What is Health Assessment? - ANS Requires the use of: hearing,seeing,smelling,and touching
Nursing is a practice profession
Health assessment is an essential skill to nursing practice
A key goal of health assessment is to identify patient cure for normal and abnormal findings
Person-c...
What is Health Assessment? - ANS Requires the use of: hearing,seeing,smelling,and
touching
Nursing is a practice profession
Health assessment is an essential skill to nursing practice
A key goal of health assessment is to identify patient cure for normal and abnormal findings
Person-centered care is the ultimate goal of health assessment
What is the definition of Health? - ANS Health has different meaning for each individual,
family, community, and population
Nurse should have an understanding of each patient's definition of health
Cultural practices influence an individual's behavior to promote, maintain, and restore health
Primary Prevention - ANS Health promotion strategies limits exposure to hazards,and
risks and to make healthy lifestyle choices
Ex: annual physical exam, immunizations
Secondary Prevention - ANS Early screenings, detection, and treatment of diseases the
ability to access early treatments
Ex: Colonoscopy to screen for colon cancer
Tertiary Prevention - ANS Restoration of health after illness or disease to prevent death
and disability
Ex:Rehabilitation programs
Health Assessment is a Skill - ANS Requires each nurse to be a detective, to investigate
everything reported by the patient
Need to be able to recognize and analyze cues, formulate hypotheses, generate solutions and a
plan of action
Assessing a patient requires using perceptual senses
Characteristics of Health Assessment - ANS Collects, validates, and clusters data to
assess the whole patient.
Must be organized
Utilizes patient resources (pasta medical history, diagnostics, verbal, and written reports)
Establish baseline information about the patient.
Identifies factors influencing health and well-being
, Identifies normal and abnormal findings, relevant and irrelevant
Assessment - ANS Is the first steps and requires the nurse collect and analyze data
(Physiological, psychological, psychosocial, economical, spiritual and cultural practices and
beliefs)
Diagnosis - ANS Includes analyzing potential or actual health problems or needs for the
patient
Subjective & Objective data
Planning/Outcome - ANS This involves working with the patient in care to meet the needs
incorporating short term and long term goals of the patient
SMART GOALS:Specific, Measurable, Achievable, Realistic, Timing
Implementation (Intervention) - ANS Includes nursing and patient actions to meet the
goals of
Evaluation - ANS This is ongoing process that assesses whether short or long term goals
have been met
Reevaluate and modifications if necessary
Critical Thinking (Reflective Thinking) - ANS Involves collecting and analyzing information
and carefully considering options for action
Clinical Reasoning - ANS Uses patient's history, physical signs, symptoms, laboratory
data, and diagnostic imaging.
Arrives at a diagnosis and formulates a treatment plan based on that information.
Clinical Judgment - ANS Interpretation or conclusion about a patients needs, concerns or
health problems, and/or the decision to take action ( or not) use or modify standard approaches,
or improvise as one deems appropriate to the patients response
Intuitive Thinking - ANS "Gut feeling" about what may be occurring in a patient situation
Psychomotor - ANS the "doing" process of assessment
Inspect
Percussion
Palpitation
Auscultation
The 4 techniques for physical assessment - ANS Inspection
Palpation
Percussion
Auscultation
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