hospital considerations

MSK considerations in the hospital setting

WB status

bracing and/or equipment

pain management

ROM

strength

activity tolerance

What is the purpose of analyzing MSK in hospital setting

to determine a d/c destination

What are we noting and analyzing throughout a patients hospital stay

Why do we need to note everything every session

to establish a baseline and determine acute changes

define PE

part of a thrombus, typically in DVT, breaks loose and travels through the right side of the heart into the pulmonary artery

When do symptoms arise for PEs

with movement

typical treatment for PE

blood thinners

signs of PE

tachycardia

drop in SpO2

symptoms of PE

extreme SOB

feeling of suffocating

wheezing

anxiety

apprehension

coughing

how can you determine PE over COPD symptoms

• ask if it feels different

• constant cough

• does not recover with rest

• wells criteria

Wells criteria for PE

1. clinical s/s of DVT

2. an alternative dx is less likley than PE

3. tachy present

4. immobilization for the past 3 days or surgery previous month

5. history of DVT/PE

6. hemoptysis (cough blood) present

7. malignancy in treatment or palliative

transportation considerations for d/c planning

• lack of support (family training)

• height of vehicle

• cost