal sensation in all four extremities.
Reflexes: 2+ in upper and lower extremities.


  • The patient is a 32-year-old male presenting with a week of severe headaches. He describes the pain as a constant throbbing sensation, worse in the morning, and usually worse when he is active. He also reports occasional dizziness and nausea, as well as sensitivity to light. He does not have any history of head trauma or other neurologic issues. He has not taken any medications for the headache.


  • The patient appears to be in mild distress. His vital signs are as follows: BP: 135/85mmHg, HR: 68bpm, RR: 14bpm, Temp: 98.2F. He is alert and oriented with normal speech. His gait is normal and he has no ataxia apparent. His cranial nerves are intact. His pupils are equal and reactive. He has mild tenderness to palpation over the temporal region bilaterally. He has no neck stiffness or other abnormalities noted on physical exam.

Shadow Health Abdominal Assessment

Subjective Data:

Chief Complaint: Abdominal pain.
Location: Lower right side.
Quality: Dull ache.
Onset: Gradual.
Duration: On and off for the past few days.
Severity: Moderate.
Timing: Intermittent.
Context: Worse after eating.
Provokes/Palliates: Improved with lying down.

Objective Data:

Vital Signs: Blood Pressure: 117/75 mmHg, Pulse: 76 bpm, Temperature: 98.6 F, Respiratory Rate: 16 breaths/min.
Skin: Warm to touch, no discoloration, no rash.
Abdomen: Tender to palpation in lower right quadrant, no guarding, no rebound tenderness.
Bowel Sounds: Normal.
Other: No costovertebral angle tenderness.


  • Patient states they have been having abdominal pain for the past week. They describe the pain as being aching and cramping in nature, located mainly in the lower right quadrant of the abdomen. They report that the pain worsens when they take deep breaths, and that it is slightly relieved when they press on the area. They have also experienced an increase in ■■■■■■■■■■ and bloating in the past week.


  • Upon physical examination, the patient’s abdomen is soft and non-tender. There is no rebound tenderness. Auscultation of the abdomen reveals normal bowel sounds. Palpation of the lower right quadrant of the abdomen reveals mild tenderness upon deep pressure. The patient’s temperature is 98.6°F (37°C), pulse is 80 bpm, respirations are 16 bpm, and blood pressure is 120/80 mmHg.

Shadow Health Heent


  1. How long have you had vision problems?

  2. Do you have any pain or tenderness in your eyes?

  3. Have you experienced any changes in your vision lately?

  4. Do you have any sensitivity to light?

  5. Do you experience any redness in your eyes?

  6. Are you having any difficulty hearing?

  7. Are there any issues with your ear drainage?

  8. Do you experience any ringing or buzzing in your ears?

  9. Do you experience any pain or tenderness in your ears?

  10. Are you having any problems swallowing?


  1. Visual acuity.

  2. Refraction and/or accommodation.

  3. External inspection of eyes and surrounding areas.

  4. Pupillary response to light.

  5. Visual field testing.

  6. Assessment of extraocular movements.

  7. Tympanic membrane inspection.

  8. Assessment of hearing.

  9. Inspection of the face, scalp, and neck.

  10. Palpation of the temporal arteries.


Sharon is a 75 year old female patient who is experiencing pain and burning sensation in her right knee. She reports that the pain started a few months ago and has been getting progressively worse, particularly when she attempts to bend her knee. She also reports that the pain is worse after she has been sitting for a long period of time and walking downhill. Sharon states that the pain is a sharp, burning sensation that radiates from her knee to her ankle. She has tried taking ibuprofen and applying heat to the area, but neither have provided relief.

Shadow Health Respiratory


  • Do you have any difficulty breathing?
  • Do you have any chest pain or tightness?
  • Have you had any episodes of shortness of breath or wheezing?
  • Have you ever been diagnosed with a respiratory condition?
  • Do you smoke or have you ever smoked?


  • Observe patient’s breathing pattern and breathing effort.

  • Examine chest for any asymmetries or masses.

  • Listen to lungs for any abnormal breath sounds.

  • Auscultate for any wheezing.

  • Palpate for any tenderness or chest wall rigidity.

  • Check peak expiratory flow rate (PEFR).

  • Check oxygen saturation (SpO2).

  • Shadow Health Respiratory is a digital simulation created to provide clinical experience in patient care. The module allows students to practice assessing and diagnosing patients with respiratory conditions. Students are presented with a virtual patient and given tasks such as taking a health history, performing physical assessments, ordering lab tests, and developing a treatment plan.

  • By completing the module, students are able to develop their skills in communication, critical thinking, and problem-solving. Shadow Health Respiratory is an effective tool for preparing students for real-life clinical scenarios and providing them with a comprehensive overview of the respiratory system.

Shadow Health Respiratory Concept Lab

Concept Lab:

1. Respiratory System Anatomy – The respiratory system consists of the lungs, airways, and other structures such as the diaphragm, rib cage, and throat.

2. Respiratory Function – The respiratory system is responsible for taking in oxygen, distributing it throughout the body, and expelling carbon dioxide.

3. Respiratory Disorders – Common respiratory disorders include asthma, chronic obstructive pulmonary disease (COPD), and pneumonia.

4. Respiratory Assessment – A physical examination of the lungs, chest, and other respiratory structures is necessary to assess the health of the respiratory system.

5. Respiratory Care – Respiratory care includes the management of breathing treatments, oxygen supplementation, and other therapies to improve respiratory health.

6. Respiratory Hygiene – Good respiratory hygiene includes avoiding exposure to environmental pollutants, limiting smoking, and avoiding secondhand smoke.

