Reply to this discussion post: What are the priority nursing interventions for Roslyn? Primary interventions will be increasing knowledge for her and her family and pain management of the new diagnosed sickle cell anemia.
What anticipatory guidance should the nurse provide Roslyn and her family regarding the diagnosis of sickle cell anemia and her attending school? First for them to all sit down and discuss the disease. Also, notify the school of the diagnosis as it may interfere with her engaging in school activities and sports. Her pain may hinder her ability to pay attention while learning. Discussing the nutrition needs as far as increasing fluid intake and what foods to avoid when in crisis.
How can the nurse support the child and family? The nurse can act as a support to both Roslyn and her parents by providing awareness and support. This can help to ease the parent of worrying while in school or in treatment. Knowing that the nurse is educated and willing to provide empathetic care. She can explain to them that things will change as far as there may be times when Roslyn is in crisis and can’t go on vacations or have strength to do normal daily activities.
What discharge instructions should the nurse provide to Roslyn and her parents? The nurse should include patient information on the disease. Medications for managing the pain. Signs and symptoms that may occur prior or during a crisis. Foods to avoid due to the anemia. To watch for pain that can’t be managed, sores and dehydration.
What, if any, activity restrictions will Roslyn have after discharge? Roslyn should avoid exercise that are strenuous, around those who smoke, make sure she gets plenty of rest, stay well hydrated.
This is the case study and attachment with the rubric
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?
