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    FOUR Types of Assessment

    Uploaded by

    Kristine Custodio
    The document describes four types of assessments: 1) Initial assessment evaluates a client's health status upon admission to identify problems and establish a baseline. 2) Problem-focused assessment determines the status of a specific identified problem. 3) Emergency assessment rapidly identifies life-threatening issues during a crisis. 4) Time-lapsed assessment reassesses a client's health patterns months later to compare to the baseline. The document also outlines techniques for physical assessment: inspection visually examines the body; palpation touches the body with varying pressure; percussion taps the body to locate organs; and auscultation listens to internal sounds with a stethoscope.

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    FOUR Types of Assessment

    Uploaded by

    Kristine Custodio
    125 views2 pages
    The document describes four types of assessments: 1) Initial assessment evaluates a client's health status upon admission to identify problems and establish a baseline. 2) Problem-focused assessment determines the status of a specific identified problem. 3) Emergency assessment rapidly identifies life-threatening issues during a crisis. 4) Time-lapsed assessment reassesses a client's health patterns months later to compare to the baseline. The document also outlines techniques for physical assessment: inspection visually examines the body; palpation touches the body with varying pressure; percussion taps the body to locate organs; and auscultation listens to internal sounds with a stethoscope.

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    The document describes four types of assessments: 1) Initial assessment evaluates a client's health status upon admission to identify problems and establish a baseline. 2) Problem-focused assessment determines the status of a specific identified problem. 3) Emergency assessment rapidly identifies life-threatening issues during a crisis. 4) Time-lapsed assessment reassesses a client's health patterns months later to compare to the baseline. The document also outlines techniques for physical assessment: inspection visually examines the body; palpation touches the body with varying pressure; percussion taps the body to locate organs; and auscultation listens to internal sounds with a stethoscope.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    125 views2 pages

    FOUR Types of Assessment

    Uploaded by

    Kristine Custodio
    The document describes four types of assessments: 1) Initial assessment evaluates a client's health status upon admission to identify problems and establish a baseline. 2) Problem-focused assessment determines the status of a specific identified problem. 3) Emergency assessment rapidly identifies life-threatening issues during a crisis. 4) Time-lapsed assessment reassesses a client's health patterns months later to compare to the baseline. The document also outlines techniques for physical assessment: inspection visually examines the body; palpation touches the body with varying pressure; percussion taps the body to locate organs; and auscultation listens to internal sounds with a stethoscope.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    FOUR Types of Assessment

    Initial assessment – performed within specified time after admission or to evaluate the
    client’s health status, to identify functional health patterns that are problematic, and to
    provide an in-depth, comprehensive database, which is critical for evaluating changes in the
    client’s health status in subsequent assessments.
    Ex: nursing admission assessment

    the process of identifying an individual's learning and support needs to enable the design of
    an individual learning plan which will provide the structure for their learning.

    Problem-focused assessment – use to determine status of a specific problem identified in an


    earlier assessment
    Ex: problem on urination-assess on fluid intake & urine output hourly
    Ex: A focused musculoskeletal assessment includes collecting subjective data about the
    patient’s mobility and exercise level, collecting the patient’s and the patient’s family’s
    history of musculoskeletal conditions, and asking the patient about any signs and symptoms
    of musculoskeletal injury or conditions. Objective data is also assessed.

    Emergency assessment – it is a rapid assessment done during any physiologic/physiologic


    crisis of the client to identify life threatening problems.
    Ex: Assessment of a client’s airway, breathing status & circulation after a cardiac arrest.
    Ex: Choking in the dining room, a bleeding patient brought to the emergency room with a
    stab wound, an unresponsive patient in the rehabilitation unit or sudden collapse of a patient
    in the ward.

    Time-lapsed assessment – reassessment of client’s functional health pattern done several


    months after initial assessment to compare the client’s current status to baseline data
    previously obtained.
    Example: Reassessment of a client’s functional health patterns in a home care or outpatient
    setting or, in a hospital, at shift change.

    TECHNIQUES OF PHYSICAL ASSESSMENT


    INSPECTION -
    Inspect each body system using vision, smell, and hearing to assess normal conditions and deviations.
    Assess for color, size, location, movement, texture, symmetry, odors, and sounds as you assess each body
    system.
    Example: For example, your legs may be swollen. Your healthcare provider will then pay special attention
    to the common things that cause leg swelling, such as extra fluid caused by your heart, and use this
    information to help them make a diagnosis. Common areas that are inspected may include, skin, elbows,
    joints, muscles, and legs.

    PALPATION -
    Palpation requires you to touch the patient with different parts of your hands, using varying degrees of
    pressure. Because your hands are your tools, keep your fingernails short and your hands warm. Wear
    gloves when palpating mucous membranes or areas in contact with body fluids. Palpate tender areas last.
    Example:
    Percussion: Percussion involves tapping the body to elicit sounds and determining whether the sounds are
    appropriate for a particular organ or to help you locate organ borders or area of the body that also identifies
    organ shape and position.
    Example: For example, the percussion sounds can tell you if the organ is Air filled (e.g., lungs) Fluid filled
    (e.g., bladder and stomach) and Dense (e.g., liver)

    Auscultation - it is the medical term for using a stethoscope to listen to the sounds inside of your body
    during a physical examination to listen the sounds of your heart, lungs arteries and abdomen.
    EXAMPLE: examining the circulatory system and respiratory system (heart sounds and breath sounds), as
    well as the gastrointestinal system (bowel sounds) are auscultated with a stethoscope. The sounds that are
    heard with auscultation are classified and described according to their duration, pitch, intensity and quality.

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