4/12/2023 0 Comments Pdf signer php review![]() ![]() This neglect of vital signs is not a new clinical problem and is yet to be adequately studied. Similarly in a retrospective review of 1000 patients who died in 10 British hospitals, poor clinical monitoring was responsible for a third of preventable deaths. An audit of 211 adult post-operative patients in five Australian hospitals for example found only 17% of medical records had complete documentation of vital signs, with respiratory rate the most neglected. ĭespite its clinical importance, respiratory rate has consistently been the least frequently measured vital sign. The ability to identify a deteriorating patient is also essential for avoiding poor clinical outcomes and to ensure the effective intervention of rapid response teams. Tachypnoea for example is one of the most significant predictors of in-hospital cardiac arrest and admission to intensive care. Early identification of this change allows prompt intervention and thus reduces the risk of organ failure and death. A change in respiratory rate is also an early indicator of deterioration. ![]() These include to obtain a baseline for comparison or post-operative monitoring, to identify blood transfusion or drug reactions, and to detect compensation to acid-base abnormalities. Respiratory rate (RR) as a key vital sign has numerous clinical uses. Other studies have also shown that when vital signs are abnormal, clinicians' responses are often inadequate. In a randomized trial of medical emergency teams in 23 Australian hospitals, more than 75% of patients experiencing an adverse event had at least one vital sign unrecorded immediately before the event. Numerous studies have highlighted a lack of vital signs measurement in the hours immediately prior to life-threatening adverse events or admission to Intensive Care. ![]() ĭespite the importance of vital signs monitoring, research indicates these signs are not consistently assessed, recorded or acted upon in the acute setting. Assessment of these clinical parameters plays a fundamental role in early detection of patient deterioration but only if nurses understand the basis of the signs, and they are measured, communicated and acted upon. ![]() Vital sign assessment allows for the identification of signs of improvement or if the patient is deteriorating, alternate or emergency care to be initiated. Vital signs, Respiratory rate, Assessment, Measurement, NeglectĪssessment of vital signs is essential for detecting acute changes in a patient's condition. Whilst increased focus on respiratory rate assessment at the undergraduate level may improve nurses' awareness of this vital sign, more research regarding this clinical problem is needed. It is not known what is taught at the undergraduate level regarding respiratory rate assessment. These factors suggest poor understanding of the importance of respiratory rate as a vital sign.Īlthough respiratory rate assessment is commonly neglected in clinical practice, only three studies have explored the reasons for this. This literature review identified three key reasons for this: inadequate knowledge regarding respiratory rate assessment nurses' perception of patient acuity and lack of time. Despite this, research has shown that it is the most neglected vital sign in clinical practice. Respiratory rate assessment is essential for detecting acute changes in a patient's condition. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. *Corresponding author: Malcolm Elliott, RN, PhD, Lecturer, School of Health, Charles Darwin University, Melbourne, Australia, E-mail: Int Arch Nurs Health Care, IANHC-2-050, (Volume 2, Issue 3), Review Article ISSN: 2469-5823 Received: | Accepted: J| Published: June 26, 2016Ĭitation: Elliott M (2016) Why is Respiratory Rate the Neglected Vital Sign? A Narrative Review. ![]()
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