Sounds to me like you're facility is RUGG'ing everyone at high/very high.  Is 
that appropriate for your averagae 91 yo? 


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



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listed above and discard the original.-----Original Message-----
From: [email protected] [mailto:[email protected]] On Behalf Of 
Brent Cheyne
Sent: Wednesday, April 15, 2009 6:53 AM
To: Ron Carson
Subject: [OTlist] A Typical Day, Is this Normal?

There have been some very excellent and insightful posts recently and I need to 
go back and read them a second time before I respond..very thought provoking....
Over the past "busy season" at my place of work I've been having a very 
challenging caseload. Please review the circumstances and decide if it is a 
normal/comfortable work condition
 
 
In an 8 hour day I have to treat and do daily notes, 1 weekly note, attend  1 
weekly staff meeting and attend 1-2 care plan meetings.
 
1. 91 yo female, femur fx nwb-max assist ADL, wants to go home alone-60min
2 91 yo female, sternal fx max assist ADL, want to go home alone-60 min (Eval 
today)
3 85 yo female, total knee replacement  ADL with supervision but encouragement 
45min
4 82 yo female, distal radial fracture-ADL with minimal assit-home alone-60 min
5 81 yo male, total hip revision-ADL with minimal assist and encourge- to live 
alone 60 min
6 77 you female, CVA Aphasic right hemi- max assist self care- to live with 
spouse -60 min
7 63 yo female, Multiple sclerosis, max assist ADL, home with spouse, 60 min
8 74 yo femal, CVA right hemi-max assist ADL, r/oSNF placement , 60 minutes
9 65 yo male, Parkinson  stand by assist ADL, home with spouse who works, 60 min
 
So I'm scheduled to see these people today... about 465 minutes of 
treatment,5/9 patiens are maximal assist,   all this week, did this all last 
week
Does this sound like a reasonable and appropriate schedule?
Am I going to be able to get through it and still provide that meaningful and 
effective, individualized treatment that will create a great public relations 
image?
Give me some feedback
Brent
 
 


      
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