health assessment

• health assessment - systematic method of collecting data
• physical medical assessment - focuses primarily on client's physiologic status
• assessment - collecting subjective and objective data
• diagnosis - analyzing subjective and objective data
• planning - determining outcome criteria
• implementation - carrying out the plan
• evaluation - assessing whether outcome criteria have been met
• subjective - sensation or symptoms
• objective - obtained by general observations
• validation of assessment data - crucial part of assessment
• initial comprehensive assessment - collection of the subjective data about the clients perception of health
• ongoing or partial assessment - occurs after the comprehensive databased is established, conducted at regular intervals
• focused / problem oriented assessment - assessment of particular client problem
• emergency health assessment - performed in life- threatening situations.
• introductory phase - explaining the purpose of the interview, introduce yourself
• working phase - biographical data, reasons for seeking care, past health history
• summary and closing phase - summarizing info, validating problems and goals with client
• open ended questions - to elicit client's feelings, opinion
• closed- ended questions - fact and short answer, respond with one or two words
• laundry list - to obtain specific answer
• character - describe the sign and symptom
• onset - when did it begin
• location - where is it? does it radiate
• duration - how long does it last
• severity - how bad is it
• pattern - what makes it better or worse
• associated factors - what other symptoms occur with it