Name the 5 dimensions
developmental, psychosocial, spiritual, cultural, psysiological
Describe dimensions
- > they all interrelate to one another and create a holistic assessment of patients
- > define patients state of well being (overall view of general health)
What happens each time a nurse starts a shift, admits a new patient, take over care for a different patient, etc.?
-> assessment from head to toe, constantly assessing patients (eg. social, physical, etc.)
How do nurses solve problems?
through the nursing process
- > assessment
- > planning
- > implementation
- > evaulation
Define assessment and what two steps is it comprised of?
systematic process by which the nurse collects and analyzes data about patients
- > data collection
- > analysis of data
Name some skills related to assessment
- > critical thinking
- > knowledge
- > practical experience
- > communication skills
- > observation and perception
- > client centred approach
- > collaboration
- > organization & documentation
Name two types of data collection and describe
- > subjective: obtained from client, family, significant others, health care team, health records
- > objective: observed and measurable data; inspection, palpation, auscultation, percussion, lab results, diagnostic tests
Name the 3 phases of the interview process and describe
- introduction phase: introduce self / purpose of conversation / ask patient how they would like to be addressed
- working phase: data gathering phase / involves open and closed questions as well as responses to what the patient said
- closing & termination phase: ask client if there is anything else they would like to mention? / give a summary of the interview
Name some interview techniques
- > closed vs open ended questions
- > facilitation
- > silence
- > reflection
- > empathy
- > confrontation
- > explanation
- > summary
What are some traps to interviewing?
- > false reassurance
- > unwanted advice
- > using authority
- > using avoidance language
- > engaging in distancing
- > using jargon
- > taking too much time
- > using “why” questions
What does data analysis consist of?
- > interpretation of data
- > identification of significant/meaningful data clustering
- > determine need for further investigation
- > formulate judgements and conclusions
- > discuss with doctors and other nurses
What are the 3 developmental dimensions for assessment?
- > biological
- > cognitive
- > socio-emotional
What would biological processes look like in the developmental dimension assessment?
-> physical changes (eg. puberty, menopause, physical deterioration in older adults)
What would cognitive processes look like in the developmental dimension assessment?
- > knowing: knowledge development, retention/memory
- > learning: skill development
- > thinking: interpretation & organization of information
- > judgement: problem solving
What would cognitive processes look like in the development dimension assessment?
- > personality: moral / identity development
- > emotions: feelings associated with life span changes
- > roles & relationships: specific to stage of development
Define psychosocial dimension
interaction of social factors of individuals thought and behaviour
What are the 6 components of assessment for the psychosocial dimension?
- self concept
- roles and relationships
- cognition
- stress and coping
- personal habits and activities
- observation
What is self concept?
feelings and beliefs one has about oneself
What does assessment include when looking at self concept?
description of oneself
- > physical
- > emotional
- > intellectual
- > sexual
strengths and weaknesses (can be related to anxiety, depression, and substance abuse)
Describe the meaning of each “role” and “relationship”
Role: set of expected behaviours for certain social positions
Relationships: who a person feels close or connected with
What is being assessed in the “role” category?
family, community, education, employment roles
What is being assessed in the “relationship” category?
- > most significant relationships
- > patterns of communication, conflict
- > demands, supports
Define cognition
- > perception & interpretation of information
- > sequencing of thoughts and feelings
- > ways a person makes sense of his environment
What does cognition assessment include?
- > memory
- > abstract thinking
- > concentration
- > throught processes
- > perceptions
- > social judgment
- > insight
