Health Assessment

• Nursing process was defined by hall in 1955
• Nursing process was defined by dorothy johnson in 1959
• Nursing process was defined by ida jean orlando on 1961
• Nursing process was defined by wiedenbach in 1963
• The four proposed phase were Assessment Planning Implementation and Evaluation
• in 197 Yura and Walsh Proposed the four phases
• the five components of nursing process is Assessment, Nursing Diagnosis, Planning, Implementing, and Evaluating
• Types of assessment are Time lapsed, Initial, Problem focused, and Emergency assessment
• The four steps in the assessment phase are Collect Data, Organize Data, Validate Data, and Document Data
• There are five ways to collect data Client, support people, Healthcare professionals, Literature, and Client's records
• Subjective data deals with feelings, Objective data deals with vital signs and can be measured
• There are three methods to collect data, Interviewing, Examining, and Observing
• There are four methods of observing - Smell, Touch, Vision, and Hearing
• four types of interview questions Open,Close, Leading, and neutral
• Stages of an interview - introduction, body or development, and closing
• Planning the interview and setting - time, place, distance, seating arrangement, and language
• Examination techniques are Auscultation, Palpation, Inspection, and Percussion
• Physical examination can be, Cephalocaudal, Screening, and Review of systems
• 4 nursing models are Gordon's functional health pattern, Orem's self care model, Roy's adaptation model, wellness model
• 3 non nursing models are, Maslow's Hierarchy of needs, Body system model, and Developmental theories