Assessment – First Step in the Nursing Process
assessment Assessment – First Step in the Nursing Process Description It is systematic and continuous collection, validation and communication of client data as compared to what is standard/norm. It includes the client’s perceived needs, health problems, related experiences, health practices, values and lifestyles. Purpose To establish a data base (all the information about the client): nursing health history physical assessment the physician’s history & physical examination results of laboratory & diagnostic tests material from other health personnel FOUR Types of Assessment Initial assessment – assessment performed within a specified time on admission Ex: nursing admission assessment Problem-focused assessment – use to determine status of a specific problem identified in an earlier assessment Ex: problem on urination-assess on fluid intake & urine output hourly Emergency assessment – rapid assessment done during any physiologic/physiologic crisis of the client to identify...
