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Nursing health assessment

This document discusses health assessment in nursing. It describes the purpose and processes of health assessment, which includes obtaining a health history, performing a physical examination through various methods, and assessing each body system. The document outlines the types of assessments including initial, focused, emergency, and time-lapsed assessments. It also describes the main methods used in health assessment: observing, interviewing, and examining patients.

Health & Medicine◦
HEALTH ASSESSMENT FUNDAMENTAL OF NURSING
Unit 8 Objectives * Describe and purpose and processes of health assessment Describe the health assessment of each body system  Perform health assessment of each body system
HEALTH ASSESSMENT  Purposes  Process of Health assessment a) Health history b) Physical examination (Methods – Inspection, Palpation, Percussion, Auscultation, Olfaction) c) Preparation for examination : Patient and Unit
Continue d) General assessment e) Assessment of each body system f) Recording of health assessment
Introduction  Health assessment is an essential nursing function which provides foundation for quality nursing care and interventions. It helps to identify the strength of the clients in promoting health.
Continue  Health assessment helps to identify clients needs, clinical problems.  To evaluate response of the person to health
Definition  Health assessment is refers to systematic appraisal of all factors relevant to client’s health. OR  Health assessment includes collecting subjective data through interviewing the client and obtaining objective data by physically examining the client
Purposes of health assessment  Establish a data base for the clients normal abilities risk factors, and any current alterations in function. Plan strategies to to encourage continuation of healthy patterns, prevent potential health problems and alleviate or manage existing health problems.
Conti  To gather information regarding client’s health  To determine client’s normal function  To organize the collected information  To identify the health problems  To identify client’s strengths  To idientify need for health teaching
Continue  Provide the holistic view of the clients  Formulating conclusion or a problem statement such as a nursing diagnosis.
Continue  To collect data pertinent to the patient’s health status e.g subjective and objective data  To identify deviations from normal To pointout actual problems To build Rapport with patient and family.
TYPES OF ASSESSMENT  Initial assessment  Focused assessment  Emergency assessment  Time lapsed -assessment
INTIAL ASSESSMENT It is performed within specified time after admission to a hospital. The establish a complete data base for problem identification , reference and future comparison. e.g. Nursing admission assessment
FOCUS or ONGOING ASSESSMENT  on going or focused assessment is ongoing process integrated with nursing care.  Purpose The main purpose of ongoing or focused assessment to determine the status of a specific and to identify new or overlooked problem  e.g. Hourly assessment of client’s fluid intake and output chart
EMERGENCY ASSESSMENT  Emergency assessment is life saving assessment the major purpose of emergency assessment is save the patient or client’s life.  Purpose . To identify life- threatining problems  E.g a rapid asessment of person’s airway b breathing ,and cirulation during cardiac arrest
TIME-LAPSED ASSESSMENT  Time lapsed assessment involves assessment several days after first initial assessment.  Purpose. To compare the client’s current status to baseline data previously obtained. e.g Reassessment of a client’s functional health patterns in a home.
METHODS OF ASSESSMENT  The primary methods used to assess client’s are . OBSERVING INERVIEWING EXAMINING
OBSERVING  Observation is a conscious,deleberate skill that is developed only through and with an organized approach.  E.g. Client data observed through four senses that is through vision, smell,hearing, and touch.
INTERVIEWING An interview is a planned communication or a conversation with a purpose. e.g. History taking
EXAMINING  The physical examination is a systematic data or information collection method that uses observational skills to detect health problems .  The conducting the examination , the nurse uses techniques of inspection ,auscultation, palpation and percussion.