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Scenario Justice is a 13 year-old black female with sickle cell anemia. She was admitted in sickle cell crisis and has been h
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1.The factors that influence Justice 's pain are

  • Age
  • Encountered similar experience of the sibling
  • Lack of developmental stage
  • Fear of being in hospital

2.The child with SCD (Sickle cell disease ) with poor cognitive development will have a poor understanding of the environment and others.They tend to fear,isolate and cry, especially when seeing a white coat is mainly because of the pain they experience .The others being the parents knowledge  of pain in accordance with their culture, religion and beliefs and the way of helping their child with coping pain.

1.The identified factors which is influencing the child's pain is her poor cognition (that is a child of 13 years can be explained of pain and getting at least a minimal cooperation for the management of pain and overcoming The discomfort ) This is interrupted due to poor development ofvthe child behaving like a 8 year kid where the child's are not much socially engaged and always has a fear when facing the strangers.The planning of care can b difficult because of communication problem .(Psychological )

The physiological change due to disease, like the pain crisis as the disease progress is excruciating in the bones which can make them weak ,fragile along with anemia will increase their fatigue resulting in getting help for doing daily activities.

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