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Essay on sickle cell anemia multations
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Case Study
Sickle Cell Anemia is an autosomal recessive disorder, which increases blood thickness hence affects the smooth flow of blood. This causes by the destruction of red cells where the normal shape of red cell become a stiff sickle shape. As a result, sufficient oxygen does not reach the vital organs. A vaso-occlusive crisis arises from hindrance of blood circulation by sickled blood cells. It is characterized by sturdy pains and in some cases; it may cause permanent organ damage. This paper seeks to formulate a nursing diagnosis, as well as a plan of care that includes nursing interventions and the methods to be used to evaluate whether the interventions are successful (American Sickle Cell Anemia Association).
Nursing diagnosis is a clinical assessment of health problems experienced by a family or an individual and their response to this health problem. It helps in determination of interventions that are to be put in place so as to realize the desired outcome. This diagnosis enables the nurse to come up with a care plan for the patient (National institute of health, 2002).
In this case the nursing diagnosis is probable sickle cell crisis and the possibility of shift in self perception linked to the notion of being different from peers.
Outlined herein, are some of the interventions with their rationale and outcomes.
First, Maya and the family should be encouraged and helped to alternate the intervals of resting and activity. The rationale is that, this will help their bodies to reduce the demand for oxygen and also reduce hypoxia level. Maya should also be assisted in deep breath taking movements and mild body turning exercises. Rationale: this promotes best chest expansion, which boosts the circulation of secre...
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...nt of patients with sickle cell anemia. However, the choice of interventions should be done carefully so as to realize the desired outcome otherwise it may not be successful. Key among the innervations listed here, is counseling. This may help the patients to have hope and this may aid in the quick recovery.
Works Cited
American Sickle Cell Anemia Association. Research. Retrieved from http://www.ascaa.org/Research.asp
Hockenberry, M.J., & Wilson, D. (8th.ed). (2007). Wong's Nursing Care of Infants and Children(8th.ed).New York: Mosby publishing group.
National institute of health. (2002). The Management of Sickle Cell Disease. Retrieved from http://www.nhlbi.nih.gov/health/prof/blood/sickle/sc_mngt.pdf
Sickle Cell Disease Association of America. Research and screening. Retrieved from http://www.sicklecelldisease.org/index.cfm?page=about-scd
Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook:an evidence based guide to planning care. Maryland Heights, MO: Mosbey.
Symptoms of a sickle cell are shortness of breath or fatigue and delayed growth in the development of children. Severe pain can be caused as a symptom when the blood gets stopped up in the vessel and causes the patient 's heart to pump slower, so people begin to feel pain in the body and feel out of breath.
The last bolt is screwed on as a relieved automotive worker marvels at his wondrous creation: a car. With the roar of an engine, the car slowly disappears into the distance. The worker gradually turns around, picks up his tools, and continues to work on a new car. As a consumer, we rarely wonder how things are made; we simply take everything we own for granted. For once, have you wondered how many hours of hard labor many automotive workers must go through? The automotive industry has been around for many years, but it has not always been as efficient as it currently is. As the industry continues to evolve, many new innovative ideas are still being developed. In the past, automotive workers have had to work in harsh conditions without much security or job benefits. Nevertheless, through the continuous development of organized collective bargaining, workers are being treated as they should be. Being the largest automobile manufacturer in the world, General Motors Corporation has been greatly affected by the needs of their workers. Rick Wagoner, CEO of General Motors, is currently in charge of “running the show” at GM. Being the most successful automotive company since 1931, it is obvious that he not only has to satisfy customers, but also the workers within the company. From the smallest things such as a work raise to bigger things such as the working condition, the management of General Motors has been pressured to make both positive and negative changes to the way the company is run as a whole in order to satisfy the workers who are part of the UAW Union. Therefore, the formation and development of unions encompasses both pros and cons.
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
The first funding for sickle cell disease began thirty years ago the federal legislation dealing with sickle cell was accepted. This legislation present notab...
Sickle cell anemia is an inherited disease of red blood cells. Normally red blood cells contain a protein called hemoglobin A, which carries oxygen to all the organs in the body. With sickle cell anemia, however, the body makes a different kind of protein, called hemoglobin S.
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
Nursing education and research is a crucial aspect to the health care field. It helps in the implementation of new changes in the lifelong care of people and is also used in development of treatments that provide optimal level of health care. The research involved in nursing mainly focuses on development and promotion of high levels of standards in areas of quality management for long term illness patients, developing standards that reduce number of diseases in a community, helping instilling techniques and treatments that enhance quality of life as well as easing transition for patients in terminal stages of a disease.
St. Louis, MO: Elsevier Ackley, B.J., Ladwig, G.B., & Flynn Makic, M. (2017). Nursing diagnosis handbook (11th ed.). St. Louis, MO: Elsevier University.
I was on my Monday evening shift and I was assigned for eight patients where seven of them were older and this teen named Mr.Govanni was with sickle cell anemia. When I took the handover from the dayshift nurse, I particularly noticed this patient from my assignment list because of his age and condition and at the same time the nurse who handed over the duty specifically told me that the teen boy was non-cooperative and also I saw it from the chart that the patient was getting the normal saline at 75cc/hr, CBC result morning( 6 am) showed HB-82g/dl, WBC 10.6. According to doctor’s order repeat CBC at 1600hr and if the HB is less than 80 transfuse two units of PRBC and lasix 40 mg in between the transfusion.
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Individuals who inherited this disease from their parents do not possess the standard hemoglobin that should be contained in RBC. Hemoglobin is a protein present in RBC, which transports oxygen to all parts of the body (National Heart and Blood Institute, 2017). The disease which impairs the hemoglobin’s responsibility, prevents blood cells from receiving the sufficient oxygen, causes RBC to be sickle shaped. Sickle cell disease precedes to several painful health complications such as VOC (vaso- occlusive crises), which are severe pain recurring episodes, that can lead to irreversible organ damage. Sickle cell anemia causes red blood cells to hemolyze continuously through an individual’s lifetime… hemolysis is the breakdown of red blood cells (Krishnamoorthy, et al. 2017). An experimental study was conducted with SCD Townes mice to test a possible solution for sickle cell anemia. Throughout a seven-week span, mice orally conveyed dosages of 100 mg/kg of DMF. DMF known as dimethyl fumarate is small complex molecule and which binds and activates to enhance Nrf2 to enhance Hbf. “Nrf2 is a transcription factor that triggers cytoprotective and antioxidant pathways to limit oxidative damage, inflammation, and increases HbF” (Krishnamoorthy, et al. 2017). Fetal hemoglobin (Hbf) is the hemoglobin present in fetuses; it is responsible for the transportation of oxygen
Gordon, M. (2007). Manual of nursing diagnosis: including all diagnostic categories approved by the North American Nursing Diagnosis Association (11th ed.). Sudbury, Massachusetts: Jones and Bartlett.
A nursing diagnosis is not the equivalent of a medical diagnosis; however, a nursing diagnosis can be used to formulate an intervention for the patient. A nursing diagnosis includes stating the problem, the cause, and signs and symptoms seen in the patient. For example, a patient may have been given the medical diagnosis of COPD (Chronic Obstructive Pulmonary Disease), but this cannot be given as a nursing diagnosis. The proper nursing diagnosis would be: Ineffective airway clearance, related to excessive thick secretions as evidenced by coughing, gagging, and mucous. This type of diagnosis tells of an issue the nurse can solve or treat themselves using their own knowledge of the