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Sickle Cell Anemia and Nursing Intervention
This case study concerns Roslyn, who has been recently diagnosed with sickle cell anemia. Since the closest family members do not have the same disease, Roslyn and her parents lack experience in dealing with this diagnosis; therefore, they will require special attention and additional support. It is necessary for the nurse to provide them with appropriate guidance and all the necessary information regarding Roslyns new diagnosis.
The priority nursing intervention, in this case, would be notifying the parents of Roslyns immediate needs: hydration, rest, and relief from pain. It is also crucial to notify the parents about the specific symptoms of the disease, such as fatigue and chronic pains, and to let them know they need to seek medical attention if an episode occurs (Vichinsky & Lubin, 1987). Providing the parents with information on what sickle cell disease is will help them adapt to these changes in their familys life.
In order to support the child and the family, it is essential to inform them about the inevitable pains appropriately. Pain management is crucial for the parents to recognize when their daughter is experiencing an episode (Vichinsky & Lubin, 1987). In addition to that, referring them to support groups that provide emotional aid is of great importance. Emotional support groups of different kinds would be beneficial to both Roselyn and her parents, since all of the family members will be going through some psychologically challenging times after the discharge.
The information above should also be provided in discharge papers. Additionally, it is vital to add a number for the parents to call when their daughter needs medical assistance. Roslyns discharge should include a routine for the home to manage her pain, and instructions for dealing with dehydration. It is also necessary to mention further instructions for Roslyns playtime because of her new diagnosis (Vichinsky & Lubin, 1987). She should limit strenuous activities, avoid humid weather conditions, and always remain hydrated.
Receiving a diagnosis that implies chronic pain is a challenging experience for the patient and the patients family. Due to that, it is crucial for medical staff members to aid the patient and their family emotionally, and by supplying them with necessary information. The nurses support might be one of the vital aspects of coming to terms with a diagnosis and living a more fulfilling life.
Reference
Vichinsky E, Lubin BH. (1987). Suggested guidelines for the treatment of children with sickle cell anemia. Hematol Oncol Clin North Am, 1(3), 483501.
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