TL;DR
Respiratory Rate: Breaths per minute, normally 12–20 in adults, counted without patient awareness.
Respiratory Rate
Definition
Breaths per minute, normally 12–20 in adults, counted without patient awareness.
Calculation Methods
Understanding the numbers behind respiratory rate is important for accurate assessment. Vital signs provide objective data: temperature (97.8-99.1 F oral), pulse (60-100 bpm), respirations (12-20/min), and blood pressure (under 120/80 normal). Report any values outside a resident's established baseline to the nurse immediately.
Practical Example
Practical Application: When performing bathing (related to respiratory rate):
- Gather supplies
- Document skin observations
- Check water temperature (105-110 F)
- Wash face first (no soap), distal to proximal
- Apply lotion to prevent dryness
- Wash, rinse, dry each area in order: face, neck, arms, chest, abdomen, legs, back, perineum
Test water on inner wrist
Patient Communication
When communicating with residents about respiratory rate:
- Use open-ended questions to encourage residents to share feelings
- For hearing-impaired: face the resident, speak clearly (not louder), reduce background noise
- Therapeutic silence: allow time for the resident to process and respond
- For cognitively impaired: use simple sentences, one instruction at a time, consistent routine
- Cultural sensitivity: respect food preferences, spiritual practices, family dynamics
- Active listening: face the resident, maintain eye contact, nod, paraphrase
Key Values & Ranges
Breaths per minute, normally 12–20 in adults, counted without patient awareness. Most sensitive early indicator of deterioration. Tested on CNA, MA, EMT, and Paramedic exams.
Resident care connections: Right to privacy for personal care, mail, phone conversations, medical information. Right to be treated with dignity and respect at all times.
Why It Matters
Most sensitive early indicator of deterioration. Tested on CNA, MA, EMT, and Paramedic exams.
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