Background/Purpose: According to the American Kidney Foundation, diabetes mellitus is the leading cause of kidney failure. In the acute care setting, patients requiring physical therapy are frequently unable to participate in physical therapy sessions secondary to the amount of time necessary to receive hemodialysis. Patients with kidney disease or failure already have a low level of physical performance. This makes it imperative that they receive the physical therapy needed to maintain the level of physical function required for their daily lives. The purpose of this paper is to evaluate the effects of exercise during hemodialysis on physical function compared to baseline measures. Case Description: The patient was a 63 year old female with diabetes mellitus--admitted for shortness of breath and a hypertensive emergency. She demonstrated inability to be safe enough to return to prior living situation with a new onset of significant generalized weakness. In addition, patient was unable to afford physical therapy after discharge from hospital secondary to lack of funding—making it imperative to return patient to highest level of physical function as possible prior to discharge. Outcomes: Patient did not participate in intradialytic exercise. Although patient did not meet goals set for her by the evaluating physical therapist, patient was able to regain enough physical function to return to prior living situation. Despite this, patient would have benefitted from increased physical function to allow complete return to prior level of function. Discussion: If the patient was more medically stable, she could have possibly benefitted from participating in intradialytic exercise to allow for a complete return to prior level of function. Intradialytic exercise could potentially help many patients with similar conditions to allow for an overall increase in physical performance. This would allow for participation in exercise without the patient being required to make additional time for exercise and could potentially increase compliance with maintaining an exercise program.
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intradialytic exercise, exercise during dialysis, physical performance
Hisaw, Christi-Anne. "Effects of intradialytic exercise on physical performance." (2014). http://digitalrepository.unm.edu/dpt/85