Therefore, the initial stage of the APIE can be considered a valid approach to gathering data to inform care planning of the individual patient.Only once a systematic and comprehensive assessment phase is complete is it possible to engage in effective care planning.
Therefore, the initial stage of the APIE can be considered a valid approach to gathering data to inform care planning of the individual patient.Only once a systematic and comprehensive assessment phase is complete is it possible to engage in effective care planning.This process should be individualized and can be modified at any point to optimize the success of the patient in reaching the goals (Taylor et al, 2011).Tags: Death Of A Salesman Essay PromptsLife Problem Solving StrategiesUcf College EssayGood Essay Introduction StructureEssay On Man Epistle 3 SummaryProductivity Phd ThesisEssay On Politics Power And Poverty
The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient.
The nurse can then implement this The implementation phase requires the nurse to assist the patient to reaching the desired health goals, and interventions.
This etiology identifies what is preventing the desired change or maintaining the unhealthy state.
On admission to a healthcare facility, a health assessment is a mandatory tool in assessing the patient’s health status.
The assessing process can be considered a fundamental part of patient care planning and forms the main data collection phase of the nurse-patient interaction (Lewis et al., 2016).
Nurses use multiple techniques and approaches to collect data, including history taking, examination and ordering investigations, all of which may inform the decision-making process.The assessing process is not a list of presenting problems, but a more systematic integration of quantitative and qualitative data.Quantitative data include the physiological status of the patient, including routine observations (temperature, weight, blood pressure, pulse) and more specific assessments, such as physical examination and interpretation of investigations (Lewis et al., 2016).The assessment, planning, implementing and evaluating approach, also known as APIE (Yura and Walsh, 1967), is a commonly used approach to care planning in nursing practice.This approach encourages a systematic and rigorous approach to patient care, incorporating a holistic perspective of the care process.PATIENT INTERVIEW A health assessment should consist of establishing a patient profile and incorporate a full medical history (Harvey, 2004). The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. The assessment interview builds the foundation of the nurse and patient relationship, building good rapport with the patient will alleviate any stress, anxiety or discomfort the patient may be feeling. In general an assessment is broken down in a two types of reviews, by conducting a health history which includes the collection of subjective data (information elicited by the patient or patients family members) and a physical examination of the patient which includes the gathering of evidence based data (Wilson & Giddens, 2009). Collecting and documenting accurate information is imperative in providing the allied health team this information to facilitate an efficient and well-formed care plan, as well establishing a baseline for subsequent assessments (Springhouse, 2004; Wilson & Giddens, 2009). Norland&sortspec=date&submit=Submit Physiotherapist: A career in health fact sheets (2010). (2005) Assessment: A 2-in-1 Reference for Nurses USA: Lippincott Williams & Wilkins Springhouse. USA: Lippincott Williams & Wilkins Tough, J., (2004, May 26) Nursing Standard : Assessment and treatment of chest pain. Underlying any care decision is the need to identify the source of the problem and then to develop a suitable approach to addressing this problem.To assist in decision-making, it is recommended that nurses adopt frameworks or models of problem-solving and care planning (Johansen and O’Brien, 2016).