Get Nursing Assessment Form A - Guidelines - Dds Dc

Filling out the Nursing Assessment Form A is a critical step in assessing individuals with significant intellectual and developmental disabilities. This guide provides clear, step-by-step instructions to ensure that users can complete the form effectively and accurately.

Follow the steps to complete the Nursing Assessment Form A online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editing tool.
2. Begin by entering the individual's full name, age, date of birth, and gender in the Identifying Information section. This is essential for accurate identification.
3. Provide the residential address of the individual to ensure correct documentation.
4. Document the full name and credentials of the nurse conducting the assessment, along with the assessment date for accountability.
5. Select one of the options indicating the purpose of the evaluation. If 'Other' is selected, specify the purpose in the provided space.
6. Choose one of the five options describing the living situation of the individual. Specify any unique circumstances if 'Other' is selected.
7. Indicate the race of the individual by selecting one of the six options. If applicable, specify the ethnicity under 'Other.'
8. List all current medical diagnoses as documented in the Health Passport or most recent medical examination, ensuring consistency across all records.
9. Check all relevant communication areas for the individual and provide a brief description of their communication characteristics and needs.
10. Rate the individual’s self-care abilities using a scale from 0 to 4 and describe their ambulation capabilities.
11. List any adaptive equipment required for physical, occupational, and speech therapy, as well as equipment needed for meal assistance.
12. Identify if medical supplies and equipment are necessary, detailing the type and frequency required.
13. Note any history of falls the individual has experienced, including frequency and prevention measures taken. If needed, attach a separate fall assessment.
14. Include all hospitalizations and emergency room visits from the past year, with dates and reasons. Use 'none' if no visits occurred.
15. Document any illnesses experienced over the past year with dates. Similar to hospitalization entries, use 'none' if not applicable.
16. Confirm whether family history information was collected, indicating source and providing details of the family member contacted, if applicable.
17. Continue filling out the remaining sections regarding health data, review of systems, and summarizing the pertinent findings, ensuring comprehensive documentation for the Health Care Management Plan.

Complete your Nursing Assessment Form A online to ensure proper care management.