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Vital Signs
Reflect the function of three body processes essential for life: body temperature regulation, breathing, and heart function.
Regulation of body temperature
A key process in maintaining vital signs.
Vital Signs Measurement
Measured to detect changes in normal body functions and response to treatment.
Blood Pressure
Amount of force exerted against the walls of an artery by the blood.
Normal Pulse Rate
The normal adult pulse rate is between 60 and 100 beats per minute.
Hypotension
When the systolic BP is below 90 mm Hg, or diastolic BP is below 60 mm Hg.
Hypertension
When the systolic BP is 140 mm Hg or higher, or diastolic BP is 80 mm Hg or higher.
Systole
The period of heart muscle contraction.
Diastole
The period of heart muscle relaxation.
Febrile
Means with a fever (over 100.4°F).
Afebrile
without a fever.
Temperature Measurement Tools
Includes glass thermometers, electronic thermometers, tympanic thermometers, etc.
Respiratory Rate
Normal rate for an adult is 12 to 20 respirations per minute.
Pain as a Vital Sign
Pain is considered a vital sign by many agencies.
Pulse Oximetry
Measures the oxygen concentration in arterial blood.
Residents’ Rights
Rights that apply in nursing centers and protect the quality of care.
Right to Privacy
Residents have the right to personal privacy.
Refusing Treatment
Patients can refuse treatment and have rights related to this.
Advance Directives
Legal documents that allow a person to outline their preferences for medical treatment.
Abuse
The intentional mistreatment or harm of another person.
Confidentiality
Protection of personal health information.
Quality of Life
Residents have the right to quality of life.
Informed Consent
Consent given with understanding of treatment risks and benefits.
Reporting Abuse
Legal obligation to report suspected abuse.
Ethics
Knowledge of right and wrong conduct.
Torts
Wrong committed against a person or property.
CNA Responsibilities
Certified Nursing Assistants provide daily care and support to patients.
Boundary Crossing
A brief act of being over-involved with the patient.
Boundary Violation
An act that meets the caregiver's needs, not the patient's.
Patient Care Partnership
Document that explains patient rights and expectations in care.
Pain as a Vital Sign
Vital signs that signal discomfort or distress.
Factors Affecting Temperature
Include exercise, digestion, illness, and environmental factors.
Temperature Sites
Include mouth, rectum, axilla, temporal artery, etc.
Normal Range for BP
Systolic: 90 to 120 mm Hg; Diastolic: 60 to 80 mm Hg.
Right to Information
Residents have the right to access all personal records.
Legal Aspects
Include laws regarding patient rights and responsibilities.
Rights under OBRA
Protect residents in nursing facilities across the United States.
Personal Choice
Residents are allowed to make decisions about their care.
Smoking Restrictions
Rights of residents related to smoking in care facilities.
Residents’ Grievances
Right to voice concerns and complaints about care.
Infection Control Standards
Procedures to prevent the spread of infections.
Restraint Rights
Residents have the right to be free from unnecessary restraints.
Older Americans Act
Legal framework that includes the right to services for older adults.
Legal Responsibility
Healthcare providers must adhere to laws to protect patients.
Cleanliness and Safety
Residents have the right to a clean and safe environment.
Health Care Team
Collaboration among specialists to provide the best care.
Family Involvement
Families have rights to meet and collaborate on resident care.
Personal Choice in Activities
Residents can participate in activities of their choice.
Mental Health Rights
Residents are entitled to mental health support and protections.
Legal Implications of Care
Understanding consent, refusal, and necessary documentation in treatment.
Health Outcomes
Monitoring vital signs reflects overall health status.
Personal Items Protection
Residents have rights regarding the safety of their personal belongings.
Routine Measurements of Vital Signs
Taken during assessments or under specific circumstances.
Communication Rights
Patients have the right to communicate freely with care providers.
Advance Care Planning
Patients have the right to plan for their future healthcare.
Temporal and Rectal thermometers
most accurate temperature
Tympanic Temperature
least accurate temperature