Vital signs are essential to each healthcare visit because they aid in monitoring and detecting health problems. When you are taking a patient’s vital signs, it is a good time to ask about and document his or her exercise regimen and treat this information as a vital sign. Lack of exercise is a modifiable health risk, and clinicians can then easily identify lack of exercise as a health risk. Also, if patients know that they will be asked about exercise during each visit, this may increase their awareness about exercise as well as their accountability.—Deana Goldin, DNP, ARNP, FNP-BC, Miami (218-2)


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.