Asessing is the first phase in the process of planning, delivering and evaluating care. This process of assessment is explored throughout this chapter in the context of person-centred care. Health assessment is the systematic, comprehensive and continuous collection, validation and communication of data about a person. These data reflect how health functioning is enhanced by health promotion or compromised by illness or injury. Data may be elicited from many sources and these include the individual, the family, the community, colleagues and other health care providers. The purpose of assessment is to identify current or potential health problems and the person's strengths. A database is developed during this phase to capture all the pertinent personal information collected by the nurse or midwife and other healthcare providers. The database enables a collaborative, comprehensive and effective plan of care to be designed and implemented. The collection of personal data is a vital phase in the process of care because the remaining phases depend on complete, accurate, factual and relevant data.
Australian and New Zealand ed.
Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care p. 276-293