Evaluation of Renal Rehabilitation Program for Cadaveric Renal Transplant Recipient- A Single Case Report
Journal Title: Interventions in Gynaecology and Women’s Healthcare - Year 2018, Vol 2, Issue 5
Abstract
To report a clinical case of Cadaveric renal transplant recipient 30 year old male reported to SRM Physiotherapy Department presented with complaints of difficulty in breathing, sitting, standing and independently walking. As clinical manifestations of post transplantation are wide, it leads to multidisciplinary approaches. Physiotherapy treatment protocol is important for early diagnosis of co morbidity and to provide initiation to renal rehabilitation program. Cadaveric renal transplant is a rare procedure, Renal recipient knowledge regarding post-transplant aspect is essential in terms of managing with short-term problems imposed by transplantation and the long-term outcome. This requires patient education programs that prepare patients and renal rehabilitation program that makes the patient to gain the functional independence to the greatest degree possible after returning back to daily activity with a new kidney [1]. The common manifestations related to renal transplantation are pain, difficulty in breathing, restriction in chest expansion and reduction in functional mobility. Manifestations related to cardio-vascular system are dysfunctional breathing. Aim of this single case study is to explore the post renal transplantation consequences and to highlight the need for renal rehabilitation program. A 30 year old male child reported to SRM Medical College, Physiotherapy Department with complaints of difficulty in breathing, sitting, standing, and walking independently. The past medical history revealed that he had chronic head ache and without any referral and prescription of drug he has been under medication for the past one year, He has been mentioning the tablet color as yellow, he doesn’t have the knowledge of the tablet name and the drug combinations. When enquiring history to his parents and wife, it is evident that he is a known case of alcoholic for the past 10 years. His first episode of headache was before 6month with pain lasting for a duration of 2 min. He had 5 episodes of abdominal pain. He was under regular drugs management for CKD- STAGE V diagnosed before a year on (20/2/2017). On observation, he has ECG leads in situ, follies catheter, oxygen mask delivering 6 liters of Oxygen and right inguinal incision is seen. He has difficulty in bed mobility, breathing dysfunction is the predominant symptom in him. On examination of higher mental function, he is conscious and oriented. On motor examination, he has normal muscle tone on the bilateral upper limb and lower limb segments. Deep tendon reflexes were normal. On a sensory examination, superficial sensation (assessed on body segments) was intact on the bilateral side of the upper limb and lower limb.
Authors and Affiliations
Kamalanathan P, Monisha RP
Keywords
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- EP ID EP581458
- DOI 10.32474/IGWHC.2018.02.000149
- Views 67
- Downloads 0
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