HEALTH ASSESSMENT part 1

• 8 DIMENSIONS OF HEALTH AND WELLNESS

  • Physical
  • Emotional
  • Intellectual
  • Social
  • Spiritual
  • Environmental
  • Occupational
  • Financial
• Health assessment is a comprehensive health history and complete physical examination. It also involves a systematic data collection that provides information.
• Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.

• MODE OF COMMUNICATION

  • VERBAL - Speaking, Listening, Writing, Reading
  • NON-VERBAL - Gestures, Facial Expressions, Posture and Gait, Tone of Voice, Touch, Eye Contact, Body Position, Physical Appearance
• Having good communication skills is essential to collaborating on teams with your fellow nurses and colleagues from other disciplines. It’s also important to patient-centered care.

  
  

  Nurses who take the time to listen and understand the concerns of each of their patients are better prepared to address issues as they arise, resulting in better patient outcomes.

  
  

  Poor communication, or lack of communication in healthcare, can lead to patients misunderstanding directions and failing to follow treatment protocols. It can also lead to workflow breakdowns on the team, resulting in a medical error.
• Active listening
• Non-verbal communication


  Becoming sensitive to non-verbal messages allows the nurse to "read the patient" more effectively and send messages. Pay close attention to eye contact, facial expression, posture, head position and movement such as shaking or nodding, interpersonal distance, and placement of the arms or legs – crossed, neutral, or open. Be aware that some non-verbal language is universal and some is culturally bound.
• Patient's words


  Encourages the patient to express both factual details and feelings
• Emphatic Responses


  Greatly strengthens patient rapport. To provide empathy, first identify the patient’s feelings rather than assuming. Responses may be as simple as "I understand," "That sounds upsetting," or "You seem sad." Empathy may also be non-verbal: Offering tissue to crying patient or gently placing your hand on the patient’s arm. For a response to be empathic, it must reflect a precise understanding of what the patient is feeling.
• Validation


  Acknowledging the legitimacy of the emotional experience. It helps the client feel that such emotions are legitimate and understandable.
• Summarizing


  Communicates to the patient that you have been listening carefully. It identifies WHAT YOU KNOW and WHAT YOU DO NOT KNOW. Lets the patient add other information and correct any misunderstanding. Makes the relationship more collaborative.
• Reassurance


  Simply identifying and acknowledging the patient’s feelings. Promotes feeling of connection. True reassurance comes from conveying information in a competent manner, making the patient feel confident that problems have been fully understood and will be addressed.
• Transitions


  Patients have many reasons to feel vulnerable during a health care visit. To put them at ease, tell them when you are changing directions during the interview. Gives patients a greater sense of control.
• Empowering the patient


  Differences of gender, ethnicity, race, or class may contribute to power differentials. Patients may be in pain or worried about a symptom. Patients who are self-confident and understand the recommendations are most likely to adopt offered advice, make lifestyle changes, or take medications as prescribed.
• Emotional - Its part of dimensions of health and wellness that coping effectively with life and creating satisfying relationship.
• Financial - satisfaction with current and future financial situation.
• Social - developing a sense of connection, belonging and well-developed supporting system.
• Spiritual - expanding our sense of purpose and meaning of life.
• Environmental - good health by occupying pleasant, stimulating environments that support well-being.
• Intellectual - recognizing creative abilities and finding ways to expand knowledge and skills.
• Physical - recognizing the need for physical activity, diet, sleep, and nutrition.
• Occupational - personal satisfaction and enrichment derived from one's work.
• ELEMENTS OF COMMUNICATION

  1. sender
  2. receiver
  3. message
  4. feedback
• Communication

  is the process of transmitting information from one person, place or group to another.