Health Assessment
Health Assessment Study Notes
Therapeutic Nurse-Client Relationship:
Components of the Nurse-Client Relationship –
Trust
Respect
Professional Intimacy
Empathy
Power
Four Standard Statements –
Therapeutic communication
Client-centered care
Maintaining boundaries
Protecting client from abuse
Caring Care:
C – Center: prepare for intentional caritas process)
A – Assess: the immediate picture – scan the client, take a read on the situation – CABD, behaviour appropriate, pain, red flags, connect respectfully, ensure privacy.
R – Role: introduction (your role on the team).
I – Identity: check of client with 2 identifiers (full name and age). How would you like to be addressed?
N – Name: the concern together (from clients reason for seeking care, personal goals)
G – Give Information: explain what you will be doing, approximate time involved, what you will need client to do.
C – Confirm Confidentiality: of any health information gathered (circle of option for privacy if visitors present).
A – Advise: re. Right to decline care, accommodate cultural/personal needs
R – Recheck: understanding, offer opportunity for questions
E – Ensure you have consent: to proceed.
Health Promotion:
Tertiary Prevention: we have a problem, works to contain it and not make it worse. Disease is present – teaching good food care for diabetics
Secondary Prevention: screening for something we think might be going on. Breast cancer screening, PAP, blood pressure monitoring, colon cancer screening when 50.
Primary Prevention: healthy lifestyle, immunizations, and sanitation.
Cultural Competence: the application of knowledge, skills, attitudes, or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co-workers.
Culturalism: the process of conceptualizing culture in narrow terms, assuming you know how someone will act based on their culture – leads to thinking in stereotypes.
Cultural
Therapeutic Nurse-Client Relationship:
Components of the Nurse-Client Relationship –
Trust
Respect
Professional Intimacy
Empathy
Power
Four Standard Statements –
Therapeutic communication
Client-centered care
Maintaining boundaries
Protecting client from abuse
Caring Care:
C – Center: prepare for intentional caritas process)
A – Assess: the immediate picture – scan the client, take a read on the situation – CABD, behaviour appropriate, pain, red flags, connect respectfully, ensure privacy.
R – Role: introduction (your role on the team).
I – Identity: check of client with 2 identifiers (full name and age). How would you like to be addressed?
N – Name: the concern together (from clients reason for seeking care, personal goals)
G – Give Information: explain what you will be doing, approximate time involved, what you will need client to do.
C – Confirm Confidentiality: of any health information gathered (circle of option for privacy if visitors present).
A – Advise: re. Right to decline care, accommodate cultural/personal needs
R – Recheck: understanding, offer opportunity for questions
E – Ensure you have consent: to proceed.
Health Promotion:
Tertiary Prevention: we have a problem, works to contain it and not make it worse. Disease is present – teaching good food care for diabetics
Secondary Prevention: screening for something we think might be going on. Breast cancer screening, PAP, blood pressure monitoring, colon cancer screening when 50.
Primary Prevention: healthy lifestyle, immunizations, and sanitation.
Cultural Competence: the application of knowledge, skills, attitudes, or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co-workers.
Culturalism: the process of conceptualizing culture in narrow terms, assuming you know how someone will act based on their culture – leads to thinking in stereotypes.
Cultural