The collection of the health history is the first step in assessment. The purposes of this procedure are to establish a rapport, aiding good communication, to determine the person’s expectations of what nursing will do for them, and to gather data for the formulation of nursing diagnoses [see the Introductions to Parts II and IV] and of a plan of care. In the case of a planned transfer from one ward to another (for example, from ‘acute’ to ‘rehabilitation’), discharge to a nursing home, or back into the community, the ideal is that the history is collected before transfer or discharge; members of the multidisciplinary team could visit the person beforehand, meeting later to draw up a preliminary plan of care, ready for the moment the person arrives in their area.
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