Intro Flashcards
What is the definition of Health Assessment?>
objective data to collect information about clients
- process of systematically collecting and analyzing data to make judgements about wellness
- May involve family, individuals, or communities
4 purposes of health assessment
HOLISTIC
- understanding of person’s experience of health and life processes
- identify strengths that promote health
- identify needs and clinical problems
- evaluate the effects therapeutic plans and interventions
6 types of assessment
- admission
- focus
- time lapse
- emergency
- basic nursing assessment: head to toe
- observation
This type of assessment is comprehensive and done in several settings. It includes insurance, providers, surgeries, history, faith
Admission Assessment
This type of assessment is for a particular set of circumstances relevant to patient condition
Focus assessment
This kind of assessment looks at patient over time
Time Lapse Assessment
This kind of assessment is focused on life or death problem like airway and overlooks other details
Emergency Assessment
This kind of assessment is a head to toe model
Basic Nursing Assessment
This kind of assessment involves use of all the sense to collect data
Observation assessment
4 phases of interviewing a patient
- preparatory phase
- introductory phase
- maintenance phase
- concluding phase
What kind of data are you collecting during interviewng?
subjective data
this phase of the interview occurs before the nurse meets the patient
prepatory
this phase begins when the nurse and the patient meet
introductory
this phase begins when nurse and patient work toward achieving a specific goal
maintenance
this phase completes the interview
concluding phase
Subjective vs Objective data
Subjective = patients feelings and statements about their health problems Objective= observable, perceptible and measurable data like VS, labs, diagnostics
2 sources of data
Primary = patient Secondary= all other sources including diagnostic tests
1 cm or 1/2 inch depression is ____ palpation
Light
5 cm or 2 inches using both or one hand is ____ palpation
Deep
What part of hand do you use to assess skin temperature during palpation?
Dorsal
What areas do you palpate last?
tender areas
What part of hand do you use to assess texture, moisture, or areas of tenderness?
Fingers
2 types of percussion
Direct or indirect
What makes a resonant sound during percussion?
air
