nursing assessment


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Related to nursing assessment: Nursing process

assessment

 [ah-ses´ment]
an appraisal or evaluation.
fetal assessment see fetal assessment.
focused assessment a highly specific assessment performed on patients in the emergency department, focusing on the system or systems involved in the patient's problem.
functional assessment an objective review of an individual's mobility, transfer skills, and activities of daily living, including self care, sphincter control, mobility, locomotion, and communication. It is used to establish a baseline, to predict rehabilitation outcomes, to evaluate therapeutic interventions, and for standardizing communication for research purposes.
lethality assessment a systematic method of assessing a patient's suicide potential.
neurologic assessment see neurologic assessment.
nursing assessment see nursing assessment.
primary assessment a rapid, initial examination of a patient to recognize and manage all immediate life-threatening conditions. Called also primary survey.
secondary assessment a continuation of the primary assessment, where the medical professional obtains vital signs, reassesses changes in the patient's condition, and performs appropriate physical examinations.

nursing assessment

an identification by a nurse of the needs, preferences, and abilities of a patient. Assessment includes an interview with and observation of a patient by the nurse and considers the symptoms and signs of the condition, the patient's verbal and nonverbal communication, the patient's medical and social history, and any other information available. Among the physical aspects assessed are vital signs, skin color and condition, motor and sensory nerve function, nutrition, rest, sleep, activity, elimination, and consciousness. Among the social and emotional factors included in assessment are religion, occupation, attitude toward hospital and health care, mood, emotional tone, and family ties and responsibilities. Assessment is extremely important because it provides the scientific basis for a complete nursing care plan.

nursing assessment

The systematic collection of all data and information relevant to the care of patients, their problems, and needs. The initial step of the assessment consists of obtaining a careful and complete history from the patient. If this cannot be done because the mental or physical condition of the patient makes communication impossible, the nursing history is obtained from those who have information about the patient and the reason(s) for his or her need of medical and nursing care. Obtaining an accurate and comprehensive history requires skill in communicating with individuals who are ill, including those who are reluctant or unable to share important life experiences and medical data. The skilled nurse will be able to obtain the essential information despite resistance. Next in the assessment is the physical examination of the patient in order to determine how the disease has altered physical and mental status. To do this requires that the nurse be capable of performing visual and tactile inspection, palpation, percussion, and auscultation and have knowledge of what represents deviation from the norm and how disease and trauma alter the physical and mental condition of a patient. After these two steps have been completed, the nurse will be able to establish a nursing diagnosis.
See: evaluation; nursing process
References in periodicals archive ?
Developed to guide RNs to delegate patient care to nurse extenders, the Nursing Assessment Decision Grid provides the nurses with an objective, quantifiable method to assign care of patients (Conger, 1993, 1994).
Nursing assessment of new or previously identified medical/health problems based on student initiated or teacher/staff referral to nurse, including substance use assessment, child abuse assessment, pregnancy confirmation, etc.
For ABO incompatibility, clinical symptoms identifiable through nursing assessment can develop after as little as 10 ml have been transfused.
so here it is in their own words: We, the district nurses, are part of a dedicated team of professionals who undertake complex nursing assessment, provide exceptional palliative care and undertake chronic disease management, yet the public's perception of our service provision varies considerably.
Using a combination of local classroom sites (with participants split into teams) and online instruction, the teams focused on issues relevant to nursing assessment, health promotion, and review of current standards, continuing the movement of translating evidence into practice.
Alterations in Movement: Nursing Assessment and Implications" (Konikow, 1985) in JNN's February 1985 issue demonstrates that perhaps nowhere have changes in drug therapy become more apparent than in the movement disorders field.
Recalling a partial definition of Nursing Informatics as the integration of clinical nursing skills and technological expertise, I began with an occupational health nursing assessment and a systems analysis.
Zimmerman, PhD, the University of Wisconsin investigator who authored the recently adopted OBRA survey "quality indicators," offered a couple of striking observations in a speech to the American Association of Nursing Assessment Coordinators (AANAC), the fast-growing organization of nurses specializing in PPS reimbursement.
Nursing assessment skills are integral to every aspect of patient care.
Some older staff found the move out of rest-home care, where it was quite task-orientated, into hospital-level care, which demanded nursing assessment skills and more individualised care, quite challenging," Tomuri explained.
This interesting program uses two complex case scenarios to develop a nursing assessment challenge.

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