Preview

Health Assessment

Better Essays
Open Document
Open Document
1756 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Health Assessment
Comprehensive Health Assessment
Health assessment is the first step in the nursing process. The purpose of a health assessment is to collect information on patient 's health status, obtain baseline information, support system at home, evaluate patient environment, to discover the actual problem, and assess factors that place the patient at increased risk for health problems. Mosby medical dictionary describe health assessment as “an evaluation of the health status of an individual by performing a physical examination after obtaining a health history. Various laboratory tests will be ordered to confirm a clinical impression or to screen for dysfunction. The depth of investigation and the frequency of the assessment vary with the condition and age of the client and the facility in which the assessment is performed. The person 's response to any dysfunction present is observed and noted.” (Mosby’s Medical Dictionary, 8th edition. © 2009, Elsevier).
When collecting information for a comprehensive assessment, nurses use both subjective and objective data. Nurses use several different sources to obtain information by means of observation, lab values, vital signs, chart review, other health care professionals and most important the patient or family members. Patients and family provide very useful information such as current medication, past surgical and medical history, cultural beliefs and any other prudent information related to patient care. By collecting the information it gives nurses a chance to familiar themselves with individual culture beliefs and form a treatment plan that includes cultural information to care for each individual patient to aid in providing the appropriate care.
Certain conditions appear to be more prevalent in different cultures. In the African American culture, there are several high-risk health factors, which include cardiovascular disease, hypertension, elevated cholesterol levels, stroke, diabetes, obesity, and stroke. Due to their



References: Black, D Y (2003) Racial identity, spirituality and health attitudes among African Americans. MA thesis. Central Connecticut State University. New Britain, Connecticut. http://fred.ccsu.edu:8000/archive/00000110/02/etd-2004-1.pdf. http://www.ehow.com/info_8216370_contributing-poor-health-african-americans.html#ixzz1itZ9Lf4z Giger, J. N., & Davidhizar, R. E. (2008). Transcultural nursing: Assessment and intervention (5th ed.). St. Louis, MO: Mosby Elsevier. Kaplan University (2011) Kaplan University (2011). Virtual family. Retrieved December 30, 2011, from http://kucampus.kaplan.edu Mosby’s Medical Dictionary, 8th edition. © 2009, Elsevier

You May Also Find These Documents Helpful

  • Better Essays

    The more detailed and comprehensive an assessment is, the better understanding we have of our patient’s and the plan of care that we will follow to ensure they are taken care of. After reading this article, I have a deeper insight into understanding the need for a structure when performing a health history. The detailed descriptions that were provided will enable one to use the specific examples when questioning a patient, ones on which I plan on implementing in my practice. I found this article very well written and explained thoroughly, as it is a great representation of a well-completed history. In my daily practice as a nurse, I follow a specific format for completing a patient history and assessment; it very closely resembles this model. I find that when initiating a patient’s history, I begin with asking all pertinent questions in relation to presenting problems, and all historical information. I then follow with a hands-on assessment, I listen to breath sounds and heart rhythms while asking questions related to those particular body system. Listen for intestinal sounds when asking questions about dietary habits. I engage the patient in their assessment so they feel a sense of trust and willingness to cooperate in their care. I believe that more articles could be written about performing a…

    • 1086 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…

    • 1393 Words
    • 6 Pages
    Better Essays
  • Good Essays

    The 1990 's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population.…

    • 531 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Applied Health Assessment

    • 411 Words
    • 2 Pages

    The patient is a 47 year old, well-nourished male. The head-to-toe assessment was insignificant for any abnormal findings. Mike is healthy, appears his age, and does not take medications on a daily basis. His vision is declining with age, but is easily corrected with prescription glasses. His weight has been consistent for the past several years. His BMI is appropriate for his height, and he tries to eat a balanced diet. Though, overall, he is healthy, Mike could benefit from regular exercise, eating more fruits and vegetables, and smoking cessation.…

    • 411 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    In this chapter, we have emphasized that comprehensive assessment makes use of nursing knowledge and understanding of the combined factors of age-related changes, age-associated and other diseases, heredity, and lifestyle choices. Think of an older adult for whom you have provided care and describe that person. Try to outline the factors (age-related changes, age-associated and other diseases, heredity, and lifestyle choices) that are relevant for his or her health assessment.…

    • 2094 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    A comprehensive or complete health assessment usually begins with obtaining a thorough health history and physical exam ("Overview of Nursing Health Assessment," 2015, p. 4)\. This type of assessment is usually done upon admission, once patient is stable, or when a new patient presents to an outpatient clinic. Provides fundamental and personalized knowledge about the patient and Supports the clinician–patient relationship. In other words complete assessment helps to identify or rule out physical causes related to patient concerns which also act as the baselines for future assessments .Complete assessment usually creates platform for health promotion through education and counseling. It helps to develop, proficiency in the essential skills of…

