Assessments
Detailed history and physical examination performed in a primary care facility, admission to a hospital or long-term care facility
Comprehensive Health Assessment
behavior motivated by the desire to increase well-being and actualize human health potential
techniques to enhance interview
active listening, facilitation, clarification, reflection, confrontation, interpretation, summarization
Single most important method of reducing infection
HANDWASHING
History and physical exam limited to a specific problem or complaint
Problem-based/Focused Assessment
behavior motivated by the desire to actively avoid illness, detect it early, or maintain functioning within its constraints
health protection
behaviors that interfere with interview
using medical terminology, expressing judgement, interrupting, being authoritarian, using why questions
hand hygiene, PPE, cough etiquette, managing contaminated equipment, Enviromental infection control
Return to a follow up visit after completion of antibiotics or a patient being treated for something ongoing
Episodic/Follow-up
prevent disease through healthy lifestyles
primary prevention
components of health history
biographic data, reason for seeking care, history of presenting illness, present health status, past health history, family history, personal and psychosocial history, review of symptoms
correct order to don PPE
1. Gown
2. Mask
3. Goggles
4. Gloves
When a Pt is hospitalized and a nurse does assessments each shift, purpose is to identify changes
Shift Assessment
screening for early detection of disease
secondary prevention
biographic data
name/preferred name, gender/gender identity, address/phone #/email, birthdate, birthplace, age/ethnicity, religion, mental status, occupation, contact person, source of data
correct order to doff PPE
1. Gloves
2. Gown
3. Goggles
4. Face Mask
Short assessment focused on disease detection at a health fair or health care providers office
Screening assessment/Examination
minimizing the disability from acute or chronic disease or injury
tertiary prevention
OLDCARTS
onset, location, duration, characteristics, aggravating/alleviating factors, related symptoms, treatment, severity
Techniques of Physical Asssessment
Inspection, palpation, auscultation, percussion