Mod 1 pt2 Flashcards
the first and most critical phase of
the nursing process.
NURSING ASSESSMENT
Please study the ppt as well due to the fact that it is mostly graphs
STEPS OF
HEALTH
ASSESSMENT 4
- COLLECTIONOF SUBJECTIVEDATA
2.COLLECTION OF OBJECTIVEDATA
3.VALIDATIONOFDATA
4.DOCUMENTATIONOFDATA
sensations/ symptoms,
perceptions, desires,
preferences, beliefs,
ideas, values and
personal information
that can be elicited and
verified only by the
client
SUBJECTIVE DATA
provides a focus for the
physical exam and identify potential
nursing diagnoses
Health History
- Assists the client in focusing on the most significant health concern
- May be termed as chief complaint during initial physician interview
MAJOR HEALTH PROBLEM
Meaning of cold spa
Character onset location duration severity pattern associated factors affects the client
Describe the sign of symptoms feeling appearance sound smell or taste if applicable for example what does the pain feel like
Character
When did it begin when the pain start
Onset
Where is it does it radiate does it occur anywhere else
Location
How long does it last does it recur
Duration
How bad is it how much does it bother you
Severity
Better or worse
Pattern
What other symptoms occur with it how does it affect you
Associated factors how it affects the client
This portion focuses on questions related to:
* Childhood illnesses and immunizations
* Adult co-morbidities
* Past surgeries/ accidents
* Prolonged episodes of pain, allergies and prescription medications
PERSONAL HEALTH HISTORY