Assessing Patient Outcomes with ASET

This assignment requires you to analyze the assessment skills demonstrated by an ASET nurse in a provided video. Your task is to identify specific examples of their assessment techniques and explain how these skills directly contribute to positive patient outcomes. You will need to draw upon nursing theories and concepts related to patient assessment and care.

Introduction
Person-centeredness is a necessary attribute that requires utilization in nursing care
interventions for effectively improving the healthcare outcomes of the elderly patient. The
effective undertaking of nursing care services for the aged patients requires the configuration
of an effective therapeutic relationship with them for improving the pattern of their trust and
compliance to the recommended healthcare interventions. The presented analysis of the video
session describes the strength based strategies that an ASET nurse must deploy for effectively
improving the quality of life and wellness outcomes in the aged population.
Answer 1: Person-centred communication with an older person
Max shares his age-related hearing difficulties that create challenges in his
communication process. He also shares the challenges experienced by him while undertaking
physical movements. For example, he talks about the pattern of movement difficulty that he
faces while transferring from bed to chair. These age-related difficulties substantially restrain
his communication pattern with the external world. The ASET (Aged- Care Services
Emergency Team) nurse effectively utilizes a range of person-centred communication
strategies with the objective of systematically motivating Max for overcoming his
communication deficit and associated life challenges. The nurse professional begins the
interview session while preserving the dignity of Max while taking his permission and
consent before initiating the interview session. The ASET nurse also allowed Max to share
his personal preferences, beliefs and abilities that he would prefer to utilize for living a
qualitative life. Evidence-based research literature also advocates the requirement of
evaluating the preferences, abilities and skills of the aged patients with the utilization of
supportive and positive communication strategies for effectively reinforcing the mitigation of
their treatment challenges and individualized needs (Downs & Collins, 2015). The ASET
nurse explores patient’s personality and social life while asking him several questions

regarding his occupation, habits, medication history, social history and mental status through
the systematic deployment of interpersonal communication. The analysis by (Beaulieu, et al.,
2011) advocates the requirement of improving the pattern of interpersonal relationship
between the healthcare provider and patient with the objective of systematically improving
the interpersonal outcomes. Interpersonal communication focuses on prioritizing patient’s
perspectives regarding his/her own medical care and utilizes them as a potential tool for
enhancing the wellness outcomes. The ASET nurse motivated Max for increasing the extent
and pattern of his socialization with the objective of overcoming the psycho-socio-somatic
challenges that he continues to experience across the community environment. The nurse
professional made Max realize regarding the importance of improved social connectedness
and asked him to overcome his state of isolation while mingling with the society and
engaging himself in indoor and outdoor activities along with the family members. She
utilized empathic attitude in motivating Max for sharing the causes of his isolated state and
investigated the state of his depression and associated psychosocial manifestations. She
interacted with and engaged the patient thoroughly in the process of therapeutic
communication for encouraging his focus and attention towards acquiring motivational
approaches for improving his quality of life and health pattern. Indeed, therapeutic
communication in the nursing profession plays a pivotal role in improving the spiritual and
biopsychosocial well-being of the elderly patients (Kourkouta & Papathanasiou, 2014).
Therapeutic relationship of the ASET nurse with the elderly patients assists in their health
promotion, education, rehabilitation, therapy, treatment and prevention of co-morbid
manifestations. In the presented video, the ASET nurse also utilized non-verbal
communication strategies to motivate the patient in the context of overcoming his psycho-
socio-somatic constraints. The nurse effectively utilized friendly gesture, soft tone, laughter
intervention and positive facial expression in the context of gaining the interest, trust and

confidence of Max in terms of his active participation in the interview process. The ASET
nurse proved to be highly competent and possessed the required expertise for implementing
the practical and theoretical aspects of non-verbal communication while interviewing Max in
the medical facility (Kozłowska & Doboszynska, 2012).
Answer 2: The process of assessment of the older man in the video
The ASET nurse effectively undertook the social, psychological, physical, economic,
mental, familial, medication and occupational assessment of Max through the short interview
session. The nurse professional inquired about the family circumstances of Max and tried to
investigate the type and extent of social support possessed by him in a real-time environment.
The ASET nurse many questions to the patient to understand his social status. For example,
the nurse asked Max regarding his method of spending leisure time. She also investigated his
smoking status and asked him regarding the frequency of his alcohol consumption. She
investigated the frequency of patient’s outdoor activities with his friends and also discussed
regarding his dentures and regular visits to the dentist. The ASET nurse investigated patient’s
eyesight while inquiring regarding the frequency with which he utilized lenses in daily life.
The nurse professional also investigated patient’s occupation (i.e. driving profession) and
communication methods that he regularly utilizing for accomplishing his unmet day-to-day
needs. These objective questions provided relevant cues regarding the social history of the
patient and assisted the ASET nurse in undertaking his thorough social assessment. This
social assessment helped the ASET nurse in evaluating the social determinants of patient’s
health. The evaluation of patient’s social support systems and leisure time activities provides
significant evidence that requires utilization for configuring effective remedial interventions
with the objective of improving their social life across the community environment (Salmond
& Echevarria, 2017). The physical assessment of the patient was undertaken by evaluating
his walking ability and self-management skills in relation to the execution of activities of

