Changes

It took decades of deliberation between the [[American Academy of Ophthalmology]] and the [[Joint Commission]] before it was settled that '''eye color''' was a not a vital sign. The major piece of evidence supporting this decision is that when a patient is coding with a heart rate of 0, respiratory rate of 0, a blood pressure of 0/0, the patient's '''eye color''' remains the same.

On a day-to-day basis, it is of general consensus that patient height rarely fluctuates. Because there is no parallel to hypotension or hypertension, '''height''' as a vital sign has been abandoned for the time being. Some argue that height can certainly fluctuate, particularly if the patient is performing squats.

This is a rare issue where [[American College of Cardiology|cardiologists]] and [[American Society of Nephrology|nephrologists]] are on the same side, as they consider '''daily weights''' a vital sign in patients with marked volume overload due to congestive heart failure or end-stage renal disease (ESRD). Do not be surprised if '''daily weight''' replaces '''pain''' as the fifth vital sign.<ref>[http://gomerblog.com/2013/12/5th-vital-sign/ Inventor of Slogan “Pain is the 5th Vital Sign” Now Concedes Pain is Actually Not a Vital Sign]</ref>