The following are case examples including case related questions for exercise professionals to practice their clinical reasoning.
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Keith is a 67 year old male presenting to you with a diagnosis of Multiple Myeloma who has just been discharged from the acute ward following a Autologous Stem Cell Transplant he received 1 month ago.
He lives at home with his wife and son and is semi-retired, where he works from home part time for himself.
Keith had a challenging admission and became extremely unwell following his stem cell transplant. At one point during his acute admission he required a Nasogatric Tube and supplemental oxygen.
He is now at home and mobilising independently with nil aids, however he reports still feeling very weak.
“I can now stand long enough to cook a meal. Yesterday, my son and I were cleaning out the gutters, and that is something I couldn’t have dreamt of when I started this program.” – Keith
Keith regained much of his energy and was able to join a community health service for ongoing exercise services.
He returned to walking significant distances for exercise and is back on a full diet.
Note: Case studies have been adjusted for educational purposes with the consent of the participants.