Critical Care Nursing: Synergy for Optimal Outcomes



Critical Care Nursing: Synergy for Optimal Outcomes

Roberta Kaplow and Sonya R. Hardin

Synergy Aspects of the Case Studies

Chapter 46: End Stage Renal Disease and Renal Transplantation

Resiliency

This patient has a moderate level of resiliency. She is only 38 years old, yet has had three years of hemodialysis.

Vulnerability

This patient is highly vulnerable given her diagnosis of septicemia. She has the potential for multisystem organ failure. The mortality rate is 90% once multiple organ dysfunction occurs.

Stability

This patient has a low level of stability given the diagnosis of sepsis.

Complexity

This patient is highly complex given that all organs can be involved with sepsis. (see med/topic3372.htm)

Resource Availability

Resource availability is not discussed in this case.

Participation in care

This patient will have a low level of participation in care given the diagnosis of sepsis.

Participation in decision making

This patient will have a low level of participation in care given the diagnosis of sepsis.

Predictability

This patient will have a low level of predictability given the diagnosis of sepsis. Sepsis can be very unpredictable depending upon the individual’s response to antibiotic therapy.

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