Chronic kidney disease or kidney damage leads to decline in glomerular filtration rate (GFR) that lasts for three months or more. Chronic kidney disease (CKD) and heart failure (HF) coexist, and it's thought that roughly 50% of HF patients also have CKD. The following case study is done to interpret the effects of physiotherapy on CKD patient in ICU setting. The goal of the treatment was to decrease shortness of breathing, to maintain the patency of the lungs, to remove the secretions, to maintain the secondary complications and to do early mobilization to make patient independent in ADLs. Outcome measures used were The Timed Up and Go (TUG), Borg rating of perceived exertion (RPE) and SF-36. Along with the improvement of QOL, patient reported Lower levels of discomfort and improved rest and sleep patterns after physiotherapy interventions. Keywords: Chronic kidney disease, physiotherapy in ICU, chest physiotherapy

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