Revision as of 20:36, 21 January 2007 edit65.73.112.50 (talk) →Sixth sign← Previous edit | Revision as of 00:59, 25 January 2007 edit undoArcadian (talk | contribs)163,050 edits ref formatNext edit → | ||
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==Additional signs== | ==Additional signs== | ||
===Fifth sign=== | ===Fifth sign=== | ||
The phrase "fifth vital sign" usually refers to ], as perceived by the patient on a ] of 0-10. For example, the ] made this their policy in 1999. However, |
The phrase "fifth vital sign" usually refers to ], as perceived by the patient on a ] of 0-10. For example, the ] made this their policy in 1999. However, some doctors have noted that pain is actually a subjective ], not an objective ], and therefore object to this classification.<ref>http://www.asahq.org/Newsletters/2004/11_04/lte11_04.html</ref> | ||
include ] as their fifth sign. | include ] as their fifth sign. | ||
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===Sixth sign=== | ===Sixth sign=== | ||
There is no standard "sixth vital sign", and the use is much more informal and discipline-dependent than with the above, but some proposals (excluding the fifth sign candidates above) include: | There is no standard "sixth vital sign", and the use is much more informal and discipline-dependent than with the above, but some proposals (excluding the fifth sign candidates above) include: | ||
*]<ref>{{cite journal |author=Joseph A |title=Continence: the sixth vital sign? |journal=Am J Nurs |volume=103 |issue=7 |pages=11 |year=2003 |id=PMID 12865635}}</ref> | |||
* | |||
* End-tidal ]<ref>{{cite journal |author=Vardi A, Levin I, Paret G, Barzilay Z |title=The sixth vital sign: end-tidal CO2 in pediatric trauma patients during transport |journal=Harefuah |volume=139 |issue=3-4 |pages=85-7, 168 |year=2000 |id=PMID 10979461}}</ref> | |||
* | |||
*Emotional ] <ref>{{cite journal |author=Bultz B, Carlson L |title=Emotional distress: the sixth vital sign--future directions in cancer care |journal=Psychooncology |volume=15 |issue=2 |pages=93-5 |year=2006 |id=PMID 16444764}} </ref> | |||
* | |||
* | * ] <ref>http://www.ohsu.edu/medicine/residency/handouts/0405handouts/COPD091304.ppt </ref> | ||
* | *]<ref>http://www.medicine.uiowa.edu/cme/about/documents/PrintHandout.ppt </ref> | ||
* | * Functional Status <ref>{{cite journal |author=Bierman A |title=Functional status: the sixth vital sign |journal=J Gen Intern Med |volume=16 |issue=11 |pages=785-6 |year=2001 |id=PMID 11722694}} </ref> | ||
* |
*] level | ||
==See also== | ==See also== | ||
* ] | * ] | ||
* ] | * ] | ||
==References== | |||
<references/> | |||
==External links== | ==External links== |
Revision as of 00:59, 25 January 2007
- This article is about vital signs in medicine. For other uses of the term, see Vital signs (disambiguation).
Vital signs are often taken by health professionals in order to assess the most basic body functions. Vital signs are an essential part of a case presentation.
Primary four
There are four vital signs which are standard in most medical settings:
- Temperature examination for normal temperature.
- Pulse rate (or heart rate).
- Blood pressure.
- Respiratory rate.
The equipment needed is a thermometer, a sphygmomanometer, and a watch.
Though a pulse can often be taken by hand, a stethoscope may be required for a patient with a very weak pulse.
Additional signs
Fifth sign
The phrase "fifth vital sign" usually refers to pain, as perceived by the patient on a Pain scale of 0-10. For example, the Veterans Administration made this their policy in 1999. However, some doctors have noted that pain is actually a subjective symptom, not an objective sign, and therefore object to this classification.
Other sources include pulse oximetry as their fifth sign.
Sixth sign
There is no standard "sixth vital sign", and the use is much more informal and discipline-dependent than with the above, but some proposals (excluding the fifth sign candidates above) include:
- Urinary continence
- End-tidal CO2
- Emotional distress
- Spirometry
- Glucose
- Functional Status
- Oxygen saturation level
See also
References
- http://www.asahq.org/Newsletters/2004/11_04/lte11_04.html
- Joseph A (2003). "Continence: the sixth vital sign?". Am J Nurs. 103 (7): 11. PMID 12865635.
- Vardi A, Levin I, Paret G, Barzilay Z (2000). "The sixth vital sign: end-tidal CO2 in pediatric trauma patients during transport". Harefuah. 139 (3–4): 85–7, 168. PMID 10979461.
{{cite journal}}
: CS1 maint: multiple names: authors list (link) - Bultz B, Carlson L (2006). "Emotional distress: the sixth vital sign--future directions in cancer care". Psychooncology. 15 (2): 93–5. PMID 16444764. link
- http://www.ohsu.edu/medicine/residency/handouts/0405handouts/COPD091304.ppt
- http://www.medicine.uiowa.edu/cme/about/documents/PrintHandout.ppt
- Bierman A (2001). "Functional status: the sixth vital sign". J Gen Intern Med. 16 (11): 785–6. PMID 11722694. link