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Introduction To Health Assessment Part 1

This document provides an introduction to health assessment. It defines health from several perspectives, including the WHO's definition of health as a state of complete physical, mental, and social well-being. The document discusses how health has traditionally been viewed as an absence of disease but is now considered more holistically. Health assessment is defined as a systematic method of collecting a patient's health data to determine status, risks, and health-promoting activities using physical, social, cultural, environmental, and emotional factors. Sources of health data include interviews with the patient and family, physical exams, records, and lab tests. Subjective data refers to a patient's descriptions of symptoms only they can describe.

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53 views3 pages

Introduction To Health Assessment Part 1

This document provides an introduction to health assessment. It defines health from several perspectives, including the WHO's definition of health as a state of complete physical, mental, and social well-being. The document discusses how health has traditionally been viewed as an absence of disease but is now considered more holistically. Health assessment is defined as a systematic method of collecting a patient's health data to determine status, risks, and health-promoting activities using physical, social, cultural, environmental, and emotional factors. Sources of health data include interviews with the patient and family, physical exams, records, and lab tests. Subjective data refers to a patient's descriptions of symptoms only they can describe.

Uploaded by

kuleyt
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Introduction to Health Assessment

H E A LT H

➢Traditionally, health has been thought of as the absence of disease.

➢The terms health and wellness have been used interchangeably to describe the state when one is not
sick.

➢The concept of health extends beyond freedom from physical illness; considered from a holistic
approach, health encompasses psychosocial and spiritual components, as well.

D E F I N I T I O N S O F H E A LT H

 Health is a state of complete physical, mental and social well-being and not merely the absence of
disease or infirmity. (WHO 1947)

SCENARIO

1. Lito, a 15-year-old with diabetes takes injectable insulin each morning. He plays on the school
basketball team and one of its top players, he is also editor of the high school newspaper.

• Is he healthy?

• According to him, he is healthy., he enjoys playing basketball for his school.

2. Maria a 72 year old, she spends almost as much time with her doctors as she does with her
grandchildren. She has to. She takes seven prescription medications to treat her high blood
pressure, high cholesterol, diabetes, and arthritis.

• Is Maria healthy? According to her, “Absolutely!” She enjoys her spacious apartment, two
cats, close friends and grandchildren.

Health

 Florence Nightingale (1860/1969) defined health as a state of being well and using every power
the individual possesses to the fullest extent.
 A culturally defined, valued, and practiced state of well-being reflective of the ability to perform
role activities (Leininger, 2007).

MANYPEOPLEDEFINEANDDESCRIBE HEALTHASTHEFOLLOWING:

 Being free from symptoms of disease and pain as much as possible


 Being able to be active and to do what they want or must
 Being in good spirits most of the time.
H E A LT H A S S E S S M E N T

• Health assessment may be defined as a systematic method of collecting data about a patient for the
purpose of determining the patient's current and ongoing health status, predicting risks to health, and
identifying health promoting activities.

• The data include physical, social, cultural, environmental, and emotional factors that impact the
overall well-being of the patient.

• The health status will include wellness behaviors, illness signs and symptoms, patient strengths and
weaknesses, and risk factors. The scope of focus must be more than problems presented by the patient.

SCENARIO

1. You walk into Mrs. Cruz room for the first time. She is sitting on the edge of the bed crying and
has not changed into a hospital gown. You introduce yourself and say, “You seem very upset.”
Mrs. Cruz tells you that she is concerned about her husband being left at home alone while she
is in the hospital for colon surgery
2. Your patient Mr. Lim, 42 year-old, 2 days post thoracic surgery. He has a fever with temperature
of 38.2, his HR 120 B/M, complaint of mild surgical pain.

H E A LT H A S S E S S M E N T

• Knowledge of the natural and social sciences is a strong foundation for the nurse.

• Effective communication techniques and use of critical thinking skills are essential in helping the nurse
to gather detailed, complete, relevant, health data needed to formulate a plan of care to meet the
needs of the patient.

• Health assessment includes the interview, physical assessment, documentation, and interpretation of
findings. (IPDI)

SOURCESOFDATA

• The nurse will use a variety of sources to gather health data.

• Sources of data are primary or secondary.

• The client is the primary source of data.

• Family members or other support persons, other health professionals, records and reports, laboratory
and diagnostic analyses, and relevant literature are secondary or indirect sources.

SUBJECTIVEDATA

• Subjective data, also referred to as symptoms or covert data, are apparent only to the person affected
and can be described or verified only by that person.

• Itching, pain, and feelings of worry are examples of subjective data.


• Subjective data include the client’s sensations, feelings, values, beliefs, and perception of personal
health status and life situation

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