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    Health Assessment 1

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    Kavikowsi Kavikowsi
    This document discusses the components and purposes of health assessment. It defines health assessment as a systematic and dynamic process by which a nurse collects and analyzes data about a client through interaction. The purposes of health assessment include establishing a client's health baseline, identifying health issues and treatment needs, and contributing to medical research. It also outlines the various sections included in a health history, such as biographic data, chief complaints, history of present illness, and psychosocial history. Terminology used in health assessment and factors that can affect collecting subjective health data are also reviewed.

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    Health Assessment 1

    Uploaded by

    Kavikowsi Kavikowsi
    20 views21 pages
    This document discusses the components and purposes of health assessment. It defines health assessment as a systematic and dynamic process by which a nurse collects and analyzes data about a client through interaction. The purposes of health assessment include establishing a client's health baseline, identifying health issues and treatment needs, and contributing to medical research. It also outlines the various sections included in a health history, such as biographic data, chief complaints, history of present illness, and psychosocial history. Terminology used in health assessment and factors that can affect collecting subjective health data are also reviewed.

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    This document discusses the components and purposes of health assessment. It defines health assessment as a systematic and dynamic process by which a nurse collects and analyzes data about a client through interaction. The purposes of health assessment include establishing a client's health baseline, identifying health issues and treatment needs, and contributing to medical research. It also outlines the various sections included in a health history, such as biographic data, chief complaints, history of present illness, and psychosocial history. Terminology used in health assessment and factors that can affect collecting subjective health data are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views21 pages

    Health Assessment 1

    Uploaded by

    Kavikowsi Kavikowsi
    This document discusses the components and purposes of health assessment. It defines health assessment as a systematic and dynamic process by which a nurse collects and analyzes data about a client through interaction. The purposes of health assessment include establishing a client's health baseline, identifying health issues and treatment needs, and contributing to medical research. It also outlines the various sections included in a health history, such as biographic data, chief complaints, history of present illness, and psychosocial history. Terminology used in health assessment and factors that can affect collecting subjective health data are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 21

    HEALTH

    ASSESSMENT
    BY: SATHISH R. M. SC
    (N),
    LECTURER, BKIN,
    INTRODUCTION
     Health is a state of wellbeing.
    (WHO)
     Assessment is defined as a
    systematic , dynamic process
    by which the nurse through
    interaction with client,
    significant others and health
    care providers, collects and
    analyze data about the client.
    COMPONENTS
    PURPOSES
    1. To establish a data base of client’s
    normal abilities, risk factors that can
    contribute to dysfunction and any
    current alteration in function.
    2. To get a clear picture of a client’s
    health status and health related
    problems.
    3. To identify cause and extent of
    disease.
    4. To identify the problems at early
    Cont…
    1. To determine the nature of treatment
    required for the client.
    2. To get a holistic view of the client.
    3. To contribute in medical research.
    4. To identify client’s strength,
    weakness, knowledge, attitude,
    motivation, support systems and
    coping skills.
    5. To compare clients health status with
    a ideal status.
    TERMINOLOGY
     Diagnosis – It is the determination of the nature
    and extent of a disease.
     Prognosis – It is the forecast of the course and
    duration of a disease.
     Etiology – It is the science of the cause of a
    disease.
     Signs – The presence of a disease that can been
    seen or elicited E.g. Fever.
     Symptoms – Any evidence as to the nature and
    location of a diseases noted by the client.
    CONT…
     Subjective Symptoms – When
    the symptoms are note by the
    client himself. E.g. Pain.
     Objective Symptoms – When
    the symptoms are noted by the
    observer as well as by the
    client. E.g. Jaundice.
    HEALTH HISTORY
     Itis a collection of
    subjective data in detail
    regarding client’s health
    in a chronological order .
    FACTORS AFFECTING THE
    COLLECTION OF SUbjECTIvE
    DATA
     Physical setting

     Client’s Personality and


    Behavior
     Nurses Personality and
    Behavior
     Communication Skill

     Patient’s Problem
    FORMAT OF HEALTH
    HISTORY
     bIOGRAPHIC DATA
     CHIEF COMPLAINTS
     HISTORY OF PRESENT ILLNESS
     PAST HEALTH HISTORY
     FAMILY HISTORY
     OCCUPATIONAL AND
    ENvIRONMENTAL HISTORY
     PSYCHOSOCIAL HISTORY
     REvIEw OF SYSTEMS
    bIOGRAPHIC DATA
     Name, Address, Gender, Age, Marital Status,
    Occupation, Religion, Family Income (Monthly),
    Educational Qualification etc.
    CHIEF COMPLAINTS
     It is a brief assessment of client’s problem for
    which clients seeks medical care.
     It should be written in clients statement.
    H/O PRESENT ILLNESS
     Onset
     Signs and Symptoms S&S

     Duration

     Treatment taken (If any)

     Other complaints such as loss of


    appetite, insomnia, disorders of
    stomach etc.
     Client’s Health Habits – Eating ,
    Sleeping etc.
    PAST MEDICAL HISTORY
     CHILDHOOD ILLNESS – MUMPS, MEASLES
    AND SO ON.
     ALLERGIES
     MEDICAL DISEASE – HT, DM, ANEMIA
    ETC.
     SURGERY – ANY H/O SURGERY
     HOSPITALIzATION – ANY
    HOSPITALIzATION IN THE PAST
     ObSTETRIC HISTORY – NO OF LIvE
    bIRTHS, AbORTIONS, MODE OF
    FAMILY HISTORY
    CONT..

     Family Tree (Pedigree


    Chart)
     Information about
    family members
     Family history of any
    illness (Diabetic
    Mellitus, Hypertension
    OCCUPATIONAL HISTORY
     Collectingdata
    regarding clients job,
    nature of job,
    environment in job,
    exposure to any
    hazardous substances
    if any?
    PSYCHO SOCIAL HISTORY
     Smoking – Alcoholism
     Food habits and Food
    fads
     Likes and dislikes

     Pattern of sleep

     Exercises
    REvIEw OF SYSTEMS

    Information is
    gathered system wise

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