The role of the nurse in the assessment, diagnosis and management of patients with affective disorders
Stephen Curran, John P Wattis in Practical Management of Affective Disorders in Older People, 2018
Nursing staff have a key role in providing holistic assessment using statutory assessment procedures and global and specific symptom measurement tools in a range of formal and informal environmental settings. Nursing assessment is a continuous process requiring a range of observational, interpersonal and analytical skills and a bio-psychosocial knowledge base. Fowler et al.43 suggest the core elements of assessment for psychosis include past and current holistic assessment, specific assessment of positive and negative symptoms of psychosis and beliefs about psychosis, existing coping skills and behaviour using a cognitive ABC analysis of activating events, beliefs about activating events and cognitive, behavioural, social, physiological and affective consequences of beliefs. The use of a time line is a practical and effective method of assessing the history and context of presenting difficulties. It enables the identification of personal stress and vulnerability factors in the course of psychotic relapse and experience, and possible symptom maintenance factors, e.g. habitual avoidance of feared stimuli resulting in lack of opportunity to test one’s hypothesis.
Fundamentals of mental health assessment for non–mental health practitioners
Nicola Neale, Joanne Sale in 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.
Nutrition and Nursing Practice
Gia Merlo, Kathy Berra in Lifestyle Nursing, 2023
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.
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.
Related Knowledge Centers
- Mental Health
- Nursing Process
- Physiology
- Psychology
- Prioritization
- Nursing
- Medical History
- Abc
- Triage
- Physical Examination