Patient Assessment Paper

Assessment basically depends on the situation of the patient .When a patient first comes to the hospital we do initial assessment to identify and treat life-threatening problems, this initial Assessment concentrating on Level of Consciousness, Cervical Spinal Stabilization, Airway, Breathing, and Circulation, The priority of care is based on these immediate assessment and determination. After determination of severity in the absence of apparent life threatening situation, if the patient is conscious, and able to adequately relate their chief complaint, the patient is subjected to have a focused assessment. In a focused assessment, the clinician assess the patient’s chief complaint using OPQRST, obtain a baseline set of vital signs, and perform a SAMPLE history. The components of this step may be altered based on the patient’s presentation. SAMPLE – A mnemonic for the history of a patient’s condition to determine: · Signs & Symptoms, Allergies, Medications, Pertinent past history, Last oral intake, Events leading up to the illness/injury OPQRST – A mnemonic used to evaluate a patient’s chief complaint and signs &
A systematic physical assessment remains one of the most vital components of patient care. Complete assessment is the head to toe assessment seven components of the Comprehensive Adult Health History incudes, identifying data and source of the history; Reliability ,chief complaint, present Illness past History, family history, personal and social history and review of all systems. Understanding of all the components of a comprehensive assessment allows to select the essentials that are most relevant to the patient’s concerns. However nurses needs to adjust the assessment according to the situation keeping several factors in mind such as the magnitude and severity of the patient’s