Important Measurement For A Clinical Assessment Of A Patient 's Overall Cardiovascular Risk Essay

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2.7 Monitoring physiological measurements it´s important to make sure the individual health status and also necessary after surgery, as patients in intensive care units require continuous monitoring, and sometimes have medications that requires physical measurements taken. These are measurements we take to ensure that they are functioning in the way they are supposed to. When we carry out physiological measurements, such as measuring temperature, pulse and respiration, we are monitoring for signs of abnormality. Then be able to draw conclusions about the health status of the individual and any treatments they may

I and my colleague systematically assessed the patient using rapid assessment (ABCDE) and observation of vital sign. ABCDE mean assessing patient Airway, Breathing, Circulation, Disability and Exposure. Vital signs consist of blood pressure, pulse temperature, and respiration rate. They are essential basic observation that provides information on which clinical decisions are based and for identifying when any nursing or medical intervention is required according to Lina and Barbara (2008 p59).

• Pulse Oximetry - Tests the percentage of oxygen in the blood. 95% or more is a normal level,

Pulse oximeter used to check his oxygen saturation level, which was 98% on air with no central or peripheral cyanosis. Since Mr Devi, does not seem to have any sign of abnormal respiration. The next assessment is circulation, where there are many physical signs to look for. The colour of the hand and digits, are they blue, pink, pale or mottled. Also need to measure for capillary refill time (CRT) by applying cutaneous pressure for 5 Sec on a fingertip held at heart level of Mr. Devi. The normal value of CRT is usually less than 2 second prolonged CRT suggests poor peripheral perfusion. Measure his Blood Pressure (B/P), count pulse rate by listening to the heart with a stethoscope or palpate peripheral and central pulses, assessing for the presence, rate, quality, regularity and equality. All of this assessment indicates the cardiovascular system in the patient is within the normal range or is there any emergency measures should take (Resus.org.uk 2016). However, Mr Devi’s circulation is a concern because his HR was 110bpm which is higher than normal range, the normal heart beat for adults ranges from 60-100bpm. Also his BP was 190/99mmhg with mean arterial pressure (MAP) of

health, blood pressure, heart rate, temperature, blood sugar, and urine can be monitored self, and also can

These discoveries prompted change and allowed the National Institute of Health and Clinical Excellence (NICE), to set standards to reduce unnecessary detriment to patients. Many tools were introduced to assist in the consistency and accuracy of observations of patients’ physiological conditions. ViEWS (VitalPac Early Warning Score) is a standardized and high-tech scoring system that helps recognize and respond to deteriorating patients. It is the basis of the newest warning system, appropriately named National Early Warning System or NEWS (Featherstone, Prytherch, Schmidt & Smith, 2010).

Therefore, a formative assessment was performed in the third week of placement without any concern pass or fail results (Gopee, 2015 p.174). However, the vital signs assessment tool (VSAT) was created by the author of this report (Appendix A) based on evidence based practice (EBP) in order to meet the clinical learning environment (CLE) needs as suggested by Bradshaw et al., (2012). Although, the STN feels happy to perform the assessment, nevertheless, the STN requires support since this is the first time to perform VS on a real patient. Consequently, a mentor checklist was used (Appendix B) to create CLE (RCN, 2007), to reduce the level of anxiety also to enhance learning experience (Anderson, 2011) and to ensure the STN feels being part of

After reading and studying within this chapter, I choose to take Lab 4A: Assessing Heart Disease Risk Factors test for my complete section. Wanting to know if my choice of life-style was harming me in more ways than thought, shockingly I found that my hearts only real risk factor was within myself, my mind. Stress seems to be a downfall more than known; unbelievable this proves as this chapter stated your mentality can be the key to great heath. Diving right into the test, thinking wow all 1’s very low score, low being good in this case. I skipped the “Are you under much stress?” thinking, no I do not think so, this will be a 1 too. However, I wanted to be completely sure so I researched more on stress causes and effects, how to know how stressed you truly are, how you handle stress, etc… I found this stress test from the Stress Management Society, which tells how vulnerable to

Collaborate with your preceptor to interpret your patient’s EKG rhythm and list your patient’s rhythm.  Discuss the implications this patient’s heart rhythm has for circulation.   How does your patient’s specific rhythm impact the physical assessment findings?  What if the rhythm changes:  what would happen if the rhythm became slow, fast, or irregular?  How could these changes manifest in the patient assessment and how would you, as the nurse, proceed?

The pulse is an indication of an individual’s heart rate. When checking for a pulse in the primary survey, begin with palpating the patient’s radial or carotid artery (Basic Patient Care 2012, p. 50). This may reveal a normal (60-100 beats/min), tachycardia (<100 beats/min), bradycardia (> 60 beats/min) or asystole heart rate. Additionally, the capillary refill may also provide details about a patient’s cardiovascular status. This is performed by applying pressure to the nail bed and calculating the time it to takes to refill to a normal color, which should take no more then a few seconds otherwise suggesting capillary closure (Mick J Sanders, 2012, p. 1400). An additional accessory to Circulation is Hemorrhages, these involve more through examinations of the pulse, blood pressure and warmth of peripheries of patients. Additionally, you must thoroughly look for indication of bleeding, specifically in the areas around the chest, abdomen and externally seen by the eye.

Vital signs are a fundamental component of nursing care and indicate the body’s ability to maintain blood flow, regulate temperature and regulate oxygenate the body tissue. Taking vital signs are essential in revealing any sudden changes in the body, which could potentially indicate clinical deterioration of the patient.

Vital signs are measurements of the body’s most basic functions. They are very useful in detecting and monitoring medical problems. There are five main types of vital signs which are temperature, pulse, respiration, blood pressure, and pain. They can be measured in a medical setting, at home, at the site of a medical emergency, or elsewhere.

Cardiovascular disease is the leading cause of death in the United States. This means that people must study the population in order to understand how to improve general health in adolescents and where strengths and weaknesses lie. The American Heart Association has recently published seven cardiovascular health metrics for adults and children, displaying the importance of preventing cardiovascular risk factors. The first thing to understand within the article is the seven metrics that are culminated to determine the overall health of adolescents. This total is put into a cardiovascular health score

Monitoring of the vital signs should be closely monitored (pulse, blood pressure, respiration and pulse oximetry