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Home Health PT Resource
United States
เข้าร่วมเมื่อ 30 พ.ค. 2021
You just never know where life is going to take you next. I graduated in July 2016 from with a Doctorate in Physical Therapy and have been lucky to work for a top tier home health agency ever since. In September 2018 I completed the Advanced Competency in Home Health Certification program from the APTA and recommend it for all those interested in working in this field. Since then I have started working intermittently as an adjunct faculty for a Physical Therapy Program as well as a clinical instructor for 3rd year PT students. This has sparked an interest to learn more by researching all things pertaining to home health. Colleagues have persuaded me to write down ideas to share, which lead to my website. Now it's time to take things up a notch with a more personal approach through TH-cam. Please like, subscribe, and comment so we can take this message to more PTs and future PTs!
Skyler Dixon, PT, DPT
www.homehealthptresource.com
Skyler Dixon, PT, DPT
www.homehealthptresource.com
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มุมมอง 2583 ปีที่แล้ว
Since joining the home health physical therapy tribe, I’ve received so many questions from other physical therapists working in other settings. I find many are very intrigued about the home health setting, although perhaps the uniqueness has led many therapists to stay away from it all together. One of the most common questions has been to the effect of “what do you do in the patient’s homes?” ...
MEDICARE DOLLARS WASTED - postoperative care not happening?
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Most surgical procedures covered by Medicare (and most other insurers) are paid via a bundled payment. This bundled payment includes coverage for both the surgery as well as related costs - including postoperative visits. This bundled payment has been used to encourage more efficient care. For example, if a patient goes in for a total knee arthroplasty, bundled payment would cover the surgery, ...
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มุมมอง 413 ปีที่แล้ว
On my last year of physical therapy school, I remember multiple practicing physical therapists and fellow students warning me that in the home health setting it feels like you are "on an island." Of course they were not meaning an "island" like with sand and lemonade, but rather an "island" relating to isolation from other people and clinicians. I even remember some home health clinicians telli...
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มุมมอง 14K3 ปีที่แล้ว
In using pulse oximetry, I wish I could count on hand the amount of times I have heard a patient disappointed to find out their SpO2 is 91%, 92%, or even 93% when according to the patient, they are normally more like 97% or 98%. This has been concerning to me as many people consider their SpO2 to be their lungs grade on a report card. This is just not the case and should be corrected whenever p...
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มุมมอง 633 ปีที่แล้ว
Enter HIGH-INTENSITY INTERVAL TRAINING (HIIT). I’m sure many of you are at least semi-familiar with HIIT, however my question is - how many of us are implementing it within our geriatric case load? As I think about my current case load, I think one of the biggest striking similarities is each of them has a relatively low functional capacity. In many instances, this is the main player in why the...
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References 1. Falvey, Jason R., et al. “Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community.” Physical Therapy, vol. 96, no. 8, Jan. 2016, pp. 1125-1134., doi: 10.2522/ptj.20150526 2. Soley-Bori M, Soria-Saucedo R, Ryan CM, et al. Functional status and hospital read- missions using the Medical Exp...
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Do you want to provide home health services? You better know who qualifies! In this video we will go over Medicare’s 2 criteria that qualify a patient for home health services. This is imperative to know so you can provide services to those that need it and refer out those that need to go to an outpatient facility. Keep in mind home health physical therapy can be a much more expensive service t...
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Have a friend, family member, client, or patient with impaired cognition that is falling often? Here’s my take on what to consider. Disclaimer - this is not medical advice. Please seek out a personalized Physical Therapy evaluation before embarking on significant mobility changes. Sources to this video - 1. Allan, L. M., Ballard, C. G., Rowan, E. N., & Kenny, R. A. (2009). Incidence and Predict...
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มุมมอง 213 ปีที่แล้ว
Imagine living without a student loan. You can pay it off! Here is how I did it. This is not financial advise. This is only how I was able to get rid of my loans and get on the track of building wealth. PLEASE do your own research before making financial decisions. That being said, this process has allowed me to forget about my paycheck and focus more on patient care. There’s nothing like takin...
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มุมมอง 353 ปีที่แล้ว
Here’s my story on how I’ve become so motivated on going straight into home health and eliminating student debt. Please do not be demoralized if you came out with more student loan debt than me. It doesn’t matter if you are in school, newly graduated, or a veteran in the field. You can do this. I can promise you it is worth it. The government is not going to fix your life, but I promise you can...
Home Health Physical Therapy
มุมมอง 793 ปีที่แล้ว
Everyone has a story to tell and here’s mine! How I got into home health physical therapy. Why I am still in this field.
