Treatment Of Individuals With End-stage Renal Disease: An Examination Of Practice Patterns In Washington State
Acute Care Perspectives
Physical therapy has been shown to be beneficial for patients with end-stage renal disease (ESRD), however information regarding specific rehabilitation for this population is limited. This descriptive study examined the practice patterns of licensed physical therapists who treat patients with ESRD in the state of Washington. A questionnaire was sent to 1374 licensed physical therapists in the state of Washington with a 60% return rate. Twentytwo percent of the respondents indicated that they treat patients with ESRD, and those patients accounted for less than 25% of their total caseload. The majority of respondents routinely monitor physiological measures such as heart rate, blood pressure, rating of perceived exertion, and oxygen saturation when working with this population. Typical interventions include range of motion, strengthening and aerobic type activities as well as instruction in breathing exercises and energy conservation techniques. The Functional Impact Measure (FIM) is the most frequently used functional outcome measure. The multi-systemic nature of renal disease, coupled with the complexity of medical treatment, make individuals with ESRD challenging to manage in physical therapy. Understanding the types of interventions and outcome measures used may enable therapists to work more effectively with this population.
Wilson, Ann, S. Joyner, H. Murray, and E. Peterson. 2003. "Treatment of individuals with end-stage renal disease: an examination of practice patterns in Washington State." Acute Care Perspectives 12(3): 16.