Guest guest Posted May 26, 2006 Report Share Posted May 26, 2006 Here is a question for all.... How do you document obese patients during your assesment documentation in your PCR? I'm trying to find an appropriate, dignified way to document, as well as something appropriate for court! Thanks in advance!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 27, 2006 Report Share Posted May 27, 2006 Maybe this will help in determining what you should write. You should have a rough idea of how much your pt weighs, so hopefully combining this and that should help. Cristi More than half of the U.S. population is overweight. But being _obese_ (http://health.allrefer.com/health/obesity-info.html#) is different from being overweight. An individual is considered obese when weight is 20% (25% in women) or more over the maximum desirable for their height. When an adult is more than 100 pounds overweight, it is considered morbid obesity. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 27, 2006 Report Share Posted May 27, 2006 Some documentation on pt obesity may be determined on why you need to explain why you did or did not do a precaution (unable to fit a c-collar due to morbid obesity) or safety measure (pt secured to cot with cravats tied together or dual straps due to obesity) or positioning (unable to lie pt on a long spine board due to increased shortness of breath when attempting to place the pt supine due to morbid obesity). I don't think you need to be accurate on the weight specifically, but rather on the effects the weight has on the patient and the treatment you need to do. By accurately documenting the exceptions to your treatment and detailing alternate solutions, your PCR should paint a good picture for the hospital, courts, and of course the insurance. Just my thoughts, Joanna LP Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 27, 2006 Report Share Posted May 27, 2006 My opinion....there is nothing wrong with obese or morbidly obese. They are both correct medical terms and when used accurately should hold up. Chambers, LP -- how do you document? Here is a question for all.... How do you document obese patients during your assesment documentation in your PCR? I'm trying to find an appropriate, dignified way to document, as well as something appropriate for court! Thanks in advance!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 27, 2006 Report Share Posted May 27, 2006 Chambers wrote: My opinion....there is nothing wrong with obese or morbidly obese. They are both correct medical terms and when used accurately should hold up. Obesity and Morbid Obesity are most correctly medical diagnosis and should be listed wherever you document Med Dx. The use of objective data ( " pt states weighs 350# and is 5'1 " tall " , " one quarter and 2 pennies found under left breast with skin reddening while applying V3, 4, 5 and 6 leads for 12 lead ECG " ) and alterations to treatment plan should be in the appropriate areas (assessment, treatment) . Avoid subjective phrases that may come back to embarrass you. My rule of thumb is " Would I be embarrassed to hear my PCR recited by a plaintiff's lawyer and then have to explain why I said that? " Larry RN EMT-P Former QA/QI weenie :-) Houston Texas " A prudent man foresees the difficulties ahead and prepares for them; the simpleton goes blindly on and suffers the consequences. " Proverbs 22:3 --------------------------------- Sneak preview the all-new Yahoo.com. It's not radically different. Just radically better. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2006 Report Share Posted May 28, 2006 One thing you can do is to estimate the weight and write it like this: " A 37 year old female, weighing approximately 250 kg, presented with a yellowish discharge from the...... " well, you get it. Of course, the lawyers can ask you how you arrived at 250 kg, and you can just smile and say that you generally take 1/2 their estimated weight in pounds, (550 divided by 2 is 275, and subtract the first two numbers, 27, leaving 248, rounded to 250.) If he or she wants to get cute, you can make it even worse for them by comparing one butt cheek to a wash tub, and saying that usually goes for 125 pounds, et cetera, or you can say that if you can just get your arms around the person it's 125 kg, but if it takes two persons to get their arms around the person, it's 250, and so forth. They'll shut up when you start doing those things! Or the jury will get so tickled that you're now the hero and the lawyers wish they hadn't ever said anything to begin with. GG In a message dated 5/27/2006 10:24:55 AM Pacific Standard Time, achambers@... writes: My opinion....there is nothing wrong with obese or morbidly obese. They are both correct medical terms and when used accurately should hold up. Chambers, LP -------Original Message------- From: Wiseman Date: 05/27/06 06:04:37 To: 'Texasems-l' Subject: how do you document? Here is a question for all.... How do you document obese patients during your assesment documentation in your PCR? I'm trying to find an appropriate, dignified way to document, as well as something appropriate for court! Thanks in advance!! