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Nutrition and Nursing Practice
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Deborah Chielli, Caroline Trapp, Cody Stubbe, Tammy Robertson, Gia Merlo
Nursing assessment is the foundation on which appropriate nursing diagnoses, planning, and interventions are based (Ackley et al., 2017). Assessment includes the collection of subjective and objective data across all dimensional characteristics of the patient: Biophysical, psychological, sociocultural, spiritual, and environmental. (Ackley et al., 2017). When considering lifestyle changes, it is important for the nurse to assess readiness to change. Determining the reason that the patient wants to make the change, the “why,” is a useful finding that can help keep the patient on course to reaching her or his goals. The nurse needs to assess from a holistic, patient-centered approach, keeping in mind all of the factors about this individual: location, family, preferences, economic status, resources available, support system, health status, motivational factors, etc., considering existing support and potential barriers. If the patient states a willingness to make changes, then the nurse should work with that patient/family/care team to help make an appropriate goal and provide interventions that will set the patient up to help achieve the goal.
Fundamentals of mental health assessment for non–mental health practitioners
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Nursing assessment is the first step of the nursing process. A simple interpretation of the nursing assessment process is, where the nurse or nursing associate takes a history, examines the person, makes a nursing diagnosis and identifies treatment. However, the nursing assessment requires more in-depth understanding, to be able to make adequate assessments that ensure all individuals receive high standards of care and are offered best evidence treatment through the correct care pathway. Assessment starts from the first point of referral to your service. This may be referral documentation or the person attending your area of practice. They may even have seen you regularly or their health may be being reviewed, for example someone with a long-term physical health condition. However, what may be important is that they are now presenting with a change in their mental state. Therefore, you should consider your first point of contact as the first stage to initiate your assessment and the start of your data collection. Assessment is, first of all, identifying the person’s needs. You cannot follow the other components of the nursing process without, first of all, an assessment to identify what needs they have.
The assessment of older adults: an overview
Published in Helen Taylor, Ian Stuart-Hamilton, Assessing the Nursing and Care Needs of Older Adults, 2021
A nursing assessment therefore involves the nurse identifying a patient’s nursing care needs as a means of determining that patient’s need for nursing interventions, and is part of the process of delivering individualised care. This assessment may be holistic and address the individual’s biological, psychological and sociological health status, or it may concentrate on specific areas of need, such as cognitive status. Examples of tools used for holistic assessment include EASY-Care 2002-2005, CANE, the Minimum Data Set for Home Care (MDS Home Care), FACE, and the Royal College of Nursing Assessment Tool For Nursing Older People.1 An example of an assessment that focuses on specific areas of health would be the Mini-Mental State Examination (MMSE).9
Zombies Wanted! Descriptions of Nurses in Psychiatric-Mental Health Care in Swedish Recruitment Advertisements
Published in Issues in Mental Health Nursing, 2021
Sebastian Gabrielsson, Johanna Salberg, Josefin Bäckström
The tasks most commonly described in the advertisements were unspecified patient-oriented tasks, including unspecified patient work, conventional RN duties without further specification, advisory work, assessments, and treatments. More than half of the advertisements specified medical tasks as central for nurses. Of these, the most common were handling medications, follow-up of medications, and medical assessments, along with technical medical tasks, such as drawing blood and performing medical treatments. We found that less than a third of the advertisements specified nursing tasks as a responsibility. Nursing tasks described were, for example, unspecified nursing, assessment of patients’ nursing needs, planning nursing, supportive counselling, and promoting and preserving health. Very few advertisements specified lead nursing as a nurse’s responsibility. Close to a quarter of the advertisements described administrative tasks like keeping a patient journal, while developmental tasks were rarely described. Some advertisements described tasks focussing on family members. A few advertisements specified psychotherapeutic tasks or supervisory tasks.
The impact of nursing assessment on cardiovascular health behaviour: a scoping review
Published in Contemporary Nurse, 2021
Nursing assessment, in which the nurse uncovers detailed health status data about an individual for the purposes of optimizing health, is fundamental to the nursing process and the way in which nurses interact with clients (Toney-Butler & Unison-Pace, 2021). Specific, accurate perception of risk factors uncovered during nursing assessment, when communicated to the patient, can stimulate changes in health behaviour (Boo et al., 2017). By drawing attention to the role of health behaviour in the management of risk factors, nursing assessment influences individual knowledge, attitudes, and behaviours.
An exploratory descriptive cohort study of 90-day prognosis after acute ischaemic stroke with mechanical thrombectomy
Published in Contemporary Nurse, 2022
Ling Feng, Yueyue He, Shuju Dong, Rui Wang, Shiyan Long, Li He
As our institution is a large hospital in China, many discharged patients do not achieve complete recovery but are transferred to lower acuity rehabilitation facilities. The generate data analysis in this study only included the generate data incurred by patients in our hospital, not those incurred in subordinate rehabilitation hospitals after transfer. Nursing assessment is used to collect objective and subjective data from patients to guide nursing management. Nursing assessment findings were used to determine nursing needs as factors for exploration.