Nursing Assessment  
  1. Client's diagnosis and Initial Client Assessment that include the following:
    Demographic Date: e.g. Name, D.O.B., Address, Phone No. Allergies, Next of Kin, Emergency contact, Primary Medical diagnosis, Secondary Medical Diagnosis, Medical History, Consent to Treatment and Consent for Information Sharing.

  2. Client Environment will include the following: Client equipment/Aides, Type of Dwelling, Activities of Daily Living (ADL's) e.g. Performance Level, Feeding.

  3. Psycho social that include the following: Client's perception of illness, who does the client live with, role of the family/caregiver, support network, ethnic background, first language, other languages spoken, cultural practices.

  4. System and Pain Assessment: Cardiovascular, Respiratory, E.E.N.T., Endocrine, gastrointestinal, Genitourinary, Neurological, Integumentary, Musculoskeletal.

  5. Knowing their rights and responsibilities NHI involves the Client, their Family and other Caregivers in the development and implementation of the Client Treatment Plan. NHI will seek consent to treatment and consent for information sharing and will emphasize to the client and the family the significance of:

    a. Continuity of care and team approach to caring for the Client and the significance of treatment plan.

  6. Expected Outcome

  7. Evaluating Care and Service Delivery
    a. This is evaluated if the desired outcome is reached.

  8. Actions- Approach to Care

  9. Reassess Date (Evaluation).

  10. Dealing with complaints/concerns

    a. There is person to person communication through our supervisor visits
    b. Telephone communication from clients/caregivers/families
    c. Voice Mail communication
    d. Written communication
 

 


NHI is Canadian Owned and Operated