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Apical Heart Rate: 60-100 beats per minute
                     Respirations: 18-20 breaths per minute
                     Blood Pressure: Average, 107/64 mm Hg



               Box 18-12

               The Adolescent’s Vital Signs



                     Temperature: Oral, 97.5° F to 98.6° F (36.4° C to 37° C)
                     Apical Heart Rate: 55-90 beats per minute
                     Respirations: 12-20 breaths per minute
                     Blood Pressure: Average, 121/70 mm Hg




               Box 18-13
               Religious and Cultural Beliefs Related to End-of-

               Life Care*

               Amish


                     Funerals are conducted in the home without a eulogy, flower decorations, or
                      any other display; caskets are plain and simple, without adornment.
                     At death, a woman is usually buried in her bridal dress.
                     One is believed to live on after death, with either eternal reward in heaven or
                      punishment in hell.
                     The Amish permit organ donation with the exception of heart transplants (the
                      heart is the soul of the body).


               Catholic and Orthodox


                     A priest anoints the sick.
                     Other sacraments before death include reconciliation and Holy Communion.


               Church of Jesus Christ of Latter-day Saints (Mormons)


                     A sacrament may be administered if the client requests it.


               Protestant


                     No last rites are provided (anointing of the sick is accepted by some groups).
                     Prayers are given to offer comfort and support.


               Jehovah’s Witnesses



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