Exercising patients receiving Chemo made me aware of interpreting bloods prior to treatment.
Platelet count determined the type of exercise that could be carried out and haemoglobin determined if you would have the patient out of bed etc.
This made me think about the type of exercises we perform with the elderly whos counts may also be affected.
It also places you in a predicament when a doctor is wishing the patient to exercises but as a physio you are not happy with the counts.
Before carying out the exercises with the patient you must also be aware of their risk of infection. If I was to use any equipment with the patient it was important to alcohol wipe everything to be used.
From placement to placement it really develops a broarder understanding of precautions and the importance of taking note of all obs.
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I found it difficult on some of my placements when health professionals didn't agree on safe levels for a patient to be treated. It was often the case when nurses didn't think a patient was 'well enough' or had high enough Hb to ambulate. As a rule, we didn't ambulate anyone under 80, but if a patient was mid-80s, it was sometimes hard to assert yourself and get the patient up anyway as an undergrad.
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