Pediatric kidney transplantation part 102



Sports or activities to be avoided:

  • Rugby
  • Football
  • Karate
  • Judo
  • Martial arts
  • Ice hockey
  • Trampolines
  • Wrestling
  • Boxing
  • Dodge ball
  • Gymnastic
  • Snowboarding
  • Downhill skiing
  • Sledding
  • ATV/snowmobiles (due to the increased risk of high impact crash)
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Pediatric kidney transplantation part 101



What sports can your child take part in after kidney transplantation?

Use good common sense when choosing activities for your child. In general, patients are encoraged to remain active and to develop active lifestyles given the long-term health benefits of regular physical activities. Aerobic exercise are good for children with kidney transplants. Of course, no one can guarantee that any activities are totally safe and will not injure the new kidney. Please discuss this with your transplant team. It is a good idea to wear a kidney protector if there is a chance that the transplant could be injured.

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Pediatric kidney transplantation part 100



Physical activity and exercise

Exercise and physical activities are part of a kidney healthy lifestyle and encourage  regular activity in all transplant patients,. Regular exercise is crucial part of keeping your child strong and healthy. It helps them develops socially, it develops their motor skills (such as hand-eye-coordination and movement), and it boosts their overall level of fitness.

The transplant team encourage you to enroll your younger child in developmental play groups and community activities. Older children can take part in recretional and organized sports and join school or community teams. Encourage your child to try new activities-that way, they can find things that they really enjoy  doing and will stick with them.

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Pediatric kidney transplantion part 99



Assessment for emotional support

If your child is being assessed for emotional support and therapy, they will be seen alone ( (if they are old enough) and with you. Depending on the child’s age, they or you will be asked about how they have been feeling and about their mood, relationships, participation in school, social and recreational activities, sleep, appetite, and other worries or changes in their life.

The psichologist may also ask your child’s teachers to fill out some questioners to get an idea of how everyone thinks your child is doing.

Sometimes, the psichologist may diagnose a specific mental health difficulty such as depression or anxiety. It may then be helpful for your child to see a psichologist or mental health therapist (such as a counselor) for a number of sessions. They can listen to your child, help them understand why they feel this way, and give some ideas about things your child can do, or say, to help change the way they feel. They also discuss these ideas with you or with other important people in your child’s life (such as their teacher) so that everyone understands and can work together to help your child.

In some instances, medication might be recommended for older children, who may also need to see a psichiatrist or adolescent medicine doctor for an evaluation and monitoring.

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Pediatric kidney transplantation part 98



Assessment in relation to school performance

If your child is being assessed because of concerns about their school performance, the assessment will look at your child’s thinking skills, academic performance, memory, language, visual processing, speed and dexterity, attention, and emotional control.

If there is any problem that could affect your child’s education (such as learning disability), the neuropsichologist will diagnose it and/or recommend different forms of treatment.

With your family’s consent, the neuropsikologist can also talk to your child’s school to coordinate learning and health needs, and recommend specific educational supports that could help.

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Pediatric kidney transplantation part 97



A referral usually happens if:

  • Your family or your child’s transplant team have any concerns about your child’s development (for example poor performance in physical therapy or occupational therapy tests)
  • Your child is struggling at school (for example with reading, spelling or math)
  • There are cocerns about your child’s language skills, attention or memory
  • There are changes in thinking abilities or brain imaging
  • Your child has missed a lot of school
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Pediatric kidney transplantation part 96




Your child’s behavior, emotional wellbeing, and school performance

If you, your family, or member  of your child’s school or transplant team expresses concerns about your child’s mood, behavior, or school performance, your child may be refered to see  a psichologist or neuropsychologist.

Neuropsichologist is a professional who has been trained to work with children and teens to understand how an illness can affect their behavior and how their brain works.  They can also help young people deal with some of the stresses of dealing with end-stage kidney disease and transplant.

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