• A research problem statement o Accurate blood pressure measurements are needed in clinical practice. The process for obtaining an accurate blood pressure is very sensitive and that accuracy can be affected by several different factors of which could be; behavior of the subject, the environment that the blood pressure is taken in, the inconsistencies in process or the devices that are used to obtain the measurement of a pediatric patient or the observer of the process.
• A statement of purpose for the research o The aim is to examine the accuracy of the variations in process when obtaining a blood pressure is it more accurate when a nurse performs it manually or through the use of an automatic device when measuring a pediatric patients
How does this history of high blood pressure demonstrate the problem description and etiology components of the P.E.R.I.E. process? What different types of studies were used to establish etiology or contributory cause?
The individual will have their blood pressure levels taken using a blood pressure machine called a sphygmomanometer, where a cuff is placed around the individual’s arm and fills up with air to create pressure around the arm to restrict the amount of blood flow and takes a pulse reading as it releases the pressure. After the individual’s blood pressure has been taken they may be asked to take it at home using a blood pressure kit to see if it is still high and that the first reading was not due to anxiety.
• Hypertension: Hypertension is an abnormal increase in the systolic,diastolic or mean arterial pressure, or all three. This is due to increased arterial stiffness and can be monitored using PWA
According to the Registered Nurse (RN) Scope of Practice Position Statement, “the RN is responsible for providing safe, compassionate, and comprehensive nursing care to patients and their families with complex healthcare needs” (Texas Board of Nursing, 2011). Nurses often care for five to six patients at one time; therefore, in order to provide the best quality care, patients are often connected to monitoring devices such as, physiological monitors, venti...
High blood pressure is called the “silent killer” because it often has no warning signs or symptoms, and many people don’t know they have it. For most patients, high blood pressure is found when they visit their health care provider or have it checked elsewhere. Because there are no symptoms, people can develop heart disease and kidney problems without knowing they have high blood pressure. Some people may experience: bad headache, mild dizziness, and blurry vision. Traditionally, diagnosis of high blood pressure (BP) has relied on consecutive checks of clinic BP over a 2 to 3 month period, with hypertension confirmed if BP remains persistently raised over 140/90 mmHg. This method of diagnosis has significant limitations because the BP measured for an individual patient in a clinic setting may not reflect their BP in day-to-day life. The main concern is that as a result of the “white coat syndrome”, hypertension may be over-diagnosed when checked in the clinic setting; resulting ...
assessment and records one of three scores. Level 1 indicates the opinion that “most experienced, competent practitioners would have managed the case in a similar manner,” while Level 2 indicates that most practitioners might have managed the case differently and Level 3 that most practitioners would have managed the case differently.” The external assessments are giving by contractors whom collects information from the medical records, then provide the out-patient clinics and medical centers would receive information regarding the procedures and diagnosis regarding the level of
The research purpose is derived from the research problem. The purpose of this study which was clearly outlined in the introduction section of the paper, sought to determine if automatic blood pressure devices could measure orthostatic hypotension accurately in emergency settings. This purpose was accompanied by research objectives and a hypothesis that focused the study. The objectives in the study sought to find the sensitivity, specificity, positive predictive value and negative predictive value of the automatic devices, clinical and statistical significance in postural drops, and if magnitude influenced blood pressures readings (Dind et al., 2011, p. 527).The authors also predicted in their hypothesis that the automatic devices would be less accurate if the systolic blood pressures were not between 120-180 mmHg which is their...
Vital signs are very important measurements that should be done with little to no errors. As humans, we often make silly mistakes here and there, but as a medical assistant we must pay close attention to every detail. When we first meet a patient, start with small talk to see how the person is feeling. If we can tell that the patient is angry, or seems to be in a bad mood we could expect to see an elevated pulse, respiration, and blood pressure. If we can calm the patient down, their new vitals would be more accurate. Errors happen all the time with anything in life. Contributing factors in inaccurate vital sign readings include:
Blood pressure is measured by two pressures; the systolic and diastolic. The systolic pressure, the top number, is the pressure in the arteries when the heart contracts. The diastolic pressure, the bottom number, measures the pressure between heartbeats. A normal blood pressure is when the systolic pressure is less than 120mmHg and Diastolic pressure is less than 80mmHg. Hypertension is diagnosed when the systolic pressure is greater than 140mmHg and the diastolic pressure is greater than 90mmHg. The physician may also ask about medical history, family history, life style habits, and medication use that could also contribute to hypertension
Due to the increase technology used by nurses so have the noise level on the ICU/telemetry unit. When ten nurses were poll as to why they do not change the parameters to fit the patient need and at the same time stop the alarms from going off, 50% reported that they would need an order from the doctors to change, 10 % stated that they went by what the patient was already placed on the monitor, and the other 15% stated they could not give an answer as to why they did not change it. In truth, most nurses are scare of the repercussion of changing the
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
In our experiment, we are testing the affects sodium has on our blood pressure. If increased amounts of sodium are consumed, will that increase blood pressure? The hypothesis is when more sodium is introduced and consumed, then the person's blood pressure will increase, when blood pressure is a function of sodium. Our independent variable is different amounts of sodium introduced to noodles. We are using different amounts of sodium added which would be: 1 gram, 3 grams, 5 grams, and 7 grams. Our dependent variable is the diastolic and systolic readings will increase. The control in our experiment is our test subjects eating no noodles. The constants would be the same person taking the blood pressure, same three guys eating the food, the test subjects are all 17, and the same food with added sodium fed to each person in each trial. In this experiment, the first step we would took in this was acquiring three guys that are all 17 . One person would get high amounts of sodium, another person would have medium, and one person with very low amounts of sodium, our control. Then, we would take each person blood pressure and record it. After that we would give each person their assigned amount of sodium. Lastly, we would take the blood pressure of each person after they ate the different sodium foods. We will do this for two weeks three times a week and record our data and at the end compare our data. The materials we will need
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
Schnall, P., Landsbergis, P., Belkic, K., Warren, K., Schwartz, J., & Pickering, T. (1998). Findings In The Cornell University Ambulatory Blood Pressure Worksite Study: A Review. Psychosomatic Medicine, 60, 697.