1. HEALTH ASSESSMENT
Health assessment is an important procedure to everyone that is used to detect deviation from normal before the condition get worsened. It is different from diagnostic tests that are carried out when the individual is already showing signs and symptoms of a disease.
COMPONENTS OF HEALTH ASSESSMENT
Components of health assessment are:
● Nursing health history
● Physical examination,
● Records and reports,
● Review of laboratory and diagnostic results PURPOSE OF HEALTH ASSESSMENT
• To establish data base for an individual
• To identify individual strength or weakness
• To facilitate communication and coordination of care
• To arrive at a definite nursing diagnosis
• To identify need for health teaching
• To support systems
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This type of assessment is not as detailed as the complete assessment that occurs at admission. The advantage of an abbreviated assessment is that it allows you to thoroughly assess your patient in a shorter period of time
● A problem-focused assessment: The problem-focused assessment is usually indicated after a comprehensive assessment has identified a potential health problem. The problem-focused assessment is also indicated when an interval or abbreviated assessment shows a change in status from the most current previous assessment or report you received, when a new symptom emerges, or the patient develops any distress. An advantage of the focused assessment is that it directs you to ask about symptoms and move quickly to conducting a focused physical exam
● Emergency assessments: is done quickly to identify root cause concern for the patient by using the approach of ABCs; assessing the airway, breathing and circulation. If the assessment is taking place at the site of incident, it is important for the nurse to assess the scene for safety to prevent hurt to the nurse, with other people around and further hurt to the patient. Once patient is stabilized in the area of ABC, then the assessment can turn to initial or focused assessment, determined by situation
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Inform the client the type of assistance needed during the procedure. Gown the patient and ensure client drape correctly.
• Prepares the environment: by making sure that the room is well lighted, quiet, and warm with good privacy. The nurse ensures necessary equipment and supplies are gathered. Prepares necessary equipment needed for the examination
• Records objectively and concisely
The equipment used for examination
• Scale with a height measuring rod: for height and weight
• Thermometer
• Stethoscope
• Sphygmomanometer
• Otoscope – for examining ears nose
• Ophthalmoscope ----to assess vision.
• Bronchoscope ----to assess bronchi
• Tuning fork-- to assess hearing.
• Laryngeal mirror and head mirror ---to examine the mouth and throat
• A percussion hammer to test reflexes.
• Tap
1. Where will recruitment occur? a. Individuals will be recruited for participation through advertisement posters located at Columbia College Chicago. Individuals potentially undergoing a lower- extremity injury will be inquired by Columbia College professors and choreographers if they would like to participate in the pilot study. 2.
d) Setting out procedures When setting out for procedure its done in two stages in our practice. First is initial setting of the instruments and materials before patient enter room. All (chair, spittoon, work tops...) is wipe down with disinfectant wipes and then set up instrument tray with some cotton wool rolls, articulation paper and 3 in 1 tip on little table on the side the chair handy for clinician. This table is moveable and can be set in desirable position. Hand pieces and local anaesthetic syringe with needle are place on the stationary table in the reach of clinical in the case she may need them.
You have to get to know the patient before the surgery and you meet with them after the surgery has concluded. You get to know them so you know what type of anesthetic and how much of it to get the patient asleep and numb to the pain for the entire duration of the surgery. You have to be careful because this is also a very dangerous job because you could kill the patient if you administer too much drugs not to mention the fact that you could get sued for killing the patient and lose everything including your nursing license forever. Then you would never be able to be a surgeon or any related field again especially anesthesiologist you would be lucky to get a job at McDonald's because you killed someone.
I will make sure the patients, as well as their family members, are as comfortable as possible. I am a quick learner and have remarkable time management and cooperative skills. I have great respect for the work that I am assigned to do and will do my best to implement quality care to the
Specific Case This semester I cared for resident JT. JT is diagnosed with dementia, which is a form of chronic confusion. Evidence from JT’s physical assessment that supports this diagnosis is her mental status. In her patient chart, it states that JT is alert with confusion.
Module title: Principles of assessment and management of the acutely ill adult Module Leader: Briege King word limit: 500 student 's name: Hema Elizabeth Philip This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012). Mrs.Smith 80 years old female brought by ambulance with complaints of increased shortness of
In the assessment phase, we begin by gathering and analyzing the client's medical and dental history, medications, vital signs, extra/intraoral examination, dental charting, gingival evaluation and periodontal examinations. After the assessment phase, a dental hygiene diagnosis is made using clinical data
I would maintain the patient’s privacy. I would instruct the cleaning worker to keep the floor dry every time. I would make sure that every examination and reviews were done prior to surgery. I would check the patient’s record carefully before administering drug. I would confirm patient’s sensitiveness to any kind of allergic reaction and consult with doctors if needed.
When you are not in the classroom you will most likely be in the lab learning how to do these procedures hands on. You will have a specific type of equipment. You will have to show them you know how to do it so you can be checked off. They have to check you off so they are sure you know how to do it. To complete the course to be a CNA you have to complete one more task after taking the test and passing the class.
As a medical assistant, I was responsible for taking patient histories, preparing patients for procedures, and documenting their medical information. I am also responsible for managing administrative tasks, such as scheduling appointments and maintaining patient records. This experience gave me a deep appreciation for the importance of clear communication and effective teamwork in healthcare settings. Additionally, I was able to observe and assist with diagnostic procedures, such as pulmonary function tests and bronchoscopies, which exposed me to the intricacies of respiratory care. I learned how to properly prepare patients for these procedures, as well as how to assist the healthcare team during the procedures themselves.
The nurse must ensure that all staff are properly trained, medications are correct and up to date, all children must have access to healthcare, and nutritional considerations must be taken into account. Cheryl’s most important job is to make sure that the teachers caring for the children are properly trained on what to do in a medical situation or emergency.
As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice.
Taking vitals and their chief complaints and working them up as needed. There at Frisco Urgent Care we had a protocol to follow. If a patient came in with cough we were allow to run a flu test, strep test and get bloodwork and even a chest x-ray all before the doctor step in the patient room. It being an Urgent Care meant anything could happen. We are trained in what to do accordingly to a patient depending on symptoms or how they came in .
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
Towards the end of the procedure the nurse counted all sponges and needles with the scrub to make sure that no equipment was left within the patient. The nurse also continued to document information such as the length of the surgery and the amount of blood lost throughout the procedure. Lastly, the circulating nurse cleaned the room and then transferred the patient into a hospital bed to be transferred to the post-anesthesia care unit. Ignatavicius and workman (2013) addressed that these are all responsibilities of the circulating nurse (p.