Medical assessments are all about assessing the patients for current and potential problems and this forms the most important part of the nursing practice. Patient assessment involves checking the patients through a physical examination to ascertain the medical condition of the patient. Different techniques are used to gather information like observation, checking palpation, percussion, auscultation, etc.
Medical judgment is used to determine which assessment technique should be used and to what extent a patient needs physical examination.
Patient assessments are of two types-
The medical practitioner or the nurse use patient assessment tools to decide which patient needs which type of assessment.
Patient assessment of the patient is the most important and the first step in determining the trouble of the patient and how to address the same. This is a pivotal step as this helps in determining the physical, psychological, social, and economic conditions of the patient. These are used to come up with comprehensive and health-related goals specific to the patient.
Any medical plan however simple and lucid would require the basic information of the patient with the help of health assessment questions to ask the patient without which nothing can be drafted in a health plan. This is achieved by way of primary and focused Patient assessment. This lays the ground for preparing a well-informed health plan.
Psychiatric assessment is the assessment of a patient for carrying on with psychiatric treatment. Psychiatric assessment involves a few basic steps that may involve asking a few questions.
Questions may be related to –
This may include asking questions like asking the names of the body parts, naming objects, repeat simple phrases.
There are two types of psychiatric assessments
There are many types of assessments. Depending on the problems of the patient, the assessment will be started by the nurse or the doctor. In case the basic assessment turns out good, there may not be any need for further assessment but if the basic assessment shows any problems, then further assessments would be required to get the right understanding of the problem and the proposed health care plan that is to be followed. The following are the types of assessment-
The nurse would check why the patient is here in the first place and for this, the nurse will ask questions about the patient's medical history, family medical background, and social conditions.
How well a nurse would be able to give treatment and health care plan is dependant on how well the assessment is made. If the assessment is made accurately, then the nurse would be able to chart an accurate and comprehensive, and problem-specific plan which will bring out better results.
Moreover, the basic work of the nurse is to record information not to interpret it. The nurse records things like blood pressure, pulse, temperature, consciousness level, etc. therefore, the nurse must attempt to record all these things in a put-together manner. The nurse after recording all this information can prioritize the care of patients. Therefore, nowadays the correct assessment of the patient is one of the most important qualities that a nurse must-have.
The main objective of the assessment is to determine the way of observing the progress of the patient and detecting the issues that may result in adverse events. Doing this in a proficient and accurate as well as quick manner will ensure the timely and quality treatment of the patient. The nurses who do this can also help and co-operate with the doctor in the best manner.
There are certain areas of assessment where the nurse can put in more efforts to be able to do a good assessment like –
Also, there are assessments for different types of patients, one assessment cannot satisfy the health conditions of different patients. There are different assessment of stroke patient, cognitive assessment for stroke patients scoring, confused patient assessment, nursing assessment for dementia patients, postural assessment scale for stroke patients, psychological assessment for stroke patients, respiratory patient assessment, assessment of a patient with hypertension, etc.
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