Rekha Marbate

Hemodialysis is the most common method used to treat advanced and permanent kidney failure. When kidney function decreases: Blood pressure is increased due to fluid overload and production of vasoactive hormones created by the kidney via the renin-angiotensin system, increasing one's risk of developing hypertension and/or suffering from congestive heart failure. Exercise training performed either during or in between haemodialysis sessions improved VO2 max.Material and methods: A non experimental, Questionnaire and interview based study was performed among the dialysis patients, nephrologists and physiotherapist. 3 Questionnaires were used for the study.study shows that burden of kidney disease and work status significantly affected in haemodialytic patients and accounts for low quality of life. Pacing activities was the most preferred choice of treatment for fatigue in dialysis patients while few preferred giving rest as well.The quality of life in dialysis patients was poor in few domains of kidney disease quality of life-short form questionnaire which included the burden of kidney disease, work status, sleep and associated symptoms.

Background: Cardiovascular Disease is the top leading cause of death in a south-Asian country like India. Cardiothoracic surgery is one of the treatments of choice in severe morbidity condition to reduce mortality rate and disability. Despite recent advances and updated technical instrumentation postoperative pulmonary complication is a critical problem. Physiotherapy works efficiently to minimise postoperative complication to improve the health status of the patient. Aims and objectives: The purpose of the study is to evaluate the immediate effect of Stacked Breathing technique on Peak Expiratory Flow rate PEFR] and Oxygen Saturation SpO2] in Cardiothoracic surgery Patient.Methodology: Out of a total of 119 screened patients, only 105 were able to complete the intervention. Stacked Breathing was performed by the patient twice daily Morning and Afternoon] for 1st, 2nd and 3rd postoperative days termed as six-session IA, IB, IIA, IIB, IIIA, IIIB where, A=morning, B= afternoon and I to III is Postoperative day 1 to 3] pre and post-exercise outcome were measured and data collected.