8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 1/25

Welcome to the first educational session. Fun day training

Samantha Stakenburg- Sam for short, Samantha if I¶m in trouble

Today¶s aim:

Personal Protective equipment (PPE) what does this

mean?Pulse and Blood pressure. What does it mean?

Breathing. So what! Why do I care?

Blood sugars. Why is it important?

what does this thingy do?

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 2/25

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 3/25

Wash hands

Where gloves

(PPE) if you come in contactwith body fluids

 Antibiotics

Some ways to break the chain

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 4/25

Vital signs� In an acute care setting; hospitals -health professionals collect a

series of vital signs to determine trends

�As a primary health worker you collect vital signs as a

surveillance system

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 5/25

Respiration:

If any part of the above structures is µblocked¶

known as an obstructed airway, by swelling or 

physical object (vomit/food) begin DR ABC.

Life Threatening

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 6/25

Assessment:

Look and listen

Early signs of respiratory difficulties

�Is he/ she talking?

�Sentences or single words (call me or glen immediately?

�breath sounds- if you can hear, client needs further assessment (me

or Glen)

�chest wall expanding and contracting bilaterally (at the same time)?

�How fast are they breath

�How are they breath? Deep breaths or shallow breaths?

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 7/25

�Late signs

�Blue lips? blue nail beds? called cyanosis ± late sign�Clubbing of fingernails- long term (chronic) lung disease

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 8/25

Gather your equipment you will

need:

Tricks of the trade: Count the breaths for 15 seconds

then times this by 4 (this is a lot quicker)

How do you assess breathing or 

resp. rates?

1,2,3

Child 20-40 (Depending on ctivity)

dult 15-25 (Depending on ctivity)

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 9/25

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 10/25

Oxygen Saturation:

or ³sats´ for short

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 11/25

Haemoglobin

plus

oxygen

Yes you guessed it, Oxyhaemoglobin

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 12/25

oxyhaemoglobin plus

Red blood cell

Oxygenated red blood cells

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 13/25

Rememberi t t f r  ever 

bi entimeter t er e i 6

milli n r ed bl d  ell .

n x en t r ti n monitor 

Measur es t e amount of ox en t e 

r ed blood  ells ar e  arr ing. It does tell ou many r ed blood  ells you 

ave.

not

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 14/25

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 15/25

Pulse

What is it?

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 16/25

Where is it?

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 17/25

�Blood Pressure (BP)

�2 readings are collected -This provide a µclue¶ as to how well or howpoorly the heart is functioning

�Systolic

�Diastolic

Systolic and diastolic readings

Remember Who is

older:

Sister/Daughter 

Understanding blood pressure:

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 18/25

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 19/25

:Equipment preparation

�Ears- make sure you can hear well

�stethoscope- ideal length is 30cm. Use the diaphragm.

Note: if you are sharing

the stethoscope use

alco. Wipes between

users

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 20/25

Sphygmomanometer- do not place on open wounds, mastectomy arm

Use appropriate size

Practice make perfect

120 Stytolic

80 Diastolic

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 21/25

Temperature

�Warm blooded

�We do this by eating and getting fat

�And by having hair all over our bodies

Unlike the harp seal who is well equipped

for cold weather 

Man is not

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 22/25

� Our bodies function well at 37ºC

Human cell Bacteria

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 23/25

Taking a temperature

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 24/25

Guess what this is

below?

 A goats anus!

8/6/2019 Vital Signs- Basic Health Assessment

http://slidepdf.com/reader/full/vital-signs-basic-health-assessment 25/25

Normal: Adult temperature

Oral- 37.0

 Axillary- 3 .5