Nurses also consult and collaborate with the broader healthcare team to inform their decisions to support safe patient care. Recognizing normal and abnormal patient physiology helps nurses to prioritize interventions and care delivery. Nurses use critical thinking when analyzing the findings of their assessments to inform decisions about a patient’s plan of care. A nursing assessment may include, but is not limited to the following: What is included in a nursing assessment?ĭuring a nursing assessment the nurse collect both subjective and objective information using evidence informed tools to assess the patient as a whole. Timely and appropriate holistic nursing assessment is a fundamental skill that all nurses should demonstrate in any area of nursing practice. A nurse then documents and interprets this information to inform the patient’s care plan and ongoing decision-making about the patient’s health status, which may include identifying urgent, emergent and or life-threatening conditions.Īssessments are critical to patient safety because lack of nursing assessments can pose a patient safety risk. This includes considering the patient’s biological, social, psychological, cultural and spiritual values and beliefs. The practice of nursing is the promotion of health and the assessment of, the provision of care for and the treatment of health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal functionĪ nursing assessment is a process where a nurse gathers, sorts and analyzes a patient’s health information using evidence informed tools to learn more about a patient’s overall health, symptoms and concerns.The Nursing Act, 1991 includes the accountability of assessing patients in the nursing scope of practice statement. Assessing patients is part of a nurse’s professional practice to keep patient’s safe and improve a patient’s health outcomes.
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