Treatment FAQ

what is the reason to take vital signs before occupational therapy treatment

by Tia Dach Published 2 years ago Updated 2 years ago
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In accordance with improving patient safety, occupational therapists need to be able to recognise the early warning signs of acute deterioration and understand the significance of vital signs to be able to raise concerns with nursing and medical staff. Publication types

The purpose of obtaining vital signs (VS) is to detect and monitor physiologic states and assess activity responses to aid in exercise prescription. VS determine patient risk for adverse events, such as cardiovascular episodes and syncope.

Full Answer

Why do therapists take vital signs?

One of our primary roles as therapists is to thoroughly examine our patients, which includes screening for conditions that may negatively impact their response to their plan of care and interventions. Part of our examination that is commonly overlooked is taking vital signs.

Is my patient appropriate for Occupational Therapy?

Some patients may be appropriate for OT, others may not be. If the patient is medically stable and will benefit from skilled OT services, the OT will initiate treatment to create individualized goals with an additional focus to get the patient up and moving when possible.

What are the vital signs in physical therapy?

Vital Signs are Vital to Therapy Practice. Physical therapy scope of practice clearly describes conducting a systems review in order to identify potential and existing problems, of which, aerobic capacity/endurance, circulation, ventilation and respiration/gas exchange are but a few of the listed areas to conduct tests and measures.

What happens during an occupational therapist evaluation?

If a medical record is available, your occupational therapist will review it before the evaluation begins to obtain basic information about you and your medical situation. She will then interview you to fill in the gaps.

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Why are vitals important for occupational therapy?

Vital signs include blood pressure, heart rate, respiratory rate, and if indicated, body temperature. These measures help us determine the patient's overall health and well-being. Vitals can help us become aware of serious events such as a possible heart attack and sudden drop in blood pressure.

What is the purpose of taking vital signs?

Background. Vital signs are an important component of monitoring the adult or child patient's progress during hospitalisation, as they allow for the prompt detection of delayed recovery or adverse events. Vital signs are measured to obtain basic indicators of a patient's health status.

Can occupational therapists take vital signs?

This includes (but is not limited to): Therapy orders. Lab values. Vital signs.

Should physical therapists take vitals?

The American Physical Therapy Association (APTA) states that the measurement of vital signs is one of the minimum skills required of physical therapists and these should be measured during every visit by a new patient or existing clients.

Why do nurses take vital signs?

Vital sign monitoring is a fundamental component of nursing care. We're taught in nursing school that a patient's pulse, respirations, blood pressure, and body temperature are essential in identifying clinical deterioration and that these parameters must be measured consistently and recorded accurately.

What are the most important vital signs?

with Appropriate Alerts & Notifications Enables Early Intervention. While all of the above vital signs are important indicators of patient status, the combination of changes in respiratory rate and heart rate have been deemed the most crucial predictors, according to The American Journal of Critical Care.

Do they take your blood pressure at physical therapy?

As physical therapist practice advances to a more independent care model, physical therapists may serve as the first point of contact into the health care system, thereby necessitating a need for routine blood pressure (BP) monitoring.

What is the role of a OTA in discharge planning?

The OTA is responsible for being knowledgeable about the client's targeted occupational therapy outcomes and for providing information and documentation related to outcome achievement. The OTA may implement outcome measurements and provide needed client discharge resources.

What is the OT process?

The process of OT includes evaluation, intervention, and tar- geting of outcomes that occur in the environments and contexts of the client to assist them in achieving health, well-being, and participation in life through engagement in occupation (AOTA, 2014).

Why screening is essential to physical therapy practice?

Even without direct access, screening is an essential skill because any client can present with red flags requiring reevaluation by a medical specialist. The methods and clinical decision-making model for screening presented in this text remain the same with or without direct access and in all practice settings.

What blood pressure is too high for therapy?

The U.S. Preventive Services Task Force recommends screening for high blood pressure in adults 18 years of age and older....Table 1.ClassificationSystolic Blood Pressure (mm Hg)Diastolic Blood Pressure (mm Hg)Normal<120<80Prehypertension120–13980–89Stage 1 hypertension140–15990–991 more row

What blood pressure is contraindicated for physical therapy?

Absolute contraindications to aerobic and resistance training programs include recent myocardial infarction or electrocardiography changes, complete heart block, acute congestive heart failure, unstable angina, and uncontrolled severe hypertension (BP ≥180/110 mm Hg).

What are the vital signs of a patient?

Part of our examination that is commonly overlooked is taking vital signs. Vital signs include blood pressure, heart rate, respiratory rate, and if indicated, body temperature. These measures help us determine the patient’s overall health and well-being.

What is scope of practice in physical therapy?

