Vital signs tell you lots about the patient’s general health.
The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.
2/
Reason 2.
High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.
... Unless you take the time to check.
3/
Reason 3.
Checking blood pressure may form part of your risk assessment, for example with a patient reporting ?MSK symptoms - chest/shoulder/arm pain/headache/orofacial symptoms/dizziness/falls etc.
Checking blood pressure may be a route into ‘making every contact count (MECC)’, and forming the basis of your conversation with the patient around lifestyle, diet, exercise and physical activity etc. makingeverycontactcount.co.uk
5/
Reason 5.
Well, you were probably going to offer some exercise interventions as part of your management ... weren’t you?
It is worth considering that most gyms implement BP and other health checks, before allowing clients to embark on an exercise programme.
6/
Reason 6.Covid19.
In short, there is emerging evidence to suggest that the Covid19 pandemic (for a range of reasons) may be linked to CVD & new onset hypertension.
You owe it to your patients to check their BP, these are extraordinary times.
2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI
Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
#Physio#FCP ‘s
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Be aware that arterial complications will likely present as PAIN in the early stages.
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.
“Stress has been pathologised and privatised, and the burden of managing it outsourced to individuals. Hence the pedlars of mindfulness step in to save the day.”
“If we are unhappy about being unemployed, losing our health insurance, and seeing our children incur massive debt through college loans, it is our responsibility to learn to be more mindful.”
“This has come about partly because proponents of mindfulness believe that the practice is apolitical, and so the avoidance of moral inquiry and the reluctance to consider a vision of the social good are intertwined.”