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Nurse Role in
Health Assessment
CRES QUINZON RN MAN 1
NURSES ROLE IN HEALTH ASSESSMENT

Collecting
and
Analyzing
Data

LIGIA CRESENCIA QUINZON RN MAN 3

 NURSES ROLE IN HEALTH ASSESSMENT :
COLLECTING DATA
• Assessment: Step One of the Nursing Process
• assessment is the first and most critical phase of
the nursing process
• If data collection is inadequate or inaccurate,
incorrect nursing judgments may be made that
adversely affect the remaining phases of the
process: diagnosis, planning, implementation, and
evaluation

LIGIA CRESENCIA QUINZON RN MAN 4

 NURSES ROLE IN HEALTH ASSESSMENT :
COLLECTING DATA
• Assessment: Step One of the
Nursing Process
• assessment is the first and most
critical phase of the nursing process
• It is the foundation of all nursing care
• It is the orderly collection of
objective and subjective
information about the clients health
status
LIGIA CRESENCIA QUINZON RN MAN 5
 NURSES ROLE IN HEALTH ASSESSMENT :
COLLECTING DATA

If data collection is inadequate or

inaccurate, incorrect nursing
judgments may be made that
adversely affect the remaining phases
of the process: diagnosis, planning,
implementation, and evaluation

LIGIA CRESENCIA QUINZON RN MAN 6

 HEALTH ASSESSMENT

• assessment is ongoing and

continuous throughout all the
phases of the nursing process.
• The nursing process should be
thought of as circular, not linear.

LIGIA CRESENCIA QUINZON RN MAN 7

NURSING
PROCESS

LIGIA CRESENCIA QUINZON RN MAN 8

 NURSES ROLE IN HEALTH ASSESSMENT :
COLLECTING DATA

assessment is obtained by using a combination of

head to toe and body systems approach.

involves the collection of data about the system (individual,

family, or community).

Data is collected by way of interview, physical examination,

and review of records.

LIGIA CRESENCIA QUINZON RN MAN 9

COMPONENTS OF HEALTH ASSESSMENT

 the nursing health history

 the physical health examination

LIGIA CRESENCIA QUINZON RN MAN 10

THE PURPOSE OF NURSING HEALTH
ASSESSMENT
• Is to collect holistic
subjective and objective
data to determine a
clients overall level
of functioning in
order to make
professional clinical
judgment .
• The nurse collects
physiologic,
LIGIA CRESENCIA QUINZON RN MAN 26
psychological,
 FOCUS OF HEALTH ASSESSMENT IN NURSING

A comprehensive health assessment

compose of both
I. Health History (Framework)
• History of present health concern
• Personal Health History
• Family History
• Lifestyle and health practices

II. Physical Assessment /Examination

27
 TYPES OF ASSESSMENT

The four basic types of

assessment are:
• Initial comprehensive
assessment
• Ongoing or partial assessment
• Focused or problem-oriented
assessment
• Emergency assessment

LIGIA CRESENCIA QUINZON RN MAN 28

 TYPES OF ASSESSMENT

Initial Comprehensive
Assessment
• Nurse collects the subjective
data, especially those related to
the client’s overall function.
• Other members of the health
care team may participate in
various parts of the objective
data collection.

LIGIA CRESENCIA QUINZON RN MAN 29

 TYPES OF ASSESSMENT

B. Ongoing or Partial
Assessment
• An ongoing or partial
assessment of the client
consists of data collection
that occurs after the
comprehensive
database is
established.
• Mini-overview of the
client’s body systems and
holistic health patterns as
LIGIA CRESENCIA QUINZON RN MAN 31
 TYPES OF ASSESSMENT

C. Focused or Problem-
Oriented Assessment
• thorough assessment of a
particular client problem
and does not cover areas
not related to the problem.

LIGIA CRESENCIA QUINZON RN MAN 32

 TYPES OF ASSESSMENT

D. Emergency
Assessment
• an emergency
assessment is a very
rapid assessment
performed in life-
threatening situations.
• an immediate diagnosis is
needed to provide prompt
treatment.
LIGIA CRESENCIA QUINZON RN MAN 33