CKD
What stage of CKD does kidney failure occur?
5
What gender is RCI most prevalent in?
Males
Name two types of depression
Major depressive disorder, bipolar disorder, seasonal affective disorder, persistent depressive disorder
What aspects of depression impact driving?
sleepiness, medications, cognition, environment
In what age group is CKD the most common?
What kind of assessments may be performed for a person who just received RCI surgery and is wanting to begin therapy?
ROM, MMT
Name two treatments for depression
Antidepressants, psychotherapy, CBT, ECT, TMS, exercise, regulating sleep patterns
How soon after surgery for an RCI can a patient typically return to driving?
2 weeks after
What are 3 symptoms of CKD?
Nausea
Vomiting
Loss of appetite
Fatigue and weakness
Sleep problems
Urinating more or less
Decreased mental sharpness
Muscle cramps
Swelling of feet and ankles
Dry, itchy skin
High BP that's difficult to control
Shortness of breath, if fluid builds up in the lungs
Chest pain, if fluid builds up around the lining of the heart
Name one symptom of RCI
Pain when raising arm
Stiffness of shoulder
Tenderness or swelling of shoulder
Clicking sound of the shoulder
Reduced strength + mobility
Some can be asymptomatic
Name 3 major symptoms of depression
Feelings of sadness, hopelessness, loss of interest in activities, lack of energy/tiredness, thoughts of death or suicide (also suicide attempts), sleep disturbances, sudden weight loss or gain,
Name 3 things that impact driving and community mobility of a patient with CKD
Weakness
Hypoglycemia
Fatigue
Electrolyte Imbalance
Infection
Hypotension
What are two causes of CKD?
Type I/II diabetes, HBP, Glomerulonephritis, Interstitial nephritis, Polycystic kidney disease, Prolonged obstruction of the urinary tract, from conditions such as enlarged prostate, kidney stones and some cancers, Vesicoureteral reflux, Recurrent kidney infection (pyelonephritis)
Over-time wear and tear; impact injury
Name 2 contributing factors to the development of depression.
Stressful life events, medications, genetics, chronic medical conditions, brain chemistry
What aspects of RCI may impair driving abilities?
Mobility limitation, ROM, pain, sleep disturbances
Lifestyle changes,
Meeting with a dietitian,
Proper use of medications,
Avoiding conditions or exposures that can harm the kidneys or cause a sudden drop in kidney function such as:
Kidney infections
Medications
Over the counter pain medicines like ibuprofen and naproxen
Certain antibiotics
Herbal supplements
What are the 3 types of RCIs?
Tendonitis, bursitis, rotator cuff tear
What is a depression screening/assessment that you could use for a geriatric client with depression?
What is a community program that consists of free safety education on in-vehicle features, adjustments for all sizes, and comfort for the individual older driver?
CarFit