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Abstract:
The patient met three of the four expected outcomes. He has in the past and is currently making informed decisions. reguarding his health care. Momentarily, he is demonstrating effective, positive coping strategies and problem-solving techniques. However, the fourth, and probably most critical outcome, is not being met. A.J. has not remained free of complications secondary to his kidney donation. It is estimated that he is facing ESRD, and all related medical and nursing regimens in less than 1 year. Additionally related to his elective nephrectomy, he will experience the loss of his 12-year military career and associated benefits. Although the nursing interventions were instrumental in assisting A.J. and his wife to cope with his acute situation, they now face the fears and anxieties of lifetime chronic illness. Theoretically, this patient may have experienced chronic renal failure at some point in his life, but the nursing intervention could have been approached as a pre-ESRD patient, in lieu of his status as a postliving related donor patient.