Nursing Process (Assessment)

Front 1

Assessment

Back 1

Collecting, validating, organizing, recording data about health status.

Evaluation of patients health status.

Orderly systematic framework for nursing care..

Front 2

Activities during assessment /components of assessment

Back 2

1. Collecting data

2.verifying /validating data

Front 3

Types of data

Back 3

A. Subjective

B. Objective

Front 4

Collecting Data

Back 4

-Interviewing and physical examinations

Involves gathering info about the patient

Front 5

Factors for collecting data

Back 5

Physical, physiological, emotional, socio-cultural, spiritual, sexual. The whole wholistic care

Front 6

Subjective (symptoms) covert data

Back 6

Percieved by the client.

Can be describe only by the persons experience.

Front 7

Objective (signs) overt data

Back 7

Can be observed and measured by the examiner

Front 8

4 types of assessment

Back 8

1.Problem focused assessment

2. Initial assessment

3. Time lapsed assessment.

4.Emergency assessment.

Front 9

Problem focused assessment

Back 9

On going (hourly assessment)

Front 10

Initial assessment

Back 10

Nursing admin assessment

Front 11

Time lapsed assessment

Back 11

After several mo. Reassessment

Front 12

Emergency assessment

Back 12

Identification of life threatening assessment.

Front 13

Methods of data collection

Back 13

1.Interview

2 observations

Front 14

Interview

Back 14

It is a planned purposeful conversation, taking the history of the patient.

Front 15

2 types of interview

Back 15

1.Directive

2.non directive

Front 16

Directive

Back 16

Asking specific questions

Front 17

Non directives

Back 17

Client is in control of the conversation

Front 18

Sources of data

Back 18

1. Primary source

2. Secondary source

Front 19

Primary source (direct source)

Back 19

Client

Front 20

Secondary source (indirect)

Back 20

Data from other source other than the client

Front 21

Verifying /validating data

Back 21

Making sure any obtained data is timed and accurate.

Front 22

Purpose of verifying data

Back 22

1. To ensure the assessment is complete

2. To ensure the ends objective data agrees.

3. To obtain overlooked data.

4. To avoid jumping into conclusions.