Chapter 1 Text

Assessment for Health

and Illness

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Chapter 1
Assessment for Health and Illness

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F
Chapter 1
Assessment for Health and Illness

 EXPANDING THE CONCEPT OF HEALTH

 EXPANDING ASSESSMENT FACTORS
 DIAGNOSIS IN MEDICINE AND NURSING
 COLLECTING FOUR TYPES OF DATA
 FREQUENCY OF ASSESSMENT

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F Slide 1-1
Chapter 1
Assessment for Health and Illness

EXPANDING THE CONCEPT OF HEALTH

 Biomedical model of Western tradition

 Wellness model (Dunn, 1961)
 Holistic Health model (Travis and Ryan, 1986)
 Health Promotion and Disease Prevention

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F Slide 1-2
Chapter 1
Assessment for Health and Illness

EXPANDING ASSESSMENT FACTORS

 Growth and development  Interaction patterns

 Biophysical status  Client/patient perception of
and satisfaction with his or
 Emotional status her health status
 Cultural, religious, and  Environment (physical,
socioeconomic social, emotional, ecological)
background
 Available and accessible
 Performance of activities human and material
of daily living resources
(American Nurses’
 Patterns of coping Association, 1991)

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F Slide 1-3
Chapter 1
Assessment for Health and Illness

DIAGNOSIS IN MEDICINE AND NURSING

Medical Diagnosis Nursing Diagnosis

Evaluates cause of Evaluates response to actual or

disease potential health problems

Identifies pathology to: Identifies response to illness to:

– Prescribe appropriate – Assure early intervention

treatment – Monitor change in status

– Initiate supportive measures

– Initiate health teaching

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F Slide 1-4
Chapter 1
Assessment for Health and Illness

COLLECTING FOUR TYPES OF DATA

1. Complete (Total Health) Data Base

2. Episodic or Problem-Centered Data Base

3. Follow-up Data Base

4. Emergency Data Base

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU F Slide 1-5
Chapter 1
Assessment for Health and Illness

FREQUENCY OF ASSESSMENT

 The annual checkup

– Limitations of the ritual

 Age-Specific Charts for Periodic Health Examination

– Focuses on major risk factors specific for each age
group

Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright © 2000 by W. B. Saunders Company. All rights reserved.
B MENU Slide 1-6