健 康 评 估课件

健康评估HealthAssessment课程描述

CourseDescription是论述评估服务对象身体状态的基本原则和方法的课程

Thisisacoursethatintroducesthebasicprinciplesandtechniquesofassessingyourpatient’shealthstatus.是学习临床护理学的基础课程

It’safoundationcourse

ofclinicalnursing.Thiscourseintroduceshealthassessmentskills.Thestudentwilllearntodistinguishnormalfromabnormalfindingsandmakeappropriatereferralsaddressingthedeviations.

Emphasisisplacedonassessmentasapartofthenursingprocess,healthhistories,theproblem-orientedsystem,self-careandhealthpromotion,andtheholisticapproachtothepatient.

课程内容TopicalOutline概述

Courseintroduction健康史的采集

Interviewingskillstoobtainahealthhistory身体评估

Assessmenttechniquesandgeneralassessments常见症状的评估

Assessmentofcommonsymptoms.实验室检查

Biochemicaltests/laboratorytests器械检查

Useofbasicphysicalassessmenttoolsorinstruments

课程安排Teaching/LearningMethods讲课

Lecture/Discussion影像

Videos/AVpresentations 示教和练习

Demonstrations 临床见习

Supervisedguidanceinpracticesessions实习

Clinicalpractice教材及教学参考书《健康评估》姜亚芳、余丽君主编《健康评估》《临床护理实习指导》《诊断学》

AmericanAssoc.CriticalCareNursing

Nursing2007

JournalofAdvancedNursing学习效果评价Evaluation本课程为考试科目体格检查 Labs： 40%

笔试 FinalExam： 60%:

健康评估绪论OverviewofHealthAssessment绪论续Overview-cont教学内容：Contents介绍健康评估的重要意义

Introducingthesignificanceofhealthassessment介绍健康评估的内容

Introducingthecontentsofhealthassessment简单介绍健康评估的基本方法

Introducingthebasicmethodsofhealthassessment简单介绍健康评估在护理程序中的应用

Introducingtheapplicationofhealthassessmentinnursingprocess绪论续Overview-cont健康评估的内容contentofhealthassessment健康史HealthHistory

症状和体征Signs

and

Symptoms身体评估PhysicalExamination心理社会评估Psycho-socialAssessment实验室检查LaboratoryTests辅助检查DiagnosticExamination

绪论续Overview-cont健康评估的基本方法收集资料

CollectingData整理资料

CollatingData

分析资料

AnalyzingData/DataAnalysis提出护理问题/做出护理诊断

IdentifyNursingProblem/MakingNursingDiagnosis绪论续Overview-cont健康评估的基本方法续收集资料DataCollection内容Scope生理、心理、社会等方面

physical,psychological,andsocial来源

Sources患者、亲友、其他医务人员、病历等

patients,significantothers,healthcareproviders,medicalrecords分类Categorize主观subjective客观objective方法Methods询问、谈话、观察、体格检查、辅助检查等

interview,observing,physicalexamination,diagnosticexamination

绪论续Overview-cont健康评估的基本方法续收集资料DataCollection主观资料

SubjectiveData患者/被评估者主诉Patient’schiefcompliant客观资料

ObjectiveData体检PhysicalExamination实验室检查LaboratoryExamination/Test器械检查Equipment

Inspection是一个持续不断的过程Acontinuousprocess

绪论续Overview-cont健康评估的基本方法续整理资料CollatingData核实Validation主客观资料应相互支持

Subjectiveandobjectivedatashouldsupporteachother.注意可变资料的动态变化

Payattentiontothevariabledataanddynamicchanges

分类Categorize马斯洛的基本需要层次

Maslow‘shierarchyofneedsGordon的11个功能性健康型态

Gordon‘s11FunctionalHealthPatternsGordon的11个功能性健康型态（FunctionalHealthPatterns）HealthPerceptionandHealthManagementNutritionandMetabolismEliminationActivityandExerciseCognitionandPerceptionSleepandRestSelf-PerceptionandSelf-ConceptRolesandRelationshipsSexualityandReproductionCopingandStressToleranceValuesandBelief绪论续Overview-cont健康评估在护理程序中的应用

Applyinghealthassessmentinnursingprocess是护理程序的开始

Thefirststepofnursingprocess评估、诊断、计划、实施、评价assessment,diagnosis,planning,implementation,andevaluation与护理程序的其他步骤相互作用

Interactingwithothe