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Medical Surgical Ward - Essay Example

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Medical Surgical Ward

skillful art of eliciting it, past and present; a psychosocial history; a physical, functional,

and mental status examination; and an informed investigation of the cultural, familial,

and environmental (White 2002) factors that might have subtle implication in the disease

process concerned. In the field of Medical Surgical nursing, the methodology of accurate

and thorough health assessment record not only reflects the knowledge and competency

of the nurse (Fuller and Schaller-Ayres, 2000) , also points to the most appropriate

possible management to that specific patient. The whole process involves documented

critical thinking and informed scientific analytic skill (Wurzbach, 1992) on the part of

the nurse who is doing the assessment. One might raise the legitimate objection that a

physician is better privileged to have this assessment done, but there are hidden

factors of close association, ability to provide more time, close proximity to the suffering,

and ability to interact with the family of the client (Barkauskas et. al, 1994). These play

roles in a successful health assessment resulting in delivery of quality nursing care with

tremendous scope if the nurse is trained, well informed, and knowledgeable (Weber and

Kelly, 2003).

We shall analyze this from our daily practice. Most of the initial encounters with a

patient happens through communication. A good communicator will elicit more.

An efficient assessor will suit him/herself with patients of different age, different needs,

and with patients from different cultural backgrounds (Mirka & Viverais-Dresslar). An

experienced and intelligent investigator will look for details that are exposed through

family communication and assessment (Barry, 1996). Ideally, apart...
H. de Weert MD MPH PhD, A. J. P. Schrijvers PhD (2002) Objectivity in needs assessment practice: admission to a residential home, Health & Social Care in the Community 10 (6), 445-456.
Jarvis C., Physical Examination and Health Assessment, as cited by Theresa Mirka & Gloria Viverais-Dresslar, Nursing Health Assessment of the Cardiac Client, Cardiac Care on the Web,, Laurentian University. ...Show more


Daly-Nee, C., Brunt, H., Jairath, N. (1999) Risk and Coronary Heart Disease, In Jairath N. Ed., Coronary Heart Disease and Risk Factor Management: A Nursing Perspective (pp 2 to 23). Philadelphia, W.B. Suanders.
Jrg MA MPH, H. R. Boeije PhD, R. Huijsman MD PhD, G…
Author : volkmannatalia
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