daily living and personal care. The ASET nurse also evaluated patient’s bleeding complaint
and attempted to correlate the associated adversities that substantially constrained his
physical activity in daily life. The nurse professional also investigated the probability of
patient’s difficulty in swallowing and chewing in the context of evaluating his feeding status.
Evidence-based research literature affirms the requirement of undertaking physical evaluation
of the elderly patient while observing their capacity to mobilize and transfer (Douglas, et al.,
2016). The ASET nurse performed the psychological and mental assessment of Max while
asking him regarding the level of his comfort and memory capacity. Max’s difficulty in
undertaking the physical activity indicated the requirement of configuring functional
improvement measures for effectively mitigating the activity restrictions. Evidence-based
research literature emphasizes on the requirement of systematically evaluating the functional
restrictions of the elderly patients for improving their healthcare outcomes (Ellis, Marshall, &
Ritchie, 2014). The ASET nurse professional evaluated the familial and medication
assessment of Max while evaluating his family history and the intensity of family support that
he acquired in his daily life. The nurse also evaluated the medication consistency that the
patient acquired under the direct influence of his wife’s support. The nurse investigated the
mental stressors of the patient and identified various factors that could have impacted the
pattern of his depression in the home environment. The high compliance of the patient to his
medication intervention and desire to cope against the stressful situations revealed his
positive behaviour that required further reinforcement for the systematic improvement in the
wellness outcomes. Undoubtedly the ASET nurse utilized her clinical experience and
proficiency in evaluating the family perspective of Max’s illness experience (Persson &
Benzein, 2014). The significant assessment tool utilized by the ASET nurse in undertaking
four areas of Max’s evaluation includes the interview session that she empathetically
conducted with Max with the objective of performing his physical and psychosocial

assessment in the absence of physically contacting the patient. This assessment tool worked
well as the patient gained confidence and shared his strengths and weaknesses with the ASET
nurse for acquiring qualitative treatment interventions in the healthcare setting.
Question 3: Strengths based assessment
Strength-based nursing conventions advocate the requirement of establishing the
pattern of hope, self-efficacy and empowerment in the treated patients (Gottlieb, 2014).
These interventions radically focus on the strength of the patients and their families that they
could utilize for mitigating their psycho-socio-somatic deficits. These healthcare norms also
emphasize the requirement of configuring a healthy environment through effective patient
communication for improving the control of the treated elderly patients on the pattern of their
healing and health outcomes. The ASET nurse appreciated the kind of family support
acquired by Max and ascertained its positive influence on his somatic and mental health
outcomes. The nurse appreciated the role of Max’s spouse in terms of helping him in
consistently utilizing his medicines on time. She also appreciated Max’s occupational
engagement and motivated his familial engagement with the objective of effectively coping
against the depression pattern. The ASET nurse utilized the tenet of self-determination while
providing an opportunity to Max for discussing his capabilities, strengths, and potential
towards leading an independent life. The nurse also discussed at length the focus areas where
Max shared the desire to enhance his well-being.
The ASET nurse admired patient’s spouse for helping him in undertaking his personal
activities attributing to cleansing, cooking and laundry. On the other hand, the nurse
professional encouraged Max for enhancing his empowerment while utilizing his own
capabilities, strengths, and skills for controlling his day-to-day situation and accomplishing
the daily requirements. Indeed, the ASET nurse admired the collaborative execution of Max’s

tasks with the help of his family members. The ASET nurse investigated Max’s home
environment by asking about the location and number of stairs and the method and pattern of
his utilization of these stairs in the absence or presence of family members. She appreciated
Max’s confidence in undertaking an independent life with minimum financial restrictions and
indirectly motivated him to optimize his alcohol consumption in the context of avoiding
dependence. The ASET nurse facilitate Max’s reflection on the change process while getting
familiar with him during the interview session and allowing him to share his individualized
concerns regarding the healthcare process. The nurse motivated Max in sharing his positive
experiences and encouraged him to undertake various community-based activities in the
context of accomplishing his healthcare goals.
She appreciated the utilization of lenses during driving by Max and shared a web link
to acquire regular psychosocial and medical assessment and support in the longer term. The
ASET nurse encouraged the existing coping skills of Max and encouraged him to utilize the
same with the objective of improving the pattern of his self-management and physical
activity. The ASET nurse effectively utilized the patient-related attributes including efficacy,
effectiveness, empathy and environment in the context of improving the problem-solving and
self-management skills across the community environment (Mosadeghrad, 2014). She made
the patient realize regarding the significance of all stakeholders in his healthcare process and
motivated him to improve his social connectedness and day-to-day activities for effectively
enhancing his cognitive functionality, comprehensiveness and quality of life. The ASET
nurse appreciated Max’s visits to the dentist and encouraged them to continue the same
further with the objective of reducing the risk of denture-associated infection. Eventually, the
nurse professional attempted to streamline Max’s strength in terms of improving the pattern
of his self-awareness and self-sufficiency with the objective of enhancing his coping skills,
quality of life and healthcare outcomes.

In conclusion, the nurse professional encouraged the patient to utilize his inner
strengths with the objective of reducing the pattern of his healthcare dependence on the
family members. The ASET nurse motivated Max for using his psychosocial skills and inner
stamina to accomplish his daily needs with minimal external support. She also motivated
Max in acquiring satisfaction in life while inculcating various coping strategies and
configuring healthy environment for health promotion. The nurse professional evaluated
max’s behavioural and emotional skills and competencies and attempted their positive
induction for effectively improving his health-related behaviour across the community
environment.
Conclusion
The interview session thoroughly reveals the health risks experienced by the elderly patients
and the type of holistic and person-centred nursing care that they require for improving their
self-sufficiency and dependence in undertaking the activities of daily living and personal
care. The nurse professionals must acquire the strength based assessment skills that the ASET
nurse in the presented video displayed for improving the patient outcomes.
References
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