Home Health PT Resource
มุมมอง 633 ปีที่แล้ว
To all those interested in home health therapy! This channel seeks to educate and motivate current and prospective PTs, OTs and STs in bridging a career into the home health setting.
Thanks for your helpful input! I have great admiration for physical therapists!
88% is what insurance requires in order to pay for oxygen. Under 90 is not good. Also, be careful about the amount of o2 used because severe COPD people can have issues with co2. It is very important to have the proper tests run in order to determine the need.
Thank you for all your information. When I get short of breadth do I grab the Albuterol or Oxygen??
This is an excellent question for your physician. There are too many factors here that are beyond the scope of a physical therapist as both Albuterol and oxygen are considered medications. Thanks for the comment though!
Pls mute ua music
I wish I could. Do you want to be my editing person???
This Video makes a lot of sense to me, because I have found that in most cases supplemental oxygen does not help. I take my inhalers fast-acting to open my airways and long-acting for the long term and I breathe deeply when I take my inhalers. I use supplemental oxygen when I get on the treadmill, for an hour a day. Then I tun it off and i am just fine, I need to sit down after that and rest. I do use a handicap scooter to get around. I thinking of getting a EV Trike bike (three wheeler motorized) to get me to the gym and back and shopping and I feel '"normal" for an 81 year old man.
Remember to always use supplemental as directed by the prescribing physician.
That was a excellent description of the difference between using albuterol and Oxygen. I never understood when to use either one. If I'm having exacerbation do I grab the Albuterol or Oxygen. So grabbing the Albuterol and 'pursed-lip' breathing is better because it opens up the airways. So grabbing the oxygen does nothing to open up the airways? Is that what I'm hearing? Thanks again.
Supplemental oxygen does not have a direct cause on opening airways. Remember to use oxygen and any other medications as prescribed by your physician. Thx for the comments!
Thanks Skylar. But I got to tell you and all the nurses in the hospital that deal with oxygen copd patients. I've been in the hospital a couple of times for exasperations. They tried to get me as low as possible then release me. But they don't understand that I might be 92 at number 1 continuous flow but as soon as I walk my level drops down in the 70 s. Then panic sets in. It's like having a plastic bag over my head and trying to get air. That's the best way to describe it. Its terrible. Whenever I move I use up oxygen in my body, so if I get up to walk I have to turn up continuous flow to walk down a hall to my elevator. More if I'm out in the cold. So when I'm at home in bed I keep it as low as my machine will go before the red light goes on and beeps. When I get up to walk in my apartment, I turn it up to 3. 5 or 6 for showers. 5 when I walk to my car on the oxygen cylinder. These are all on continuous flow. I can seem to get enough on the pulse tanks for outside. Any way that's my story and unfortunately I have to stick to it. Thanks again Skylar. Because to hi a flow is not wise for your lungs.
Thanks for the comment! Please be sure to use your supplemental oxygen as directed by your physician.
Thank you for the information, very helpful!
How come my copd wife😨 seems not get to WANT to get better?😢 Is it the attention? Lazyness?🤔
I’m no Dr Phil, but 1st she’s not your COPD wife, she’s your beautiful wife. And 2nd you should love her no matter what she does. 😊 COPD is a tricky condition but please keep working with her pulmonologist to keep things managed safely. I hope the best for you and your beautiful wife!
No not at all lazy. Very depressed because she feels useless. Tell her. How important she is to you
Thank you. What you described when people pump themselves full of oxygen, it is exactly why I don’t want oxygen when I go to the hospital. I appreciate your insight. Keep up the good work.
Thx! Remember to follow your doctor’s orders as oxygen is a medication. Whenever it’s prescribed, it’s needed. One goal of this video was to keep patients from adjusting their own O2 flow without clearance from their doctor. Supplemental oxygen is as much as a medication as a narcotic.
Stop
Why are you putting this out if not beneficial.
Solely for your enjoyment 😁
Video is to long...
Thank you for the feedback!
Oh please this information and video is amazing….
Thank you!
Videos like this are dangerous. You are a PHYSICAL therapist, not even a Respiratory therapist and people will hear this and just start throwing out equipment they NEED. Who are you to say someone shouldn't be on oxygen???? Considering a person needs a DOCTOR to prescribe oxygen, I would guess they are seeing one that is managing their care already. If people need advice about what is a "healthy" oxygen saturation level for them (whatever their lung disease/defect might be)... then they should SPEAK TO THEIR DOCTOR, or especially a Pulmonary doctor.
Yes ,corect
Just starting to understand 02 & breathing process, tricky process
It sure is!
How often should your oxgyen tank be check ? I used oxgyen at night, I have copd
That’s a great question! I would ask your oxygen supply company for the specifics on your equipment.
