Dialysis Case Study: Difference between revisions

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== Abstract  ==
== Abstract  ==


100 word limit, non-structured description
A case study on 67-year-old male diabetic with end-stage renal disease receiving dialysis. The objective was to provide physical therapy intervention to a patient receiving dialysis. The patient’s chief complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Objective measures during evaluation validated these complaints. The patient’s goals were to improve strength, aerobic endurance, balance, and flexibility. Patient education was emphasized during each treatment session. The patient progressed through physical therapy as indicated in the plan of care, with improvements in deficits found during examination. Patients receiving physical therapy during dialysis treatment may have more positive outcomes than those who elect not to participate in therapy.<br>


== Patient Characteristics  ==
== Patient Characteristics  ==

Revision as of 17:52, 30 March 2015

Author/s


Josh Caulder, Eric Edwards, Kaitlin Flak, Erin Huml, and Katie Jackson from theBellarmine University Physical Therapy Program's Pathophysiology of Complex Patient Problems Project.



Abstract[edit | edit source]

A case study on 67-year-old male diabetic with end-stage renal disease receiving dialysis. The objective was to provide physical therapy intervention to a patient receiving dialysis. The patient’s chief complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Objective measures during evaluation validated these complaints. The patient’s goals were to improve strength, aerobic endurance, balance, and flexibility. Patient education was emphasized during each treatment session. The patient progressed through physical therapy as indicated in the plan of care, with improvements in deficits found during examination. Patients receiving physical therapy during dialysis treatment may have more positive outcomes than those who elect not to participate in therapy.

Patient Characteristics[edit | edit source]

  • Demographic Information: (occupation/vocation, gender, age, etc.)
  • Medical diagnosis if applicable
  • Co-morbidities
  • Previous care or treatment

Examination[edit | edit source]

  • Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, use relative dates i.e. years or months or days relative to onset of injury or start of treatment, patient/family goals)
  • Self Report Outcome Measures
  • Physical Performance Measures
  • Objective : Physical Examination Tests and Measures

Clinical Impression[edit | edit source]

Summarization of Examination Findings[edit | edit source]

Working Diagnosis and Targeted Interventions

Intervention[edit | edit source]

  • Phases of Interventions (e.g. protective phase, mobility phase, etc.)
  • Dosage and Parameters
  • Rationale for Progression
  • Co-interventions if applicable (e.g. injection therapy, medications)

Outcomes[edit | edit source]

Findings Over time

Discussion[edit | edit source]

Summary Statement which should include related findings in the literature, potential impact on clinical practices

Related Pages[edit | edit source]

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References[edit | edit source]

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