Home Health & Hospice

Insider’s scoop | Improving dyspnea

Homecare Insider, May 23, 2016

Editor’s note: This week’s Insider’s scoop is from Quality Care in Home Health: Improving Patient Outcomes and Agency Scores. Patient education and engagement are vital to better outcomes and regulatory compliance, sustaining high patient ratings and a good reputation, and continued referrals. Here you’ll find the resources you need to address quality measures and improve publicly reported survey results. Click here for more information.

Measurement of improvement in dyspnea is based on one OASIS item, M1400, When Is the Patient Dyspneic or Noticeably Short of Breath? A patient identified as 0, no dyspnea at start of care or resumption of care, is excluded from statistical sampling.

Dyspnea is known as the sixth vital sign in nursing. This item identifies the level of exertion or activity that results in the patient becoming dyspneic, or short of breath. If the patient is on oxygen continuously, assessment of the patient should be with the oxygen in place. If the oxygen is used intermittently (no matter what was ordered), the patient should be assessed without the oxygen. Assessment of the patient with intermittent O2 at night for positional dyspnea or orthopnea (breathlessness in the recumbent position) should be assessed without the O2 and should be answered 4, At rest during day or night.

The time frame for this item includes the day of assessment that consists of the 24 hours preceding the visit and the visit itself.