Chronic kidney disease is a gradual loss of kidney functions. The role of a kidney is to filter waste and excess body fluid from the blood and excrete them through the urine. With kidney failure, the body risks accumulating fluids, waste, and electrolytes, and this can have a devastating impact on body functions. The damage to the kidney is a progressive process. In the beginning, it is challenging to experience severe symptoms ( Thompson et al., 2019). However, the disease can progress to an advanced stage or end-stage kidney failure where dialysis is mandatory. The case of Mr. Wiggins is an example of chronic kidney disease at its advance stage. At the advanced stage, the outcome of chronic kidney disease can be devastating due to other potential diseases such as stroke that come with chronic Kidney disease. However, it does not mean that Mr. Wiggin’s condition is incurable. Though the Chronic Kidney disease is irreversible, buying into his wife’s idea of withdrawing life support cannot be an option unless other options such as better healthcare, social support, and advance medical treatment fail to meet the expectation.
Possible Outcome from the case
The first possible outcome of the disease following the worsening condition of the victim is the damage to the central nervous system. Such a situation can lead to further complications, such as stroke, that can be life-threatening in this situation ( Nigwekar et al., 2019). These are signs that are already visible as Mr. Wiggins CVA’s response is minimal. Chronic Kidney disease at its worse stage, such as the condition where Mr. Wiggins is can potentially lower immunity. In this case, it allows other diseases such as stroke, hyperkalemia, and heart disease due to blood pressure to come in and worsen the condition. With such diseases doing damages to the different body tissues, complications can arise.
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Furthermore, Mr. Wiggins has stayed under dialysis for ten years. In most cases, people live under such conditions for five to ten years. However, those who survive for twenty to thirty years are those under different support and care that are absent in the case of Mr. Wiggins. Worse of it, his condition is not right in the recent weeks, and currently, he is surviving on feeding tubes and life support. Ruling out the potential loss of life in such a situation could be difficult unless there is a change in treatment strategy that could push him for another year.
Supporting the victim
While suffering from chronic kidney disease, a person can survive for twenty to thirty years while under dialysis. The implication, in this case, is that Mr. Wiggin can still survive and be a better health-wise despite the seemingly impossible situation he faces in the present time. Through care, treatment, and support, it is still possible to increase the victim's life years. The best care should come from both the relatives and the medical personal. The Nurse Practitioner in charge must be available for Wiggin to answer all the questions and concerns he raises ( Nigwekar et al., 2019). The nurse, together with the family, should be available for spiritual care. The nurse should also ensure that the patient controls his diet, blood pressure, take medications and get enough sleep. The role of a nurse in facilitating care should also focus on reducing stress and also monitoring kidney condition. The family should be close and give him strength through caring for simple needs that could be necessary in this case. At the stage where Mr. Wiggins is, the only treatment he can get is dialysis and kidney transplant.
Support is another factor that could increase Wiggin’s chances of living longer with chronic kidney disease. Support can come from relatives and medical staff. The support from the relatives should be the basic ones. Financial support to cater to medication bills, the love of the family, and the sense of togetherness could be vital ( Sgambat et al., 2019). The family can organize for spiritual support for the patient as a manner of reducing stress if he is a religious person. Sharing with the patient about his past and being available to assist when he needs support such as food, water, drugs, or a brief walk can be essential for his recovery. For nurses, psychological support to the patient could be vital in this case. Also, exploring religion and being available for concern, such as medication and treatment, could work well for this patient ( Huelster, Hogan & Resnick, 2019). The patient is still in critical condition. However, support, care, and proper treatment could be vital for his survival.
Family Needs
The case of Mr. Wiggin's family needs is complex. The close relatives such as sisters and brothers still have hope and believe in his recovery. On the other side, the wife seems to be tired and wants the nurse to withdraw life support. For the brothers and sisters, encouraging them to support the patient could be vital. Besides, giving them hope that he will recover is also essential. It entails explaining for them the progress, the medication interaction with the patient, and chances of survival ( Sgambat et al., 2019). Addressing such needs would be vital in addressing their needs and hope in the patient. For the wife, it is essential to let her know that unless all the necessary medical interventions are useless, the patient must continue being under life support, for he still has a chance of survival.
In conclusion, Mr. Wiggin's chances of survival lie on the nature of support, care, and treatment that he will get from both the medical staff and the family. In the present condition, the outcome could be complex, and death is difficult to rule out. However, unless all the lifesaving options become useless, the patient needs a lot of care and support as he can still survive.
References
Huelster, H. L., Hogan, M. M., &Resnick, M. J. (2019). Acute Renal Transplant Failure Secondary to an Obstructing Ileal Conduit Adenocarcinoma: Case Report and Literature Review. Urology , 134 , 39-41.
Nigwekar, S. U., Negri, A. L., Bajpai, D., Allegretti, A., Kalim, S., Seethapathy, H., ...&Ayus, J. C. (2019). Chronic prolonged hyponatremia and risk of hip fracture in elderly patients with chronic kidney disease. Bone , 127 , 556-562.
Sgambat, K., Matheson, M. B., Hooper, S. R., Warady, B., Furth, S., &Moudgil, A. (2019). Prevalence and outcomes of fragility: a frailty-inflammation phenotype in children with chronic kidney disease. Pediatric Nephrology , 34 (12), 2563-2569.
Thompson, S., Wiebe, N., Gyenes, G., Davies, R., Radhakrishnan, J., & Graham, M. (2019). Physical Activity In Renal Disease (PAIRED) and the effect on hypertension: study protocol for a randomized controlled trial. Trials , 20 (1), 109.
