بحث عن sickle cell disease

[سلمي888]

Sickle cell disease is a serious blood disease which can be found in very early ages and it leaves great effects on patients' quality of life. Nursing care provided to patients with sickle cell disease must be very caring and nurses must provide their best work to patients. Sickle cell is a disease that affects cells of blood and it is a chronic illness. Millions of people around the world have sickle cell disease, the people whose ancestors are from Africa, Central America, South America, Mediterranean countries; India and Saudi Arabia are more liable to have the disease. About 90,000 to 100,000 persons from America have the disease. (CDC, 2014) In KSA, the disease is prevailing in the Eastern and Southern regions more than other regions. (AlQurashi et al, 2008) Sickle cell was chosen because it endangers lives of new born children and adolescents and affects patients' quality of life. The female patient is a 13 years old Saudi was suffering from pain in the abdomen when being admitted at hospital in 22-11-2014, at the pain numeric scale, the number was 7. Her history shows that she was diagnosed to be affected with Sickle Cell Disease as a child. A holistic perspective is used to provide the patient with care as all her needs are clear. This assignment is a case study and a reflection about nursing care provided to a patient with sickle cell disease suffering severe abdominal pain. It will provide a presentation for female patient profile and her family's profile.
The female patient is at Grade seven at school. She is a sister for three other sisters and a brother. She likes watching T.V, playing computer games and singing. She dislikes hospital, medicines and she seems to be afraid from treatment. Her family seems to be caring and loving as they are the source of information. Her height is 147 cm and weight is 50 kg. The patient suffers sickle cell disease since childhood and she was admitted to the hospital due to having severe pain in her abdomen. It was a sickle cell crisis. Her past history of the illness included sickle cell strokes, fever and acute chest syndrome. Her family health history includes her father having strokes and diabetes and her mother suffers high blood pressure and she has an aunt who suffers sickle cell anemia. She was received in ER, her pain was measured by numeric Scale and she received morphine and hydromorphone by IV, daily folic acid and she got Tradol orally. I began a discussion with the patient who seemed to be afraid but sooner she liked me and talked about her feelings of shyness as she can't swim in the club with her friends and she said she doesn't like hospital stays she has to do from time to time and that this makes her sad for long times, she was thinking that she is deprived of playing and having a good life as her mates but I told her that she is fine and that she can enjoy many things in life as music, reading and surfing the net so she smiled and liked my words. Her food was small meals including vegetables and fruits, enough fluids and 8 glasses of water daily. I focused mainly on her breathing behavior as she had severe cough and I was very keen on preventing any possible complications related to respiratory problems. I discussed her about the possible reasons that caused her the pain, she answered that the weather was very cold and her clothes were not heavy. She has enough sleeping periods as she slept for eight hours at night and three hours in the afternoon without sleeping medications. Her family supports her in moving a little and took her to walk for 20 minutes in the hospital yard every day. Hemoglobin rates were monitored and I compared them with baseline levels. A patient with sickle cell disease has some specific signs and symptoms such as having abnormal genes. Patients with sickle cell disease may also suffer symptoms associated with anemia such as fatigue, pallor and weakness, their Hgb and Het are usually reduced in addition to having reticulocyte count. They usually suffer severe unbearable pain. Patients of sickle cell disease may suffer acute chest syndrome, cerebrovascular accident which is stroke, priapism and or splenic sequestration crisis. Their sickle cells of the blood usually form microvascular occlusions that could cause infarct or ischemia in patient's tissues or organs. (Hazinski, 2012) Pain crisis are also signs of sickle cell disease as pain is characterized with being very severe coming in episode attacks that could affect many places such as the legs, arms, back or abdomen. Fever, high temperature and stress are also possible signs of the disease. (Tamparo and Lewis, 2011)

لتكملة البحث : reports and research papers: Sickle cell disease