A de6tailed health assessment is vital as it enables health care specialists to understand of their patients. It is after understanding the health status of their patient that a detailed strategy can be established to ensure that the patient maintains optimal health. Questions formulated for each of the 11 functional health patterns were posed to the family.
Ongoing assessment of vital signs are completed as indicated for your patient. It is mandatory to review the ViCTOR graph at least every 2 hours or as patient condition dictates to observe trending of vital signs and to support your clinical decision making process.
Less than 6 months use digital thermometer per axilla. Assess any respiratory distress. Palpate brachial pulse preferred in neonates or femoral pulse in infant and radial pulse in older children. To ensure accuracy, count pulse for a full minute.
Baseline measurement should be obtained for every patient. Selection of the cuff size is an important consideration. For neonates without previous hospital admissions do a blood pressure on all 4 limbs. Monitor as clinically indicated.
Note oxygen requirement and delivery mode. Blood sugar level BSL: A structured physical examination allows the nurse to obtain a complete assessment of the patient.
Clinical judgment should be used to decide on the extent of assessment required. Assessment information includes, but is not limited to: Shift Assessment At the commencement of every shift an assessment is completed on every patient and this information is used to develop a plan of care.
Initial shift assessment is documented on the patient care plan and further assessments or changes to be documented in the progress notes. Patient assessment commences with assessing the general appearance of the patient. Use observation to identify the general appearance of the patient which includes level of interaction, looks well or unwell, pale or flushed, lethargic or active, agitated or calm, compliant or combative, posture and movement.
ECG rate and rhythm if monitored. Observation of vital signs including Pain: For further information please see the Pain Assessment and Measurement clinical guideline Skin: Colour, turgor, lesions, bruising, wounds, pressure injuries.
Assess hydration and nutrition status and check feeding type- oral, nasogastric, gastrostomy, jejunal, fasting, and breast fed, type of diet, IV fluids. Assess Bowel and Bladder routine sincontinence management urine output, bowels, drains and total losses.
Review fluid balance activity Blood sugar levels as clinically indicated. Assess for Mood, sleeping habits and outcome, coping strategies, reaction to admission, emotional state, comfort objects, support networks, reaction to admission and psychosocial assessments.
In the adolescent patient it is important to consider completing psychosocial assessments as physical, emotional and social well-being are closely interlinked. The HEADSS assessment is a psychosocial screening tool which can assist in building a rapport with the young person while gathering information about their family, peers, school and inner thoughts and feelings.
The main goals of the HEADSS assessment are to screen for any specific risk taking behaviours and identify areas for intervention, prevention and health education. For more information see Engaging with and assessing the adolescent patient. It is important to note that you may need to establish a rapport with the young person and may require a few shifts to fully complete the HEADSS assessment.
Pertinent social assessment information such as court orders can also be documented in the FYI tab to alert all members of the health care team. Review the history of the patient recorded in the medical record. It may be necessary to ask questions to add additional details to the history. Focused Assessment A detailed nursing assessment of specific body system s relating to the presenting problem or other current concern s required.
This may involve one or more body system.Nursing Best Practice Guidelines. Home. Sample Questions for Key Areas of Family Assessment. Family Perceptions of the Event(s) Family Structure; Does ethnicity influence the family’s health beliefs? Are there any ethnic customs the family gains strength from or may need assistance with?
A Family Health Assessment 1 Theresa E Carroll Grand Canyon University: NRSV 01/18/ A Family Health Assessment 2 A family health assessment is an integral part of a holistic view of the family and can help the nurse determine where to focus.
View Essay - Vark questions from NRS at Grand Canyon University. Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns: %(77).
Family Health Assessment Add Remove Before interviewing the family, develop two to three open-minded, family-focused questions for each of Gordon's 11 functional health . Family Focused Health Assessment L. L. Grand Canyon University August 11, Family Focused Health Assessment As the society we live in continues to transform, nurses need a comprehensive tool to assess family’s health patterns.
Using the open minded family focused questions, the assessment covered 11 functional health patterns. This principle is known as the Gordon's functional health assessment pattern and includes 11 systematic principles for the gathering of data about the family and helps the nurse develop nursing diagnosis and appropriate preventive .