N 295 lecture 1 student copy
-
Upload
elly-hb -
Category
Health & Medicine
-
view
345 -
download
5
Transcript of N 295 lecture 1 student copy
![Page 1: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/1.jpg)
HEALTH ASSESSMENT
in NURSING
N 295 Spring 2012
Revised january 2012 1
![Page 2: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/2.jpg)
ASSESSMENT *WHAT
HOW
WHY
WHERE
WHEN
Revised january 2012 2
![Page 3: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/3.jpg)
Sources of Data *
Primary Source
Secondary Source
Revised january 2012 3
![Page 4: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/4.jpg)
Data Collection Methods *
OBSERVATION
INTERVIEW
PHYSICAL EXAMINATION
Revised january 2012 4
![Page 5: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/5.jpg)
“Why”Leads to Type of Assessment *
CONTINUOUS ?
? SCREENING
! follow-up ??
¿ INTERMITTENT ?
!!? Emergency!!¿ COMPREHENSIVE
..?Functional ¿
FOCUSED ? ¿Revised january 2012 5
![Page 6: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/6.jpg)
NURSING ASSESSMENT
VS
MEDICAL PHYSICAL EXAMINATION
Revised january 2012 6
![Page 7: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/7.jpg)
Steps to Assessment
1.
2.
3.
4.
Revised january 2012 7
![Page 8: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/8.jpg)
Instead: Talk about PARTS of Assessment *
1. Subjective Data Collection
2. Objective Data Collection
3. Validation of Data
4. Documentation of Data
Revised january 2012 8
![Page 9: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/9.jpg)
Subjective Data Where do you get this?
How do you get this information?
Sending and Receiving
Does It Require Skill to obtain data??
Revised january 2012 9
![Page 10: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/10.jpg)
Subjective Data *
Sign or Symptom?
Recognize that all behavior has meaning
Accept the client but set limits on inappropriate behavior
Revised january 2012 10
![Page 11: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/11.jpg)
What do you think?
Identify and face problems honestly
It is best to maintain a professional distance
Revised january 2012 11
![Page 12: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/12.jpg)
COMMUNICATION in the
INTERVIEW*
Internal Factors
External Factors
Revised january 2012 12
![Page 13: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/13.jpg)
INTERVIEW TECHNIQUES
Verbal Communication
Non-Verbal Communication
Revised january 2012 13
![Page 14: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/14.jpg)
Cultural / Diversity Considerations
Language Barriers
Space, Distance & Intimacy Concepts
Variations in Response to Illness
Variation in Non-Verbal Behaviors
Revised january 2012 14
![Page 15: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/15.jpg)
Other Challenging Situations
Anxious Client
Angry Client
Depressed Client
Manipulative Client
Client with Sensitive Issues
Special Situations Revised january 2012 15
![Page 16: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/16.jpg)
Complete Health History
1. Biographic Data2. Reason for Seeking Health Care3. History of Present Illness IF there is an HPI . . .
. . .then do PQRSTIf pain use PQRST or COLDSPA
Revised january 2012 16
![Page 17: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/17.jpg)
EXPLORING S & S
Revised january 2012 17
Precipitating / Palliative Factors
Quality / Quantity
Region / Radiation / Related Symptoms
Severity
Timing
![Page 18: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/18.jpg)
EXPLORING S & SC CharacterO OnsetL LocationD DurationS SeverityP PatternA Associated symptoms
Revised january 2012 18
![Page 19: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/19.jpg)
Complete Health History *1. Biographic Data2. Reason for seeking Health Care3. History of Present Illness4. Past Health History5. Family History6. Review Of Systems 7. ADL & IADL8. Lifestyle & Health Practice Profile9. Developmental Level
Revised january 2012 19
![Page 20: N 295 lecture 1 student copy](https://reader035.fdocuments.us/reader035/viewer/2022062708/558a61afd8b42a476e8b46c5/html5/thumbnails/20.jpg)
Revised january 2012 20