INTRODUCTION Flashcards
explain what is health assessment
An evaluation of the health status of an individual by performing a physical examination after obtaining a health history.
give the components of health history
- BIOGRAPHICAL DATA
- REASON FOR SEEKING CARE:
CHIEF COMPLAINTS - CURRENT HEALTH STATUS
- PAST HEALTH HISTORY
- FAMILY HISTORY
- PSYCHOSOCIAL PROFILE
TYPES of Health history
complete health history and focused health history
3 TYPES of PHYSICAL EXAMINATION:
Complete assessment
examination of the body
examination of a body area
the two aspects of health assessment are?
the physical examination and the Nursing health history
what are the four basic types of assessment?
Initial comprehensive assessment
Ongoing or partial assessment
Focused or problem-oriented health assessment
Emergency assessment
identify the four(4) assessment processes.
Collecting data
Organizing data
Validating data
Documenting data
It is a comprehensive orderly manner of examining a client.
physical assessment
PRINCIPAL METHODS USED TO COLLECT DATA
observing and interviewing
what is the purpose of performing a physical examination?
Gather baseline data about the client’s health.
Supplement, confirm or refute data obtained in the nursing history
Confirm and identify nursing diagnoses
Make clinical judgments about a client’s changing health status and management.
Identify area of health promotion and disease prevention.
Evaluate physiologic outcomes of health care.
PREPARATION GUIDELINES IN PHYSICAL ASSESSMENT
Preparing Physical Setting or Environment
Preparing Oneself
Preparing Equipment
Approaching and preparing the client
Comfortable room temperature
Door /curtain should be closed: free of interruptions
Preparing Physical Setting or Environment
Quiet area: free of distractions
Preparing Physical Setting or Environment
Adequate Lighting
Firm and adjustable examination table
Bedside table tray
Preparing Physical Setting or Environment
Assess your own feelings and anxieties
Wash hands before and after examination
Wear mask or gloves if necessary
Preparing oneself
List equipments necessary for each part of the exam.
Equip yourself on how to use each equipment.
Gather necessary equipment
preparing equipment
Approaching and preparing the client
Psychological Preparation
Physical Preparation
Positioning