Health assessment tool in this assignment was developed after thorough review of literature and existing hospital forms.The health assessment tool that was developed labelled as Section 2
The Health Assessment tool is divided into seven parts; the first part covers the baseline information of the patient that consists of demographic data of the patient and the patient’s history. The demographic data includes name, age, gender, religion, race, marital status, education level and occupation. This information helps in identify the special need and belief that may affect the patient’s health care. In addition, this information also helps to identify the possible patient’s strength and limitations affecting health status.
The first part also covers
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This is as a baseline to observe trending of vital sign to support clinical decision making process.
The second part of the health assessment tool covers the 11 element functional health pattern. In the assessment tool developed in this paper, nursing history is based on every pattern in the Functional Health Patterns using questions, examination and observations. These 11 categories make possible a systematic and standardized approach to data collection and enable nurses to determine the aspects of patient’s health and function.
1. Health pattern assessment, health perception and health management focuses on the patient’s perceived level of health and well being, and on practices for maintaining health. In this assessment, actual and potential problems related to safety and health management can be identified as well the need of modifications for continued
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Activity and exercise pattern focuses on the activity of daily living requiring energy expenditure, including self care activities, exercise and leisure activities. In this assessment the status of major body systems involved with activity and exercise is evaluated including the respiratory, cardiovascular and musculoskeletal systems
5. Sleep and rest pattern focuses the patient’s sleep, rest and relaxation practices .Sleep patterns, and responses to sleep deprivation will be identified.
6. Cognitive -perceptual focuses on the ability to comprehend and use information and on sensory function. Sensory experiences and altered sensory input may be identified and further evaluated by nurses.
7. Self-perception and self -concept pattern focuses on the patient’s attitudes toward self including identity, body image and sense of self worth. Nurses will be able to identify the patient’s level of self esteem and response to threat to his self concept.
8. Role and relationship pattern, it focuses the patient’s role and relationship with others. It includes perception of main roles in everyday life situations; satisfaction or dissatisfaction with family, work or social relationships and responsibilities related to them. With these data, patient’s satisfaction with role or role strain and dysfunctional relationship can be
The six standards of practice are very important. Under the first standard, assessment, the nurse evaluates health information related to the patient. This information could be a health issue such as asthma, or a psychological issue such as anxiety that is necessary knowledge needed before treatment can begin. Once this is accomplished the second standard, diagnosis, begins. Under this standard the nurse takes the information gained from the assessment and utilizes it to derive a diagnosis of the individual. The third standard, outcomes identification, has
The nurse aware of these assessment tools can improve or aspire in the delivery of quality of care. By utilizing these assessment tools, it produces an answer to a situation catered not only to the homeless people but also to the rest of the general population. Depending on the ongoing crisis of an individual, being knowledgeable of these assessment tools, the nurse can progress in planning the necessary interventions to meet the needs of each individual. Furthermore, the nurse gains competency, creativeness, and resourcefulness in their nursing practice. Nurses always have different perspectives in the delivery of care to the best of their abilities but without the assessment skills and knowledge, the whole delivery system will not be sufficient.
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).
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
(patient) and the Clinical Nurse Manager both parties agreed that the author could proceed. All information will be kept confidential and no names will appear on this assignment that could be traced back to the client or hospital. As a student nurse this will comply with the guidelines set out by An Bord Altranais (2009). All nurses should be able to account for the care they give, why they give the care and also an evaluation of the care they have given. Barett et al (2009) maintain that this is a core part of care planning.The Department of Health and Children (2001) has shown its commitment to organising care plans and the importance of them as was evident in the 'Primary Care A new Direction' health strategy.This identified the importance of discharge planning and and the development of individualised care plans following discharge. This assignment will cover a full assessment of a person whose care the author has managed in the clinical setting. Based on this assessment the author will compile a care plan focusing on two key nursing diagnoses derived from the nursing assessment. The author will list all nursing diagnosis related to this patient and give a rationale for each.
Vuori, I 2007, ‘Physical activity and health: Metabolic and cardiovascular issues’, Advances in Physiotherapy, vol. 9 pp. 50-64, April.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
Reflecting back on the all the information learned this semester, I am amazed at how much I learned. Working in healthcare makes you aware of a lot of the topics that were covered, however, when you apply it to yourself, in a personal relationship, it becomes much more powerful what the impact of each topic is.
In theory and practice, the focus of nurses is on the response of the individual and the family to actual or potential health problems. To evaluate patient care steps has to be taking that incorporates the collection of data and processing that data through critical thinking. The nursing process is essential because it incorporates this concept into a well throughout steps ...
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
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).
Self-concept can be described as how a person views themselves. There is a variety of factors that impact a person’s self-concept but the biggest impact comes from self-esteem. Self-esteem is much like self-concept the only difference is the addition of emotions. For example say an individual likes a brand they are aware that they enjoy the brand so that’s self-concept. Self-esteem on the other hand, if nobody else in the workplace likes the brand programme individual likes that could have a negative effect on a person’s self-esteem and therefore effect a person’s self-concept. In the workplace self-concept is of the uttermost importance when estab...
Family health assessment is a process of getting information from the family about health promotion and disease-prevention activities. Family assessment includes nurse’s perceptions about family constitution, norms, standards, theoretical knowledge, and communication abilities. Marjorie Gordon (1987) proposed eleven functional health patterns as a guide for establishing a comprehensive nursing data base. These functional health patterns (2007) help organize basic family assessment information (Friedman et al., 2003) (Edelman & Mandle, 2010, p. 173-177).Eleven health functions are as follows. Health perception and / or health management pattern, nutritional pattern, elimination pattern, activity/exercise pattern, cognitive/perceptual pattern, sleep/rest pattern, self-perception and self-concept pattern, role/relationship pattern, sexuality/reproductive pattern, coping/stress tolerance pattern, and value/belief...