Mental status Mood changes such as anxiety, depression (depression is not a normal sign of aging and can be treated). Behavioral Status Combative behavior- client becoming violent as evidenced by hitting, biting, throwing items, Vital Signs Abnormal Vital signs are anything that is out of range for the client or patient. Please note that each patient/client is different therefore the doctor may have specific parameters for that patient/client. ASK the nurse overseeing
Medication New refusal to take prescribed medications. Consumption of expired medications Inability to remember when the last medication was taken Negative changes when a new medication is given. Respiratory Rate Increased respiratory rate, abnormal Abnormal pulse Blood pressure Abnormal systolic pressure ** Systolic blood pressure is the top number (pressure caused by heart during a contraction) **Diastolic blood pressure is the bottom number (reflective of heart at rest) Do not wait to report any and all new changes to the nurse overseeing the care of the client breathing. Heart rate
the care of the client what the parameters are if you are unsure.
Vial Signs Respiratory Heart Rate
Normal
12-18 bpm 60-100 bpm
Pulse Oximetry
95-100%
Systolic Blood Pressure Diastolic Blood Pressure
< 120
< 80
Powered by FlippingBook