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Nursing assessment quiz
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On admission to a healthcare facility, a health assessment is a mandatory tool in assessing the patient’s health status. In general an assessment is broken down in a two types of reviews, by conducting a health history which includes the collection of subjective data (information elicited by the patient or patients family members) and a physical examination of the patient which includes the gathering of evidence based data (Wilson & Giddens, 2009). Collecting and documenting accurate information is imperative in providing the allied health team this information to facilitate an efficient and well-formed care plan, as well establishing a baseline for subsequent assessments (Springhouse, 2004; Wilson & Giddens, 2009). PATIENT INTERVIEW A health assessment should consist of establishing a patient profile and incorporate a full medical history (Harvey, 2004). The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. 74). The assessment interview builds the foundation of the nurse and patient relationship, building good rapport with the patient will alleviate any stress, anxiety or discomfort the patient may be feeling. The patient will be asked personal questions and times may not understand or may not want to divulge information about their personal life/situation. As a nurse being open and honest, explaining why this type of information is necessary and asking open-ended questions will help prompt the patient to disclose the facts required, expedite the process and be fundamental in performing a successful assessment (Springhouse, 2004). The... ... middle of paper ... ....org/search?author1=Charles+C.+Norland&sortspec=date&submit=Submit Physiotherapist: A career in health fact sheets (2010). Retrieved at http://www.health.qld.gov.au/workforus/careers/Physio.pdf Springhouse. (2005) Assessment: A 2-in-1 Reference for Nurses USA: Lippincott Williams & Wilkins Springhouse. (2007) Health Assessment Made Incredibly Visual! USA: Lippincott Williams & Wilkins Tough, J., (2004, May 26) Nursing Standard : Assessment and treatment of chest pain. Vol. 18, Iss. 37; pg. 45, 9 pgs. Retrieved at http://proquest.umi.com.ezproxy.lib.monash.edu.au/pqdlink?Ver=1&Exp=05-03-2016&FMT=7&DID=646113521&RQT=309&cfc=1 Wilson, S. F., & Giddens, J. F. (2009) Health Assessment for Nursing Practice (4th Edition). USA: Mosby Elsevier. Weber, J. R, & Kelley, J. (2007) Health Assessment in Nursing (3rd Edition). USA: Lippincott Williams & Wilkins
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
Wilson, Susan. (2009). Health Assessment for Nursing Practice (5th ed., pp. 520-521). St. Louis, MO: Elsevier Mosby.
Potter, P.A. & Perry, A.G. (2009). Fundamentals of Nursing (7th ed.). St. Louis, Mo.: Mosby Elsevier.
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
White Lois, Duncan Gena and Baumle Wendy. Foundations of Adult Health Nursing, 2010. New York: Cengage Learning, Print.
middle of paper ... ... The priority for this patient was to establish that she was fully aware of what the procedure involved and the possible risks and complications. I feel that the pre-assessment form used within the unit is far too fundamental, if elements of the roper et al activities of daily living were to be incorporated this would help in achieving a much more in-depth holistic nursing assessment enabling for the best quality and level of care to be given to all patients arriving in the unit. Whilst I feel a full nursing assessment is not fully necessary for a day case unit, as previously stated I feel that the communication element is an excellent way of ensuring a better holistic approach is achieved, it will also help to achieve better documentation and communication between all staff members.
Harkness, G. A. & Demarco, R. (2012). Community and public health nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Polit, D.F., & Beck, C. T. (2005). Essentials of Nursing Research: methods, appraisal, and utilization (6th ed.). Philadelphia, PA: Lippincott, Williams & Wilson.
Taylor, C., Lillis, C., LeMone, P., Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Gordon’s functional health pattern was proposed and developed by Marjory Gordon. It is the method used by nurse to provide a comprehensive assessment on the client. Gordon’s functional health pattern is divided into 11 categories. These categories are a systematic and standardized approach to data collection. Each of the categories enables the nurse to determine the different factors of health and human function. These categories are health perception and health management, nutrition and metabolism, urine and waste elimination, activity and exercise, cognition and perception, sleep and rest, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, and values and belief (Functional Health Patterns, 2005).