Premium Essay

Vital Signs Not Mine

In:

Submitted By kokokloy
Words 8100
Pages 33
CNE
V

Continuing Nursing Education
Objectives and instructions for completing the evaluation and statements of disclosure can be found on page 224.

What Is Normal?' Evaluating Vital Signs
Dehra Van Kuiken, Myra Martz Huth ital signs (VS) are indicators of physiological functioning and include temperature, respiratory rate, fieart rate (pulse), and blood pressure (BP). Health care professionals measure VS to assess, monitor, evaluate, and document an individual's physiological status or change in condition (Royal College of Nursing, 2011). Depending on the individual's condition, VS are monitored and recorded routinely by policy, tradition, or expert opinion, whether needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years, what is a signifieant elinical change in VS? The purpose of this systematic review was to determine the best evidence for normative parameters for VS in healthy children 1 to 5 years of age and what constituted a clinically significant change in VS in hospitalized, but otherwise healthy, children.
Debra Van Kuiken, PhD, RN, is an Assistant Professor, Xavier University, Cincinnati, OH. Myra

Similar Documents

Premium Essay

Critical Appraisal Paper

...titled Effect of Simulation on the Ability of First Year Nursing Students to Learn Vital Signs focuses on the influence simulation has on first-year nursing students' ability to learn vital signs (Eyikara & Baykara, 2018, pg. 101). I chose this article because I recently shadowed a former co-worker of mine who is now a college professor. I was able to observe students during simulation exercises, and I quickly realized how important simulation is for nursing students. I did not have the same amount of simulation when I was in nursing school as students do now, so I am interested in learning all I can about the research behind using it as an effective teaching method. Problem Statement There is lack of research in the area of how cognitive and psychomotor skills are obtained, in combination with the measurement of vital signs in adults with measurement of knowledge scores (Eyikara & Baykara, 2018). The problem statement wasn't stated in a bold way, but after the background information was expressed in the literature review, it was easy...

Words: 805 - Pages: 4

Premium Essay

Uranium Mining Case Study

...URANIUM MINING OVERVIEWS 2.1. RADIATION MANAGEMENT PLAN IN URANIUM MINING Radiation management plan are drafted to covers all the relevant aspect of a comprehensive radiation management plan in detail for the protection of the workers, the environment and for sustainable development. RMP for uranium mines are designed to address: Sources of Exposure- It contain sufficient information regarding all the significant exposure pathway and sources to be identified. This include the mine plan, the processing plant, equipment’s, and their descriptions, processed involved and radionuclide concentration that the project will produce. Control measures-Measures are implemented to control radiation exposures. These includes, the provisions of engineering control such as ventilation, dust or fume control measures, warning signs, PPE and shielding...

Words: 1752 - Pages: 8

Premium Essay

4 Home and Garden Articles

...own chicken and made a few dollars when they were mature. For me the ability to cater for my personal financial needs without bothering my parents motivated me to manage my own poultry farm even as I attained adulthood. My journey to make this dream a reality started when my father rewarded me with a single hen as a sign of his gratitude for my contribution to his farm. Since then, chicken became my pet and rearing poultry became my hobby. This goal was further motivated by my agriculture lessons in class were I learnt best practices for rearing poultry. As at now, I have over 5000 chicken, more than half are layers and the rest are broilers. Besides chicken, I rear ducks, geese and turkeys, all of which are profitable. Chicken farming has become my livelihood and I do not intend to look for formal jobs. Benefits of keeping poultry on your homestead 1. Egg production If you are a non-vegetarian as I am, then you definitely consume eggs unless they give you some abdominal discomfort. Keeping poultry on your homestead, specifically layers gives you a chance to enjoy eggs without limits. Eggs have numerous healthy benefits in your body because they contain vital mineral elements. I keep White Leghorns for egg production and their yield has never discouraged. 2. Meat production Poultry meat is irresistible. Poultry meat is my favorite and you know what, keeping poultry on the homestead ensures that you enjoy fresh meat, which is free from chemicals additives found in their...

Words: 1476 - Pages: 6

Premium Essay

Steven Church Auscultation

...Throughout their entire existence, humans have used their outstanding intellect to enhance their chance of survival and dominate their competitors. Consequently, the development and use of tools have become the apotheosis of human achievement, ultimately integrating them as a vital aspect of our daily life. But while there is a major consensus that modern technology will excel the quality of the world of tomorrow, others have begun to inquire if the potential of these advances make the world a better place as they promise. In his essay, “Auscultation”, Steven Church implements his varied package of writing styles to impart an aberrant view of the changing world. Within four sections that parallel the structure of a human heart, “Auscultation”...

