Psychosocial

Assesment
PSYCHOSOCIAL ASSESSMENT

 A psychosocial assessment is an
evaluation of an individual's mental
health and social well-being.
 It assesses self-perception and the
individual's ability to function in
the community.
COMPONENTS OF THE
PSYCHOSOCIAL ASSESSMENT

 interview
 history and physical examination
 mental status examination
 Records from other healthcare
facilities or prior treatment
 Laboratory and psychological tests
 Psychological Adaptation
to the stress of Physical Illness
• Psychosocial adaptation process is more
complex and less understood of the two modes
of adaptation
• No two human beings responds
emotionally the same way to the same
event
• This in in contrast to physiological
adaptation, which is observable and
more predictable
 THE MAJOR COMPONENTS OF A PSYCHOSOCIAL
INTERVIEW INCLUDE:
 Identifying the patient  Violence risk assessment
 Chief complaint  Family or social history
 History of presenting illness  Occupational history
 Psychiatric history  Educational history
 Medical or surgical history  Legal history
 Medication list  Developmental history
 Alcohol and drug use  Spiritual assessment
 Cultural assessment  Interests
 Financial assessment  Abilities
 Coping skills  Mental status examination
Psychosocial Assessment as the
basis of the Nursing Process
• By using psychosocial assessment
factors, nurses should be able to predict
with a good level of accuracy whether a
patient will be able to adapt to a sudden
change in health status.
• If one or more of the indicators points out
a potential problem, the nurse can
observe the responses closely.
Psychosocial Assessment as the
basis of the Nursing Process
• The nurse can then immediately provide
stronger supportive care.
• The nurse is not able to make the person cope.
Rather, when the nurse provides external
emotional support, it facilitates the person’s
own internal coping ability to return to normal.
NANDA

 is a professional organization of nurses

interested in standardized nursing terminology,
that was officially founded in 1982 and develops,
researches, disseminates and refines the
nomenclature, criteria, and taxonomy of nursing
diagnoses.
 TAXONOMY

 is the practice and science of categorization and

classification
 The taxonomy supports evidence-based care,
allows for quantitative staffing and evaluation
measures and supports evidence-based clinical
decisions for electronic health records.
NANDA – 1 TAXONOMY

a. Health Promotion
b. Nutrition
c. Elimination and Exchange
d. Activity/Rest
e. Perception/Cognition
f. Self-Perception
g. Role Relationships
h. Sexuality
i. Coping/Stress
j. Tolerance
k. Life Principles
l. Safety/Protection
m. Comfort
n. Growth/Development