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, Health Assessment Collection, clinical judgment, and evaluation of data to plan and deliver patient-centered
care.
Purpose of Health Assessment Identify client needs and guide care to help the client achieve their highest possible level
of health.
Patient-Centered Care Care that considers the client's preferences, goals, and needs.
Comprehensive Assessment Complete, systematic examination of all body systems, generally performed head-to-toe.
Focused Assessment Assessment of a specific body system or body part based on the client's presenting
concern.
Comprehensive vs. Focused Assessment Comprehensive examines all body systems; focused examines a specific concern, body
system, or body part.
Social Determinants of Health (SDOH) Social and environmental factors that affect health, well-being, and outcomes.
Examples of SDOH Living conditions, economic stability, education access, health care access, physical
environment, relationships, lifestyle, and behaviors.
Individualized Assessment An assessment tailored to the client's individual needs, history, preferences, and
circumstances.
Health Record A communication tool and legal document containing assessments, findings,
interventions, and the plan of care.
Health Promotion Activities that support and improve a client's health and well-being.
Learning Facilitator A factor that promotes learning, such as interest, comfort, or a quiet environment.
Barrier to Learning A factor that interferes with learning, such as pain, disability, disinterest, or difficulty
understanding information.
Health Literacy A client's ability to understand and use health information.