Definition of Nursing by ANA:
“the protection, promotion, and optimization of health and abilities, prevention of illness
and injury, alleviation of suffering through the diagnostic and treatment of human
responses and advocacy in care of individuals, families, communities and populations.
ANA definition of Assessment
Assessment is collection by the RN of comprehensive data pertinent to the patient’s
health or situation.
Nursing: Scope and Standards of Practice: The RN
Elements of the nursing scope and practice:
1. collects data in a systematic manner, prioritizes data collection; involves the
patient and family
2. uses evidence-based assessment techniques
3. synthesizes data and documents findings
4. derives diagnoses based on assessment data
Texas Board of Nursing: Definition of assessment
“The comprehensive assessment is the first step, and lays the foundation for the nursing
process-is the initial and ongoing extensive collection, analysis and interpretation of
data.” “Surveillance is an essential step to the comprehensive assessment process.
Role of the RN
“The RN must anticipate and recognize changes in patient conditions and determines
when reassessments are needed.”
Comparison of LVN and RN role.
-LVNs provide care, assist in determination of client needs, and perform focused
assessments
-RNs perform comprehensive nursing assessments and synthesize data to formulate a
care plan.
Evolution of the Nurse’s Role in Health Assessment (FUTURE)
1. Assessment of clients across the continuum of health
2. Involved with telecommunication systems and online data retrieval and documentation
3. Respond to increased client acuity by performing in-depth physiologic and psychosocial
assessments while integrating technological data
RAPIDLY EVOLVING ROLES of the nurse and assessment
Performing focused assessments and development of nursing diagnoses
Working with the multidisciplinary team
Ambulatory care nurses role
Home health nurse role
Public health nurses, school nurses and hospice nurses
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