Help With Narrative Assessment

[Milly81]

Hi,

I am a second year nursing student and i need some guiedence on a postpartum narrative assessment. My problem is i'm not sure what to place under each sub-catagory.

Growth and development

Psychosocial cultural

Sensory perceptual

Comfort mobility

Fluid and gas transport

Nutrition

Elimination

Protective

Any guidance would be helpful.

Thanks,

Milly

[Daytonite, BSN, RN]

hi, milly81, and welcome to allnurses! :welcome:

i would imagine that what your instructors are wanting you to do is develop your own template for charting an assessment on ob patients. some of this assessment sounds like it is in the vein of gordon's functional patterns or something very close to it. some of it sounds like maslow's hierarchy of needs. i'm listing three links to guidelines to assess by gordon's that includes the kinds of questions to ask the patient/client for those particular categories:

• http://home.hiwaay.net/~theholt1/nurs1100/class5.htm
  
• http://gemini.utb.edu/nurs3606_84/box%206-1.pdf
  
• http://instructors.butlercc.edu/nr105/tgreen/tgnpg11healthpatterns.htm

do you have a copy of taber's cyclopedic medical dictionary? there is a 6 or 7-page nursing assessment form in the middle of the dictionary under the listing of "nursing". it will have the items you need to address under most of the categories you have listed that you need to assess as well.

you probably want to look at a reference on erikson's developmental stages in assessing the patient's growth and development part of this exercise.

• http://psychology.about.com/library/bl_psychosocial_summary.htm
  
• http://www.rlc.dcccd.edu/mathsci/anth/p101/dvlmentl/erikson.htm
  
• http://psychology.wikia.com/wiki/erikson%27s_stages_of_psychosocial_development

there are two links to really good webpages on the assessment of the pregnant client from the health assessment resources, techniques, and forms thread which you can also see at: https://allnurses.com/forums/f205/health-assessment-resources-techniques-forms-145091.html. it is a sticky on this forum. sticky threads always appear at the very top of all the thread listings.

• http://connection.lww.com/products/carpenito11e/documents/assessmentguides/maternalassessment.doc
  
• http://connection.lww.com/products/weber/documents/smch25.pdf - assessment of the childbearing woman

there is information on how to write a narrative nursing note on these threads or posts on allnurses:

• https://allnurses.com/forums/2275596-post8.html - a head-to-toe narrative charting template
  
• https://allnurses.com/forums/f205/examples-charting-138835.html examples of charting
  
• https://allnurses.com/forums/f205/narrative-charting-231146.html - how to write a narrative note
  
• http://www-isu.indstate.edu/mary/chart.htm - this is a sample of how to do a narrative charting of a head to toe assessment. it is for a patient with a recent cva.