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Case Study: Roslyn, a six-year-old, is attending public school for the first time. Her parents brought her to the clinic and stated, “she appears to have pain in her legs and won’t participate in playtime.” The parents noticed recently Roslyn appears pale and acts weak. Roslyn is diagnosed with sickle cell anemia. After her parents and siblings undergo genetic testing, it is found that Roslyn is the only family member with the disease.
What are the priority nursing interventions for Roslyn?
What anticipatory guidance should the nurse provide Roslyn and her family regarding the diagnosis of sickle cell anemia and her attending school?
How can the nurse support the child and family?
What discharge instructions should the nurse provide to Roslyn and her parents?
What, if any, activity restrictions will Roslyn have after discharge? +400 words, citation format is APA
Priority Nursing Interventions for Roslyn
The priority nursing interventions for Roslyn would include monitoring her symptoms and providing education to her family about the signs and symptoms of sickle cell anemia. The nurse should also work to develop a collaborative care plan that includes both medical and psychological interventions, such as psychosocial support, counseling, psychoeducation, and stress management techniques (Buhari et al., 2019). Additionally, the nurse can refer Roslyn to other healthcare professionals or resources if needed. Some examples of appropriate referrals include physical or occupational therapy (to help manage pain or functional impairments), genetic counseling services (for further understanding of the disease), social workers (to assist with financial concerns) or mental health counselors (for emotional support).
Anticipatory Guidance for Sickle Cell Anemia
The nurse should provide anticipatory guidance regarding sickle cell anemia by educating both Roslyn and her family on what to expect from this diagnosis. This includes informing them on any lifestyle changes they may need to make in order to better manage the disease. For example, they could be advised on how best to manage stress levels through relaxation techniques or exercise; proper nutrition choices; avoiding environments with high humidity; adequate hydration; getting enough rest; and recognizing early signs of fatigue so that action can be taken promptly. Additionally, it is important for them to know when emergency medical attention is necessary if any complications arise related to the condition.
Supporting Roslyn and Her Family
In supporting Roslyn’s parents and siblings during their adjustment period following diagnosis of sickle cell anemia, the nurse should listen attentively as they express their feelings about her diagnosis while showing empathy towards them. It is also beneficial for nurses to provide informational material explaining more about the condition including potential physical limitations she may experience due treatments such as hydroxyurea therapy or transfusions along with any dietary restrictions associated with these treatments. Furthermore, nurses should seek out any available local resources which could offer additional assistance such as community programs geared towards children living with chronic illnesses who require extra support systems outside of home and school environment .
Discharge Instructions & Activity Restrictions
When discharging from clinic visits related to sickle cell anemia management it is important that instructions are provided emphasizing medication adherence while also ensuring safety measures are put into place at home including keeping a first aid kit nearby along with plenty supplies stocked up in case trips must be made back into clinic due sudden onset symptoms requiring immediate care treatment(s). Preventive measures can also be stressed by suggesting ways in which regular check-ups can help maintain overall blood health throughout life span thereby reducing risk of emergencies altogether if possible.. As far as activity restrictions after discharge go depending upon severity level based off initial evaluation results some considerations may include limiting physical activities until follow-up appointment occurs in addition reinforcing importance behind getting rest whenever feeling fatigued rather than pushing body further regardless situation/environment present at time..
In conclusion , although six year old Rosyln was recently diagnosed with sickle cell anemia there still many proactive steps families caregivers take today ensure well being long term basis . As primary healthcare providers active role developing individualized plans based off each patient’s needs extremely important since ultimately helps increase quality life despite having deal daily effects debilitating condition .