Words: 1569 - Pages: 7

Premium Essay

Information Management

...nursing measures at the bedside, quick educational sessions, and the ability to mine data for quality measures relating to reimbursements are all areas in which IM and technology plays an important role for nursing. The positive effects of IM and technology are numerous. Today’s nurses need quick access to information to assist them with caring for their patients. The use of informational technology systems by nurses minimizes the time spent in documenting, reduces redundancies, improves the communication, allows easy access to information, and provides information to the multidisciplinary team (Pacheco de Souza, Santiago, & Izu, 2015). Computers at the bedside provide nurses with an excellent tool to be able to use important information such as past medical history, drug allergies, lab values, and vital sign results. Not only does having fast access to this information save time, it also saves footsteps for the busy nursing staff. Nursing also utilizes IM and technology to adjust to new policies and procedures. At Jefferson Hospital, nurses are able to be competent with policy changes by doing an online learning education through a system called Netlearning. This is real time education aimed at the front line and is easily tracked by the staff development team and management for completion. In the past, such education needed to be completed by face to face sessions or by a read and sign document. This type of education was slower and much more difficult to track...

Words: 707 - Pages: 3

Premium Essay

Online Expansion Proposal

...Viability of Product Coal Mine Dragon Chinese is a small family run restaurant located in Fountain, Colorado. The majority of their income comes from the direct-to-consumer sale of entrees prepared at time of order. Their most popular items include cream cheese wontons, mongolian beef, cashew chicken and szechuan chicken. The company takes pride in the fact that all of the recipes used to create their dishes have been passed down through many generations. This adds a unique twist to their food preparation and helps to separate Coal Mine Dragon Chinese from the competitors in the area. They also try to use notably fresh and locally grown produce whenever possible. The company operates very basically, and has hardly any type of online presence other than a few customer reviews and a contact number for the facility. Currently the company’s customer base is very local. While the amount of revenue Coal Mine Dragon Chinese brings in currently is comfortable for such a small business, they hope to expand further into the surrounding cities, state wide and one day internationally. Sales have remained steady, but there is evidence that the company may be able to increase revenue by adding an online operation. This relatively inexpensive form of expansion will also serve as a form of advertisement to new potential customers (Belew & Elad, 2009). Currently the only advertisement used is word of mouth and positive customer reviews posted online. While this form of advertisement...

Words: 6490 - Pages: 26

Premium Essay

Gnt1, Genetic Counseling

...GNT1, Contemporary Nursing Issues, Task 1 Mrs. Elli Baker is a 73-year-old female who is transferred to the emergency room after collapsing in her backyard. Just prior to this, while talking to her friend on the phone, she seemed confused and beside herself. Upon arrival to the ER, she complains of some dyspnea with an increase in her respiratory rate and pulse. Her previous history includes diabetes and hypertension. She has recently started a new blood pressure medication: lisinopril. Her other medications include metformin and hydrochlorothiazide. The nurse is able to ask Mrs. Baker a few questions, but she then becomes unresponsive and has more difficult time breathing. As Mrs. Baker’s nurse, I would initiate a code immediately by dialing the operator using the phone in the patient’s room. The operator, in turn, calls a code over the hospital intercom system; thus, obtaining the assistance of several other staff members such as a respiratory therapist, the nursing supervisor, and an ICU (Intensive Care Unit) nurse. The respiratory therapist is expert in the field of lung function and responds to any codes or traumas within the hospital. The respiratory therapist participates in intubation of a patient, manages the bag/valve mask system for managing respirations in an intubated patient, performs tests such as ABG, and manages ventilation equipment when necessary. The Nursing Supervisor makes herself available to all nursing staff for support, acts as a script...

