Nursing Process: Assessment

Category: Nursing Process
Status: Stub — content coming soon


Overview

Assessment is the first phase of the nursing process. It involves the systematic and continuous collection, organization, validation, and documentation of data about the patient’s health status.

Types of Data

TypeDescriptionExamples
SubjectiveWhat the patient says”I feel short of breath”
ObjectiveWhat the nurse observes/measuresRR 28, SpO₂ 91%
PrimaryFrom the patient directlyPatient interview
SecondaryFrom other sourcesFamily, chart, labs

Data Collection Methods

  • Interview: Health history, chief complaint, OLDCARTS
  • Physical Examination: Inspection, palpation, percussion, auscultation
  • Review of Records: Chart, labs, imaging, prior notes
  • Consultation: Other members of the healthcare team

Key Components of the Health History

  • Chief complaint / reason for visit
  • History of present illness (HPI)
  • Past medical/surgical history
  • Family history
  • Social history
  • Medications (including OTCs and supplements)
  • Allergies
  • Review of systems (ROS)

Validation

Describe the importance of validating subjective data with objective findings.

Notes

Add personal notes here.