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Nursing Assessment

Nursing Assessment

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...

Psychosis: Goals of Pharmacotherapy

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.

Planning Nursing Care I

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...

Respiratory Assessment: Purpose and Indications

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...

Nursing Evaluation

Nursing Evaluation

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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Using Evidence: A Nursing Assessment Protocol for Acute Geropsychiatric Patients.

Ashley Sechrist Corn¹, Joan Sevy-Majers², R Lee Tyson³

¹Ashley Corn, DNP, University of Cincinnati, Cincinnati, OH, USA.

Journal of the American Psychiatric Nurses Association

|November 9, 2020

Summary

A new protocol using the Pittsburgh Agitation Scale improved nursing assessment for agitated patients, enhancing safety and documentation for those with anxiety and mood disorders.

Keywords:

agitation anxiety evidence-based geropsychiatric nursing assessment protocol

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Area of Science:

Nursing Practice
Quality Improvement
Patient Safety

Background:

Approximately 20% of the US population experiences mental health issues, with anxiety, cognitive, and mood disorders common in older adults.
Hospitalized patients with agitation or anxiety may require de-escalation techniques and medication for emergent symptoms.

Purpose of the Study:

To enhance nursing assessment and reassessment of patients exhibiting symptoms of agitation and anxiety requiring intervention.
To improve patient safety and professional nursing practice through a quality improvement intervention.

Main Methods:

Implemented a new practice standard incorporating an evidence-based tool, the Pittsburgh Agitation Scale.
Nurses utilized a protocol to augment documentation of nursing assessment for patients with marked anxiety and agitation.

Main Results:

A 3-month trial demonstrated significant improvement in the nursing assessment process.
Required documentation of nursing assessment and reassessment, including protocol use, was enhanced.

Conclusions:

Implementing standardized protocols for nursing care supports patient safety.
Evidence-based tools like the Pittsburgh Agitation Scale can improve nursing documentation and patient care outcomes.