Health Assessment Powerpoint Flashcards
The systematic and continuous organization validation and documentation is called
Assessment
Each pt is to have an initial assessment of hx within 24hr upon admission is a requirement of what department.
JCO
What’s the purpose of assessment?
To make a dx
What does nsg assessment focus on
Pt’s response to health problem
A systematic and continuous assessment of our pt is defined as what:
baseline
The collection of biographical data, C/O, HX of present illness, past hx family hx, lifestyle, social data, psychological data, and patterns of health care are all components of a…
nsg history
What is oldcart and what is it used for?
O=onset; L=location; D=duration; C=characteristics; A=aggravating factors; R=relieving factors; T=tx; used for pain
What is the BATHE format stand and used for?
B=what bothers you; A=affect you; T=troubles; H=handel it; E=empathy are questions used for psychological data
How do you collect data accurately?
Both pt and nurse must actively participate in communication
What are the two types of data
Subjective=is what the pt tells you; objective=is what you observe
What are the sources of data?
There are primary=what the pt tells you; secondary=info from everybody else
Data collection methods include:
Observation, interviewing, examination
Gathering data via our senses is called?
observation
What type of questions are used in the interviewing process:
Directive/nondirective, closed-ended questions, neutral questions, and leadings questions
What is directive and nondirective questioning?
Directive=highly structured questioning; nondirectivee=rapport building, getting familar w/the pt