PREPARING FORASSESSMENT
Review the client’s record, if available•   Know the client’s basic biographical data•   Medical diagnoses and progress no...
Remember to keep an open mind and to avoidpremature judgments that may alter yourability to collect accurate dataEducate s...
Other cases that require more reflection time arethose involving:            STDs            Terminal illnesses           ...
Reflect on your feelings regarding your initialencounter with the clientBe as objective as possible              Maria Car...
Obtain and organize materials that you willneed for the assessment            Maria Carmela L. Domocmat, RN, MSN
Reflect on your approachto the client•   When first examining patients,    feelings of insecurity are    inevitable – but ...
•   Identify yourself as student•   Try to appear calm, organized and    competent•   Avoid interpreting findings•   Alway...
Make the patientcomfortable•   Provide privacy•   Drape wit gown or draw sheet•   Visualize one area at a time•   Be sensi...
Choose the sequence ofexaminationThe key to a thorough and accurate PEis developing a systematic sequenceand accurate exam...
•   3 goals    1)Maximize the patient’s comfort    2)Avoid unnecessary changes in      position    3)Enhance clinical effi...
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Preparing for assessment

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tips on how to prepare self for assessment

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Preparing for assessment

  1. 1. PREPARING FORASSESSMENT
  2. 2. Review the client’s record, if available• Know the client’s basic biographical data• Medical diagnoses and progress notes• Review client’s status with other health care team members who have taken care of or interacted with him Maria Carmela L. Domocmat, RN, MSN
  3. 3. Remember to keep an open mind and to avoidpremature judgments that may alter yourability to collect accurate dataEducate self about client’s diagnoses or testsperformed and their implications Maria Carmela L. Domocmat, RN, MSN
  4. 4. Other cases that require more reflection time arethose involving: STDs Terminal illnesses Amputation HIV infection or AIDS abortion Maria Carmela L. Domocmat, RN, MSN
  5. 5. Reflect on your feelings regarding your initialencounter with the clientBe as objective as possible Maria Carmela L. Domocmat, RN, MSN
  6. 6. Obtain and organize materials that you willneed for the assessment Maria Carmela L. Domocmat, RN, MSN
  7. 7. Reflect on your approachto the client• When first examining patients, feelings of insecurity are inevitable – but these will soon diminish with experience• Be straightforward Maria Carmela L. Domocmat, RN, MSN
  8. 8. • Identify yourself as student• Try to appear calm, organized and competent• Avoid interpreting findings• Always avoid showing distaste, alarm, or other negative reactions Maria Carmela L. Domocmat, RN, MSN
  9. 9. Make the patientcomfortable• Provide privacy• Drape wit gown or draw sheet• Visualize one area at a time• Be sensitive to patient’s feelings• Watch facial expression Maria Carmela L. Domocmat, RN, MSN
  10. 10. Choose the sequence ofexaminationThe key to a thorough and accurate PEis developing a systematic sequenceand accurate examination Maria Carmela L. Domocmat, RN, MSN
  11. 11. • 3 goals 1)Maximize the patient’s comfort 2)Avoid unnecessary changes in position 3)Enhance clinical efficiency Maria Carmela L. Domocmat, RN, MSN

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