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The original scoring system was developed before the invention of pulse oximetry and used the patient's colouration as a surrogate marker of their oxygenation status. A modified Aldrete scoring system was described in 1995 [2] which replaces the assessment of skin colouration with the use of pulse oximetry to measure SpO 2.
It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from a hospital. The amount of time and physical assistance required to perform each item are used in determining the assigned value of each item.
However, calls to develop a national quality assurance system lead to its forerunner in 1983 - 'Client-Centred Guidelines for the Practice of Occupational Therapy'. [7] Refinements in the model are evident in further guideline statements [ 8 ] [ 9 ] and 'Enabling Occupation, A Canadian Occupational Therapy Perspective'. [ 10 ]
Another example is the DART system, organized into Description, Assessment, Response, and Treatment. [2] Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.
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The charge/discharge concept in Somatic Experiencing has its origins in Reichian therapy and Bioenergetics. [41] Levine's predecessors in the somatic psychotherapy field clearly understood the dynamics of shock trauma and the failure of mobilization of fight or flight impulses in creating symptoms of anxiety neuroses and to maintain a chronic ...
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Surgical sites for excessive bleeding, mucopurulent discharge, swelling, hematomas, wound healing, and infection Vital signs are obtained every 5 minutes for the first 15 minutes. The PACU staff monitor that the Respiratory Rate and Saturation of Oxygen remain as close to baseline of that patient while the heart rate and blood pressure remain ...