Evaluation Of An Initial Assessment

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

The purpose of this paper is to discuss the results of a comprehensive health assessment on a patient of my choosing. This comprehensive assessment included the patient 's complete health history and a head-to-toe physical examination. The complete health history information was obtained by interviewing the patient, who was considered to be a reliable source. Other sources of data, such as medical records, were not available at the time of the interview. Physical examination data was obtained

Comprehensive assessments is the most valuable piece which allows Nurse Practitioners to know about the health risks, strengths and needs of their patients. Furthermore, the comprehensive assessment strengths the relationship between the Nurse Practitioners and their patients. From clinician-patients relationship, it helps a complete assessment to answer patients questions which in the long run help to achieve measurable goals and provide quality outcomes to the patients. Nurse Practitioners use comprehensive assessment approach to analyze, interpret, implement and follow up care to ensure their patients receive appropriate care and prevent inappropriate diagnosis. Comprehensive assessment is where the patients are encourage to

To assist patients who have a (BMI) of >30 to achieve a weight loss of at least 5%.

What is the purpose of initial assessment and what kind of methods could be used? Evaluate these methods with reference to the ways they can help in the overall objective of achieving learning goals. How can you ensure learners are kept motivated and working towards these goals?

Evaluate the assessments you have carried out, stating whether you believe they were fair, valid and reliable.

In order to help those who are considered obese, we must first assess their BMI. The HEDIS outcomes measure for adult BMI assessments is “the percentage of adults 18–74 years of age who had an outpatient visit and whose BMI was documented in the past two years” (NCQA, 2015). Without proper documentation of an initial BMI as well as follow-up BMIs, we cannot track a patient’s progress or give them the proper guidance and resources necessary to become healthy.

A growing problem within the United States (US), as well as internationally, is the increasing epidemic of obesity. The Center for Disease Control (CDC) recognizes a body mass index (BMI), measured in units of kg/m2, 25.0-29.9 as overweight, 30+ as obese, and 40+ as extreme obesity (CDC, 2015). According to the World Health Organization (WHO), the number one cause of death is non-communicable diseases (2015), which include diabetes, heart disease, hyperlipidemia, cerebral vascular accidents, cancer, and hypertension. Excess bodyweight is the sixth leading health factor that contributes to the burden of disease worldwide, with approximately 1.1 billion adults being classified as overweight or obese (Haslam & James, 2005). According to authors Cawley and Meyerhoefer (2012), in 2005 the US spent $190 billion on obesity-related health care expenses, more than double previous expense analysis of the same concerns.

My client’s, Miles Meredith, goals are to decrease disease risk, body fat, as well as improve strength, flexibility, and performance. The physical examination determined that Miles is 5 feet 8 inches tall, weighs 166lbs, and has a waist circumference of 34 inches. That puts him at a BMI of 25.24. According to the skinfold test his body fat percentage is at 15%. His other vitals are all within normal ranges. His resting heart rate is 76 bpm, and he has a resting blood pressure of 78/110 mmHg.

Assessment is described as”The first stage of the nursing process, in which data about the patient’s health status is collected” (Oxford dictionary of nursing, 2003, p23), following this phase a care plan can be devised.

The general head to toe assessment is very important because it assess the overall physical condition and status of EM. I checked the most common part of the body that are susceptible to infection like the skin because of pressure ulcers. Checking the cardiovascular like pressing nail beds,

While patient assessment can never be 100% correct in all aspects the combined use of objective and subjective data gives the best initial assessment of a patient’s current condition and how to care for them in the near

The client’s BMI is 31.25 kg/m^2, which puts her in the obese I category. Because the client is sedentary and is not increasing her energy expenditure through physical activity, she may be at risk for conditions such as diabetes and heart disease due to her current lifestyle and eating habits. In addition, she also is a smoker. This increases her risk of lung cancer along with conditions such as coronary artery disease (Williams, Branch, & Rawson, 2017, p. 2-513).

She has already participated in a medically supervised weight management program. Specifically, the patient received education on meal planning/balancing meals to encourage healthy, low calorie, low fat meals. Patient was provided with a resistance exercise program with instruction as well as resistance bands for the patient to use and encouraged daily walks of 30 minutes.

Obesity is primarily measured in body mass index or BMI, a BMI over 30 is considered obese. Until recently, there has been a steady rise of the obesity prevalence over the last three decades. The American taxpayers and the medical community face a huge challenge with regards to the 34.9% of adults and 16.9% of children who struggle with obesity (Ogden, Carroll, Kit, & Flegal, 2014). Even with the prevalence of obesity remaining flat, morbid obesity, a BMI of over 40 has increased by two to three times the rate of moderate obesity (Sturm, 2007). Furthermore, 22.9% of Americans have metabolic syndrome, a condition of excess belly fat and commonly referred to as the skinny on the outside fat on the inside disease. Metabolic syndrome, like obesity increases the risk of cardiovascular disease, type-one and type-two diabetes, cancer, and stroke (Beltrán-Sánchez, Harhay, Harhay, & McElligott, 2013). Unfortunately, the cost of treating obesity and obesity related diseases carry a significant financial burden for individuals, organizations, and the United States government.