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Nurses ' Role in Health Assessment of Patient with COPD and CHF The nursing role in health assessment involves a systematic collection of data that provides information to facilitate a plan of care to deliver the best care for the patient. Assessment is the foundation of nursing practice. The nurse carries out health assessment to determine the patient 's condition of health, risk factors, as well as the need for health education in order to develop an individualized care plan. The nurse oversees the holistic care of the client, which integrates the physical, emotional, cultural, and spiritual as well as the environmental elements affecting the patient (Hogan-Quigley, Palm, & Bickley, 2012).
The components of initial assessment comprises of the following:-
The Health history
The patient physical, psychological, social, cultural, spiritual, as well as developmental issues make up the health history (the "6 Facets" of health). The health history data may be gathered from the patient or family as well as medical records. By interviewing using, the mnemonic "OLD CART" the nurse gathers the history of the patient and family, which makes up the subjective data, also known as the symptoms (Hogan-Quigley, Palm, & Bickley, 2012).
Physical Examination
The nurse conducts a head to toe examination to find out changes in the patient 's body systems to dictate unusual or abnormal finding which may support the health history data or a course for questions. The physical examination helps the nurse to gather the objective data, which include the laboratory test and the information gathered by the nurse through the physical examination of the patient, which makes up the signs (Hogan-Quigley, Palm, & Bickley, 2012).
The data gathered from health assessment is documented in a clear and concise manner and placed in the patient 's medical record and utilized by the health care team (nurse, physician, nutritionist, social worker, physical therapist, occupational
The components of initial assessment comprises of the following:-
The Health history
The patient physical, psychological, social, cultural, spiritual, as well as developmental issues make up the health history (the "6 Facets" of health). The health history data may be gathered from the patient or family as well as medical records. By interviewing using, the mnemonic "OLD CART" the nurse gathers the history of the patient and family, which makes up the subjective data, also known as the symptoms (Hogan-Quigley, Palm, & Bickley, 2012).
Physical Examination
The nurse conducts a head to toe examination to find out changes in the patient 's body systems to dictate unusual or abnormal finding which may support the health history data or a course for questions. The physical examination helps the nurse to gather the objective data, which include the laboratory test and the information gathered by the nurse through the physical examination of the patient, which makes up the signs (Hogan-Quigley, Palm, & Bickley, 2012).
The data gathered from health assessment is documented in a clear and concise manner and placed in the patient 's medical record and utilized by the health care team (nurse, physician, nutritionist, social worker, physical therapist, occupational
References: Braveman, P., Kumanyika, S., Feilding, J., Laveist, T., Borell, L., Manderscheid, R., Troutman, A. (2011). Health disparities and health equity: the issue is justice. American Journal of Public Health, 101 Suppl 1, S149-S155. doi: 10.2105/ajph.2010.300062 Goolsby, M. J., & Grubbs, L. (2006). Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses. Philedelphia, PA: F.A. Davis Company. Hogan-Quigley, B., Palm, M. L., & Bickley, L. (2012). Bates ' Nursing Guide to Physical Examination and History Taking. (1 ed.). Philedelphia, PA: Lippincott Williams & Wilkins. Smeltzer, S. C., & Bare, B. G. (2004). Brunner & Suddarth 's Textbook of Medical Surgical Nursing. (10th ed.). Philedelphia: Lippincott Williams & Wilkins.