Abstract

Background/Purpose: Patients develop a cachectic presentation for a variety of reasons: cancer treatment, cancer progression, renal failure, heart failure, COPD and malnourishment are some of the common reasons. Cachexia is a risk factor for increased falls and development of sedentary behaviors which generally increase the negative effects of this condition and could lead to death. What seems to be unknown is what type of exercise is safest and most effective in treating the condition of cachexia, regardless of sex or age, across a wide variety of medical diagnoses in the acute care setting. Case Discussion: This is a 59 y/o male who was admitted to the hospital on 12/03/14 with symptoms of pneumonia and severe muscle wasting. The patient presents to PT with severe cachexia, with a Body Mass Index (BMI) of 11.9 (height 72 in. weight 88 lbs.), unstable vitals, complaints of fatigue and two sacral wounds, measuring approx. 2 cm on R and L side. Patient describes a desire to return to a level entry apartment with his significant other of 4 years. Outcomes: It is unknown if outcomes were achieved through goals set by the SPT, since patient was seen on 12/10/13, three days before the end of the rotation. It is assumed that patient achieved goals; if the patient consistently participated with PT, and no adverse advents occurred. Discussion: It was shown that resistance training is more effective than other exercise interventions in 4 out of 9 of the articles. Five out of the nine studies used inactivity or sedentary behavior compared to specific exercise interventions. Low intensity exercise was shown to be as effective as high intensity exercise in combating muscle wasting.

Provenance

Submitted by Patrick James Murphy (pmurph01@salud.unm.edu) on 2015-06-11T20:30:02Z No. of bitstreams: 2 Patrick Murphy Capstone.pdf: 1205197 bytes, checksum: 915fb58ad0d084d6be65c7d874abbad7 (MD5) Capstone Poster Patrick Murphy 2.pdf: 338758 bytes, checksum: 527dd2bc685e1b09dc8b2ecfa7d3b1a2 (MD5), Made available in DSpace on 2015-06-11T20:30:02Z (GMT). No. of bitstreams: 2 Patrick Murphy Capstone.pdf: 1205197 bytes, checksum: 915fb58ad0d084d6be65c7d874abbad7 (MD5) Capstone Poster Patrick Murphy 2.pdf: 338758 bytes, checksum: 527dd2bc685e1b09dc8b2ecfa7d3b1a2 (MD5) Previous issue date: 2015

Document Type

Capstone

Keywords

cachexia, physical therapy, acute care, muscle wasting, therapeutic exercise

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