Scenario Justice is a 13-year-old black female with sickle cell anemia. She was admitted in sickle...
Scenario Justice is a 13-year-old black female with sickle cell anemia. She was admitted in sickle cell crisis and has been having joint pain rated at 6-8/10 on Numerical Rating Scale much of the time. Her BP and pulse rate remain elevated. Justice has a cognitive development delay and behaves as an 8-year-old in many situations. She was diagnosed with sickle cell at birth. Justice has been less verbal, withdrawn, having trouble sleeping, and often crying while hospitalized. She is...
Justice is a 13-year-old black female with sickle cell anemia. She was admitted in sickle cell crisis and has been having joint pain rated at 6-8/10 on Numerical Rating Scale much of the time. Her BP and pulse rate remain elevated. Justice has a cognitive development delay and behaves as an 8-year-old in many situations. She was diagnosed with sickle cell at birth. Justice has been less verbal, withdrawn, having trouble sleeping, and often crying while hospitalized. She is asking...
Scenario Justice is a 13 year-old black female with sickle cell anemia. She was admitted in sickle cell crisis and has been having joint pain rated at 6-8/10 on Numerical Rating Scale much of the time. Her BP and pulse rate remain elevated. Justice has a cognitive development delay and behaves as an 8-year-old in many situations. She was diagnosed with sickle cell at birth. Justice has been less verbal, withdrawn, having trouble sleeping, and often crying while hospitalized. She...
Kyla is a 12-year-old with sickle cell anemia. She lives with her mother and grandmother in rural neighborhood. Kyla has experienced several “sickle cell crises, “however, they seem to have become more frequent since she became an adolescent. Kyla is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends. Kyla’s mother brings her to the hematology clinic at the hospital with complaints of severe generalized pain following a lacrosse game in which...
You are caring for a 17-year-old female patient with sickle cell disease who has been admitted for treatment of sickle cell crisis. Sickle cell disease is a genetic abnormality that affects hemoglobin in the red blood cells. In a sickle cell crisis weakened red blood cells clump together and impede blood flow, causing extreme pain. To prevent stroke and manage the pain of the crisis, your patient needs aggressive fluid and comfort management. At the change-of-shift report, you learn that,...
Address the following: 1. Compare identified factor(s) influencing Justice’s pain perception that you and your peer(s) discussed. 2. Consider and discuss how knowing the factors that are impacting a patient's pain could impact the treatment plan and nursing care. Factor 1: Justice being developmentally delayed. She is 13 years old but behaves like an 8 year old. Many small children respond to pain by crying out loudly (p. 1153). Factor 2: Having an older sibling who has had a previous...
Sickle Cell Case Study Assignment 100 points (25 points each) Kyla is a 12-year-old with sickle cell anemia. She lives with her mother and grandmother in rural neighborhood. Kyla has experienced several “sickle cell crises, “however, they seem to have become more frequent since she became an adolescent. Kyla is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends. Kyla’s mother brings her to the hematology clinic at the hospital with complaints...
illoul VIU.40 PIV Case Study, Chapter 13, Disorders of Red Blood Cells S is a 12-year-old African American girl who is brought to the emergency department by her day camp counselor. She is in excruciating pain and keeps saying something about a crisis situation. No one has any knowledge of her previous medical history, and no one has been able to make contact with any family members. The counselor shared that she became short of breath and started reporting pain...
Devon Bynum, an 11-year-old, is admitted to the hospital in sickle cell crisis. This is the first time he has been admitted to a hospital. He states he hurts all over and rates his pain at a 7 out of 10. Devon has been in the emergency department all night and last received morphine 2 mg IV at 0400 for his pain. He is receiving oxygen at 2 liters per minute (LPM) via nasal cannula. He has an IV of...
Ethics and Values You are caring for a 17-year-old female patient with sickle cell disease who has been admitted for treatment of sickle cell crisis. Sickle cell disease is a genetic abnormality that affects hemoglobin in the red blood cells. In a sickle cell crisis weakened red blood cells clump together and impede blood flow, causing extreme pain. To prevent stroke and manage the pain of the crisis, your patient needs aggressive fluid and comfort management. At the change-of-shift report,...