Words: 2364 - Pages: 10

Premium Essay

Cultural Identity

...Different types of culture evolve every day, based on the new ways that are emerging and the opinions different groups of people are coming together to believe in. Each person can socially identify with many different cultures and subcultures based on the things they believe in and like to do. They can also be based on things like how they were raised and the people who influenced a certain type of culture around them. In the following, I will discuss Hidalgo’s three levels of culture as they relate to my personal culture and cultural identity, and how different things in life have influenced what my culture is. I will also discuss the relation between a person’s culture and how I view them, and how a culture that is completely different than mine has impacted the world. Nitza Hidalgo defines culture as a three level dimension. The outermost level, the concrete, describes the way we dress, the music and festivities we participate in. It is the most visible things about our culture. I am from a culture where dressing can be whatever is most comfortable. I like jeans a lot, and wearing a suit and tie is a big thing for me. My culture and how I was raised likes anything where the appearance is nicely or professionally dressed. I am also raised in a culture where the music is gospel, R&B, hip hop, rap or Neo-soul. As far as foods, I eat a lot of Spanish cuisine or regular American foods, i.e., hamburgers, fried chicken, ice cream, and alcohol. The only festivities we regularly participate...

Words: 1083 - Pages: 5

Free Essay

Agriculture, Forestry, Fishing and Mining in Japan

...Agriculture, Forestry, Fishing, and Mining in Japan Agriculture, forestry, and fishing form the primary sector of industry of the Japanese economy, together with the Japanese mining industry, but together they account for only 1.3% of gross national product. Only 20% of Japan's land is suitable for cultivation, and the agricultural economy is highly subsidized protected. Agriculture, forestry, and fishing dominated the Japanese economy until the 1940s, but thereafter declined into relative unimportance. In the late 19th century (Meiji period), these sectors had accounted for more than 80% of employment. Employment in agriculture declined in the pre-war period, but the sector was still the largest employer (about 50% of the work force) by the end of World War II. It was further declined to 23.5% in 1965, 11.9% in 1977, and to 7.2% in 1988. The importance of agriculture in the national economy later continued its rapid decline, with the share of net agricultural production in GNP finally reduced between 1975 and 1989 from 4.1% to 3% In the late 1980s, 85.5% of Japan's farmers were also engaged in occupations outside of farming, and most of these part-time farmers earned most of their income from non-farming activities. Japan's economic boom that began in the 1950’s left farmers far behind in both income and agricultural technology. They were attracted to the government's food control policy under which high rice prices were guaranteed and farmers were encouraged to increase the...

Words: 1727 - Pages: 7

Premium Essay

Ehr Research Paper

...made as part of our Recovery Act.” (www.ehrinstitute.org) The Health Information Technology for Economic and Clinical Health, or HITECH, act of 2009 set aside $27 billion from the federal government for incentives to encourage hospitals and providers to convert to electronic health records systems (EHR). It also put aside money for training health information technology (HIT) workers, and “assist hospitals and providers in setting up EHRs that would enable the health data historically sequestered in paper files to be shared among providers and used to improve health care quality.” (www.commonwealthfund.org) Medicare and Medicaid providers who do not switch to an electronic system by 2015 will receive reduced payments. "This was seen as vital for overcoming the massive number of problems fostered by paper medical records, which ranged from the mildly inconvenient to the potentially fatal. " (www.thinkprogress.org) "New findings confirm that electronic health records deliver benefits for patients and physicians."...

Words: 1066 - Pages: 5

Free Essay

Health and Social Care Level 3, Unit 5, Task 3

...receptors, your control centre and effectors in order to be able to function properly. When key variables within the body are outside the accepted range for any reason negative feedback returns the variable within it’s acceptable range. An example would be if the PH of your blood changes for any reason or you become too hot after exercise so your body tries to regulate those variables back within the suitable ranges by different methods. Blood glucose levels may fall for any reasons and the bodies way of coping with this is to produce liver glycogen which is converted into glucose in order to bring the energy levels in cells back up to the range which it should be within. Our brain and nervous system are involved in negative feedback and play vital roles in controlling the homeostatic mechanisms within our bodies and they also allow us to have a reasonable judgement at when our key variables may rise. An example would be when we have not eaten for several hours and we begin to feel tired and cold you try to eat a hot, energy filled meal in order to counteract any negative feelings that you may be having....

