Health Assessment for Nursing Practice Spring

1. What are the different types of health assessments, and when would each be performed? P. 3 Box 1-3 a. Comprehensive onset in primary care, admission to hospital, long term care (detailed hx and physical examination ...

1. What are the different types of health assessments, and when would each be performed? P. 3 Box 1-3 a. Comprehensive onset in primary care, admission to hospital, long term care (detailed hx and physical examination) b. Problem-Based/Focus walk-in clinic, ER (assessment limited to a specific problem) e.g. sprained ankle c. Episodic/Follow-up when a pt is following up with a healthcare provider about a previously identified problem or an individual being treated for an ongoing illness (e.g. diabetes; follow up after taking antibiotics) d. Shift changes of each shift for hospitalized patients e. Screening/Examination health care provider office- preventative care or health fair 2. What are the purposes of a nursing health assessment? P1 a. Systematic model of collecting and analyzing data for the purpose of planning patient centered care. Develop a plan of care that will help maximize patient’s potential. i. Objective and Subjective information 1. What the patient feels/communicates (subjective) • Clinical findings (objective) collected during physical examination 3. What are the steps in clinical judgement process? P. 5 (thinking like a nurse) 4. What are the factors in symptom analysis? P. 15 ● Systematic method of collecting data about the history and status of symptoms ● Onset, location, duration, characteristics, aggravating and alleviating factors, related symptoms, treatment, severity of symptoms 5. How does the nurse assess pain? a. Collect subjective data, interviews patients about present health status, how they manage their pain. Use OLD CARTS b. Rely on self-report of patient c. Pain Scales d. Numeric (NRS) 0-10 , 0 no pain 5 moderate 10 worst pain possible e. Wong-Baker FACES, No Hurt-Hurts to Hurts Worst Alternative coding 0-10 (2) 6. Compare health promotion and health protection. P. 5 Table 1-1 a. Health Promotion- desire to increase well-being (individual) i. Primary- prevent a disease from developing (immunizations) ii. Secondary-screening effort (BP screening) iii. Tertiary-acute or chronic disease minimize, max health benefits (diabetes mgt) b. Health Protection- desire to actively avoid illness (guidelines prevent spread of communicable diseases) i. Detect illness early ii. Maintaining functioning within its constraints