FUNDAMENTALS OF NURSINGASSESSMENT AND INDIVIDUALIZED CAREPLANNING

Abstract

Nursing assessment is the first and fundamental stage of nursing practice, as it serves as the foundation for clinical decision-making. Through the assessment process, nurses can accurately identify patients’ needs in order to formulate nursing problems, plan interventions, and evaluate the outcomes of nursing care. Assessment is a systematic process conducted carefully, methodically, and continuously to determine a patient’s actual condition, validate, and interpret data relevant to the patient’s situation.

In modern nursing care, health services are patient-centered. This places the patient at the center of health care, meaning that care must be responsive to the patient’s needs, values, and involvement in their nursing care—including making decisions regarding their health. Therefore, a comprehensive nursing assessment is necessary to fully understand the patient, including their physical, psychological, social, cultural, spiritual, functional, and environmental dimensions