question question | allnurses


  1. 0 I just learned this-and wondered if anyone else had heard it before....
    What is the fifth vital sign??

    Pain management
    Last edit by lvnmom on Nov 16, '01
  2. 7 Comments

  3. Visit  Dplear profile page
    #1 0
    Pain is the fifh vital sign
  4. Visit  P_RN profile page
    #2 0
    Yep PAIN. Should be higher up the scale, as it affects the rest of the vitals.
    Last edit by P_RN on Nov 16, '01
  5. Visit  nur20 profile page
    #3 0
    THAT'S TRUE !!!!!!
  6. Visit  Adrena profile page
    #4 0
    I thought that it was the oxygen saturation level.
  7. Visit  ERNurse752 profile page
    #5 0
    Gooooooooooooooooooooooooooo PAIN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
    (Sorry, I'm pretty loopy after 4 hours of sleep...and I work again tonight )
  8. Visit  ucavalpn profile page
    #6 0
    yep it's pain
  9. Visit  KatWright profile page
    #7 0
    I have always heard it was pain too, but then I read this...

    In the early 1990s, Fiore introduced the concept of the fifth vital sign; that is, considering a patient's smoking status along with blood pressure, pulse, temperature and respiratory rate. (11) This approach provides an important opportunity to gain information at each patient visit about the patient's tobacco status and an opportunity to promote smoking cessation. The AHCPR incorporated this 5th vital sign into the Clinical Guideline on Smoking Cessation (See Table 1) as a means to identify tobacco use at every patient visit. (12) Tobacco use is routinely assessed upon inpatient admission, but may only be assessed with initial ambulatory or home visits.


    Table 1: Fifth Vital Sign
    Blood Pressure__________________________
    Pulse_________________ Weight__________________
    Respiratory Rate________________________________
    Tobacco Use: Current Former Never
    (circle one)

    Fiore (1991). (11)

    So every so often you may hear that smoking status is the fifth vital sign

    Interesting, huh?