Steps Of Health Assessment

Front 1

Interview

Back 1

Purposeful conversation between nurse and patient.

Prepare questions you want to ask.

Maintain eye contact

Front 2

Interview (goal)

Back 2

Gather complete health history

Front 3

Interview (main purpose)

Back 3

Encourage an interchange of info between patient and nurse

Front 4

Interview (actions)

Back 4

1. Gather organized, complete and accurate data about the patient's health state, including the description and chronology of any signs and symptoms of illness

2. Establish rapport and trust so the patient feels accepted and this feels free to share all relevant data.

3. Teach the patient about the health state so that he can participate in identifying problems and planning for health care.

4. Build rapport for continuing NPR; this rapport facilitates future diagnosis is planning and treatment.

5. Begin teaching for health promotion and disease prevention

Front 5

Phases of the interview

Back 5

1. Preparatory phase

2. Introductory phase

3. Maintenance phase

4. Concluding phase

Front 6

1. Preparatory phase aka pre-interaction phase (actions)

Back 6

1. review as much info as possible about the patient.

2. decide what data are needed and what type of data collection form will be used.

3. Review literature pertinent to the patients developmental age, psychosocial aspect, and pathophysiological consideration if needed.

4. Assess own feelings or reactions to pervious patient that might interfere with NPR. Individualize the care given to each patient.

5. Seek assistance from more experienced nurses, mentors, or supervisors, as needed.

6. Plan for a private, quiet setting for the interview, schedule a mutually convenient time of day; determine the length of time needed for data collection.

7. Modify the environment to facilitate the interview; schedule a mutually convenient time of day; and determine the length of time needed for data collection.

Front 7

Introductory phase aka orientation phase (actions)

Back 7

1. Introduce self by name and position and explain the purpose and content of the interview

2. Begin to establish reality with the patient by coveying a caring interested attitude.

3. Observe clients behavior and listen attentively

4. Let the patient know how long the NPR is expected to last.

5.

Front 8

3. Maintenance phase Aka working phase

Back 8

Time when nurse patient work toward achieving specific task or goal agreed during intro phase.

Front 9

Maintenance phase (actions)

Back 9

1. Encourage patient to express his feelings, concerns and questions.

2. Observe non verbal communications that accompany verbal communication.

3. Assess the patients ability to continue the interview.

4. Facilitate goal attainment. We're you able to all all questions you needed or need to get?