HEALTH ASSESSMENT TYPES,PURPOSES,PRINCIPLES

HEALTH ASSESSMENT DEFINITION, TYPES,PURPOSES,FACTORS AFFECTIONG HEALTH ASSESSMENT,PRINCIPLES,SKILL, PHASES AND RESPONSIBILITIES OF A NURSE.

1. HEALTH ASSESSMENT BY , V. PRASANTHY M.SC NURSING MEDICAL AND SURGICAL

2. INTRODUCTION Health assessment is a regular and continuous process. This is an important tool to determine the health status of an individual. It consists of systematic and orderly collection of information pertaining to and about the health status of client. Assessment includes Subjective data and Objective data.

3. Subjective data: Subjective data collected by interviewing the client, subjective data are those symptoms, values and information that only the client can state and validate . Objective data: Objective data obtained by physically examining the client. It can be directly observed or measured such as vital signs or appearance.

4. DEFINITION Health assessment is defined as a systematic, deliberative and interactive process by which nurses use critical thinking to collect, validate, analyze and synthesize the collected information in order to make judgment about the health status and life process of individuals, families and communities.

5. PURPOSES OF THE HEALTH ASSESSMENT To establish a database for the clients normal abilities, risk factors and any current alterations. To plan strategies to encourage continuation of healthy patterns, prevent potential health problems and alleviate or managing existing health problems .

6. PURPOSES OF THE HEALTH ASSESSMENT….. To provide a holistic view of the client. To formulate a conclusion or a problem statement such as a nursing diagnosis. To provide an essential foundation for the care of the client.

7. PURPOSES OF THE HEALTH ASSESSMENT …. To identify and manage a variety of patient problems (actual and potential ). To evaluate the effectiveness of nursing care. To enhance the nurse patient relationship. To make clinical judgments.

8. FACTORS AFFECTING HEALTH ASSESSMENT Physical setting. Clients personality and behavior. Communication skill. Problem. Nurses knowledge and skill.

9. PRINCIPLES OF HEALTH ASSESSMENT In planning and performing health assessment the nurse needs to consider the following: An accurate and timely health assessment provides foundation for nursing care and intervention. A comprehensive assessment incorporates information about a clients physiologic, psychological, spiritual health, cultural and environmental factors as well as clients developmental status.

10. PRINCIPLES OF HEALTH ASSESSMENT….. The health assessment process should include ; data collection, documentation, evaluation of the clients health status, responses to health problems , and interventions. All documentation should be objective, accurate, clear, concise, specific and current.

11. PRINCIPLES OF HEALTH ASSESSMENT….. Health assessment is practiced in all health care settings when ever there is nurse client interaction . Information gathered from health assessment should be communicated to other health care professionals in order to facilitate collaborative management of clients and for continuity of care. Clients confidentiality should be kept.

12. BASIC SKILLS IN INTERVIEWING PATIENTS INTERVIEW: Interview is a pattern of communication initiated for specific purpose and focused on a specific content area

13. PURPOSE OF INTERVIEW To obtain nursing health history. To identify health needs and risk factors. To determine changes in level of wellness and pattern of living. To obtain information about clients health , lifestyle, support system, patterns of illness, strengths and limitations and resources. To establish therapeutic relationship with client.

14. PHASES OF INTERVIEW Orientation Working Termination Nurse collects data and creates an environment conductive to interview. Time schedule should be without interruption by health personnel, visitors.

15. PHASES OF INTERVIEW …. Orientation : Before beginning nurse views purpose of interview, type of data to be collected and method most appropriate for conducting interview. Establish nurse client relationship. Nurse consciously communicates a sense of trust and confidentiality to client. Nurse opens an interview by explaining purpose of interview and the type of questions would be asked.

16. PHASES OF INTERVIEW…. II. Working phase:- Nurse asks questions to form a database to develop care plan. III. Termination phase :- Inform client that interview is coming to an end, Example :- By saying there are two more questions or we will finish with in 5 minutes patient may ask final question interview ends.

17. Responsibilities of Nurse in Health Assessment The nurse has the responsibility to carry out health assessment on every person under his/ h er case. The nurse should regularly perform focused assessments in response to client needs .

18. Responsibilities of Nurse in Health Assessment The nurse needs to obtain client’s consent prior to health assessment. The nurse should demonstrate a caring attitude, respect and concern for each client when doing a health assessment

19. Responsibilities of Nurse in Health Assessment….. The nurse has the responsibility in keeping confidentiality about the data being collected from his\her client . The nurse obtains information on a client using various techniques and tools , such as history taking, physical examination, reviewing clients record and results of diagnostic tests .

20. Responsibilities of Nurse in Health Assessment….. The nurse has to acquire specialized skills and competence in collecting accurate and relevant information on the patient’s health in performing health assessment in order to make sound clinical decisions.

21. Responsibilities of Nurse in Health Assessment…… The nurse should document the results of health assessments, analyze the data collected, evaluate the client response to health problem and interventions and provide feedback to the client as appropriate

22. Responsibilities of Nurse in Health Assessment…… The nurse should continuously advance their competence in health assessment through out one’s nursing career.