The shadow health assessment was thorough and precise. Completing the final head to toe required a lot of work. I was not expecting it to be so difficult, considering head to toe assessment is my daily routine at work. The content that I learned from the textbook and shadow health assessment helped me complete the final head to toe assessment. However, I noticed that completing head to toe assessment gets easier on most of the patients, once you get comfortable on the systemic approach. The physical assessment and communication skills that I learned from the class made my assessment less difficult. I find the documentation part of the final head to toe assessment challenging. I think that is due to our electronic charting software (EPIC) at
work, that I only do narrative charting when there is something out of ordinary that had happened to my patient. I was amazed at how much I learned from this class. I realized how I upgraded my nursing skill assessment. Now I look at the big picture, and I keep my eyes on the prize. Practicing the systemic approach is critical for ensuring that we get the most clinical information from our patients. The biggest lesson I have learned is quite simple; it is to step out of my comfort zone and not only assessed based on the patient’s diagnosis and complaints. I am impressed how this class removed me from my comfort zone when it comes to assessing the patients. Now, I look at the whole picture to give the treatment that my patient deserved. This class inspired me to become more than I would originally believed. In addition, I noticed a big improvement in my documentation skills. My colleagues noticed the thoroughness of my narrative documentation when one of my patients deteriorated just two days ago. The case management and the ICU nurse commended my work and I was told about the thoroughness of my documentation. My colleagues definitely noticed changes in my clinical practice as well. They commented on how detailed my assessment during my nurse to nurse report. Since I am mostly the charge nurse in my work, my manager noticed the amount of knowledge I have when talking about the physical assessment during our daily conference meeting. NUR333 was very helpful, because as a charge nurse, I must be viewed as a great resource when it comes to assessing the patients.
1. When researching I found a post that listed a couple of limitations with the WIDA assessment. The first limitation is that the “students take almost the test each year” (Strauss, 2015). I found that some people believe that because the test is given annually the students will have been exposed to the questions in years before because “only one-third of the test’s items are refreshed annually” and because that “even the weakest students are able to improve their scores from one year to the next” (Strauss, 2015). Another limitation I found when researching is that with the WIDA assessment is that there is no appeal process. What this means is that if a student happens to do well on the WIDA assessment then they are no long able to be in “ESOL
...h the inventory is very easy to use and is self explanatory, it’s seems important to evaluate when and why the test is being used with the client and how the results are going to benefit the client. Because the assessment is a self-report assessment, it’s so crucial to help the client understand how important an honest evaluation of their symptoms is to an accurate score.
Corcoran, J., & Walsh, J. (2008). Mental health in social work: a casebook on diagnosis and strengths-based assessment. Boston, MA: Pearson/Allyn and Bacon.
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
Miller, M. L. (2011). Introduction to Assessment and the Referral Process: Assessment [PowerPoint Slides]. Retrieved from http://drexel.blackboard.com/.
According to Allender, Rector, and Warner (2014), public health is a combination of both an art and a science (2014). The mission of public health nursing is to promote health, prevent disease and ultimately prolong life (Allender et al., 2014). In order for this to occur an assessment must take place. An aggregate or community assessment begins with a collection of data. This includes: the community’s health needs, risks, environmental conditions, financial resources through local census data, and a windshield survey (Allender et al., 2014). Through public health nursing, communities can collectively come together to help promote an overall better health standing.
The assessment includes a brief manual which appears to be written for a clinician to conduct. It gives directions on how to administer and score the items. The test kit also includes answer sheets and a computer scoring package. The test is also cohesive with the other assessment tests developed by Beck and they results can be easily combined with one another.
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.
Environmental and intellectual wellness were my highest ranked scores and my lowest ranked score was in the occupational domain. Through observing the other domains of wellness I believe that this makes perfect sense in relation to my lifestyle and myself as a whole. The highest scores are due to my interest and satisfaction in these areas. Both environmental and intellectual wellness had factors which I voluntarily partake in my daily life. The lowest ranked score is due to an overall lack of interest and comfort. My wellness scores do not come as a surprise to me and solely offer different viewpoints of what I think properly describes my current health.
Obtaining a thorough health history is an important piece of a patient’s assessment. Failure to obtain a complete health history results in a lack of information that can negatively impact the patient. Interviewing skills develop through experience and practice. A complete health assessment involves several features and is a systematic process that involves respect, professionalism, and communication skills.
A head-to-toe skin assessment includes inspection and palpation of the skin. The nurse must perform a thorough skin history, examination, and document findings. It is vital for nurses to know the basic principle of skin disease and care when caring for patients. A detailed skin assessment and documentation can help the health team in generating the plan of care, and in maintaining patient’s skin integrity.
The clinical and statistical approaches have both proven to be successful methods in clinical psychology. Each approach has its pros and cons depending on the type of situation that is being dealt with. Clinical judgment can be a complex process because it requires a patient’s data which are composed of samples, observations, signs of underlying states and the clinician’s responses. According to Sundberg, Tyler and Taplin (1973) clinical interpretation may consist of 3 different levels: Level 1 deals with clinicians being familiar with certain experiences, and therefore, making a prediction based off of that. An example of this would be the SAT or GRE assessments. Level 2 is comprised of clinicians carefully observing a patient’s behaviors and coming up with a conclusion based off of the behavior characteristics that the patient displays. In level 3, based off of the individual’s determinants in a specific situation, the clinician seeks a consistent understanding. For example, blood responses on the Rorschach test can be a determinant of hidden aggression, which would then lead to future impulsive outbursts or losing control of oneself (Sundverg, Tyler and Taplin 1973). Although both the clinical and statistical approaches have proven to be beneficial, I believe that clinical psychologists should not rely more on statistical predictions and prepackaged treatments than clinical judgment and individual patients.
Real time feedback was extremely impactful on my assessment skills as I was given the opportunity to immediately correct or tweak portions of my assessment practice. Receiving immediate feedback and continuously having to answer “why questions” from my preceptor, provided me the opportunity to identify gaps in my clinical knowledge on a daily basis. Reflection and incorporate of the feedback was beneficial as it prevented the repeatedly practicing and adoption of incorrect techniques in my physical assessment technique. Assessment skills that are both practical and efficient are vital for nurses in the acute care setting. RN’s in critical care preform comprehensive head to toe assessments in order to “elicit any abnormal signs to identity and correctly report the medical problem.” (Crimlisk & Grande, 2004, p.3) This learning activity increased the efficiency to which I was able to perform accurate assessments. Accurate and well-organized assessment skills assist with time management, completing an assessment correctly the first time saves time, and time is crucial in the ICU. Development of competent assessment skills in a timely manner this semester directly contributed to achieving my overarching
the whole assessment, this was the only area that I didn’t feel was as accurate. While I have an
As I reflect on my past assessment process, I realized how much my assessments have changed over the years. In my early years, I used tests for informational recall as my assessments. I felt these were appropriate guidelines in which I needed to follow in order to substantiate a student’s grade. Every assignment or tests was given a point value and then based on the amount of points, a grade was given. Every student’s assessment was exactly the same, and the assessments did not contain any subjectivity. I felt confident in giving the grade based on a valid point system. However reflecting back, I see that I did not include any performance-based assessments or individual learning styles in my early assessment. I also did not take into consideration the individual needs of my students. My assessment approach was awful. I am embarrassed that I use to assess students in this manner.