Health Assessment in Nursing Practice Flashcards
Systematic and continuous collection, organization, validation, and documentation of data
Health assessment in nursing
It is important for baseline data
Collection, organization, validation, and documentation of data
It distinguish the specific needs of a person
Health assessment in nursing
It includes evaluation and health status
Health assessment in nursing
Two components of health assessment
Health history
Physical exam
Seven purposes of health assessment
To collect data
To identify the problem in early stages for prevention
To determine cause and extent of disease
To monitor changes in health status
To collect data systematically
To alleviate complication
To determine the nature of treatment required for client
Difference between subjective and objective data
Subjective data are data that tackles the personal feelings and experience of the patient itself
Objective data are data that were seen, felt, smelled, or heard by the professional
It must support the subjective data
Objective data
Five types of assessment
Initial comprehensive assessment
Ongoing or partial assessment
Focus or problem-oriented assessment
Emergency assessment
Time-lapsed assessment
It refers to the evaluation of overall health status and done upon the admission of the patient
Initial comprehensive assessment
To establish a complete database for problem identification, reference, and future comparison
Initial comprehensive assessment
Five assessments under initial comprehensive assessment
Medical history
Physical exam
Psychosocial assessment
Gordon’s functional assessment (ADL)
Risk assessment
It is the reassessment of the baseline data whenever the nurse has an encounter with the patient
Ongoing or partial assessment
It is an ongoing process integrated with nursing care which determine the status of specific problem identified in earlier exam
Focus or problem-oriented assessment
It identifies the life threatening problem and new or overlooked problems (physiologic or psychologic crisis)
Emergency assessment
It utilizes rapid assessment for the unconscious
Emergency assessment
It is done several months after initial assessment
Time-lapsed assessment
Reassessment of functional health patterns in a home care
Time-lapsed assessment
Five steps in health assessment
Collection of subjective data
Collection of objective data
Validation of data
Documentation of data
