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Assignment on assessment in nursing
Dementia awareness level 2 answers unit 2 answers
Quizlet Nursing Assessment
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From all the assessment tools available in both the internet and the book, I believe one that might help in understanding the patient’s physiological, emotional, and financial circumstances is the OARS Multidimensional Functional Assessment Questionnaire (OMFAQ). This assessment tool, according to Touhy and Jett (2018), evaluates social and economic resources, mental and physical health, and ADLS (p.104). The assessment tool determines the person’s functional capacity in each area by choosing a number between 1 (excellent functioning) to 6 (totally impaired functioning) (Touhy & Jett, 2018, p. 104). The OMFAG assessment tool should be implemented into nursing practice to establish baseline information about the patient, and know about their
A cardiac assessment: Listen to heart sounds listening for extra heart sounds, fast heartbeat, and monitor EKG looking for dysthymias. Assess vitals especially BP, BP should be kept low in heart failure patients to put less stress on the heart. Assess the patient for edema as a result of fluid retention. Listen for crackles in the lungs due to fluid built up. Watch I&O’s and weight the patient to assess for edema, ask about activity intolerance. Assess for changes in mental status, cool extremities, pale or cyanotic, fatigue, and JVD (Indications of poor perfusion) (Ignatavicius &Workman, p.756).
...the tools meet both CPA and Health of the Nation outcome scales requirement (DOH 2007). The Risk is assessed using the Face Risk Profile. This tool is really easy to use as it has Five sets of Risks indicators, these are then coded as present or absent and a risk status (0-4) is judged (DOH 2007). The problem with this assessment is that the patient would sometimes need to be involved and at present because of Julie’s presenting problems this would not be able to happen but parts of the Risk Profile can be filled in by the Nurse who is in charge of Julie care and wellbeing. The problem with the actuarial approach is that sometimes these tools may not give a conclusive answer to the problem. However many researchers would suggest that the use of both actuarial and clinical risk assessment would be better for a nurse to use to come up with an accurate risk assessment.
Level of Care Criteria: Decision support based off of intensity of services, severity of illness and comorbities.
...if the caregiver needs a break. Also, talking to the family about friends and family that they have reached out too, or organizations that they are currently using to make everyday tasks easier. In general, the evaluation is going to be based off observation, and the family and patients verbal report of their well being.
The patient is a carpenter by trade with a high school education and lives with his wife who is disabled due to complications from T2DM. He and his wife live in an unsafe neighborhood where they share a one-bedroom apartment. His employment provides their only source of income and he experiences high levels of stress and anxiety as being sick jeopardizes his ability to make a living and care for his wife. He has poor exercise and dietary habits. His meals consist mainly of fast food for lunch and a large meal at the end of the work day, primarily meat and pasta.
In order to formulate a thorough assessment or intervention a social worker must first evaluate all the contributing factors that influence a client’s life. Problems faced by clients are rarely a result of a single factor or influence. Many individual, interpersonal and environmental factors must be evaluated to fully understand the cause of problems. Multidimensional assessments must be used to determine biological, psychological and environmental issues that contribute to problematic outcomes (Hepworth, Rooney, R., Rooney, G., & Strom-Gottfried, 2013.). Along with conducting multidimensional assessments, social workers must also evaluate stages of development, and assess how age can influence behaviors (2013). All contributing factors must
Morgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
In addition, there are guidelines to assist with assessing the quality of the family relationships, indicators of problems that would indicate poor quality of care, and methods to assess the caregiver’s physical and mental statues that could affect their ability to provide care.
There are several assessment tools nurses use in in the field to assess geriatrics along with the rest of the population. Three most common assessment tools are, the pain scale, fall risk scale, and the depression scale.
The provider will ask the patient to assign a number for the severity of their pain. This is useful for patients with mild or moderate dementia. Zero indicates no pain and ten indicates worst imaginable pain. They will often give patients a chart to look at if they don’t fully understand. The ranges are one to three being mild pain; four to six is moderate pain and seven to ten is severe pain (Chatterjee, 2012). Observation scales, such as the Abbey Pain scale, or PAINAD, is useful for scoring pain when patients are unable to (Chatterjee, 2012). While observing, the patients score questions one to six, for example, vocalization (e.g. groaning), facial expression (e.g. Frowning), and changes in body movements (e.g. resistance to care) (Sherder Ej,
The nursing process is based upon five steps. The first step is the assessment phase; this can range from body system specific to head-to-toe assessment. These assessments are both subjective and objective and must be properly documented, organized and validated (Taylor et al, 2011). The second phase of the nursing process is formulating a diagnosis. The nurse identifies the patient’s needs and strengths from reviewing the previous assessments and determines what the nursing diagnosis should be. Then comes the planning phase where the nurse organizes the interventions by priority based upon the assessments and creates a plan for the patient to work on ...
Assessment of a patient’s health status is the collection of data through nursing assessment techniques,
If I was in a vegetative state with no hope of re-gaining brain function or living a cognitive life, I would want my family to take me off of life support and I believe these scores reflect that. To live my life, I would want to be as independent as possible; to a certain extent. I would not want to worry about accidents from my bowels or bladder and would like to be somewhat independent in the shower. Although I understand that some type a bathing aide might be necessary. I wouldn’t mind receiving help with grooming, dressing,
Assessment is the accurate collection of comprehensive data pertinent to the patient’s health or the situation (“American Nurses Association,” 2010). Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient’s health date including both subjective and objective information. Subjective data includes information that can only be described or verified by the patient. This may include chest pain, headache, or body aches. Objective date is data that can be observed and measured. This type of data is obtained using inspection, palpation, percussion, and auscultation during the physical exam. Objective data can also be provided through diagnostic testing. This is important for proper diagnosis, planning, and intervention. Examples of this may include vital signs, warm and moist skin, and coughing up yellow colored sputum.
One of the first things a nurse should assess before any other is how patient communicates. This would include the assessing the patient’s preference for verbal, nonverbal body language, tone, eye contact, hard of hearing, blind, language the patient wants to speak, need for interpreter, and cultural norm for who is decision maker. The second component, educational background, will entail the evaluation of whether member knows how to read, write, what level of education completed, and what is the best learning style for the patient. Lastly, the health related beliefs and practices of the patient. This would include what causes illness or disease, does the patient and family all believe in the same thing, does the patient use herbal remedies or have a need for religious