How can you feel confident that the pt is independent vs. supervision? I find it difficult to distinguish if a pt would be unsafe without me there if i am not providing physical assistance.
I apologize for the confusion but I made an error in the video that describes the levels in terms of ranges. Original article: www.otdude.com/reference-guides/occupational-physical-therapy-levels-of-assistance/ The corrected ranges are: (Patient Helps) -Min A: 75-99% -Mod A: 50-74% -Max A: 25-49% -Total A: 0-24% The amount the OT helps would be the opposite needed to add up to a total of 100% (OT Helps) -Min A: 1-25% -Mod A: 26-50% -Max A: 51-75% -Total A: 76-100%
Glad I found this. So how do I apply this to functional transfers. Client sitting in a wheelchair and standing to grab walker. Do you have any helpful videos on transfers?
Hey. I need help with a SOAP Note. Within the assessment section would it make since to write:Patient required verbal cues as he used dressing stick and sock aide with min assist. Can I use the terms supervision and min assist within the same sentence. It is my understanding that supervision means no contact at all. IM CONFUSED 😕 I'm using the FIM scale. I would greatly appreciate your feedback.
@@PhD4me Levels of assist typically go in the Observation section as they are findings, similar to ROM or MMT. The Assessment is where you use your clinical reasoning to apply that finding to the subjective and plan with the client. Unless you are using that part of the sentence to apply your clinical assessment it seems like that's just an Observation phrase. This may be better: S - "I need help with getting dressed and don't want to rely on my wife. I'm open to any ideas." O - client is mod assist with sock aide and required verbal cues for use of reacher to don pants. A - Client continues to be limited by pain in low back with activities out of bed. Due to clients need for moderate assistance with use of adaptive equipment, his pain, memory, problem solving, and fatigue pose a barrier his independent with ADLs. You can use different assistance levels for each activity, but the FIM wants you to use the overall level of assistance needed to document the burden of care on caregivers such as for lower body dressing. Think of it as fractions and whether they need help or not and then get the whole picture for the FIM score. Hope this helps!
@@OTDUDE Hey. Are the terms OT interventions and treatment activities pretty much the same thing? My teachers are using both terms and I'm not exactly sure. I thought they were the same.....used interchangeably. Please clarify for me if you are able to do so. Thanks
The fact you are doing this video on the nursing room for your baby! Absolutely loved the informative video, thanks!!!
How can you feel confident that the pt is independent vs. supervision? I find it difficult to distinguish if a pt would be unsafe without me there if i am not providing physical assistance.
I apologize for the confusion but I made an error in the video that describes the levels in terms of ranges. Original article: www.otdude.com/reference-guides/occupational-physical-therapy-levels-of-assistance/
The corrected ranges are:
(Patient Helps)
-Min A: 75-99%
-Mod A: 50-74%
-Max A: 25-49%
-Total A: 0-24%
The amount the OT helps would be the opposite needed to add up to a total of 100%
(OT Helps)
-Min A: 1-25%
-Mod A: 26-50%
-Max A: 51-75%
-Total A: 76-100%
Life savior once again. Thank you!
Glad I found this. So how do I apply this to functional transfers. Client sitting in a wheelchair and standing to grab walker. Do you have any helpful videos on transfers?
I do not yet. You can check out this blog post though www.otdude.com/reference-guides/proper-transfer-techniques/
Hey. I need help with a SOAP Note.
Within the assessment section would it make since to write:Patient required verbal cues as he used dressing stick and sock aide with min assist.
Can I use the terms supervision and min assist within the same sentence. It is my understanding that supervision means no contact at all. IM CONFUSED 😕
I'm using the FIM scale. I would greatly appreciate your feedback.
@@PhD4me Levels of assist typically go in the Observation section as they are findings, similar to ROM or MMT. The Assessment is where you use your clinical reasoning to apply that finding to the subjective and plan with the client.
Unless you are using that part of the sentence to apply your clinical assessment it seems like that's just an Observation phrase.
This may be better:
S - "I need help with getting dressed and don't want to rely on my wife. I'm open to any ideas."
O - client is mod assist with sock aide and required verbal cues for use of reacher to don pants.
A - Client continues to be limited by pain in low back with activities out of bed. Due to clients need for moderate assistance with use of adaptive equipment, his pain, memory, problem solving, and fatigue pose a barrier his independent with ADLs.
You can use different assistance levels for each activity, but the FIM wants you to use the overall level of assistance needed to document the burden of care on caregivers such as for lower body dressing. Think of it as fractions and whether they need help or not and then get the whole picture for the FIM score.
Hope this helps!
@@OTDUDE totally appreciate your help and time you put into with helping me. Thanks for the breakdown of the different areas. You are awesome🙂🙂
@@OTDUDE Hey. Are the terms OT interventions and treatment activities pretty much the same thing? My teachers are using both terms and I'm not exactly sure. I thought they were the same.....used interchangeably. Please clarify for me if you are able to do so.
Thanks
Hi! can you tell me what MI assistance level means?
Which timestamp in the video are you referring to? I probabaly meant to say minimal assist.
Modified independent?
I have questions