Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
PRACTICAL REPORTS
Effects of combining psychological considerations with ADL training on returning home of a patient with vascular Ehlers-Danlos Syndrome:
A case study
Kuninori SanoYasunori SakamotoYasuko NishiokaTakeshi Nakamura
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2020 Volume 39 Issue 3 Pages 380-386

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Abstract
Interventions were performed during hospitalization for a patient with vascular-type Ehlers-Danlos Syndrome, taking into consideration psychological aspects and the risks due to joint symptoms and vascular fragility. The patient was highly adverse to pain and blood vessel rupture and continued his own procedures and methods to maintain ADL. Therefore, considering the risk of vascular fragility, we instructed the patient in various methods of transfer and introduced a self-help device so that transfer operations could be performed safely according to the situation to prevent the patient's feet from being hit during transfer. In addition, to reduce the patient's fear of pain and blood vessel rupture, we used repeated movement exercises and safety equipment after discharge from the rehabilitation program and the hospital ward. It is important to consider psychological aspects during ADL training so that not only physical symptoms, but also anxiety and fear can be eliminated.
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© 2020 Japanese Association of Occupational Therapists
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