HEALTH ASSESSMENT - INTRO - S2 Flashcards
- essential nursing function
- helps identify clinical needs and problems
HEALTH ASSESSMENT
state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity (WHO, 1948)
HEALTH
collecting data about client’s health status
HEALTH ASSESSMENT
evaluation of health status by performing physical exam
ASSESSMENT
HEALTH HISTORY + PHYSICAL EXAMINATION =
HEALTH ASSESSMENT
a response of a person to a disease
ILLNESS
4 CLASSIFICATION OF ILLNESS
- ACUTE
- CHRONIC
- TERMINAL
- AGE-RELATED ILLNESS
collects holistic subj and obj data to determine a client’s overall level of functioning
HOLISTIC NURSING ASSESSMENT
focuses on client’s physiologic development status
PHYSICAL MEDICAL ASSESSMENT
corresponding to his state of health without discrimination within the limits of the resources
RIGHT TO APPROPRIATE MEDICAL CARE
right to clear, truthful and substantial explanation
RIGHT TO INFORMED CONSENT
EXAMPLES OF EXCEPTION OF INFORMED CONSENT
- Emergency cases of imminent risk of physical injury
- When the health population is dependent
informed consent shall be obtained
spouse
child of legal age
parents
bro/sis
guardian
privacy of the patient must be assured at all stages of his treatment
RIGHT TO PRIVACY AND CONFIDENTIALITY
in the course of treatment, the patient or his legal guardian has the right to be informed of the result of evaluation
RIGHT TO INFORMATION