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From Death to Health in 30 Days: A Hemochromatosis Case Report
Susan E Becker1, Diane Nickloy
1Susan E. Becker, DNP, RN, CNS, CCRN, CCNS, is an assistant professor in the Marymount University Malek School of Health Professions with her bachelor of science in nursing degree and master of science in nursing degree (critical-care clinical nurse specialist) from George Mason University, and doctor of nursing practice degree from Duke University. She has worked the majority of her 35 years as a registered nurse in the intensive care unit. Diane Nickloy, BSN, RN, is a registered nurse unit coordinator in the intensive care unit at Sentara Northern Virginia Medical Center in Woodbridge. She received her bachelor of science in nursing degree from Old Dominion University, Norfolk, Virginia. She has more than 38 years of critical-care experience. She chairs the Washington Regional Transplant Community committee at her facility.
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.
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