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2006 Report Share Posted May 28, 2006 I wonder how many people reading this list will have even a clue as to what a wash tub is. I had a young lady recently ask the difference between a standard and automatic transmission and why do they call it that anyway since automatics are actually standard.......... Donn how do you document? Here is a question for all.... How do you document obese patients during your assesment documentation in your PCR? I'm trying to find an appropriate, dignified way to document, as well as something appropriate for court! Thanks in advance!! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2006 Report Share Posted May 28, 2006 Or when the SALESMAN keeps looking & looking under the hood of the car you want to buy (which is a STANDARD) and you finally ask him what he's looking for.....and he tells you he's looking for the transmission dipstick..... Talk about a DIPSTICK..... Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2006 Report Share Posted May 28, 2006 Donn, I once had a 15 year old ask me for the time. I showed him my watch so he could see what time it was. He gave me a puzzled look and agian asked for the time because he never learned how to tell time from a watch with hands, only watches that showed numbers. " D.E. (Donn) " wrote: I wonder how many people reading this list will have even a clue as to what a wash tub is. I had a young lady recently ask the difference between a standard and automatic transmission and why do they call it that anyway since automatics are actually standard.......... Donn how do you document? Here is a question for all.... How do you document obese patients during your assesment documentation in your PCR? I'm trying to find an appropriate, dignified way to document, as well as something appropriate for court! Thanks in advance!! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Oh, that is sad, sad, sad... Guerrero wrote: ...He gave me a puzzled look and agian asked for the time because he never learned how to tell time from a watch with hands, only watches that showed numbers. " A prudent man foresees the difficulties ahead and prepares for them; the simpleton goes blindly on and suffers the consequences. " Proverbs 22:3 --------------------------------- How low will we go? Check out Yahoo! Messenger’s low PC-to-Phone call rates. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Don't be too quick to judge. My sister-in-law is extremely dyslexic and could never figure out the relationship of the hands on a clock. She was diagnosed at age 7 and never learned to read analog clocks. Thank goodness for digital. Kirk EMT-B Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Oh Fudge! I've given it away again, haven't I? OK, for the kids, a washtub is a big round tub that people used to use to wash clothes and take baths in. They came in " numbers " and a No. 3 was the usual size that folks had around the house. They were also good for cooling beer, watermelons, mixing up Kool-Aid (if you were preparing a batch with cyanide) watering cows, horses, pigs, and mules, and a plethora of other stuff. " Plethora. " Look it up. Gene (on vacation and loving it). > I wonder how many people reading this list will have even a clue as to what > a wash tub is. I had a young lady recently ask the difference between a > standard and automatic transmission and why do they call it that anyway > since automatics are actually standard.......... > > Donn > > > how do you document? > > > > Here is a question for all.... > > > > How do you document obese patients during your assesment documentation in > > your PCR? > > > > I'm trying to find an appropriate, dignified way to document, as well as > > something appropriate for court! > > > > Thanks in advance!! > > > > > > > > > > [Non-text portions of this message have been removed] > > > > > > > > > > > > > Yahoo! Groups Links > > > > > > > > > > > > > > [Non-text portions of this message have been removed] > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Questions in-line.... wegandy1938@... wrote: Oh Fudge! I've given it away again, haven't I? OK, for the kids, a washtub is a big round tub that people used to use to wash clothes <KT> How'd you get it in the washing machine? And why? and take baths