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Type I spinal muscular atrophy (SMA) is a rapidly progressive, degenerative neuromuscular disease of infancy. In severe SMA, weakness, hypotonia, and bulbar involvement lead to progressive respiratory insufficiency and swallowing dysfunction, which are frequently complicated by aspirations. There are few studies reported in the literature that address the… (More)
The use of activity which is carefully planned so as to facilitate change in the patient is a unique characteristic of occupational therapy. Occupational therapy closely resembles the actual living situation more so than any other treatment setting and therefore provides a realistic environment in which the patient can test her developing skills in living.
A 29-year-old woman has a history of developmental delay and focal segmental glomerulosclerosis resulting in kidney failure. She underwent renal transplant which unfortunately failed, and is on hemodialysis as well as immunosuppression including tacrolimus. She was recently hospitalized for urosepsis requiring intensive treatment with vasopressors and… (More)