health assessment patrick heyman, phd, arnp. b.s. from palm beach atlantic bsn, msn, phd from...
TRANSCRIPT
Health Assessment
Patrick Heyman, PhD, ARNP
Patrick Heyman, PhD, ARNP
• B.S. from Palm Beach Atlantic
• BSN, MSN, PhD from University of Florida
• Board Certified Nurse Practitioner
• Worked in both hospital and outpatient settings
• Also teach Ballroom and Latin dancing
• Missionary kid, grew up in Liberia, Costa Rica, and Uruguay
Wholistic Assessment and Documentation
Health Assessment
• What is Health?– Medical Model– Functional Model– Wellness Model– System Stability
• Homeostasis – dynamic balancing
• Allostasis
Assessment
• Nursing Process– Assessment– Diagnosis– Planning– Implementation– Evaluation
Neuman Systems Model
• Person Variables– Physiological– Psychological– Socio-cultural– Developmental– Spiritual
Wholistic Assessment
• Humanistic
• Reductionistic vs. Wholistic
• Five Person Variables
• Perception of Nurse and Patient
Documentation
• Legal record– If you don’t document it, you didn’t do it
• HIPPA– When turning in assignments regarding real
patients, use patient’s initials only.– If making a copy of part of a chart for
reference for an assignment, obscure identifiers.
Kinds of Data
• Datum – piece of information
• Database – Collection of all data concerning a patient
• Subjective data– Symptoms
• Objective data– Signs
Documentation Considerations
• Narrative vs. Charting by exception• Appropriate use of abbreviations• Appropriate use of medical terminology• Models
– H&P– SOAP: subjective, objective, assessment,
plan– DAR: data, action, response– DARP: data action, response, plan
Talking to the Patient
Basic Interviewing Technique
• Building Rapport– Be yourself, but not too much of yourself– Use discretion– Present
• Interest• Competence• Confidence
– Do not present• Apathy• Diffidence• Arrogance
Basic Interviewing Techniques
• Dress– Professional– Not imposing
• Patient Centric Interview– Open ended questions– Empathy – Not Sympathy
• Provider centric
Basic Interviewing Techniques
• Interviewer centric
• Use of silence
• Time– Attention– Schedule
Interviewing Stages
• Introduction– Establish who you are– Establish agenda
• Working Phase– Patient centric– Provider Centric
• Conclusion– Provide closure– Establish a plan
Introductory Script
• Hello, Mr. Smith?
• My name is ________.
• I am a ________.
• I am here to __________.
• I just need to verify your id bracelet.
• Do you have any questions for me before we begin.
Cultural Considerations
• Culture - A complex pattern of shared meanings, behaviors, and beliefs, that are learned and acquired by a group of people.
• Characteristics– Learned from birth through socialization and
language– Adapted to specific conditions– Dynamic– Shared by in common
Related words
• Subculture
• Ethnocentrism
• Prejudice
• Stereotype
• Discrimination
Cultural Values
• Dominant Value Orientation– Innate Human Nature– Relationship to nature– Time Dimension– Purpose of Existence
• Family• View of Health and Illness• Family relationships• Communication patterns
View of Health and Illness
• Freedom from disease
• Able to go to work
• Feel good
• Pathogenesis– Biomedical– “Naturalistic”– Magico-Religious
Family relationships
• Who makes decisions
• Who counts as family
• Loyalty to the family
Communication patterns
• Language– Dialects, slang, and vague language– Conversational style– Silence
Communication Patterns
• Nonverbal– Eye contact– Posture– Personal space– Response to touch– Orientation to time
• Expression of symptoms– Stoic– Expressive