Holistic Nursing Assessment

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For this assignment I am going to describe the purpose of assessment in nursing as a whole, but also relate this to my field of practice which is children and young people’s nursing. Nursing assessment can be done in many ways and also requires many different skills and approaches to be able to understand the needs of the patient in order for their health concerns to be investigated. This piece of work will look into what assessment is, how it is carried out and the reasons why it is important.

Completing a comprehensive, holistic assessment enables the nurse to establish a baseline of information against of which, new and changing information can then be compared (Dougherty, Lister 2011). There are six aspects to the nursing assessment; mental,
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Some of the twelve activities of living include eating and drinking, sleeping and the ability to maintain their own body temperature. The ADL model works by promoting independence in areas that may prove difficult or impossible when the patient is on their own. This model is then used throughout their care in order to assess whether extra help or assistance is needed for the patient to be able to cope and be independent at home (Petiprin, …show more content…
‘The Maslow’s Hierarchy of Needs’. The five stage model helps us to work out what motivates our behaviour in order to overcome our current state. (McLeod, 2007)
The NMC has leaned upon documentation when cases have been looked at and used to support a patients’ case at hearing such as the Mids Staffs Enquiry in 2009. Recording data correctly allows other doctors and members of staff to be able to read what is recorded and ensure that care is given as and when it is required. To document the patients’ findings and observations, the nurse has a duty of care to write legibly and in black ink and ensure that they record measurements correctly. Falsifying patients’ records can lead to dismissal and a follow up case by the Nursing and Midwifery Council (NMC).

Nurses use various ways of measuring patient observations; the minimum observations in the first instance are detailed by the NICE Guidelines as temperature, oxygen saturation, heart rate, respiration rate, systolic blood pressure and level of consciousness. These observations should be monitored at least once every 12 hours unless a decision has been made by a senior level to decrease this. (National Institute for Health and Care Excellence,

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