Case Study: Roslyn, a six-year-old, is attending public school for the first tim
Case Study: Roslyn, a six-year-old, is attending public school for the first time. Her parents brought her to the clinic and stated, “she appears to have pain in her legs and won’t participate in playtime.” The parents noticed recently Roslyn appears pale and acts weak. Roslyn is diagnosed with sickle cell anemia. After her parents and siblings undergo genetic testing, it is found that Roslyn is the only family member with the disease.
What are the priority nursing interventions for Roslyn?
What anticipatory guidance should the nurse provide Roslyn and her family regarding the diagnosis of sickle cell anemia and her attending school?
How can the nurse support the child and family?
What discharge instructions should the nurse provide to Roslyn and her parents?
What, if any, activity restrictions will Roslyn have after discharge?
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4 hours ago, at 1:27 PM
Sickle cell is a severe hemolytic anemia that results from the inheritance of the sickle hemoglobin gene. This gene causes the hemoglobin molecule to be defective. The priority nursing intervention for a patient with sickle cell anemia is the management of pain. “Sickling of cells potentiates cellular hypoxia and may lead to infarction of tissues with resultant pain. Pain usually occurs in the back, ribs, and limbs and may last for days” (Vera, 2022). The nurse should not only routinely assess the client’s pain level, but also aid in discussing and demonstrating a variety of pain relief techniques such as relaxation techniques, biofeedback, yoga, meditation, progressive relaxation techniques, distraction techniques, guided imagery and breathing techniques.
Both her parents and her teachers at school should be made aware of the symptoms that may be present during a sickle cell crisis. These symptoms include shortness of breath, extreme fatigue and weakness, headache or dizziness, and a yellowish color to the skin. Additionally, the nurse should offer her support to Roslyn and her parents by providing educational material for them to take home with them, describing sickle cell crisis, as well as a list of interventions to try during periods of crisis and severe pain. It is also important to make her parents aware that people with sickle cell disease should still stay active, but intense activities that cause one to become seriously out of breath are best avoided. Prolonged activities will also be beneficial with periods or rest in between.
Vera, M. B. (2022, March 18). 6 Sickle Cell Anemia Crisis Nursing Care Plans. Nurseslabs. https://nurseslabs.com/6-sickle-cell-anemia-crisis-nursing-care-plans/4/