in. <KT> Didn't it mess up the finish on the bathtub? Again, Why would you use this? They came in " numbers " and a No. 3 was the usual size that folks had around the house. <KT> Assuming you would use one, and were " obese " what size did you need now? They were also good for cooling beer, watermelons, mixing up Kool-Aid (if you were preparing a batch with cyanide) watering cows, horses, pigs, and mules, and a plethora of other stuff. " Plethora. " Look it up. Gene (on vacation and loving it). <KT> Enjoy! E. Tate, LP Whitehouse, Texas What’s stopping you from joining EMSAT? http://www.TexasEMSAT.org --------------------------------- Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 , A washtub was used BEFORE the days of running water and bathtubs. I'm sure you've seen one on commercials with people washing their dogs in them. Gene, I've used a washtub before, only not as a bathtub..... Works good for an old keg without a barrell too!! The really scary thing is that I know what the word Plethora means and I've actually used the word myself. Have a good vacation. Teena Oh Fudge! I've given it away again, haven't I? > > OK, for the kids, a washtub is a big round tub that people used to use to > wash clothes > > <KT> How'd you get it in the washing machine? And why? > > and take baths in. > > <KT> Didn't it mess up the finish on the bathtub? Again, Why would you use this? > > They came in " numbers " and a No. 3 was the usual size that folks had around the house. > > <KT> Assuming you would use one, and were " obese " what size did you need now? > > They were also good for cooling beer, watermelons, mixing up Kool- Aid (if you were preparing a batch with cyanide) watering cows, horses, pigs, and mules, and a plethora of other stuff. " Plethora. " Look it up. > > Gene (on vacation and loving it). > > <KT> Enjoy! > > > E. Tate, LP > Whitehouse, Texas > > What's stopping you from joining EMSAT? http://www.TexasEMSAT.org > > --------------------------------- > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 Teena, I was being facetious.... K ttigger06 wrote: , A washtub was used BEFORE the days of running water and bathtubs. I'm sure you've seen one on commercials with people washing their dogs in them. Gene, I've used a washtub before, only not as a bathtub..... Works good for an old keg without a barrell too!! The really scary thing is that I know what the word Plethora means and I've actually used the word myself. Have a good vacation. Teena Oh Fudge! I've given it away again, haven't I? > > OK, for the kids, a washtub is a big round tub that people used to use to > wash clothes > > <KT> How'd you get it in the washing machine? And why? > > and take baths in. > > <KT> Didn't it mess up the finish on the bathtub? Again, Why would you use this? > > They came in " numbers " and a No. 3 was the usual size that folks had around the house. > > <KT> Assuming you would use one, and were " obese " what size did you need now? > > They were also good for cooling beer, watermelons, mixing up Kool- Aid (if you were preparing a batch with cyanide) watering cows, horses, pigs, and mules, and a plethora of other stuff. " Plethora. " Look it up. > > Gene (on vacation and loving it). > > <KT> Enjoy! > > > E. Tate, LP > Whitehouse, Texas > > What's stopping you from joining EMSAT? http://www.TexasEMSAT.org > > --------------------------------- > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2�/min or less. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 And I was trying to be funny...I'll keep my day job. T Oh Fudge! I've given it away again, > haven't I? > > > > OK, for the kids, a washtub is a big round tub that people used to > use to > > wash clothes > > > > <KT> How'd you get it in the washing machine? And why? > > > > and take baths in. > > > > <KT> Didn't it mess up the finish on the bathtub? Again, Why > would you use this? > > > > They came in " numbers " and a No. 3 was the usual size that folks > had around the house. > > > > <KT> Assuming you would use one, and were " obese " what size did > you need now? > > > > They were also good for cooling beer, watermelons, mixing up Kool- > Aid (if you were preparing a batch with cyanide) watering cows, > horses, pigs, and mules, and a plethora of other > stuff. " Plethora. " Look it up. > > > > Gene (on vacation and loving it). > > > > <KT> Enjoy! > > > > > > E. Tate, LP > > Whitehouse, Texas > > > > What's stopping you from joining EMSAT? http://www.TexasEMSAT.org > > > > --------------------------------- > > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and > 30+ countries) for 2�/min or less. > > > > Quote Link to comment Share on other sites More sharing options...
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