Holistic patient assessment is used in nursing to inform the nursing process and provide the foundations of patient care. If you are a nurse, you know that a comprehensive patient health assessment is an important first step in developing a plan to deliver the best patient care. Nurses are obliged to take in to consideration patient’s physical, emotional, spiritual, social and intellectual needs when making an assessment (Department of Health 2004). The role of the physical in limiting unnecessary diagnostic testing is also important because it protects patients from extensive and often unnecessary testing that might eventually provide the answer but at a greater cost to both patient and clinician. In nurse triage, nurses initially assess patients and prioritise the order in which they are seen by medical staff. There was also no structured / individualised care plan for physical health. They are also pivotal in carrying out risk assessments for falls. ‘Basic’ is a term that is frequently used to describe blood pressure, pulse, respiratory rate and temperature. Historically, physical assessment has been the remit of medical staff. Please enable it to take advantage of the complete set of features! Nurses routinely perform a complete head-to-toe assessment on their patient. There are many advantages to this approach to assessing patients, and not many disadvantages. While it is acknowledged that this is commonly the case, there is a clear need to police what is being learnt to help ensure continuity and quality of care. 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Jayaprakash and Coats (2004) identify the minimum neurological observations that should be documented, especially in patients with head injuries, as the Glasgow coma scale (GCS) - incorporating pupil size and reactivity, limb movement, respiratory rate, heart rate, blood pressure, temperature and blood oxygen saturations. Nurses should be embracing the role of physical assessment. In today’s climate of clinical effectiveness and value for money, a greater level of skill is required of nurses. This module will provide Practitioners with opportunities to develop their knowledge of clinically relevant biological sciences, patient consultation, and physical assessment skills and advance their analytical, critical reasoning, diagnostic and patient management skills. A physical examination is a procedure that involves assessment and collection of objective data from the body systems by using the techniques of inspection, palpation, percussion and auscultation as appropriate. The assessment you perform may be either an initial admission assessment or it may be the daily, on-going assessment. Advanced physical assessment skills: implementation of a module. It includes details of the individual’s signs and symptoms and a physical examination may be indicated. Docherty (2003) identifies the recording and interpretation of the 12-lead ECG as being pivotal in the assessment and management of patients who are experiencing chest pain. It’s a fair and accurate account of the individual and their life. Historically, physical assessment has been the remit of medical staff. 2006 Jul 13-27;15(13):710-4. doi: 10.12968/bjon.2006.15.13.21482. The process of conducting a physical assessment: a nursing perspective. As the number of acute admissions increases, nurses are under greater pressure to prioritise care, make clinical judgements and develop their role. Respiratory rate is pivotal to assessment. Skin assessment should always be included in a holistic patient assessment. Crimlisk and Grande (2004) argue that a basic neurological assessment by a nurse is essential to holistic care. It keeps a nurse organised, ensures a thorough exam, is sequential and is easy on the patient. The existing senior nurses, with the relevant skills and experience, would also be able to mentor junior members of staff. They would consist of a mixture of learning and performance outcomes. Respiratory assessment is one area into which nurses can expand their practice. Recording baseline observations is no longer sufficient. McLeod (2004) discusses a number of possible causes of alteration in consciousness levels that are both intra and extracranial. Performance criteria would be attached to most of the competencies, with suggestions on how to obtain evidence to allow proof of accomplishment of competence in that particular field. A seesaw respiratory pattern could help identify an airway obstruction. Loveridge (2003) discusses the acquisition of skills such as percussion and auscultation through clinical practice to complement the assessment. Nurses should be proactive in undertaking physical examination. Emergency care has seen rapid changes in this regard, with the new emergency nurse practitioner role leading the way. 2006 May 11-24;15(9):484-8. doi: 10.12968/bjon.2006.15.9.484. This is supported by Turner (2003) who, while acknowledging the benefits of technology in patient assessment, continues to highlight the importance of respiratory rate. Many disadvantages nurses, with attention paid to the rate, auscultation, percussion, palpation, and through. Temporarily unavailable a thorough health history and comprehensive head-to-toe physical exam the nursing process ; it provides a comprehensive of! Prioritise care, make clinical judgements and develop their role and family centred care mixture of learning needs and management... 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