Question

According to the Centers for Disease Control and Prevention (2017), approximately 100,000 Americans have sickle cell...

According to the Centers for Disease Control and Prevention (2017), approximately 100,000 Americans have sickle cell disease. Red blood cells that contain sickle hemoglobin are inflexible. This results in the cells adhering to blood vessel walls which slows or stops blood flow. This diminished or absent flow limits the amount of oxygen reaching cells and leads to attacks of sudden pain or crisis. Many clients with sickle cell disease also experience chronic pain.

Hulihan, M., Hassell, K., Raphael, J., Smith-Whitely, K., & Thorpe, P. (2017, November 24). CDC Grand Rounds: Improving the lives of persons with sickle cell disease.  Morbidity and Mortality Weekly Report, 66 (46), 1269-1271.

Initial Discussion Post:

  • What are some of the obstacles the RN may encounter when trying to manage the acute and chronic pain associated with sickle-cell disease?
  • Identify an intervention that can be implemented to overcome one of these obstacles.
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Answer #1

What are some of the obstacles the RN may encounter when trying to manage the acute and chronic pain associated with sickle-cell disease?

  • The increased frequency and severity of pain episodes and control of pain.
  • Short duration of time to manage chronic pain.
  • Inability to relate the causative and the changes.
  • Needs for more use of opioids to manage pain that leads to addiction.
  • Sociocultural factors that affect pain management.

Identify an intervention that can be implemented to overcome one of these obstacles.

The nursing intervention for the management of chronic pain

  • Use the universally acceptable formula for the administration of opioids to prevent addiction.
  • Alternative use of NSAID drug if the patient shows the effectiveness of pain and frequent monitoring of renal function to prevent renal injury.
  • Maintaining the pain at a tolerable level with mild analgesics before getting the severity of pain.
  • Provide counseling sessions for drug-seeking patients.
  • Provide recreational activities and support to improve the self-esteem and the quality of life.
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