- Created by: Charlotte170289
- Created on: 09-01-21 16:55
The APIE process
People differ in many ways- Age, sex, physical form, ethnicity, religion, occupation, lifestyle etc.
Therefore, nursing assessment is about identifying which of these factors are important in relation to a particular patients health and care.
The purpose of nursing assessement if to find about your patients in relation to:
- Their physical needs
- Their psychological needs
- Their spiritual needs
- Their sociological needs
By doing so, a nurse would find:
- Actual problems- problems and needs that the patient actually has at a time
- Potential problems- Problems and needs that may arise as a result of the patients condition
How to assess a patient
There are several models, frameworks and theories used to undestand the needs of the patient and how it can help in assessing a patient.
Such concepts are based on author's belief and their nursing philosophy
Therefore, a concept is required that helps nurses to follow a systematic way of assessing a need of the patient.
Maslow's hierarchy of needs
- I am tall
- I eat all the time
- I have nocturia- (passing urine a lot at night)
- He is 6 feet 3 inches tall
- He eats 8 meals a day
- His urine output is 1500ml at night times
Subjective vs objective
Roper, Logan & Tierney's
Model of living
- Maintaining a safe environment- assessing physiological data (observations), vision and hearing, mobility vs immobility, tissue viability assessment, falls assessment.
- Communication- Language spoke, Mental capacity, Hearling ability, Speech ability, Communication aids
- Breathing- Clear airways, Observe breating rate, depth and effort, Pain related to breathing, Smoking history
- Eating and drinking- Hydration, Nutrition, Swallowing and chewing, Patterns of eating and drinking, Dietary requirements, Religious requirements/ omissions, Weight and BMI, Allergies
- Eliminating- Elimination habits, Continence, Colostomy or ileostomy
- Personal cleansing and dressing- Hygiene needs, Assistance with dressing, Usual hygeine practice
- Controlling body temperature- Take temperature, Ability to maintain temperature
- Mobilizing- Normal gait- walking normal, Aids used for mobilization, Moving and handling assessment
- Working and playing- Employment, Hobbies and interests, sports
- Expressing sexuality- Problems related to sexual functions
- Sleeping- Normal sleeping pattern, medication, activities to promote sleep
- Dying- Cultural and religious beliefs, Family/ friends, next of kin