2. Nursing Health Assessment No. NURS 2214 Dr
Nursing Health Assessment No. NURS 2214 Dr. Abdalkarim Radwan Faculty of Nursing/ IUG

3. The first assessment begin in (1992) by American Medical Association
In (1995) health assessment considered as basic human right
Preventive health care divided in three categories, primary, secondary and tertiary prevention
Periodic health assessment needed to be performed by a physician, or nurses

4. Objectives and types of assessment
Surveillance of health status, identification of occult disease, screening, and follow-up care
The periodic assessment, at regular intervals
Increasing client participation in health care

5. Accurately define the health and risk care needs for individuals
Health assessment is shared with the client in a clearly and understandable manner
The client must share in decision making for his own care.

6. Frequency of assessment
The persons under (35) years every (4–5) years
The persons from (35 – 45) every (2 – 3) years.
Persons from (45-55) years of age undergo a thorough health assessment every year.
Persons over (55) years may needs assessment every 6 months or less

7. Importance of nursing health assessment
1. Systematic and continuous collection of client data
2. It focus on client responses to health problems.
3. The nurse carefully examine the client’s body parts to determine any abnormalities

8. 4. The nurse relies on data from different sources which can indicate significant clinical problems.
5. Health assessment provides a base line used to plan the clients care
6. Health assessment helps the nurse to diagnose client’s problem & the intervention

9. 7. Complete health assessment involves a more detailed review of client’s condition.
8. Health assessment influence the choice of therapies & client's responses

10. Purposes of health assessment
1. Gather data
2. Confirm, or refuse data obtained in the health history.
3. To confirm identify nursing diagnoses

11. 4. To make clinical judgments about client's changing health
5.To evaluate bio-psycho-social and spiritual outcomes of care.

12. Nursing and medical diagnosis
There is a big Difference
* Nursing diagnosis independent role of the nurse
* Nursing diagnoses depends on the client's problems associated with specific disorder

13. Any problem must notice from a holistic view e. g
* Any problem must notice from a holistic view e.g. bio-psycho-social and spiritual relations
* Medical diagnoses depends on clinical picture and laboratory findings

14. *The specialist doctor has a right to diagnose not else
Example: DM is medical diagnoses (hypo or hyperglycemia)
* Nursing diagnoses in this case e.g. Impaired skin integrity R/T poor circulation, Knowledge deficit R/T…

15. Health history
1.The interview
2.Psychosocial assessment
3.Nutritional assessment
4.Assessment of sleep-wakefulness patterns
5.The health history.

16. Interview
*Definition: communication process focuses on the client's development, psychological, physiological, socio cultural , and spiritual

17. To obtain health history & to identify development of symptoms
Major purpose:
To obtain health history & to identify development of symptoms
Components of nursing interview
1. Introductory phase
2. working phase
3. Termination phase

18. Introductory phase:
Introduce yourself and explains the purpose of the interview to the client.
Before Asking questions Let client to feel Comfort, Privacy and confidentiality

19. working phase:
*The nurse must listen and observe cues in addition to using critical thinking skills to validate information received from the client.
*The nurse identify client's problems and goals.

20. Termination phase:
The nurse summarizes information obtained during the working phase
Validates problems and goals with the client.
Making plans to resolve the problems

21. Communications techniques during interview
Types of questions :
Use open ended questions to assess client's feelings e.g. what, how , which“
Use closed ended question to obtain facts e.g." when, did…etc.

22. 2. Types of statements to use:
Use list to obtain specific answers e.g. "is pain sever, dull sharp
Explore all data that deviate from normal e.g. “increase or decrease the problem
2. Types of statements to use:
clarify information, and encourage verbalization

23. 3. Accept the client use silence to recognize thoughts.
4. Avoid some communication styles e.g.
*Excessive or not enough eye contact.
*Doing other things during getting history.

24. 5.specific age variations :-
* Biased or leading questions e.g. "you don't feel bad"
* Relying on memory to recall information
5.specific age variations :-
- Pediatric clients: validate information from parents.
- Geriatric clients: use simple words, &assess hearing acuity

25. 6. Emotional variations: Be
- calm with angry clients
- simply with anxious
- interest with depressed client

26. 7. Cultural variations:
“In the communication of self and clients”
8. You can use culture broker:
In different languages. And use pictures for non reading clients

27. The End