If you are working with a patient who has oxygen ordered PRN, at what point would you decide if you would put the oxygen on during your treatment session?
Answer
In the case study in my course, the patient's respiratory rate was 90 at rest. I was concerned as to what was going to happen with activity. I would start him at a very low level of activity, and I would have him do the breathing exercise, the pursed lip breathing, before. I would try this first. I would not automatically put on the supplemental oxygen. Chances are that apprehension or pain are creating the increased respiratory rate, and it is a temporary problem that we can alleviate through ways other than using supplemental oxygen. If it was a patient who I knew had long-term breathing problems or had had a surgical procedure that might impair the ventilatory process, I might ask the physician before I got started if he wanted the patient to start at a very low level of 2 liters. However, I do not think I would put it on or push it until I really assessed that patient’s tolerance for activity and how well they did with low levels of mobility like some in-bed activites. I like to watch them with bed mobility or with transitions from lying to sitting to standing to see what happens when I use breathing interventions first.
Bini Litwin, PT, DPT, PhD, MBA
Dr. Litwin PT DPT PhD MBA has been a physical therapist for over 35 years, having worked in various clinical settings throughout her professional career. She has been on faculty at Nova Southeastern University in Ft Lauderdale, Fl for the past 14 years, where she is Associate Professor in the Physical Therapy Department. Her teaching responsibilities include Cardiovascular and Pulmonary PT, Applied Clinical Decision Making and Critical Inquiry. She has numerous peer reviewed publications and presentations at national and international conferences.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/quicksand-or-concrete-capturing-outcomes-4354Quicksand or Concrete? Capturing Outcomes in Acute CarePatients seen in acute care practice demonstrate a wide variety of movement abilities, which can make the selection and use of standardized outcome measures a challenge. Learn what recommendations exist to inform decision making while reviewing some of the most practical outcome measures for acute care practice. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comQuicksand or Concrete? Capturing Outcomes in Acute CarePatients seen in acute care practice demonstrate a wide variety of movement abilities, which can make the selection and use of standardized outcome measures a challenge. Learn what recommendations exist to inform decision making while reviewing some of the most practical outcome measures for acute care practice. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.4354OnlinePT120M
Patients seen in acute care practice demonstrate a wide variety of movement abilities, which can make the selection and use of standardized outcome measures a challenge. Learn what recommendations exist to inform decision making while reviewing some of the most practical outcome measures for acute care practice. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
2https://www.physicaltherapy.com/pt-ceus/course/salzman-matrix-combining-cognitive-motor-5381The Salzman Matrix: Combining Cognitive & Motor Tasks with PurposeCognition and movement are tightly linked in functional activity, yet integrating them in rehabilitation can be challenging. While dual-task training is commonly used, poorly matched cognitive demands can interfere with motor performance and learning. This introductory course introduces the Salzman Matrix, an evidence-aligned clinical reasoning framework designed to guide purposeful cognitive–motor integration while minimizing interference. Participants will learn how to distinguish cognitive processes that support movement from cognitive demands that commonly compete with motor goals, and how to apply this framework to functional treatment planning and documentation across rehabilitation settings.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comThe Salzman Matrix: Combining Cognitive & Motor Tasks with PurposeCognition and movement are tightly linked in functional activity, yet integrating them in rehabilitation can be challenging. While dual-task training is commonly used, poorly matched cognitive demands can interfere with motor performance and learning. This introductory course introduces the Salzman Matrix, an evidence-aligned clinical reasoning framework designed to guide purposeful cognitive–motor integration while minimizing interference. Participants will learn how to distinguish cognitive processes that support movement from cognitive demands that commonly compete with motor goals, and how to apply this framework to functional treatment planning and documentation across rehabilitation settings.5381OnlinePT120M
Cognition and movement are tightly linked in functional activity, yet integrating them in rehabilitation can be challenging. While dual-task training is commonly used, poorly matched cognitive demands can interfere with motor performance and learning. This introductory course introduces the Salzman Matrix, an evidence-aligned clinical reasoning framework designed to guide purposeful cognitive–motor integration while minimizing interference. Participants will learn how to distinguish cognitive processes that support movement from cognitive demands that commonly compete with motor goals, and how to apply this framework to functional treatment planning and documentation across rehabilitation settings.
3https://www.physicaltherapy.com/pt-ceus/course/upper-extremity-function-and-stages-4653Upper Extremity Fractures and Stages of Fracture HealingBased on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comUpper Extremity Fractures and Stages of Fracture HealingBased on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.4653OnlinePT120M
Based on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.
4https://www.physicaltherapy.com/pt-ceus/course/exertional-rhabdomyolysis-management-strategies-for-5168Exertional Rhabdomyolysis: Management Strategies for the Physical TherapistExertional Rhabdomyolysis (ER) is a serious medical condition resulting from the damage and breakdown of skeletal muscle fibers with leakage of muscle contents into the blood stream. ER can be caused by various conditions such as exercise overtraining and injury. The healthcare professional must be able to understand the medical condition, the clinical presentation, potential risk factors, and management strategies for patients who may be suffering with ER. This presentation is for the healthcare professional who desires an evidence-based update on this topic.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comExertional Rhabdomyolysis: Management Strategies for the Physical TherapistExertional Rhabdomyolysis (ER) is a serious medical condition resulting from the damage and breakdown of skeletal muscle fibers with leakage of muscle contents into the blood stream. ER can be caused by various conditions such as exercise overtraining and injury. The healthcare professional must be able to understand the medical condition, the clinical presentation, potential risk factors, and management strategies for patients who may be suffering with ER. This presentation is for the healthcare professional who desires an evidence-based update on this topic.5168OnlinePT120M
Exertional Rhabdomyolysis (ER) is a serious medical condition resulting from the damage and breakdown of skeletal muscle fibers with leakage of muscle contents into the blood stream. ER can be caused by various conditions such as exercise overtraining and injury. The healthcare professional must be able to understand the medical condition, the clinical presentation, potential risk factors, and management strategies for patients who may be suffering with ER. This presentation is for the healthcare professional who desires an evidence-based update on this topic.
5https://www.physicaltherapy.com/pt-ceus/course/pharmacology-for-heart-failure-and-5175Pharmacology for Heart Failure and COPD: Implications for Physical TherapyHeart failure (HF) and chronic obstructive pulmonary disease (COPD) are two chronic conditions for which medications and physical therapy are important parts of treatment. Thus, therapists across the healthcare continuum need to appreciate the indications, mechanism of action, side effects, and implications for physical therapy for the various medication classes for HF and COPD.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comPharmacology for Heart Failure and COPD: Implications for Physical TherapyHeart failure (HF) and chronic obstructive pulmonary disease (COPD) are two chronic conditions for which medications and physical therapy are important parts of treatment. Thus, therapists across the healthcare continuum need to appreciate the indications, mechanism of action, side effects, and implications for physical therapy for the various medication classes for HF and COPD.5175OnlinePT120M
Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are two chronic conditions for which medications and physical therapy are important parts of treatment. Thus, therapists across the healthcare continuum need to appreciate the indications, mechanism of action, side effects, and implications for physical therapy for the various medication classes for HF and COPD.
