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 Justice has been less verbal, withdrawn, having trouble sleeping, and often crying while hospitalized.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 for her mother frequently. She lives with her maternal grandparents, two parents, her siblings, 5 and 15 years of age, and her pet dog. Her mother is on active duty with the service and has been out of country for 9 months; her father runs a local hardware store. Justice has seen her older sibling go through significant pain with sickle cell crisis over the years and the sibling was admitted in similar situation with crisis one year ago. Initial Discussion Post: Consider the scenario, and address the following: Identify at least three (3) factors that influence Justice’s pain/discomfort perception. Describe the patient's physiologic OR psychosocial responses to pain/discomfort.
Some of the factors which contribute to the perception of pain are
This patient will respond in an aggressive manner due to age and never accept the treatment offered due to fear and insecurity. As soon as a healthcare professional is seen by her ,the child will try to avoid and hide from them
They may react to pain by cry,irritation, decreased group activity, limited self activities. They are in continuous search of a person who will be a comforter rather than a medical professional.
Justice is a 13-year-old black female with sickle cell anemia. She was admitted in sickle cell...
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 Justice has been less verbal, withdrawn, having trouble sleeping, and often crying while hospitalized.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...
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...
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...
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...
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,...
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...
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...
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...
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,...