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Related Concept Videos

Nursing Assessment01:29

Nursing Assessment

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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
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Self-Evaluation: Self-Enhancement and Self-Verification03:00

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Data Collection III01:05

Data Collection III

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
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Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Assessment of Respiration01:23

Assessment of Respiration

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Assessing overall functioning with adolescent inpatients.

Greg Haggerty1, Nicholas Forlenza, Charlotte Poland

  • 1*Department of Psychiatry and Behavioral Sciences, Von Tauber Institute for Global Psychiatry, Nassau University Medical Center, East Meadow, NY; †Department of Psychology, Alliant International University, Sacramento, CA; ‡Department of Psychology, University of Michigan-Dearborn; §Department of Psychology, Long Island University-CW Post Campus, Brookville, NY; ∥Department of Psychology, Liberty University, Lynchburg, VA; and ¶Department of Psychiatry, Psychological Evaluation and Research Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston.

The Journal of Nervous and Mental Disease
|September 27, 2014
PubMed
Summary
This summary is machine-generated.

The Overall Functioning Scale (OFS) is a reliable and valid brief measure for assessing adolescent psychiatric patients. It predicts treatment outcomes and length of stay, offering valuable clinical insights.

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Area of Science:

  • Psychiatry
  • Psychological Assessment
  • Adolescent Mental Health

Background:

  • Assessing overall functioning in adolescents is crucial for effective psychiatric treatment.
  • Existing measures may lack brevity or comprehensive validation.
  • A need exists for a reliable and valid brief scale for adolescent psychiatric inpatients.

Purpose of the Study:

  • To evaluate the validity and reliability of the Overall Functioning Scale (OFS) for adolescents.
  • To determine if the OFS predicts treatment outcomes and length of stay.
  • To assess the OFS's incremental validity over existing measures like the GAF score.

Main Methods:

  • Clinicians completed the OFS for 72 consecutively admitted adolescent psychiatric inpatients.
  • Data collected included length of stay, clinician-rated social cognition and object relations, GAF scores, and psychotherapy engagement.
  • Patient history of self-harm and treatment outcomes (psychological well-being, symptoms) were also assessed.

Main Results:

  • The OFS demonstrated strong validity, correlating with length of stay, social cognition, object relations, admission GAF, and psychotherapy engagement.
  • The OFS showed significant relationships with nonsuicidal self-harm history and treatment outcomes.
  • Hierarchical regressions indicated the OFS provided incremental validity over the GAF score in predicting length of stay.
  • Excellent interrater reliability was found for the OFS (ICC = 0.88).

Conclusions:

  • The Overall Functioning Scale (OFS) is a valid and reliable brief measure for assessing overall functioning in adolescent psychiatric inpatients.
  • The OFS has clinical utility in predicting treatment outcomes and length of stay.
  • Further research should explore the OFS's application in diverse clinical settings and its longitudinal predictive power.