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.

Fundamental Reasons Why Health Clubs Ought to Hire Outside Collection Agencies

Health clubs are very popular in our society these days. With much public consciousness on physical fitness and maintaining good health, many people become members of gyms and health clubs to keep fit. Others join for strength coaching, and/or to lose weight.

Along with the huge popularity of health clubs plus physical fitness, also comes accounts receivable problems, due to problematic payments from some club members. Neglected difficult accounts and deficient internal debt collection techniques generally spell cash flow issues for the managers of these health clubs.

There is a tendency to let overdue accounts pile up in the hopes that delinquent members will pay willingly. Plus whereas managers can focus much of their attention on the gym facility and equipment, the cash-managing aspects of the facility, especially having sound and consistent debt collection strategies in place tend to suffer.

Members typically sign an annual or longer contract, frequently along with a price break off of a monthly “pay as you go” kind scenario. As is usually the case, once the initial excitement and novelty of beginning a new regime wears off, plus the real work of maintaining a consistent fitness schedule, some become disillusioned.

Even though bound to a contract, a few can neglect their obligation and stop payment altogether. Several can suppose that in spite of a legal contract, they shouldn’t have to pay if they’re not using the gym’s facilities.

Internal Debt Collection Techniques

It’s very important to employ plus consistently follow an in house strategy for recovering on overdue accounts. In addition to past due membership dues, different fees, like locker rentals, food services, or additional charges can account for delinquent accounts.

One key element to successful debt recovery is obtaining as much personal information on the initial membership application. Ask for social security and drivers’ license numbers, as well as banking plus employment information. This information can be particularly useful should these accounts need to be outsourced to a collection agency.

Early Plus Consistent Contact Is Critical

Once payment is past due thirty days, a manager or another individual  assigned these tasks ought to call the delinquent member to investigate if there’s a problem. Making a friendly reminder call to encourage the member to adhere to their fitness regimen, as well as inquiring when the past due balance can be brought current can rescue a state of affairs before it gets much worse later.

Recognize When To Outsource Troublesome Accounts

A second phone call and/or letter must be sent to the non-paying club member at forty-five days. Time is of the essence, and you can’t afford to let much more time pass without communication. If the issue isn’t remedied, either with having brought the late monies current, or payment measures made, its time to think about outsourcing to a collection agency.

Statistics bear out that past due accounts decrease in value considerably with the passage of time. At forty-five days without contact from the club member, you should be acquainted with if the condition warrants alternative measures. The earlier these difficult accounts are turned over to a collection agency, the better likelihood for a successful recovery.

Collection agencies have the means, experience plus demonstrated strategies to recover on past due accounts proficiently. Cost options include some agencies that charge a percentage of any money recovered. Others provide the possibility of a fixed price, flat fee, that may be very cost beneficial for many health clubs. Plus, the psychological influence of a impartial third party can make the difference with almost all of late bills.

Dos And Don’ts For Home Health Test Kits

Comfort, low costs and privacy, these are the main advantages of home health test kits; however, promoting this new facility implies increasing people’s awareness of the importance to treat such home facilities with utmost care. Urine sample collection may look piece of cake, and so it should be, on condition that some basic instructions are followed. There are some dos and don’ts in almost all the home health test kits, all you need to do is be patient enough to read and follow everything thoroughly in order not to compromise samples. Unlike blood testing, that may seem more difficult, urine testing is in fact the complex one.

Urine can be collected any time of the day, but in order to have a valid sample, some rules must be followed. For instance, you should not drink four hours before sample collection, as liquids dilute the urine and lower the concentration of the substances necessary for the medical analysis. This is why most people choose to collect a sample of the first morning urine that meets all the testing parameters. Don’t take any medication before the urine test; antibiotics or hormonal oral contraceptives are usually the ones that influence the analysis results.

Wash the genital area before you collect the urine sample in order to eliminate bacteria, then wipe it dry. The urine at the beginning of the stream is also reach in bacteria from the lower urinary tract; this is why the best sample is the urine collected in the middle of the stream. Follow all the steps indicated in the instructions of the home health test kits to make sure that you are familiar with the storage conditions. The collected sample should be sent right away to the laboratory since its quality deteriorates in time.

Do not reuse some parts of a urine home health test kits in combination with other tests, as the reliability of the results is drastically diminished; furthermore, the materials are for one use only, don’t save them for the next time. Do not open the urine collection recipient before you actually take the sample; it is stored in a sterile environment and it should remain like that until the moment the test is performed. Otherwise you risk that the test results may not accurately reflect the real health condition, if various bacteria or invisible fungi accumulate in the collecting device.