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Comprehensive vs. Focused Assessment in Nursing

Understand Comprehensive vs Focused Assessment in Nursing
February 05, 2023

Comprehensive vs. Focused Assessment in Nursing

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Comprehensive vs. Focused Assessment in Nursing

Assessment is one of the most important parts of nursing practice. It is essential for the planning and delivering family-centred care and patient-centred care. The Nursing and Midwifery Board of Australia's national competency standard for registered nurses states that nurses "Perform a thorough and structured assessment of the patient, strategic planning for nursing care with individuals/groups, the integrated care team, and effective operation to rapidly changing situations." The nursing assignment help specialists have highlighted all of the crucial information related to today's complete and focused nursing evaluation. Let's have a look at it.

Understand Comprehensive and Focused Assessment

Comprehensive health evaluations take a holistic approach to a patient's condition and screen for various issues, whereas focused assessments are more confined and detail-oriented.

  • Health Assessments - A health assessment is among the most critical duties that a nurse conducts. A health evaluation is a comprehensive examination of a patient that includes subjective and objective results. In both acute care and preventative care, a health assessment is crucial. Nurses must conduct a complete health examination to help the practitioner determine the best course of action. If you don't have one, you're more likely to miss some essential piece of the person's jigsaw. We can carry out two sorts of health assessments: comprehensive and focused.
  • Comprehensive Assessment - A complete health check-up covers the patient's medical history, physical assessment, and signs. These tests are done on the first day of admission and then every year. The surgical and medical history should be included in the history. It is also a good moment to go through any patient's current drugs. It's also good to learn about the participant's social and familial history. A comprehensive physical examination can provide a wealth of information. Allow ample time for a comprehensive review.

Normal findings will include:

Body Part or System

Normal vision:

Body Part or System Normal vision

Vital signs are indicators of how well a patient's body is working. Many medical disorders can be detected with appropriate vital signs. We can look at vital signs and typical adult findings. The experts providing assignment help say that it is important to remember that youngster and the elderly signs might differ slightly.

Body Part or System Vital Sign

  • Focused Nursing Assessment - A focused assessment has a specific goal in mind and seeks to solve a problem that can affect one or more physiological systems. You will use related clinical judgement to determine which focused assessment element is more appropriate to your patient at this point. For instance, as an ICU nurse, your targeted assessments are usually centred on a single body system, like the cardiac or respiratory systems. While it is vital to assess the complete body, there is typically not enough time. The focused assessment is frequently performed as well on stable patients. This form of evaluation, for example, is more common in a safe setting. When a patient has a complaint or condition, this is employed. The essential distinction between focused care and head-to-toe is that the latter has a specific aim.

Nursing assessments that emphasise the particular bodily system in which the patient shows a dysfunction, problem, or concern are called focused assessments. It can apply to one or more than one body system. These are most commonly seen in emergency rooms when a patient enters with a particular problem. Their purpose is to pinpoint and cure a specific problem, not do a full medical examination to look into everything that possibly affects a person.

Based on the prior assessment and patient's input, nurses must use their clinical judgement to identify which focused examinations should be applied to their patients. 

Nurses can do targeted assessments in any of the following areas:

  • Respiratory assessment.
  • Musculoskeletal assessment.
  • Neurological assessment.
  • Gastrointestinal assessment.
  • Renal assessment.
  • Cardiovascular assessment.
  • Eye assessment.
  • Skin assessment.
  • Ears, Nose and Throat (ENT) assessment.

A nurse would make sure that the patient holds steady generally while doing a focused assessment to not become unduly preoccupied with that one component of the exam. For instance –, if a patient suffers from eye strain but then reports breathlessness, the nurse should not pause until the eye examination and interventions are completed before addressing the breathing problems. Pivot as the clinical picture changes, and it becomes necessary.

What does a focused nursing assessment entail?

Collecting qualitative information about the participant's smoking history, gathering the person's family heritage of emphysema, and the patient is asked about any clinical symptoms of pulmonary diseases, such as sore throat and breathlessness, are all part of a focused respiratory system assessment.

Points To Consider While Writing a Focused Assessment in Nursing

Focused assessment is where many students get stuck and need assignment help Sydney services. Here, a team of talented, skilled, and experienced writers are available round the clock to help you. However, in this section, they have discussed certain points to consider while writing a focused assessment.

  • Use the identities of at least two patients to double-check the patient's identity.
  • You should introduce yourself to the patient.
  • In your evaluation, you must be systematic and orderly.
  • Explain the procedure to the patient.
  • Pay attention to the patient's cues.
  • Use proper attention and questioning techniques.
  • Ensure that the patient's privacy and dignity are respected.
  • Apply asepsis and safety guidelines.
  • Complete any specialised assessments that are required.
  • Examine ABCCS, suction, oxygen, and safety.
  • Examine your vital signs.

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