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Bone Marrow Transplant Case Studies

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About two weeks ago, I evaluated a patient in the Bone Marrow Transplant (BMT) floor, who has a history of chronic lymphocytic leukemia (CLL), with a right (R) knee pain and swelling for about a week. Ultrasound showed a fluid collection in the R knee and an orthopedist performed an arthrocentesis. A physical therapy consult was sent four days after her admission to the hospital. The first time that I saw her, she reported severe pain in her R knee in spite of having a patient-controlled analgesia (PCA). She had a limited range of motion at the said knee due to the pain. When I tried to sit her up at the edge of the bed, she was screaming from the excruciating pain when her R knee was flexed. The next day she still cannot tolerate putting her R foot down. …show more content…
On our next session, she was able to transfer from the bed to the chair with a minimal assistance of two people. She mentioned that she is depressed with her condition and she wants to walk again. Schleinich, Warren, Nekolaichuk, Kaasa, and Watanabe (2008) reported that the physical therapist is needed to help the patient with their functional goals, which helps decrease anxiety, builds confidence and supports hope. The patient care coordinator for the BMT floor goes to round with the medical team everyday so I discussed with her about the report of the patient of being depressed and if they could send a psych consult. “It isn't ours to treat, just be aware of, screen for it, and make the appropriate referrals” (Crist, McVay, & Marocco, 2016, p. 4).The psychologist saw her and increased the dosage of her Zoloft. Since then, she was more cheery and was able to tolerate her R knee pain better. She was walking in the hallway with a rolling walker with contact guard/close supervision and was able to negotiate four steps with contact guard. The patient was very appreciative with her

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