Words: 6602 - Pages: 27

Free Essay

The Venezuelan Crisis

...The Venezuelan Crisis The Venezuelan Crisis of 1895 happened over a longstanding territory dispute with Great Britain. The territory that was being fought over was Guayana Esequiba, Britain claimed that the territory belonged to them and was part of British Guiana and Venezuela considered it to be property of Venezuela. The dispute would become a crisis in 1895 when William L. Scruggs who was Venezuela’s lobbyist argued that Britain’s behavior over the issue was a violation of the Monroe Doctrine and was able to get Washington D.C. to pursue the matter. This issue over the territory of Guayana Esequiba had been brewing for a long time between Great Britain and Venezuela. The territory in dispute was once property of the Spanish Empire which was inherited by Venezuela after it gained independence in 1830 and the Dutch Empire which was inherited by Great Britain in 1814 along with the Dutch territories of Essequibo, Demerara and Berbice. Britain wanted to use the Schomburgk Line to divide the territory and was drawn up by Robert Schomburgk during his four-year expedition for the Royal Geographical Society from 1835-1839. Venezuela did not agree with the Schomburgk Line and in 1844 declared the Essequibo River the dividing line. The British did offer to make changes to the line but Venezuela never responded. They finally decided in 1850 that both countries would not enter into the disputed territory, and everything was good until around 1876 when diplomatic exchanges started...

Words: 1156 - Pages: 5

Free Essay

Mining in Chile Case Study

...Leading the Rescue of the Miners in Chile Disaster struck on August 5, 2010. Thirty-three miners, drilling 700 meters (2,300 feet) below the surface, were entombed by a massive cave-in. They had been working in a medium-sized copper and gold mine beneath the moonlike wilderness of the Atacama Desert near the city of Copiapó, Republic of Chile (Chile), some 800 kilometers (500 miles) north of the country’s capital, Santiago. Chilean Mining Minister Laurence Golborne had arrived in Quito, Ecuador, at 9 p.m. that same day with Chilean President Sebastián Piñera on a state visit. At 11 p.m., Golborne’s smart phone came to life with a message whose brevity spoke urgency: “Mine cave-in, Copiapó; 33 victims.” Golborne informed the president the next morning and flew on commercial air flights to Lima, Peru, and then to Santiago. He then took a Chilean Air Force (FACH) flight to Copiapó, and, from there, he was driven some 45 kilometers to the mine, finally arriving at 3:30 a.m. on August 7. Piñera, a business-friendly Chilean president inaugurated on March 11, 2010, had recruited Golborne, an engineer, entrepreneur, and corporate executive, to serve as Chile’s minister of mines. Golborne had served as chief executive of Cencosud S.A., a large retail firm, and under his leadership, the company had increased annual sales ten-fold, entered the Brazilian, Colombian, and Peruvian markets, and opened two new business lines, including financial William and Jacalyn Edgar Professor of Management...

Words: 13912 - Pages: 56

Premium Essay

African Slave Economy

...Yawp: Slavery”). In South Carolina, the economy was fostered by dominating rice plantation and North Carolina was where the tobacco produced. Slaves lived in the South Carolina worked on plantations. They faced a higher mortality rate due to the exposure to threatening diseases, which caused by the swampy conditions of rice fields. Therefore, the slave owners were lived away from the plantations, living in the cities instead of urban areas. Without the direct supervision of their owners, they were given specific tasks to accomplish in a day. After completing their jobs, they had more time to develop a new skill and became literate. Some of them engaged in the underground market selling their own hand-made products or crops. Thus, they were vital to the market economy as well. On the other hand, although labor forces were not supplied in the north, but there were slaves in the North. They lived in the cities working in homes or shops with more closely supervised by their owners. There were also a large amount of slaves involved in the maritime economy between 1725 and 1775 (“American Yawp: Slavery”). As a consequence, slave populations grew continuously in the North rather than in the...

Words: 1240 - Pages: 5

Premium Essay

Infant’s Behavior and Language Development

...INTRODUCTION Language is the expression of common shared concepts or culture, it provides us with the linguistic categories and terms to express and evaluate the world around us, describe our emotions and formulate our ideas. The extent of language's influence on our lives helps us in our live, relationships, and other activities. Language is not just a set of words and grammatical rules, but rather extends it to non-verbal communication and the concepts and shared ideas as expressed in a particular language. It is believed that language is among the signs of Allah’s wisdom. Allah has created men in different tribes and nations with different colors and language as Allah stated in Surat Al-Hujurat (49:13) “O mankind, indeed We have created you from male and female and made you peoples and tribes that you may know one another. Indeed, the most noble of you in the sight of Allah is the most righteous of you. Indeed, Allah is Knowing and Acquainted.” The uniqueness of language has sparked the linguist to investigate the origin of language until present. Some researchers believe with the ideas that human acquired language naturally. Many ideas have come out to prove the origin of language. One of the famous theories that explained the origin of language is Divine Source Theory. Proponents of this theory believe that language came from a divine source. In general, this theory explained that human acquired language through a divine source or god as the first language because many...

Words: 1294 - Pages: 6