Physical therapy scope of practice clearly describes conducting a systems review in order to identify potential and existing problems, of which , aerobic capacity/endurance, circulation, ventilation and respiration/gas exchange are but a few of the listed areas to conduct tests and measures.

Why is it important to ask questions to an occupational therapist?

As important as it is for your occupational therapist to ask you questions, it is equally important that you ask questions of her to make sure that her services are a good fit. If there is an area of your life that you feel will impact your healing that she does not mention, be sure to bring it up.

What does an OT do after an interview?

After the interview, your therapist will perform assessments to obtain some concrete information about your general health and how your diagnosis is impacting your ability to perform everyday activities. Your OT is trained to assess the following: 2 

What is OT evaluation?

Occupational therapy (OT) treatment begins with an evaluation. Your occupational therapist will likely have a set flow to the OT evaluation process, but knowing what to expect can help you advocate for what you want to get out of the therapy process. Evaluations are a uniquely skilled process.

What does an occupational therapist do?

Your occupational therapist will work with you to set goals for your OT treatment. Goals need to be measurable and relate back to the reason for your referral. Your OT will craft long-term and short-term goals. 3 

What should an OT refer to?

For example, if a professional with less training, such as a massage therapist or exercise coach, could address your problem, your OT should refer you to them instead. Lastly, a good candidate for therapy will exhibit the motivation for therapy and cognitive capacity to participate.

How long is an OT evaluation?

The length of an OT evaluation can range anywhere from 20 minutes (in a setting such as a hospital) to several hours (such as in an outpatient pediatric setting.)

Does Verywell Health use peer reviewed sources?

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institutes of Health. Occupational Therapy Clinical Services.

What Are the Different Vital Signs a Medical Assistant Takes?

The different vital signs that a medical assistant takes at the first appointment and each additional appointment are blood pressure, heart rate, respiratory rate, and temperature. Height, weight, and oxygen saturation are measured, as well.

What Is the Purpose of Taking Vital Signs?

Vital signs are a glimpse into the patient’s body that can’t be seen in any other way. Vital signs can influence a physician’s diagnosis and treatments. The first time a patient visits a physician’s office, the medical assistant will set the patient’s baseline.

What Diseases and Disorders Can Be Detected by Vital Signs?

Pulse rate can vary based on different factors. The physician will consider these factors when assessing vital signs including age, gender, physical activity, emotional state, metabolism, fever, air temperature, body size, and medications taken. There are a few common disorders that can be detected by taking vital signs.

Final Thoughts

Vital signs are important for you to master during a medical assisting program. These can indicate the signs of illness in a patient, and early detection can save lives. This is an awesome responsibility and can be intimidating for some.

Want to Learn More?

Did learning about how to become a medical assistant interest you? Ready for an exciting new career in the medical assisting field?

How to fix a vital sign?

After you acknowledge these problems, you can fix them by replacing bad habits (like drinking four cups of coffee) with healthy alternatives (like substituting coffee with herbal tea).

Why is it important to monitor vital signs?

They provide crucial information about your organs. Therefore, the importance of vital signs monitoring is that it allows medical professionals to assess your wellbeing.

Why is it important to keep your vitals in check?

But when you track your vitals, those numbers can motivate you to make healthy lifestyle changes to keep your vital signs in-check.

What is vital signs tracking?

Tracking your vital signs provides medical professionals with concrete information that they use to assess your health and form a correct diagnosis. Without vital signs, misdiagnosis can occur and lead to incorrect treatment. 3. Detect Underlying Health Problems.

What are the most common vitals checked?

The most common vitals checked are body temperature, blood pressure, heart rate, respiration, and height and weight.

Why is it so hard to notice when something isn't right?

The scary part about our bodies is sometimes it’s hard to notice when something isn’t right. Silent symptoms of diseases cause medical problems to go undetected for years, making them harder to treat.

What is the purpose of blood pressure?

Blood pressure measures the force in which blood is pushed against artery walls when your heart contracts and relaxes. Monitoring blood pressure allows you to assess heart health. Two numbers are recorded when measuring blood pressure.

Why are vital signs important?

Vital signs give you a baseline when a patient is healthy to compare to the patient’s condition when they aren’t healthy. Abnormalities in vitals can also be a clue to illness or disease that can be hurting the organ systems in the patient’s body.

What is the vital sign of a patient?

Vital Sign #1: Body Temperature. A body temperature range must be kept for the body to function properly. Body temperature should not only be checked if a patient has a fever, but a baseline should be set for future appointments to catch abnormalities. The medical assistant must also become familiar with proper procedure to check body temperature ...

Why do we check vital signs?

Vital signs include body temperature, blood pressure, heart rate and respiration rate. Additional vital statistics that may be of use to identify a predisposition to a disease or disorder and that assist with proper dosing ...

What is the vital sign of a systolic artery?

