Interventions to Address Mobility in the Patient with Oxygen desaturation: a Physical Therapy Acute Care Case Report

Details
Title
Interventions to Address Mobility in the Patient with Oxygen desaturation: a Physical Therapy Acute Care Case Report
Usage & Reproduction Rights
http://rightsstatements.org/vocab/InC/1.0/
Type
Video recordings
URI / Handle
http://hdl.handle.net/1961/muislandora:3017
Created
2016-01-01T00:00:00Z
Abstract
Background & Purpose:Mantle-cell Non-Hodgkin’s Lymphoma is a rare aggressive cancer. Its physiology and treatment may lead to immunosuppression and increase the risk for infection in an individual. Community acquired pneumonia (CAP) is such a condition, decreasing pulmonary function in the immunocompromised patient. Thus, the purpose of this case report is twofold. First, it discusses the Physical Therapist interventions performed on a patient with CAP and underlying Non-Hodgkin’s Lymphoma. Second, this report discusses current management of decreased respiratory function, seen mainly in patients with COPD. Case Description:The patient is a complex 77-year-old male admitted to acute care for community-acquired pneumonia and an underlying history of mantle-cell Non-Hodgkin’s lymphoma. His acute pulmonary state complicated by the cancer often led to fast and moderate hypoxemia during Physical Therapy treatment. His delicate respiratory status posed a challenge for an appropriate plan of care. Intervention: Following the initial evaluation, the plan was to address the patient’s endurance and balance to decrease his risk of falls post discharge. However, it became evident that optimizing his functional mobility was the higher priority as it greatly decreased with his decline in respiratory status. Discussion: The interventions performed did not render improvements in the patient’s functional mobility. Furthermore, it was particularly difficult to find intervention strategies for this patient to accommodate his decrease in respiratory function. Literature addressing the acute pulmonary patient is lacking, and is greatly dominated by interventions for the patient with COPD in the outpatient setting.

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