7. Respiratory Emergencies – Respiratory emergencies include difficulty breathing, chest pain, and choking.

  • In the Shadow Health Respiratory Concept Lab, students will learn about the anatomy and physiology of the respiratory system. They will investigate the components of the respiratory system, including the lungs, trachea, bronchi, and alveoli. They will also explore the concepts of respiration, gas exchange, and ventilation.

  • Additionally, students will learn about the diseases that affect the respiratory system, including asthma and COPD. Finally, students will gain a better understanding of preventive care and treatments for respiratory problems.

Shadow Health Musculoskeletal

  1. Ask patient to flex and extend their elbows.

  2. Ask patient to flex and extend their wrists.

  3. Ask patient to rotate their shoulders.

  4. Ask patient to flex and extend their hips.

  5. Ask patient to flex and extend their knees.

  6. Ask patient to flex and extend their ankles.

  7. Ask patient to squeeze your hand for strength.

  8. Ask patient to lift each leg off the bed.

  9. Ask patient to stand on each foot for balance.

  10. Ask patient to press your hands against your hips and push as hard as possible.

  11. Ask the patient to describe any pain they are experiencing in their musculoskeletal system.

  12. Ask the patient if they have difficulty performing activities of daily living like walking, bending, lifting, or reaching due to musculoskeletal pain.

  13. Ask the patient to provide details about any recent injuries or falls that may have caused musculoskeletal pain.

  14. Ask the patient to rate the severity of their pain on a scale of 0 to 10.

  15. Ask the patient to describe any swelling, tenderness, or stiffness in their musculoskeletal system.

  16. Ask the patient to describe any changes in range of motion or strength in their musculoskeletal system.

  • The musculoskeletal system is a complex network of muscles, bones, and joints that provide stability and support for the body. It is essential for movement, allowing us to bend, twist, and move in a variety of ways. It is also important for balance and coordination. Disorders of the musculoskeletal system can cause pain, weakness, and stiffness, as well as issues with movement, balance, and coordination.

  • Common musculoskeletal disorders include arthritis, bursitis, tendinitis, and osteoporosis. Treatment for these conditions may involve medications, physical therapy, exercise, and surgery, depending on the severity of the condition.

Brian Foster Shadow Health

  • Brian Foster is an American professional cyclist who has competed in professional road and mountain bike races. He is a two-time U.S. National Champion in mountain bike cross-country and has had success in international competition including the UCI Mountain Bike World Cup and the UCI World Championships. He is currently a member of the Hagens Berman Axeon Cycling Team.

  • Brian Foster is an online virtual patient simulation platform that helps healthcare students build their clinical reasoning, communication, and documentation skills. It provides learning tools such as a virtual patient encounter, interactive tutorials, and learning activities. It also provides students with the opportunity to apply their knowledge and skills in a realistic virtual clinical environment. Brian Foster is used by universities and healthcare organizations to support their healthcare education and training programs.

  • Foster is also a certified personal trainer and nutrition specialist, and is passionate about health, fitness, and nutrition. He offers online personal training through his website, and also works with clients in person in the Austin, Texas area.

  • He has written widely on the subject, and has published a number of books. His research focuses on the economics of health and social care, the impact of health service reforms, the cost-effectiveness of interventions, and the evaluation of public health policies. He is a frequent speaker at health policy conferences, and is a member of a number of national and international advisory bodies.


The patient is a 79-year-old female who presents with complaints of fatigue, generalized body aches, and occasional dizziness. She states she has been feeling this way for the last several months and that it has been getting worse. The patient denies any fever, chills, or shortness of breath.


1. Shadow Health - What is it?

Digital Clinical Experiences TM are learning environments created by Shadow Health, an educational software company (DCEs).

2. Who is the author of Shadow Health?

The global pandemic has brought the need for virtual simulations in nursing and healthcare education into sharp light, according to David Massias, co-founder and CEO of Shadow Health.

3. What is a simulation of Shadow Health?

These simulations give students in a range of curricula and skill levels the chance to practice the nursing skills necessary to care for patients and get ready for the Next Generation NCLEX in a 24/7 safe and standardized environment.

4. Do you have Shadow Health to save your work?

Even if you lose your most recent encounter with the patient, your progress will still be saved. Please be aware that the Orientation and the majority of concept lab assignments are exempt from this rule.

5. Why is shadowing important in health care?

Staff members’ understanding of the patient experience and the need for change is increased by shadowing. It aids workers in identifying what is and is not effective for patients and their families. If you decide to work in this manner, it can also offer real-time patient input.

6. How does Shadow Health advance the capacity for clinical judgement?

Your new nurses will practice clinical reasoning abilities through realistic encounters with a variety of virtual patients using Elsevier’s Shadow Health. Users develop proficiency by caring for patients in a secure, standardized virtual environment using cutting-edge simulations and 3D imaging.

7. Is shadowing a skill?

An advanced method of language acquisition is speech shadowing. The concept is straightforward: after listening to someone talk, you should quickly and accurately repeat what they said.

8. What distinguishes clinical work from shadowing?

The main difference between clinical experience and shadowing is that you are doing more “hands-on” duties. Only programmes for physician assistants specify a minimum number of clinical hours for your application.


Based on the findings from the Shadow Health virtual patient assessment, it appears that the patient is likely experiencing a urinary tract infection. The patient reported symptoms such as increased frequency of urination, burning with urination, and cloudy urine. The physical assessment revealed mild tenderness in the lower abdomen and increased temperature. The laboratory results also indicated that the patient had elevated white blood cells, which is consistent with a urinary tract infection.


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