Vital Sign #2: Blood Pressure. Blood pressure is the measurement of the pressure of the blood in an artery as it is forced against the artery walls. The highest level during contraction is recorded as the systolic pressure. As the heart pauses briefly to rest and refill, the arterial pressure drops.

Where can a medical assistant check the temperature of the body?

There are five places on the body that a medical assistant can check the body’s temperature, they include the mouth, axilla, rectum, ear and forehead. The part of the body is chosen based on age, condition, and state of consciousness. Heat is produced in the body when nutrients are broken down in the cells.

What is the normal temperature of a medical assistant?

The normal human body temperature ranges from 97 degrees to 99 degrees Fahrenheit.

Why do vitals matter at every appointment?

Why vital signs matter at every appointment. Vital signs are a critical component of patient care, and they matter at every appointment. Taking vitals regularly can help assess a person’s general physical health, give clues about possible diseases, and show progress toward recovery. Taking vitals is routine for most primary care providers.

How accurate should vitals be?

Vitals signs should be as accurate as possible. In the era of digital health, it is easier than ever record accurate vitals at every appointment. Consider the common ways you might receive and store vitals in the EHR: A member of the medical team records vitals directly.

What is meaningful use?

The Meaningful Use program emphasized the importance of accurate vitals in the modern era. Meaningful use was designed to expand use of electronic health records (EHRs). Stage 2 of the program required eligible providers to chart vital signs for more than 80 percent of all unique patients.

Do vital signs matter?

The answer is “yes.”. Vital signs can help reveal underlying diseases, and they provide essential baseline data for treatment decisions and historical trends. Let’s look more closely at why vitals signs matter at every appointment.

What can an OT do?

During treatments, the OT may provide education on energy conservation techniques, address self-care, cognition, vision, functional mobility, or therapeutic exercise. OTs can also recommend adaptive equipment and home modifications, if needed. These are just a few examples of the many treatments the acute care OT may provide in this setting.

What is the goal of OT?

The biggest goal for the OT or COTA is to help assist the medical team with where the patient goes next, whether it is home, home with assist and home health, subacute rehab, long term acute care, inpatient rehab, or elsewhere, depending on their individual situation. This is along with treating them while they’re in acute care.

How long does it take to work as an occupational therapist?

You don’t have much time to work with the patient – typically only a few days. In rehab, you really get to know your patients and work with them over extended periods of time.

Why do you check in with the patient's nurse before treating?

This is because things can happen quickly in acute care, and may not yet be in the computer.

Can you have a brief time with a patient?

Even though you only have a brief time with the patient, you can still be assured you’re making an impact in their long-term recovery by ensuring they get the best outcomes post-discharge from the acute care setting.

Can orders change in nursing?

Orders can change, and patient’s status can quickly change. Nurses in this setting are typically ahead of the game compared to the computer information if anything changes suddenly. Speaking of nurses, make friends with them, and the techs!

Can an OT recommend rehabilitation after discharge?

Since individuals in acute care on average have very short stays of just a few days, the OT may recommend further rehabilitation after discharge if the person is below their prior level of function and would benefit from continued therapy.

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Client Interview and Information Gathering

Assessments

  • After the interview, your therapist will perform assessments to obtain some concrete information about your general health and how your diagnosis is impacting your ability to perform everyday activities. Your OT is trained to assess the following:2 1. Pain 2. Vital Signs 3. Mental Status 4. Skin Health 5. Joint Range of Motion 6. Manual Muscle Test...
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Deciding Whether You’Re A Good Candidate For Therapy

  • Through the interview and assessment process, your OT will have identified a list of problems that she believes she can help you with. These problems should not be ones that would resolve on their own rather they must merit skilled intervention. It is also important that your problem merits her level of skill. For example, if a professional with less training, such as a massage therapist o…
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Goal Setting

  • Your occupational therapist will work with you to set goals for your OT treatment. Goals need to be measurable and relate back to the reason for your referral. Your OT will craft long-term and short-term goals.3 Here is an example of a short-term goal: Within two weeks, the client will be able to complete basic grooming while standing for 5-minute increments. As a client, it is extre…
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Creating A Plan

  • After setting goals, your OT will set out a plan for achieving them. Often the plan has to be approved by a doctor. At a minimum, the plan will include how often you will benefit from therapy, how long you will benefit from OT services, and what strategies you will use to achieve the stated goals.3 Here is an example of a plan: The client will benefit from skilled OT three times per we…
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How Can You Be More Involved in The OT Eval Process?

  • As important as it is for your occupational therapist to ask you questions, it is equally important that you ask questions of her to make sure that her services are a good fit. If there is an area of your life that you feel will impact your healing that she does not mention, be sure to bring it up. If there is something you do not understand, ask, and if you think of questions beforehand or after…
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