Ermanno, 61 years old. Autonomy in daily life for a person on hemodialysis

Ermanno has been on hemodialysis for about 25 years and has experienced two kidney transplants. Although in the last ten years the motor situation has worsened, he never lost his nerve and he used several strategies in order to improve his functions and make the environment more likely to have social interaction. By now, Ermanno has been using the manual wheelchair for three years. The adaptation of his house particularly enhanced the use of the bathroom. Outdoor spaces in the district have been partially modified to allow the passage of a wheelchair on the sidewalk after a request to the Local Authority. This project is aimed at further improving home accessibility and activities related to daily living (ADL). Moreover, in order to promote Ermanno’s need for autonomy when moving outside, we will proceed to the prescription of a power wheelchair. Currently, only part of this project has been realized, but the changes made so far have already led to an improvement of his quality of life and a lower burden of care.