This contextual project on health assessment will elaborate in details 10 concepts as identified above. The concepts will be discussed based on how it could be applied to my personal life, how each could be found in different contextual setting, related literature, application of each concept in my job and its usefulness to the entire world.
CONCEPT 1 CONCEPTS OF NURSING HEALTH ASSESSMENT
1.0 INTRODUCTION/DEFINITION OF CONCEPT
The nursing health history interview is the first part of the assessment of the client’s health status and is usually carried out before the physical …show more content…
Objective data are detectable by an observer or can be tested against an accepted standard. They can be seen, heard, felt, or smelled. For example, a discolouration of the skin, a blood pressure reading, the act of crying, or a hand tremor are objective data.
Subjective data are apparent only to the person affected and can be described or verified only by the person. Itching pain, and feeling worried are examples of subjective data. Subjective data are collected during the nursing health history and include the client’s perception of personal health status and life situation. Information supplied by family members, significant others or other health professionals are also considered subjective, if it is not based on opinion rather than fact.
Objective data are sometimes called signs or overt data, and subjective data are sometimes called symptoms or covert data. Data can be described as variable or constant. Current data should include past history as well as current problems. For example, a history of an allergic reaction to penicillin is a vital piece of historical data. Past surgical procedures and chronic diseases are also examples of historical …show more content…
A complete database of both subjective and objective data allows the nurse to formulate nursing diagnoses, develop client goals, and intervene to promote health and prevent disease. Developing the skills needed for physical assessment requires knowledge, practice, and time. The physical assessment is carried out systematically. It may be organized according to the examiner’s preference, in a head-to-toe approach or as a body system’s approach. Usually the nurse records a general impression about the client’s overall appearance and health status. E.g age, body size, mental and nutritional status, speech and behaviour. Then, measurements such as vital signs, height,