Wednesday, January 6, 2016

Vitals Are VITAL!

So, I shared on the Doctor of Physical Therapy student's Facebook group this insane vitals situation, with a patient I saw this past week. You can find it linked HERE:

Essentially, I had a patient present with absolutely no signs, no distress, no discomfort, no nothing... with a normal'ish blood pressure. But! With a heart rate of 37bpm and O2 saturation of 77%.

Yeah... NOT. NORMAL.

My intent in posting that to the Facebook group was to convey how important it is to take vitals. I know it is still a point of disagreement and contention. Still, I've been told more than once that in any discipline or setting in healthcare, failure to take vitals (when someone goes wrong) is the first place lawyers check in terms of negligence.

Just something to think about. You've been warned.

In any case, I'll get on with this post only to say that it is a PASSIONATE topic for me. If you resonate with me, be on fire with me! If it offends you, I'm sorry it does... it doesn't change the facts. But, I think you'll find that the majority of clinical leaders out there agrees with the position I take.

Here's a quick recap:



Follow Up: Vitals Are VITAL!

To my knowledge, it's a happy ending. Our patient recovered and we can't entirely explain what happened. Personally, I still think referring to ED would've been more prudent -- but, per the policy given & the process followed, she was deemed medically stable enough to stay inpatient. However, the cardiologist involved did suggest "other" avenues of approach given a repeat situation.

My interpretation? I think there was a massively hidden cardiac issue given the "regular" irregular heart rate, history of complaint of chest pain, fatigue, etc. Doesn't that sound like a heart attack to you? Sure, the question: What could we have done? Comes up. Maybe nothing, maybe everything.

The fact is, without taking those vitals, most clinicians would've gone ahead with a full course of treatment for the day. That would've included a lot of exercise, both strength & cardio; exercise that very well may have cause the situation to go from odd into critical.

My follow up, simply stated, is this: Vitals are vital, not just because they are standard of care. Not just because it may implicate negligence when omitted. Not just because it's the right thing to do.

Vitals are vital because they serve as the prerequisite for just about EVERY physical therapy intervention we know. Exercise? It starts with vitals because we are causing a physiological stress response. And... I could go on. But, I just stopped typing this long list because it's exhaustive to even do so. Really, if you can't think of why and how important the cardiorespiratory system -- one QUARTER, mind you -- of physical therapy practice is, in how it interacts and is interdependent with the other three systems we treat... someone, needs to rethink how they practice.

Harsh? Sure. But, vitals are vital. Don't you dare put your patient at risk, ever.

17 comments:

  1. Everyone please to move for taking the assistant for cheap dissertation help UK. So make it situation for Vital.

    ReplyDelete
  2. What is my take on it? Given the "normal" erratic heart rate, history of chest pain, exhaustion, and other symptoms, I believe there was a severely hidden cardiac purchase coursework online
    condition. Don't you think that sounds like a heart attack?

    ReplyDelete
  3. Best Assignment writer at Assignmentdoer. University and College students offer best packages in assigment help. cheap psychology assignment

    ReplyDelete
  4. Whether it comes to determining when to replace your flooring, there is no uniform rule of thumb to follow. This is determined by the type of flooring that needs to be changed, the quality of the feet to cm used, and other factors.

    ReplyDelete
  5. A potential terrorist has to properly evaluate the danger, as well as child abduction prevention in London
    to raise the funds needed to bring the whole operation to finish. Therefore, the basic goal of a prevention undertaking should make the VIP kidnapping process too costly and challenging an action for it to be considered attractive for the offender.

    ReplyDelete
  6. We are here to help seo content you grow your business. The second most successful and result-oriented lead generation strategy is content writing.

    ReplyDelete
  7. Amazing Post! I have go through all the content of this blog.This is really helpful and informative for me and all the readers.We offers an online Social Media Marketing Dissertation Help service at an affordable and reasonable price.

    ReplyDelete
  8. Amazing Post. If you want to download this from anywhere on social media like Instagram, Facebook, etc visit grambe for the easiest way. You can get this in HD Format free of cost and they do not save anything in the database, Stay tuned.

    ReplyDelete
  9. So, the response is yes: Leather coats are still in style, inasmuch as they're styled accurately. What's more, to take care of you R J Macready Leather Jacket, you can focus on road style and the runway for motivation. Underneath, read on for the main 10 methods for styling a calfskin coat in 2022.

    ReplyDelete
  10. Just caring the other - because I have learn whole book of geeta and making new things on the learning prospective. Also, delivering the best content and publish the persuasive essay ideas to the general customers.

    ReplyDelete
  11. Fantastic Post! I've read every every post on this blog. For both me and the other readers, this is incredibly useful and instructive. We provide economical and sensible online philosophy essay writing help .

    ReplyDelete
  12. Nicely, you proportion a pleasing series of this playlists. i am sure blog lovers are going to love this. i'm also a big fan of blogging, however i'm involved approximately my cheap prescription sunglasses uk and need a person who should kids glasses online reasonably-priced. So, that i'm able to experience my favored goggles.

    ReplyDelete
  13. There is no set rule of thumb to abide by when deciding how often to replace your flooring. The type of Shoplectic that needs to be changed determines this.

    ReplyDelete
  14. Just being considerate of others, since I have learned the entirety of the Corporate Tax and am always learning new things.

    ReplyDelete
  15. Therefore, the main objective of a prevention initiative should be to make the process of kidnapping a VIP too expensive and difficult for it to be regarded an attractive action for the perpetrator. San Diego Digital Marketing Agency

    ReplyDelete
  16. embroidery digitization said...
    Vitals truly are vital when it comes to healthcare. They provide essential insights into a patient's well-being, guiding medical professionals in making informed decisions for diagnosis and treatment. These crucial measurements, from heart rate to blood pressure, are the foundation of effective healthcare, ensuring that individuals receive the best care possible. It's a reminder of the significance of precision and vigilance in the field of medicine.

    ReplyDelete
  17. We appreciate you providing us with this insightful and useful post. The phrase "Vitals Are VITAL" aptly highlights how crucial it is to keep an eye on important indicators across a range of industries. Finding important data points may help you do more influential study, therefore this idea is equally important while choosing an accounting and finance thesis topic. Success may be really increased by monitoring these crucial indicators.

    ReplyDelete