Module 7- Integration Flashcards
when do we do an assessment?
A patient assessment is always carried out:
•Upon initial admission (to ER and ward)
•At the beginning and throughout the shift,
•Upon occurrence of episodic health challenges, and •With changes in patient status.
list factors that influence the quality of an assessment
- Nurse’s knowledge and competency
- Presenting health problem, concurrent health challenges
- Stability of the patient
- Communication barriers or cognitive limitations
- Effects of medication, e.g. analgesic
- Time constraints
- Pain, anxiety, fear
differentiate between the different types of assessments
- Head to Toe (complete) Assessment
- Quick Priority Assessment (N142)
- Focused Assessment(N142)
- Bedside Assessment
when is a head to toe assessment completed?
patients first entry into a clinic or hospital setting
when is a quick priority assessment completed?
In hospital it is done every approx. 8 hours. It is carried out when a rapid assessment is required to familiarize ones self with a patient such as at shift change or at change of patient assignment.
when is a focused assessment done?
when there is a particular problem or issue accompanying a change in status
what is important when performing a head to toe assessment?
having a baseline on the patient so you can continue to monitor their health
what should you consider with infants when administering a head to toe?
The child may be fearful to new environment, Invasive procedures. Parents lap is preferred for the examination up to 3 years.
- Provide a Toy during the exam.
- Head to toe assessment.
- Health history includes developmental data.
- Evaluate the motor skills(fine and gross), posture, alignment of the legs, speech, vision and hearing.
Why is sleep important for people with COPD? Or why would we ask about sleep?
because you may have problems breathing during your sleep and therefore have a severe case of COPD