Thank you doctor this is very interesting. I will take this information into account the next time I have a major procedure.
I turn my portable steadily down to a one and just sniff a and make the blue light go on. It works fine for me
Just make sure you are following the orders from your physician that prescribed the oxygen.
Would much rather listen to you without the music background. Thanks!
Thank you for the feedback!
Thank You!
Need a lesson showing how us copd patients how to manage our personal "at home" oxygen equipment and safe 02 levels
Thank you for the feedback!
i have been doing it all wrong
We all have a lot to learn! This is why I recommend everyone on supplemental O2 to work closely with their pulmonologist.
Sir; I am so glad I found your video tonight. I have COPD with about 30% lung capacity. My daily average oxcimeter (sp??) reading is 92%. I recently bought a used Inogen portable oxygen generating unit and have been using it as you put it to "charge my battery". I will refrain from ever using it again! I didn't realize I was making my lungs lazy! Thanks for this video. I got a lot out of it. Take care.
Thanks for the feedback! As you have COPD, be sure to follow the medical advise you have received from your pulmonologist and other medical doctors. All the best to you!
PLEASE do not just "stop using" your device without speaking to an ACTUAL DOCTOR first. Although it's true that those of us with COPD do not "max out" at 100%, or even 97% oxygen saturation, there are "healthy" levels for us that only YOUR DOCTOR should recommend for you. Don't just listen to some PHYSICAL THERAPIST (this guy isn't even a RESPIRATORY therapist!!!) says on a video and start throwing away your equipment.
@amydavis4945 those points are within the first 30 seconds of this video…I appreciate your enthusiastic concern
I’m not sure if you have COPD or not. Period. However I do and there’s times where I have a text when I grab the oxygen as far as walking around with it I don’t do that. However there are times when I need it to come out of the attack so I like your information but maybe tell people it’s OK to use it for an emergency thank you for all you do
I hear you Gladys. Keep in mind that supplemental oxygen is considered a medication and we need to be strict in following our physicians prescription on the quantity and duration of O2 to use
How does COPD compare to Sarcoidosis patients? I’ve been dealing with pulmonary sarcoidosis since 2018 and about to start PT
I've got both. Joy.
Thank you for the feedback! I’ll keep this in mind for future videos!
Very good video outside of distracting music.
Thank you for the feedback!
Thank you so much
How can I find a pt as knowledgeable as you in my area?
This was great! Thank you very much.
In what way??
What is with the music? Had to turn it off… Very irritating
Please send me your Venmo and I’ll send you $5 for the inconvenience 😁
I like it. Learning while rocking out. Best of both worlds 🤘🎸
Thank you so much I learned a lot watching this & realized I need to be. Stricter with myself which will now be a priority.
Thank you for the feedback!
Good information Music is very distracting and unnecessary.
Thank you for the feedback!
Yessir 😁
Thank you for the good explanation of what COPD really is. I have been struggling COPD for 4 years. In my case I cant afford to go to all of my consultations. I weigh 38kg and most of the time I am hungry because I cant afford to buy food. My family wont help me because they say its my fault that I am sick. And so honestly I am dying lying in a bed... skin and bones waiting for something to happen. Good luck to all suffering with this terrible sickness... and great thank you to all doctors and nurses taking care of people like me. 🥀 MARINA from Portugal 🇵🇹
Thank you for the feedback Marina! I’m so sorry you are going through this. Prayers to you! Just do the best you can do everyday! 🙏
Very helpful and simplified for a complex process
Thank you! Glad this helps!
Thanks for your video! I am just transitioning to home health from outpatient orthopedic and looking for some good resources to help with the transition. Are there other resources besides your channel you can recommend?
Thanks Emma! Welcome to home health! The best resource I’ve come across is MedBridge. They have a ton of home health related content and also have a great GCS prep series that you can take (even if not planning on taking the exam). Please don’t hesitate to shoot me any recommendations for content in the future or catch me on Twitter @skylerdixonDPT Thanks for your support!
Do you think new grads could go straight into home health? I’ve actually thoroughly enjoyed working with older patients at my outpatient clinic as an aide and can definitely see myself doing home health one day.
Yes absolutely you can go straight into home health. I highly recommend having a clinical rotation in this setting or at least hiring in with a home health agency that is willing to invest in you with lots of training prior taking your first patient on your own. Great question!
Hey man great video! I’m a pre-pt student who’s currently working as a PT aide in an outpatient clinic and I also thought that I’d want to work outpatient when I become a DPT, maybe work with athletes since I’m a college baseball player. But after seeing your video and others talking about how great Home Health is I’m starting to sway towards it.
That’s great! Maybe you can do both. Researching now and keeping an open mind is a great idea. Keep it up!