Components of a Complete Health Assessment

A complete and holistic health assessment includes the:

  • health history
  • physical, psychological, social and spiritual assessment
  • consideration of laboratory and diagnostic test results
  • review of other available health information.

First impressions

Assessment begins as soon as you meet your patient. Perhaps without even being aware of it, you’re already noting such aspects as their skin colour, speech patterns and body position. Your education as a nurse gives you the ability to organise and interpret this data. As you move on to conduct the formal nursing assessment, you’ll collect data in a more structured way. The findings you collect from your assessment may be subjective or objective.

Group dynamics

When evaluating the assessment data, you’ll start to recognise significant points and ask pertinent questions. You’ll probably find yourself starting to group related bits of significant assessment data into clusters that give you clues about your patient’s problem and prompt additional questions. For instance, if the data suggest a pattern of poor nutrition, you should ask questions that will help elicit the cause, such as:

  • Can you describe your appetite?
  • Do you eat most meals alone?
  • Do you have enough money to buy food?
  • On the other hand, if the patient reports frequent nausea, you should suspect that this may be the cause of his poor nutrition. Therefore, you’d ask questions to elicit more information about this symptom, such as:
  • Do you feel nauseated after meals? Before meals?
  • Do any of your medications upset your stomach?

History

The nursing history requires you to collect information about the patient’s:

  • biographical data
  • current physical and emotional complaints
  • past medical history
  • past and current ability to perform activities of daily living (ADLs)
  • availability of support systems, effectiveness of past coping patterns and perceived stressors
  • socioeconomic factors affecting preventive health practices and concordance with medical recommendations
  • spiritual and cultural practices, wishes or concerns
  • family patterns of illness.

Biographical data

Begin your history by obtaining biographical data from the patient. Do this before you begin gathering details about his health. Ask the patient their name, address, telephone number, birth date, age, marital status, religion and nationality. Find out who the patient lives with and get the name and number of a person to contact in case of an emergency. Also ask the patient about their health care, including the name of their general practitioner and any other health care professionals or members of the interprofessional team they have contact with, for example an asthma nurse specialist or social worker.

If the patient can’t give accurate information, ask for the name of a friend or relative who can. Always document the source of the information you collect as well as whether an interpreter was necessary and present.

Current complaints

To explore the patient’s current complaints, ask the patient about the circumstances that have brought them into contact with the health care team. Is there an aspect of their health that is concerning them or proving challenging? Patient complaints provide valuable data immediately. When you explore these initial complaints, you may uncover crucial additional information.

How to Effectively Collect Money – Successful Collectors Practice The 3 “P’s”

In collecting money from delinquent accounts receivable accounts there is right way of doing it if we want our collection efforts to be successful. We want to practice what I call the three “P’s”: We want to be Professional, Pleasant, and Persistent.

1. Professional. Collecting money legally is what being professional is all about. It means that we must be familiar with federal and state collection laws. Federal laws like the Fair Debt Collection Act and the Fair Credit Reporting Act. And for health care providers the Health Insurance Portability Act (HIPPAA) as it applies to obtaining payment for health care.

State collection laws vary state by state. And you should not only be familiar with the laws of your state but also the laws of the state where your debtor resides. However, I can tell you after presenting collection seminars in all 50 U.S. states, the principles of collection law are the same in all states.

2. Pleasant. The interesting thing about collection law is what is legal is usually what is effective in collecting money. And what is illegal is usually ineffective and you would not want to do it even if you could.

What I mean by that is hard ball, aggressive collection techniques don’t work. I realize that a lot of collectors use them, but they are not effective.

There are some things you can do that may help you coerce payment from your debtors. Like turning them over for collections. Or taking them to court. Or reporting them to a credit reporting agency according to the Fair Credit Reporting Act. But when all is said and done debtors will pay the creditors they want to pay.

And they will tend to pay the ones who are being pleasant with them — creditors who are trying to see it from the debtor’s point of view. Stephen Covey, the author of The 7 Habits of Highly Effective People, says the fifth habit of highly effective people is they seek first to understand before they are understood. So if you will seek first to understand it from the debtor’s perspective, it puts you in a much better position to be understood yourself.

Debtors also tend to pay creditors who are trying to get the problem solved. So I urge you to never think of yourself as a collector. Instead, think of yourself as a problem solver. If you can get your debtor to think of you as a problem solver you will collect a lot more money.

I’ll give you an example. When I was collecting money I used to say things like this: “Bill, you have been a customer of ours for several years now. During that time we have mutually benefited from our relationship. I know together when can get this problem solved.”

Do you see what I did? I first established some common ground with the customer. In my case a business relationship of some standing. In your case it may be you both like gardening. It does not matter what the common ground is. But when you can establish it, it is a good idea to do so.

Then I reminded the customer that we have both benefited from our relationship; not just me but the customer as well. If we don’t remind our customers of that, they forget it. They do benefit as well.

And then I used that to segue into setting myself up as a problem solver by simply saying, “I know together we can get this problem solved.” Now the debtor is no longer thinking of me as a collector. He is thinking of me as a problem solver. We are no longer adversaries. We are working on the same side of the table to try to get the problem solved.

3. Persistent. And the third “P” is we want to be persistent. It means that after the initial contact with the debtor is made, we must keep additional contacts on strict schedule. And it means we must have a good follow-up system. I’ll address the issue of effective follow-up systems in a future article.

So remember that debtors pay the creditors they want to pay. And they will usually pay the creditors who are practicing the three P’s: Professional, Pleasant, and Persistent.

Where to Look for Health Insurance Quote Online

With power of the internet you can be your own insurance agent. With hundreds of website offering health insurance quotes instantly, knowing which one to choose make a big difference. Knowing which website to go to, to get a quote can be difference between having your information sold all over the internet or actually getting instant health insurance quotes. Most of the websites that claim to offer free health insurance quotes are out there to just collect your information and sell it on the internet. There are ways of determining if you are going to get your instant quotes.

First let’s address specifically health insurance shopping and comparison on the internet. The one main thing you have to know is that in the United States you absolutely cannot find a better deal on the same plan somewhere else. What I mean is if you got a quote for a specific medical insurance plan on one website and you want to see if you can get a better deal for the same health insurance plan on the different website that is impossible. The reason for that is when health insurance company comes out with a medical coverage plan they have to submit those rates with states insurance commissioner. That means that the quote that you get from one website has to be identical to what you would get from another website, or get it from your insurance agent, or directly from the insurance company. The health insurance premiums vary because of the plan design. Things that come in to plan design are, deductible, copays, prescription drug coverage and many other factors.

The number one giveaway if the website you are trying to get a quote from is going to provide you with instant quote or just going to collect and sell your information is quite simple. If you are looking at getting a health coverage quote the only thing that insurance company needs to provide you with accurate quote is your age or date of birth, your zip code, your affective date (when you would like your coverage to start), if you are a smoker and if you have a family (that includes same information for them). If website is asking for more information chances are that website is collecting your information and is going to sell it. Who is it going to sell your information to? Your information is sold to insurance agents and insurance companies. Some website will collect your information and then redirect you to a website that will provide you with instant quotes. In most cases they are still going to sell your information in form of a lead.

Next time you are getting a health insurance quote online look for the websites that are just asking you for the most basic information. If a website is asking you for your address, your weight, your hight then it is for sure a website that is just going to collect your information and sell it as a lead. Good luck with health insurance shopping online for website that provides you with instant quote online see below.