Question

2. You are a public health nurse doing a follow-up home visit on a child who has hemophilia A. The child was just recently discharged from hospital for a leg iniury resulting in serious bleeding that occurred during a football game. You have told the mother repeatedly that certain activities are not safe for her son to participate in. She always tells you she wants her son to have "a normal life like the other boys." When you appro al life like the other boys." When you approach the apartment, you see the son skateboarding off of a ramp with his friends. What might your initial reaction be to this situation? What advise would you give about to the parent?

Answer 1

Initial reaction are:-

1 Control bleeding -

- Immobilization bleeding site.

- Apply pressure 15-20 minutes for superficial.    bleeding.

   - Application of ice to prevent bleeding.

   - Elevated bleeding site.

2. Instruct parents and child about the sign of bleeding.

3. Instruct parents how to control bleeding.

4. Teaching the parents regarding activity for child, avoidance of contact sports and need for protective device wear elbow, knee pads and halmet with the. sport.

5. Assist in developing an appropriate exercise plan. The. safe activity for them is "swimming".

6. Do no heavy exercise and weight lifting activities.

7. Parents should be maintaine child personal hygiene.