Show Health assessment Health assessment is a systematic, deliberative and interactive process by which nurses use critical thinking to collect, validate, analyse and synthesize the collected information in order to make judgement about the health status and life processes of individuals, families and communities. Health assessment • An essential nursing function that: • provides foundation for quality nursing care and intervention • helps to identify the strengths of the patient in promoting health • helps to identify patient’s needs, clinical problems • evaluate responses of the person to health problems and intervention Nurse and health assessment • An accurate and thorough health assessment reflects the knowledge and the skills of a nurse • Is the first step to determine health status Definition Assessment is the deliberate and systematic collection of data to determine clients current and past health status, functional status and to determine client’s present and coping pattern. Carpenito Nursing assessment focus upon the client’s response to a health problem Nursing diagnosis (NANDA) A nursing diagnosis is a clinical judgment concerning human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community. A nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse has accountability. Nursing diagnoses are developed based on data obtained during the nursing assessment and enable the nurse to develop the care plan. Purposes of assessment 1. To collect data pertinent to the patient’s health status subjective/objective 2. To identify deviations from normal 3. To discover the patient’s strengths, limitations and coping resources 4. To pinpoint actual problems 5. To spot factors that place the patient at risk of health problems 6. To build rapport with patient and family Which phase of nursing process is collecting and organizing data?The first phase of the nursing process is assessment. It involves collecting, organizing, validating, and documenting the clients' health status. This data can be obtained in a variety of ways.
What are the five stages of a health assessment?These are assessment, diagnosis, planning, implementation, and evaluation.
What is objective and subjective data?Subjective data are information from the client's point of view (“symptoms”), including feelings, perceptions, and concerns obtained through interviews. Objective data are observable and measurable data (“signs”) obtained through observation, physical examination, and laboratory and diagnostic testing.
What is problem focused assessment?A problem-focused assessment is an assessment based on certain care goals. For example, a nurse working in the ICU and a nurse that does maternal-child home visits have different patient populations and nursing care goals, she says.
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