N2645 Psychosocial Assessment

Appearance:
Is the patient appropriately dressed?
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Does the patients appearance indicate good hygiene?
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Behavior:
Is the patient alert and aware of their surroundings?
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What are the patients facial expressions?
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What is the patients current mood?
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Perception of Health:
How does the patient define their current state of health?
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What concerns does the patient express about their health?
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What are the patients personal health goals?
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Does the patient feel they have appropriate financial resources to obtain healthcare services?
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Environment/Hazards:
In what type of building does the patient live (private residence/facility)?
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If the patient lives in a private residence, do they live alone?
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Is the place of residence safe for the patients current state of health (stairs/adequate utilities)?
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Interpersonal Relationships/Resources:
What role does the patient play within their family unit?
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Whom does the patient identify as their support system?
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Self-esteem/Self-concept:
What is the highest level of education/training completed?
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Does financial status support current lifestyle/health status?
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Does the patient perceive him/herself to have personal strengths?
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Does the patient have religious beliefs/practices?
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Coping/Stress Management:
Does the patient have current or recent stressors?
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Has the patient experienced a change in lifestyle in the past year?
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What is the patients way of coping with these stressors?
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Personal Habits:
Does the patient have a history of alcohol use?
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Does the patient have a history of smoking?
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Reference: Jarvis, C. (2012). Physical examination & health assessment (6th ed.). St. Louis, MO: Elsevier Saunders