Parents measuring pulses; an observational study

J White1, S Shepperd, P Yudkin

  • 1Department of Primary Care, University of Oxford, Institute of Health Sciences, Old Road, Oxford OX3 7LF, UK.

Insights

Parents can accurately measure school-aged children's pulse rates after training, but struggle with preschoolers. This finding highlights the potential and limitations of parent-reported pulse data in pediatric care.

Area of Science:

  • Pediatric Medicine
  • Clinical Measurement
  • Patient Education

Background:

  • Parent-reported vital signs can offer insights into a child's health status.
  • Accurate pulse rate measurement is crucial for assessing pediatric clinical conditions.

Purpose of the Study:

  • To evaluate the agreement between parent-measured pulse rates and pulse oximeter readings in children.
  • To assess the effectiveness of a brief educational intervention on parental pulse measurement accuracy.

Main Methods:

  • A study involving parents and children was conducted.
  • Parents received a brief educational intervention on measuring pulse rates.
  • Agreement between parent measurements and pulse oximeter readings was analyzed.

Main Results:

  • Parents demonstrated the ability to accurately measure the pulse rates of school-aged children post-intervention.
  • Parents experienced difficulties in accurately measuring the pulse rates of preschool-aged children.

Conclusions:

  • Educational interventions can empower parents to accurately measure pulse rates in school-aged children.
  • Parental measurement of pulse rates in preschool children remains a challenge, requiring further investigation or alternative methods.

Related Concept Videos

Special considerations while measuring pulse01:13

Special considerations while measuring pulse

Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of radial pulse01:11

Assessment of radial pulse

Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Regulation of Pulse01:20

Regulation of Pulse

Pulse regulation involves physiological mechanisms that ensure adequate blood flow throughout the body. The heartbeat, regulated by the autonomic nervous system, is influenced by hormonal balance, physical activity, and emotional state.
Pulse01:16

Pulse

When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical indicator...