Lab Report

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

The subject was timed for one minute. Next, the subject’s blood pressure was taken again and recorded. This was repeated two additional times with an hour in between trials to allow for

After giving the patient a nursing diagnosis, the next step would be to make a plan of care for them. In planning, the nurse will set three short term goals for the patient to complete towards their healing process. In this case, three short term goals would be; first the patient will demonstrate understanding of underlying disease process and identify own risk factors that require modification within two days of nursing interventions. The nurse is aware that an intervention would be to encourage verbalization of patient and family concerns as well as their learning needs. After six hours of nursing interventions, the client will have no elevation of blood pressure above normal limits and will maintain blood pressure within acceptable limits. Monitor BP every 1-2 hours or every five minutes during active titration of

Ms Sedgewick says that normally, in this type of assessment, a patient’s subjective experience would hold great weight, but in this scenario, the physios have to rely more on objective testing and

The assessments performed on this patient were vital signs, blood glucose levels and regular blood tests. The vital signs were temperature 36.5 degrees, 80 beats per minute, 20 respiratory rates, blood pressure was 140/70 and oxygen saturation was 99%. This objective data is all within normal range (Bellchambers 2015, p. 588). It is important to monitor the patients’ blood pressure as he has hypertension. This gives the healthcare professionals a baseline of his blood pressure so they can determine a difference in the patient’s health.

The understanding of health assessment in particular the use of focused assessment skills and considerations relating to all medical conditions is significantly important in the care of each and every patient. Focused assessment is used during the assessment of a particular body system in relation to a current problem or current concerns of a patient. (Mercy Thomas, Nursing Educator, Authorized by Bernadette Twomey, Executive Director Nursing Services 2014) Without health assessment patient care would lack crucially important aspects needed in order to discover what is initially upsetting or concerning the patient physically and/or mentally followed by the attempt to find a useful cure. The patient, James Saunders has been admitted to the ward with exacerbation of his asthma. His respiratory rate is moderately fast (tachypnoea), he is flushed, completes short sentences only as well as struggling with shortness of breath. James is moderately using his accessory muscles and on auscultation there is a wide spread respiratory wheeze.

The plan and aim of this project is to select a group of six people and record their blood pressure, temperature, pulse and respiration whilst at rest. When they return from a brisk walk I will then record the same observations and analyse, evaluate the results. With this information I will then draw my conclusions and make recommendations.

Sometimes it might be difficult to get all the patient’s blood pressure readings but if you know a patient suffers from hypertension, orthostatic hypotension, and other cardiovascular disease, as well as kidney disease you should at least try do one or two, especially differencing between systolic and diastolic readings. Doing so can help reassure the blood pressure is accurate to the when the aide took the blood pressure or even if the nurse suspects that a blood pressure reading might be incorrect or inaccurate, or other times to see if a medication took effect. Using evidence based practice on this topic will help support my findings statistically. The article given below demonstrates how taking an automated blood pressure can sometimes be beneficial but easily influenced by movements, on the other hand, manual blood pressure can be more beneficial because you could hear and see from the sphygmomanometer the systolic and diastolic reading. The results of the article came to a conclusion that using both methods the only reading significantly different is the systolic pressure, however, the diastolic pressure was influenced but not as much as the

A nursing assessment is defined as a systematic and dynamic process to collect and examine data about a patient. Nurses play a crucial role in the health care field, and one of the most important aspects of their daily obligations is to assess patients, and to continuously reassess patients. The reason assessments are so significant is- in case of any changes in their patients condition whether it effects their health positively or negatively. Some of the most vital information can be gathered in a nursing assessment, you cannot always go off of what the patient says. As a nurse you must use all of your senses to complete this responsibility. A sufficient level of intelligence and adequate skills are required by the registered nurse to be

As I reflected on this course I have realize that I have progress from being a novice to becoming an expert in the way how I complete a comprehensive health assessment. Before starting this course I was knowledgeable enough to complete an assessment base on the patient diagnosis but know I am capable of conducting a complete and through head to toe physical health assessment; not only do I look at the clinical aspect of the patient illness I have also learned to analyze patients as a whole and treat them in a holistic manner while thinking critically.

In chapter 13, the first step in the nursing process, physical assessment, is reviewed. This chapter explains the processes involved in performing a physical assessment. Common assessment findings are also identified.

Health care provider must monitor and measure patients blood pressure, breathing rate, pulse and temperature.

The purpose of this essay is to reflect on skills that I have performed whilst on my placement namely manual measurement of blood pressure, Body temperature measurement and blood glucose monitoring. I will use Gibbs (1988) model of reflection on all three skills as a way to improve my practice. Gibbs model of reflection was chosen as is easy to follow by beginners {1} as involves six stages namely: description, feeling, evaluation, analysis, conclusion and action plan.

Before accessing to the monitor, we must make sure the patient is relaxed so that blood pressure will not rise due to anxiety or discomfort.

An evidence-based intervention that was recently implemented at the clinic where I work was correct blood pressure assessment. We mainly use Dinamaps (automatic blood pressure machine) to obtain vital signs on our patients. We obtained manual blood pressure readings if the patient had a preference, if the patient had an irregular heart rate, or if the automatic reading was very out of range. Various methods were being used to obtain blood pressures on patients who either refused a bicep blood pressure or in the case that the blood pressure cuffs on the Dinamap didn’t fit properly. The main method that was used was the use of the automatic machine with the cuff on the forearm. This led to a variety of results and proper blood pressure assessment