What is an Assessment? - (answers)An objective evaluation or
appraisal of an individual's health status,
including acute and chronic conditions
-the act of determining importance or value.
How does an assessment gather information? - (answers)through collection of data, observation,
and physical examination
**What Type of Assessment?
•Gather information about the patient from available sources such as medical records or reports
from diagnostic studies
• Perform direct measurements on the patient such as 12-lead EKG, blood pressure, or body mass
index - (answers)Objective assessment
**What type of assessment?
• Conduct standardized tests, such as a
12-lead EKG or a 6 minute walk test
• Observe patient responses or reactions such as cardiac rhythms on telemetry, oxygen saturation
on pulse oximetry - (answers)objective assessment
**In what type of assessment does the patient provide the information, usually as solicited by
practitioner - (answers)Subjective assessment
**What type of assessment does the patient?
• Describe their cardiac event
• Rate their level of pain or exertion - (answers)Subjective assessment
**What type of assessment does the patient?
• Report on recent behavior, eg, diet,
, smoking, exercise
• Evaluating their own status by completing surveys - (answers)Subjective assessment
At the time of program entrance and exit, all patients should undergo or have the following
current screening and assessments: - (answers)• Current medical history - medical or surgical
profile (or both), including complications, comorbidities, and other pertinent medical history
• Physical examination - cardiopulmonary
systems assessment and musculoskeletal
assessment, particularly upper and lower
extremities and lower back
• Resting 12-lead electrocardiogram
• Current medications, including dose and
frequency
• Cardiovascular disease (CVD) risk profile
Per Joint Commission :The goal of an__________ is to determine the care, treatment, and
services that will meet the patient's initial and continuing needs. Identifying and delivering the
right care, treatment, and services depends on the following three processes . . . -
(answers)assessment
1. Collecting information about the patient's health history as well as physical, functional, and
psychosocial status
2. Analyzing the information in order to understand the patient's needs for care, treatment, and
services
3. Making care, treatment, and services decisions based on the analysis of information collected
What is a problem/needs list used for? - (answers)Completing a list of problems/needs from the
assessment analysis is the first step in creating an ITP.
**What is individualized case management? - (answers)is an integrated disease-management
process that provides specific risk factor intervention strategies. The patient is the center of the
process and takes an active role.