When I worked in rehab, we always used pulse ox. But, I guess it's different in home health.
----- Original Message ----- From: Sue Doyle <[email protected]> Sent: Monday, March 02, 2009 To: [email protected] <[email protected]> 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: [email protected] >> Date: Mon, 2 Mar 2009 20:06:28 -0500 >> To: [email protected] >> 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, >> [email protected] 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: [email protected] >> > To: [email protected] >> > 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 >> > [email protected] >> > >> > 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 >> [email protected]. 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: [email protected] [mailto:[email protected]] On >> > Behalf Of Carmen Aguirre >> > Sent: Friday, February 27, 2009 7:23 PM >> > To: [email protected] >> > Subject: Re: [OTlist] What Would YOU Do? >> > >> > >> > >> > >> > I wonder why >> > >> > >> > >> > Carmen >> > >> > >> > >> > >> > > Date: Thu, 26 Feb 2009 21:14:29 -0500 >> > > From: [email protected] >> > > To: [email protected] >> > > 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 <[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(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/[email protected] >> > > >> > > >> > > -- >> > > Options? >> > > www.otnow.com/mailman/options/otlist_otnow.com >> > > >> > > Archive? >> > > www.mail-archive.com/[email protected] >> > >> > _________________________________________________________________ >> > 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/[email protected] >> >> _________________________________________________________________ >> Windows Live™ Groups: Create an online spot for your favorite groups to >> meet. >> http://windowslive.com/online/groups?ocid=TXT_TAGLM_WL_groups_032009 >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/[email protected] >> >> **************Need a job? Find employment help in your area. >> (http://yellowpages.aol.com/search?query=employment_agencies&ncid=emlcntusyelp00000005) >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/[email protected] SD> -- SD> Options? SD> www.otnow.com/mailman/options/otlist_otnow.com SD> Archive? SD> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