    • 401 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Health Assessment

    • 267 Words
    • 2 Pages

    LC is a 65 y/o caucasian female diagnosed with small cell carcinoma of lung. Introduced self to patient, explained assessment procedure to patient. Patient awake alert, oriented x 3, pleasant and follows commands. PERL, mucus membranes pale, lips dry and cracked. Multiple small bruises on bilateral arms and on legs. No further skin breakdown observed. Port-a-cath left upper chest under skin, no redness around site, port is not accessed at this time. No JVD observed. Patient states she has been coughing up small amounts of blood, lungs with bilateral crackers and diminished sounds in left lower lobe of lung. Respirations unlabored 18 rpm, no use of accessory muscles.Patient states she has to use 2 pillows at night to sleep. Oxygen @ 2L per nasal cannula, patient wears 24/7. Heart rate and rhythm regular, S1/S2 auscultated, apical pulse 68, no gallops noted, no murmurs auscultated. Abdomen soft, nontender to palpation, scar from belly button to pelvis (patient has history of C-section and hysterectomy), Bowel sounds present and active x 4 quadrants, patient states that last BM was normal earlier this AM. Patient states that she has frequent nausea and vomiting. Patient voiding without difficulty, at times has stress incontinence. Urine dark. No edema observed. Patient moves all extremities with weakness bilaterally. Patient's gait unsteady, states she just doesn't have good balance. Patient walks with cane. Patient walks less than 50 feet and becomes short of breath. Education given on signs and symptoms of dehydration and the need to increase fluid intake and notify doctor if unable to void. Patient verbalizes understanding.…

    • 267 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Heritage Assessment

    • 1093 Words
    • 5 Pages

    Cultural awareness is an essential part of life, especially in this country that is considered to be the melting pot of the world. Cultural awareness can be defined as understanding and appreciation the difference between oneself and people of other backgrounds and cultural beliefs (Shen, 2004). Cultural competence is a term used to refer to awareness and skill acquired to be able to care for people of different ethnicities and cultures (Purnell, 2002). The heritage assessment tool serves as a questionnaire of sorts that is used by personnel in management or care-providing positions in order to gain a better familiarity of a patient/client’s values before providing care (Spector, 2002). These can include questions about everything from their childhood experiences to varying health practices carried out in their homes. These all contribute in helping the nurse/caregiver to be culturally sensitive and utilize the questionnaire to provide quality care to the patient without unknowingly overstepping any…

    • 1093 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Health Assessment Plan

    • 2219 Words
    • 9 Pages

    o There are many churches located readily throughout the city of Phoenix. There are self-help groups and support groups also.…

    • 2219 Words
    • 9 Pages
    Good Essays
  • Powerful Essays

    M. H. was raised in a traditional German family where her father was the head of the household. However, her father and mother made many decisions mutually and shared household chores (Purnell, 2014). Her father was an Air Force pilot during World War II, and then worked as a chemical engineer until retirement. The household atmosphere was loving and respectful. She and her five siblings were brought up as Roman Catholics. They were expected to be polite, use table manners, be on-time to meals, respect their elders, do as they were told, share, finish their chores before recreating, get good grades in school,…

    • 1726 Words
    • 5 Pages
    Powerful Essays
  • Powerful Essays

    Nurse Culture Assessment

    • 5444 Words
    • 22 Pages

    In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope & Lancaster, 2006, p. 90) to help understand client’s perspectives of health and illness and discuss culturally appropriate interventions. In this paper, the author will demonstrate how nurses can utilize a cultural heritage assessment tool to help develop a cultural competent nursing care plan, which can be referred to in Appendix A and B. By culturally assessing client, nurses will be able to identify the needs of culturally diverse individuals and find out if what's important to the culture is really important to the person in terms of specific health needs.…

    • 5444 Words
    • 22 Pages
    Powerful Essays
  • Better Essays

    Health Assessment

    • 1250 Words
    • 5 Pages

    | Prepare professional nurse generalists for acute care settings, community-based practice, and beginning leadership/management positions…

    • 1250 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Cultural Competence

    • 1572 Words
    • 7 Pages

    Leininger, M. (1991). Transcultural nursing: the study and practice field. Imprint, 38(2), 55-66. Retrieved from: http://www.culturediversity.org [05.05.07].…

    • 1572 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    The assessment process may be defined as the organized and systematic collection and assimilation of data on the patient’s health status through a variety of sources: these include the patient as a primary source, along with their medical records and any information obtained from the family or any other person giving patient care. Secondary sources can be professional journals and medical texts. (Galasko,1997)…

    • 2964 Words
    • 12 Pages
    Best Essays
  • Best Essays

    Health Promotion

    • 1901 Words
    • 8 Pages

    Risk of complications, including death, of hypertension and hyperlipidemia among African American adults related to poor eating habits, poor primary prevention measures, and poor medication compliance as evidenced by data that show prevalence of cardiovascular disease among African Americans to be 44.6 percent for males and 46.9 percent for females (FDH, 2008), and Healthy People 2010 National Health Objective 12-9, which is to reduce the proportion of adults with high blood pressure (USDHHS, 2000), and National Health Objective 12-14, which is to reduce the proportion of adults with high total blood cholesterol levels (USDHHS, 2000).…

    • 1901 Words
    • 8 Pages
    Best Essays