Week 9 Discussion: Treating Patients in
Specialized Areas of Care
Week 9 Discussion: Treating Patients in Specialized Areas of Care
When treating frail elder patients in specialized areas of care,
there are various dynamics that might impact patient care plans.
From questions about potential outcomes, benefits of treatment,
and quality of life to factors such as personal values, families,
culture, and religion, decision making can be difficult for patients
and their families. As the advanced practice nurse, you must
support them through this process.
For this Discussion, you examine the following case studies and
consider how you might address the needs of the patients and
their families. Week 9 Discussion: Treating Patients in Specialized
Areas of Care.
Case Study 1
Mr. Wiggins is a 78-year-old African American male with chronic
kidney disease, which requires dialysis. The etiology of his renal
disease was multifactorial—long-standing uncontrolled HTN and
DM nephropathy. He has been on hemodialysis for the past 10
years and has done relatively well. Four weeks ago, he had a
major CVA and is minimally responsive. His condition is not
expected to change, and the family is having a difficult time with