Summary table of the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 used for Assessing Oral Mucositis:…
For the History of Present Illness, consider what questions the physician might ask the patient about his or her chief complaint and symptoms and then chart that in this section. This section serves as an account of what the patient would report, based on their symptoms. Remember, symptoms are subjective, in that they are conditions experienced by the patient, and are therefore included in the patient history.…
Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…
Explain how the selected theorist’s approach to each element of the metaparadigm applies to the following:…
The patient’s chief complaint, present illness history, past history, family history, social history, current medications, and review of systems…
GP must be able to diagnose a patient in order to plan a treatment plan. Treatment can involve particular…
In this chapter, we have emphasized that comprehensive assessment makes use of nursing knowledge and understanding of the combined factors of age-related changes, age-associated and other diseases, heredity, and lifestyle choices. Think of an older adult for whom you have provided care and describe that person. Try to outline the factors (age-related changes, age-associated and other diseases, heredity, and lifestyle choices) that are relevant for his or her health assessment.…
2. Giving feedback to the individual after each observation made or piece of work marked against criteria. All feedback is recorded on feedback sheets and all relevant signatures and dates and done in order to authenticate the document.…
Observation can be used effectively as watching learner perform skills will relate to giving feedback and provide questioning. Providing positive feedback will improve learners confidence and questioning develop their potential.…
The purpose of this paper is to discuss the results of a comprehensive health assessment on a patient of my choosing. This comprehensive assessment included the patient 's complete health history and a head-to-toe physical examination. The complete health history information was obtained by interviewing the patient, who was considered to be a reliable source. Other sources of data, such as medical records, were not available at the time of the interview. Physical examination data was obtained through inspection, palpation, percussion, and auscultation techniques. The case study results are interpreted from the perspective of a registered nurse, and three nursing diagnoses are identified.…
A comprehensive or complete health assessment usually begins with obtaining a thorough health history and physical exam ("Overview of Nursing Health Assessment," 2015, p. 4)\. This type of assessment is usually done upon admission, once patient is stable, or when a new patient presents to an outpatient clinic. Provides fundamental and personalized knowledge about the patient and Supports the clinician–patient relationship. In other words complete assessment helps to identify or rule out physical causes related to patient concerns which also act as the baselines for future assessments .Complete assessment usually creates platform for health promotion through education and counseling. It helps to develop, proficiency in the essential skills of…
The second stage involves planning how those learning needs will be met and how knowledge will be retained.…
The assessment process may be defined as the organized and systematic collection and assimilation of data on the patient’s health status through a variety of sources: these include the patient as a primary source, along with their medical records and any information obtained from the family or any other person giving patient care. Secondary sources can be professional journals and medical texts. (Galasko,1997)…
According to NANDA (1990), “a nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential…
While several symptoms have been discussed, the overall problems which require attention can be categorized into the following four:…