To perform an effective assessment, nurses should follow these steps:
Prepare: Gather necessary tools and ensure a quiet, private environment. Establish Rapport: Build a trusting relationship with the patient by introducing yourself and explaining the purpose of the assessment. Collect Data: Use open-ended questions to gather information and encourage the patient to share their concerns. Analyze Data: Interpret the collected data to identify patterns and draw conclusions about the patient’s health status. Document Findings: Accurately record the assessment findings in the patient’s medical record.
