When  I  worked  in  rehab,  we  always used pulse ox. But, I guess it's
different in home health.

----- Original Message -----
From: Sue Doyle <sue...@hotmail.com>
Sent: Monday, March 02, 2009
To:   otlist@otnow.com <otlist@otnow.com>
Subj: [OTlist] What Would YOU Do?


SD> I work in Inpatient Rehabilitation and I have never had a
SD> restriction. We use the O2 monitor all the time without needing an
SD> order. We generally report the results if anything unusual to the MD or RN.


SD> Sue D 




>> From: thegoo...@aol.com
>> Date: Mon, 2 Mar 2009 20:06:28 -0500
>> To: OTlist@OTnow.com
>> Subject: Re: [OTlist] What Would YOU Do?
>> 
>> Hi..I worked in a SNF and also never heard that restriction. If we want to  
>> take someone's O2 STATs then we just do...Cindy
>>  
>>  
>> In a message dated 3/2/2009 7:50:50 P.M. Eastern Standard Time,  
>> caguirr...@msn.com writes:
>> 
>> 
>> I  work in SNF. Never heard such restriction. I hope I'm not  alone!!
>> 
>> 
>> Carmen
>> 
>> 
>> 
>> 
>> > Date: Mon, 2 Mar 2009  07:44:14 -0500
>> > From: neal.lut...@advhomecare.org
>> > To:  OTlist@OTnow.com
>> > Subject: Re: [OTlist] What Would YOU Do?
>> >  
>> > 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  
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>> 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
>> > > >> 
>> > > >> 
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