Assessment.pptx for nurses, nursing students

Assessment for nurses, nursing students

1. Santosh Kumar Assistant Professor, Jinnah Sindh Medical University Introduction to Assessment

2. Assessment It is gathering of information to have all the “ necessary puzzle pieces ” to make a clear picture of the person’s health status Definition: Assessment is the deliberate and systematic collection of data to determine clients current and past health status, functional status and to determine client’s present and coping pattern 2 Santosh Kumar

3. Objectives of Assessment Surveillance of health status, identification of occult disease, screening, and follow-up care The periodic assessment, at regular intervals Increasing client participation in health care Accurately define health and risk care needs for individuals Client must share in decision making for his own care 3 Santosh Kumar

4. Purposes of Assessment Gather data Identification of nursing diagnoses Make clinical judgments about client's health status To evaluate outcomes of care Routine screening Eligibility prerequisite for health insurance, service, job Admission to a hospital or long term care facility 4 Santosh Kumar

5. What happens during assessment between a patient and nurse? Establish the nurse-patient relationship Gather data-physiological, psychological, cognitive, sociocultural, developmental, spiritual Identify patient strengths Identify actual and potential health problems Establish a base for the nursing process (Assessment) 5 Santosh Kumar

6. Types of Assessment Initial Comprehensive Assessment Problem Focused Assessment Emergency Assessment Ongoing Partial Assessment Episodic/Follow-up Assessment Shift Assessment Screening Assessment 6 Santosh Kumar

7. Continues... Initial Comprehensive Assessment: This involves a detailed history or physical examination performed at the onset of care in a primary care setting or an admission to a hospital or long term care facility Problem-based / Focused Assessment: It involves a history and examination that are limited to a specific problem or complaint. This type of assessment is most commonly used in a walk in clinic or emergency department and OPDs 7 Santosh Kumar

8. Continues... Emergency Assessment: This involves a rapid assessment during life-threatening or unstable situation in order to safe life Ongoing Partial Assessment: It is frequently performed on ongoing basis to monitor and evaluate the patients progress, intervention, and response to treatments 8 Santosh Kumar

9. Episodic/Follow-up Assessment: This type of assessment is usually done when a patient is following up with a health care provider for previously identified problem Shift Assessment: When individuals are hospitalized, nurses conduct assessment each shift. The purpose is to identify changes in a patient’s condition from baseline Screening Assessment: It is a short examination focused on disease detection. It may be performed in a health care provider’s office or at a health fair 9 Continues... Santosh Kumar

10. General Guidelines for Assessment Instrumentation Positioning Draping Preparation of the environment Patient preparation Techniques of physical assessment 10 Santosh Kumar

11. Don’t Forget Reviewing general information Introduction to client Cultural Awareness Obtaining the health history Pain assessment H olistic approach 11 Santosh Kumar

12. 12 Santosh Kumar