Question Make a Nursing Care plan for this case scenario. A case st

Question Make a Nursing Care plan for this case scenario. 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.Demographic Information:Male, 67 years old; retired greyhound bus driveMedical diagnosis:ESRD on dialysisGRF (glomerular filtration rate) – 13 mL/minReferral for recommendations for initiating exercise program for dialysisCo-morbidities:Obese – BMI: 32Type II DMHTNDepressionDiabetic neuropathyPatient presents with complaints of generalized weakness, impaired B LE sensation, decreased balance, and decreased mobility secondary to dialysis treatment 3 days per week. Patient was admitted to the hospital in April 2009 due to extreme illness and diagnosed with kidney failure. Patient reports progression of his disease to end stage renal disease (ESRD) in October 2014. Patient has been receiving dialysis treatment since ESRD diagnosis. Comorbidities include Type 2 DM, diabetic neuropathy, HTN, and, depression. Patient also reports frequent UTI’s since going on dialysis. Patient reports that he has difficulty with walking, stair negotiation, and getting in and out of his vehicle. Patient states he would like to be able to walk and negotiate stairs with less fatigue and less risk of falling. Patient would also like to be able to get into and out of his vehicle with greater ease in order to go to his dialysis treatments. Health Science Science Nursing NURSING 143 Share QuestionEmailCopy link Comments (0)

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