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Dimens Crit Care Nurs ; 37(5): 239-244, 2018.
Article in English | MEDLINE | ID: mdl-30063517

ABSTRACT

BACKGROUND: Heredity hemochromatosis (HH) is an underdiagnosed genetic disease that can lead to life-threatening multisystem organ failure. Identifying and treating HH early can prevent the progression of the disease. CASE PRESENTATION: For a 60-year-old white patient without obvious symptoms, it was a revelation to discover that he had HH. This patient, although receiving evidence-based care, ultimately required a liver transplant. As his condition deteriorated, the plan for this patient and his family involved working within an interdisciplinary team that included nurse practitioners and intensive care unit nurses. DISCUSSION: The uniqueness of this case illustrates the crucial role of a health care team that persisted in differentiating the patient's diagnosis and continued to sustain both physical and emotional care throughout his hospitalization despite a poor prognosis. The patient felt support from this team during the course of his illness, from requiring life-supporting care in intensive care unit to returning home and resuming his normal activities of daily living.


Subject(s)
Hemochromatosis/diagnosis , Hemochromatosis/surgery , Liver Transplantation , Activities of Daily Living , Critical Care , Diagnosis, Differential , Humans , Male , Middle Aged
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