What Is a Patient Assessment?

1. Physical assessment is an organized and systematic collection of objective data generated based on health history and head-to-toe or general system checks. A physical assessment is applied based on the needs of the patient. It can be a complete body assessment, a systematic comprehensive assessment of the human body, or an assessment of a body part.

Physical assessment

1. Physical assessment is an organized and systematic collection of objective data generated based on health history and head-to-toe or general system checks. A physical assessment is applied based on the needs of the patient. It can be a complete body assessment, a systematic comprehensive assessment of the human body, or an assessment of a body part.

2. The first step in the physical assessment is the nursing process, which provides a basic care plan. Observation is an integral part of the overall body assessment during the assessment, intervention and assessment phases.

3. Because the physical assessment is conducted in an organized and systematic way, rather than a random way, the chance of missing important data is also greatly reduced.

Chinese name

Physical assessment

Foreign name

Physical Assessment

Method

Look, smell, ask, cut

Purpose

Evaluation results reflect the patient's physical condition

Excellent Physical Assessment ^[1]

1. Establish a positive and harmonious relationship between nurse and patient. This relationship will reduce patient stress and may have unexpectedly good results.

2. Explain the purpose of the physical assessment. The purpose of a care assessment is to collect patient health information so you can plan a targeted care for the patient. All other steps in the nursing process depend on collecting relevant, descriptive data. The data must be real, not interpretive.

3. Get a notification, verbal consent "assessment. The primary source of data is usually the patient, unless the patient is too sick, too young, or too confused to communicate. Patients often appreciate paying close attention to their issues and may even enjoy receiving s concern.

4. Keep the data confidential. If possible, choose a private place where others cannot hear or see the patient. Explain what kind of information is needed and how it will be used. It is also important that the data to be communicated will be recorded and who can see it. In some cases, you should explain to the patient his rights to a privileged communication with a health care provider.

5. Try not to expose privacy. To ensure as much privacy as possible, use curtains and lock the doors appropriately.

6. Communicate the special requirements of the patient. As you continue with the test, tell the patient what you plan to do and how he can assist, especially when you anticipate the possible embarrassment and discomfort.

1. Inspection: Visual inspection is called inspection. This can be carried out in an orderly manner, focusing on the observation of a body part.

2. Palpation: The test by touch is called palpation. The texture, size, and location of body parts that nurses feel consistent with.

3. Auscultation (Auscultation): The examination of the inside of the body by listening to the sound is called auscultation. The most commonly heard sounds are those of the abdominal and chest organs and blood movements in the cardiovascular system. Direct auscultation with ears, rarely doing so. Indirect auscultation is usually through a stethoscope.

4. Percussion: Examining the body, using your fingers is called percussion. Percussion is a special skill, and nurse assessment is not required. This technique is usually performed by a registered nurse (RN) or a doctor.

Palpation and percussion (2 photos)