Health Assessment
13 AREAS OF ASSESSMENT
1st Year Nursing | BSN 1B | SY: 2022-2023
3. EMOTIONAL STATUS
● Negative feelings toward others
TOPIC OUTLINE
● Positive feelings toward others
● Stability
1 Types of Patient & Assessment
● Range
2 13 Areas of Assessment ● Mood
● Ability to relate to others
3 Third Topic so on and so forth ➔ To family
➔ To relatives
➔ To friends
TYPES OF PATIENT & ASSESSMENT ➔ To significant others
● Time memory
● PEDIATRIC - neonate, infant, children of all
➔ Immediate (recall)
CATEGORIES
➔ Recent (short term)
● Adolescent
➔ Remote (long term)
● Young Adults & adults
● Orientation to time
● Geriatric/ Elderly -
➔ Time
○ Conscious
➔ Place
○ Unconscious
➔ Person
○ Delirious
● Psychiatric - different categories
4. SENSORY PERCEPTION
○ Hysteric
● Hearing - sensitivity to sound
● ACUTE - CHRONIC Patients
➔ Voice tone that distinguishes sounds,
low, moderate and high
13 AREAS OF ASSESSMENT ➔ Distinguish distant sounds - tinnitus
● Vision
1. SOCIAL STATUS
➔ Acuity - clearness or sharpness
● Age
➔ Snellen chart 20/20 vision, diplopia,
● Sex
strabismus
● Ethnic Group (Tagalog, Ilocano)
➔ Symmetry - regularity, equality in
● Marital Status
size and placement
● Living Relatives (get the names) wife,
● Speech
husband, Parents, Siblings
➔ Clear enunciation
● Religious affiliation (Catholic, Muslim, INC)
➔ Clear pronunciation - production of
● Home and Community
speech sounds
● Occupation
● Touch (tactile)
● Recreational or Diversional Activities
➔ Difference between cold, warm,
tepid
2. MENTAL STATUS
➔ Appropriate response to sensation
● State of Consciousness (alert and quick
➔ (hard, soft, rough, smooth)
response to surroundings)
● Smell
● Orientation (3 spheres)
➔ distinguish different odors
○ To time, to place, to person
● Taste
● Intellectual capacity (level of education)
➔ distinguishes sweet, salty, sour and
○ (ability to recall events recent and
bitter
past)
● Drowsy/Lethargy
5. MOTOR ABILITY
● Semi-Conscious
● Ambulatory - able to walk without assistance
● Comatose
● Non - ambulatory - not able to without
● Ability to speak
assistance
● Ability to understand
● Good Posture - Kyphosis/ Lordosis/ Scoliosis
● Ability to write
● Range of Motion - Full range of motion
● Thought process and content
● Words that being used
Sta Clara, Vidal, Mauricio, Raymundo
Health Assessment
13 AREAS OF ASSESSMENT
1st Year Nursing | BSN 1B | SY: 2022-2023
➔ supination/ pronation/ extension ● TSE (Testicular Self Examination)
(abduction)/ flexion (adduction)/
rotation 12. STATE OF PHYSICAL REST AND COMFORT
● Muscle tone ● Sleep pattern
➔ Elasticity of Muscle ● Time, duration, characteristics
➔ Good skin turgor ● Insomnia, circadian rhythm
6. BODY TEMPERATURE 13. STATE OF SKIN AND APPENDAGES
● Range ● General Appearance
● Method of measurement ● Skin - cleanliness, color
● Febrile / Afebrile ● Hair - grooming, texture
● Nails - grooming, texture, color
7. RESPIRATORY STATUS ● Scalp - intact, clean
● Rate (cycle per minute)
● Rhythm - regularity
● Depth - shallow or deep
● Ease
8. CIRCULATORY STATUS
● Arterial Pulse
➔ Rate / Rhythm/ strength
➔ Artery used in measurement
(brachial)
➔ Tachycardia / bradycardia
● Blood Pressure
➔ Systolic / Diastolic
9. NUTRITIONAL STATUS
● Condition of buccal cavity
● Mucous membrane - color/ turgor/ intactness
● Tongue - color/ intactness/ moist
● Gums - color/ intactness/ sores
● Mastication
➔ Easy swallowing/ dysphagia
10. ELIMINATION STATUS
● Bowel/ Defecation
➔ Gross stool characteristics, amount
➔ Color, consistency
➔ constipation/ Diarrhea/ melena
➔ hematochezia/ steatorrhea
● Bladder/ Urination/ Micturition
➔ Gross urine characteristics, amount,
color
➔ Sedimentation, odor
➔ dysuria/ polyuria/ oliguria/ pyuria
11. REPRODUCTIVE STATUS
● Age of menarche
● Pattern of menses (duration, interval, flow)
● Age of menopause (artificial/ natural)
● Thelarche - budding of breast
● Breast - size, contour, symmetry
● BSE (Breast Self Examination)
Sta Clara, Vidal, Mauricio, Raymundo
