Question

Mr. Emerson is a 34-year-old African American male, and his wife are discussing heredity concerns for their future child. Mrs. Emerson is pregnant and they are attending a childbirth class in which the pregnancy counselor and nurse are answering questions. Mr. Emerson states that he is afraid any male child they have will have sickle cell disease because he has it.

1. How should the nurse respond to Mr. Emerson?

Answer:

Rationale:

2. Two weeks later, Mr. Emerson is in the Emergency Department (ED) with severe right knee pain. What assessment does the nurse need to perform?

Answer: Rationale:

3. What is the priority care for Mr. Emerson?

Answer:

Rationale:

4. What healthcare team members are most likely involved in Mr. Emerson’s care while he is in the ED?

Answer:

Rationale:

Answer 1

The term sikle cell disease encompasses several different sikle hemoglobinopathies .

It includes sikle cell anemia and heterozygous conditions of hemoglobin S and other clinically abnormal hemoglobin.

1) answer :

• Nurse should listen all the things what ever the client days about his condition.
• Advice the couple SCD genetic counselling .
• SCD genetic counselling and testing have been shown to educate individuals on SCD .
• Advice the mother to go for screening ,if they assume to have child with SCD , advice them to go for termination of pregnancy .because the foetus with sikle cell diseases have greater risk for morbidity and mortality .
• The chances for viability also less .
• If foetus is healthy ,advice them to take good care such as healthy diet and regular antenatal check ups and folic acid supplementation .
• Rationale: conselling on sikle cell diseases provide the both parents to take decision whether they continue pregnancy or to terminate .

2) answer :

• Here the Mr. Emerson already having sikle cell disease .so the pain is common symptoms in sikle cell diseases .
• We need to assess the intensity ,duration ,frequency of pain .
• We need to assess that whether the pain is due to sikle cell disease or any other .
• Ask the patient about past history of right knee pain .
• Ask the patient to any medical intervention had been taken in previous for the knee pain.
• Ask the patient for family history of sikle cell diseases.
• Nurse should provide efficient care to relieve his symptoms .

Rationale : proper assessment provide the health care providers to appropriate decision making as early as possible to treat his knee pain.

3) answer :

• Provide immediate intervention to reduce his pain .
• Provide comfort to patient .
• Provide psychological support

Rationale : immediate response gives the patient to relieve from knee pain and improves his health status .

4) answer :

SCD specialist should involve in care .

Health care team members should provide effective care to reduce his sufforing .

Advice the patient to take rest .

Encourage the patient to take healthy diet and healthy life style .

Rationale : it increases trust worthyness among patient .