TERMINOLOGY Health : “ health is a state of complate physical mental and social well being and not merely absence of disease ” Assessment : “assessment is a systematic, dynamic process by which the nurse throug interaction with client, significant occurs and health care provides, collect and analyse data about client”
3. Definition : “health assessment is an organised systematic assessment of human body which involves the use of one’s senses to determine the general, physical & mental condition of the body by collecting both subjective and objective data.”
INDICATION OF HEALTH ASSESSMENT On admission On discharge On follow up Health camps Before and after diagnostic and therapeautic procedure
PURPOSE OF HEALTH ASSESSMENT TO OBTAIN BACELINE DATA ABOUT THE PATIENT HEALTH STATUS. TO SUPPLEMENT, CONFIRM OR REFUSE DATA OBTAINED IN THE HISTORY. TO CONFIRM & IDENTIFY NURSING DIAGNOSIS. TO MAKE CLINICAL JUDGEMENT ABOUT A PATIENTS CHANGING HEALTH STATUS & MANAGMENT. TO EVALUATE OUTCOMES OF CARE.
PRINCIPLE OF HEALTH ASSESSMENT AN ACCURATE AND TIMELY HEALTH ASSESSMENT PROVIDES FOUNDATION FOR CARE & INTERVENTION. FOR COMPREHENSIVE ASSESSMENT. THE HEALTH ASSESSMENT PROCESS SHOULD INCLUDE DATA COLLECTION DOCUMENTATION & EVALUATION OF THE CLIENTS HEALTH STATUS. ALL DOCUMENTS SHOULD BE OBJECTIVE, ACCURATE, CLEAR, SPECIFIC AND CURRENT
IT SHOULD BE PRATICED IN ALL SETTINGS WHENEVER THERE IS NURSE CLIENT INTERACTION. INFORMATION GATHERED SHOULD BE COMMUNICATED TO OTHER HEALTH CARE PROFESSIONALS. KEEP THE CONFIDENTIALITY
LEGAL ISSUES
TYPES OF HELATH ASSESSMENT COMPREHENSIVE ASSESSMENT PROBLEM BASED OR FOCUSED ASSESSMENT OR ONGOING ASSESSMENT EPISODIC OR FOLLOW ASSESSMENT SHIFT ASSESSMENT SCREENING ASSESSMENT