你是怎么做的...真的吗? 整个人健康评估的审查
Stephanie B Gold1, Allison Costello1, Maura Gissen1
1Eugene S. Farley, Jr. Health Policy Center, University of Colorado Anschutz Medical Campus.
The Milbank quarterly
|January 10, 2025
概括
衡量整个人的健康,包括身体,思想,人际关系,环境和日常生活,对于以患者为中心的护理至关重要. 开发新的工具可以帮助医疗保健系统更好地满足患者需求并改善结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 医疗保健测量 医疗保健测量
背景情况:
- 越来越多的人对以疾病为中心的医疗保健措施感到失望.
- 对于评估患者感知整体健康的仪器的需求日益增加.
- 缺乏对临床实践中理想的全身健康仪器的共识.
研究的目的:
- 审查现有的文献和评估整体人体健康的工具.
- 阐明整体健康的概念领域.
- 确定开发新评估工具的经验教训.
主要方法:
- 范围范围的文献综述.
- 工具审查. 工具审查.
- 使用接地理论进行主题编码.
主要成果:
- 确定了整个人健康的四个类别和九个领域:身体和精神,人际关系,生活环境和财务,以及参与日常生活.
- 检查了281个工具;很少有人评估了多个领域.
- 关键的发展紧张局势包括全面性与简洁性以及标准化与灵活性.
结论:
- 有机会开发一个全人健康评估的新工具.
- 转向整体医疗保健需要超越测量工具的系统转型.
- 新的工具应该专注于了解患者和加强护理关系.
相关概念视频
01:29Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
01:29Nursing 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 and...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments and...
01:05Data Collection III
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 patient.
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 patient.
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
01:23Assessment of the Cardiovascular System I: Subjective Data
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...
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...