What is a health assessment?
The processes used to evaluate the health status of a person
What does health assessment entail?
Comprehensive health history and complete physical examination
Head to Toe Assessment
- Structured head-to-toe examination
- Identify changes in patient's body systems
- Unusual or abnormal findings may support history data or trigger new questions
- Document all findings in a clear, concise manner
- Collate all information with medical records
What type of questions does the nurse ask in an initial health assessment?
- Past medical history
- Past physical issues
- Past psychological issues
- Social history
- Cultural history
- Spiritual beliefs
- Environmental influences
- Developmental level
How do you assess the mental, physical,spiritual, and interpersonal assessments?
Ask questions in the prior flashcard
All aspects of the Health Assessment whendo you do a health assessment?
- Physical
- Emotional
- Social
- Spiritual
- Environmental
, - Intellectual
- Financial
- Occupational
Subjective Data
Personal feelings, opinions, etc. How a patient would describe symptoms.
Objective Data
Factual, Analysis, like vitals.
Know the different steps in the nursing process
AAPIE/ADPIE
Assessment
Analysis/Diagnosis
Planning
Implementation
Evaluation
How to communicate with patient
- Demands communication and relational skills
- Ability to elicit accurate information
- Interpersonal skills to respond to patient's feelings and concerns
OLDCART
Onset
Location
Duration
Characteristics
Associated Manifestations
Relieving factors
Treatment
Onset
When sign or symptom began
Location
Where the sign or symptom is located
Duration
How long the sign or symptom has been present
Characteristics
What the symptom feels like, how it isdescribed, and the severity
Associated Manifestations
What else is happening when the patientexperiences the sign(s) or symptom(s)
Relieving Factors
Anything the patient has tried to relieve the symptom
Treatments
The processes used to evaluate the health status of a person
What does health assessment entail?
Comprehensive health history and complete physical examination
Head to Toe Assessment
- Structured head-to-toe examination
- Identify changes in patient's body systems
- Unusual or abnormal findings may support history data or trigger new questions
- Document all findings in a clear, concise manner
- Collate all information with medical records
What type of questions does the nurse ask in an initial health assessment?
- Past medical history
- Past physical issues
- Past psychological issues
- Social history
- Cultural history
- Spiritual beliefs
- Environmental influences
- Developmental level
How do you assess the mental, physical,spiritual, and interpersonal assessments?
Ask questions in the prior flashcard
All aspects of the Health Assessment whendo you do a health assessment?
- Physical
- Emotional
- Social
- Spiritual
- Environmental
, - Intellectual
- Financial
- Occupational
Subjective Data
Personal feelings, opinions, etc. How a patient would describe symptoms.
Objective Data
Factual, Analysis, like vitals.
Know the different steps in the nursing process
AAPIE/ADPIE
Assessment
Analysis/Diagnosis
Planning
Implementation
Evaluation
How to communicate with patient
- Demands communication and relational skills
- Ability to elicit accurate information
- Interpersonal skills to respond to patient's feelings and concerns
OLDCART
Onset
Location
Duration
Characteristics
Associated Manifestations
Relieving factors
Treatment
Onset
When sign or symptom began
Location
Where the sign or symptom is located
Duration
How long the sign or symptom has been present
Characteristics
What the symptom feels like, how it isdescribed, and the severity
Associated Manifestations
What else is happening when the patientexperiences the sign(s) or symptom(s)
Relieving Factors
Anything the patient has tried to relieve the symptom
Treatments
