It simply requires the order as a "modality". It is not for whatever reason considered a vital sign.
Neal C. Luther,OTR/L Advanced Home Care, Burlington Office 1-336-538-1194, xt 6672 neal.lut...@advhomecare.org Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of otl...@otnow.com. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-----Original Message----- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of Carmen Aguirre Sent: Friday, February 27, 2009 7:23 PM To: otlist@otnow.com Subject: Re: [OTlist] What Would YOU Do? I wonder why Carmen > Date: Thu, 26 Feb 2009 21:14:29 -0500 > From: rdcar...@otnow.com > To: OTlist@OTnow.com > Subject: Re: [OTlist] What Would YOU Do? > > Interesting that you mention pulse ox. My clinical director has > repeatedly told that staff that pulse oximetry can only be taken under > an MD's order. > > Regarding the baseline, could you use a patient's self-reported fatigue > level during the desired activity of ambulating to the dining room? Then > use this as the measurable outcome. > > Ron > > ----- Original Message ----- > From: Carmen Aguirre <caguirr...@msn.com> > Sent: Thursday, February 26, 2009 > To: otlist@otnow.com <otlist@otnow.com> > Subj: [OTlist] What Would YOU Do? > > > CA> I would start with breathing exercises, 6-min activity testing to > CA> meassure fatigue and shortness of breath to get a meassurable > CA> baseline. Take pulse oxymetry and BP to help educate when rest is > CA> needed if not aware of it and to manage energy levels. Work on basic > CA> routines he wants to improve performance and quality; besides the > CA> actual tasks/activities teach maint. pulmonary exercises to manage > CA> his disease. Medication management to assess how he manages his > CA> disease as well. Community resources and overall health management > CA> skill. Balance retraining, strengthening would be part of my > CA> treatment plan. > > CA> Carmen > > > CA> > > >> Date: Thu, 26 Feb 2009 20:15:25 -0500 > >> From: rdcar...@otnow.com > >> To: OTlist@OTnow.com > >> Subject: [OTlist] What Would YOU Do? > >> > >> Evaluated a man today, recently discharged from rehab. His primary > >> diagnosis is congestive heart failure. > >> > >> He's presents with decreased fine motor control from an unknown > >> etiology. He has decreased lower extremity strength and decreased > >> balance. He is also short of breath during exertion. > >> > >> He is unable to do dishes, zip and button his clothes. He is unable to > >> independently sit/stand and has difficulty getting into his shower Also, > >> he is unable to consistently and safely walk to the dining room of the > >> ALF. He desire to NOT use a wheelchair. His primary concern is > >> mobility-related daily living activity. > >> > >> What treatment MIGHT you provide this patient and why? > >> > >> Thanks, > >> > >> Ron > >> > >> -- > >> Ron Carson MHS, OT > >> www.OTnow.com > >> > >> > >> -- > >> Options? > >> www.otnow.com/mailman/options/otlist_otnow.com > >> > >> Archive? > >> www.mail-archive.com/otlist@otnow.com > > CA> _________________________________________________________________ > CA> Windows Live(tm): Discover 10 secrets about the new Windows Live. > CA> http://windowslive.com/connect/post/jamiethomson.spaces.live.com-Blog-cn s!550F681DAD532637!7540.entry?ocid=TXT_TAGLM_WL_t2_ugc_post_022009 > CA> -- > CA> Options? > CA> www.otnow.com/mailman/options/otlist_otnow.com > > CA> Archive? > CA> www.mail-archive.com/otlist@otnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com _________________________________________________________________ Access your email online and on the go with Windows Live Hotmail. http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_AE_Access_022 009 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
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