ASSESSMENT Flashcards
Systematic and continuous collection, organization, validation, and documentation of data or information
assessment
getting the facts/gathering relevant data through observation, interview and examination
assessment
what are the needs of assessment?
physical, physiological, psychological, emotional, spiritual, social
what what is the purpose of assessment?
to establish a database (all information about the client: health
history, physical exam, results of laboratory and diagnostic tests)
• The Joint Commission
• History
• Physical examination
• Performed and documented within 24 hours of admission
what are the four types of assessment?
• Initial assessment
• Problem-focused assessment
• Emergency assessment
• Time-lapsed reassessment
- Within specified time after admission to the health agency
❖ to establish complete database for problem identification,
reference, and future comparison
e.g. health care admission assessment
initial assessment
- Ongoing process integrated with health care
❖ to identify new or overlooked problems and to determine status of identified problem earlier assessment
e.g. hourly monitoring of I & O
Focus or ongoing assessment
- During any physiologic or psychological crisis of the client
❖ to identify life threatening problems
e.g. -rapid assessment of ABC during cardiac arrest
- assessment of potentially violent patient or with suicidal tendencies
emergency assessment
Several months after primary assessment
❖to compare the client’s current status to baseline data previously obtained
Time lapsed reassessment
to establish database (all info abt client)
purpose
