Nursing Assessment for Care Plan: Demographic data, identification data, health history taking including chief complaints and their durations.
Understand the Problem
The question appears to be a detailed record of a nursing assessment for a patient named Manjot Kaur, including demographic data and health history taken. It outlines several health complaints and their durations, which is crucial for formulating a nursing care plan.
Answer
Includes demographic & identification data and health history with chief complaints and durations.
The nursing assessment includes demographic and identification data, such as the patient's name, age, sex, address, religion, education, occupation, marital status, language, ward number, date of admission, medical diagnosis, and information source. The health history taking covers chief complaints like coughing, wheezing, chest tightness, dyspnea, and mucus production with their durations.
Answer for screen readers
The nursing assessment includes demographic and identification data, such as the patient's name, age, sex, address, religion, education, occupation, marital status, language, ward number, date of admission, medical diagnosis, and information source. The health history taking covers chief complaints like coughing, wheezing, chest tightness, dyspnea, and mucus production with their durations.
More Information
This kind of structured nursing assessment collects both objective and subjective data vital for creating an effective care plan.
Tips
Avoid omitting critical patient information like source of data and ensuring all symptoms and their relative durations are accurately documented.
Sources
- Chapter 2 Health History - Nursing Skills - NCBI Bookshelf - ncbi.nlm.nih.gov
- Health History Data Collection in Nursing Assessments: A Guide - simplenursing.com
- Nursing Admission Assessment and Examination - StatPearls - NCBI - ncbi.nlm.nih.gov
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