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Comprehensive Nursing Assessment Techniques and Data Analysis

Learn about nursing assessment techniques, data collection methods, analysis, and documentation for a holistic patient care approach. Includes concept mapping for visual representation of health problems.

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Comprehensive Nursing Assessment Techniques and Data Analysis

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  1. Chapter 16Nursing AssessmentDenise Coffey MSN, RN

  2. Critical Thinking Approach to Assessment • Nursing assessment • Collection and verification of data • Analysis of data • Database • Consists of client’s perceived needs, health problems, and responses to problems

  3. Data Collection • Subjective data • Objective data • Sources of data • Client • Family and significant others • Health care team • Medical records

  4. Methods of Data Collection • Interview • An organized conversation with the client • Nursing health history • Data about the client’s current level of wellness

  5. Nursing Health History

  6. Physical Examination • Observation of client behavior • Diagnostic and laboratory data • Interpreting assessment data and making nursing judgments

  7. Data Documentation • The last component of assessment • Legal and professional responsibility • Requires accurate and approved terminology and abbreviations

  8. Concept Mapping • A visual representation that allows nurses to graphically illustrate the connections between a client’s health problems • Allows nurses to obtain a holistic perspective of health care needs

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