1. Health Promotion and Assessment
NURS 212

2. Unit 1 Getting Started
Chapter 1
Health Assessment and the Nurse

3. Overview of the Nursing Process
Assessment
Nursing Diagnoses (pg. 6 in text)
Planning
Implementation
Evaluation

4. The Assessment
Definition: systematic, continuous collection of data about the health status of clients.
It is a thinking, doing and feeling process which has ethical and legal ramifications.
Cognitive Skills (Conscious)
Reflexive Thinking (Unconscious)
Scientific Method
Intuition (Includes Trial & Error)

5. DIFFERENTIATE BETWEEN:
Subjective and Objective data
Primary and Secondary data.

6. Factors that Influence Communication
Non-verbal behavior
Vocal cues
Personal space
Touch
Cultural differences
Language
Eye contact
Feelings
Touch
Perceptions about a disease.

7. Communication Techniques (pg 10)
Affirmation/Facilitation
Silence
Clarifying
Restating
Active Listening
Broad or General Openings
Reflection
Humor
Informing
Redirecting
Focusing
Sharing
Identifying Themes
Sequencing Events
Suggesting
Presenting
Summarizing

8. Open to page 13 in text book
The Code for Nurses
Open to page 13 in text book

9. Data Collection Techniques
Interviews (Techniques on pg. 18)
Introductory Phase
Working Phase
Termination Phase
Observation
Physical Assessment
Inspection Technique
Palpation Technique
Percussion Technique
Auscultation Technique

10. Differentiate between: Nursing assessment & Medical assessment.
The goal of nursing practice is to diagnose and treat human responses to actual or potential health problems.
The goal of medical practice is to diagnose and treat disease.
Both are client based and should complement each other.
First and most important part of the nursing process. It involves data collection, validation and clustering the data.

11. How to validate your findings
Compare finding between subjective and objective data
Talking with your client
Medical records
Verify finding with another health care practitioner.

12. Organizing Data
Maslow’s Hierarchy of Needs

13. Prioritizing Data Top Priority Secondary Problems Third Level Problems
Airway problems, Fire, Cardiac arrest, etc.
Life-Threatening
Secondary Problems
Pain e.g. (requires prompt attention)
Third Level Problems
Education e.g.

14. Documentation of your findings
PIE
Problem
Implementation
Evaluation
SOAPIE
Subjective
Objective
Assessment/clinical judgment
Plan
Implementation
Evaluation
DAR
Data
Action
Response

15. How about a break?