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 <[email protected]> Sent: Thursday, February 26, 2009 To: [email protected] <[email protected]> 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: [email protected] >> To: [email protected] >> 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/[email protected] CA> _________________________________________________________________ CA> Windows Live™: Discover 10 secrets about the new Windows Live. CA> http://windowslive.com/connect/post/jamiethomson.spaces.live.com-Blog-cns!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/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
