SICKLE CELL DISEASE HEALTH TEACHING
HEALTH TEACHINGS INCLUDES:
- Elevate swolen joints. Elevation relieves swelling through increased gravity flow.
- Provide at least 2000-3000 ml of fluid /day either orally or combined with solutions through vein. Hydration dilutes blood cells and promotes blood circulation to tissues that lacks oxygen
- Keep the skin warm with prewarmed or layered blankets.
- Use nonpharmacoligal methods to relieve pain such as imagery and distraction. Diverting attention
- Always reiterate to perform conscientious hand hygiene to prevent risk of infection.
- Advise visitors who are ill or have a respiratory infection to delay visiting the client. Pathogens can be transmitted by direct contact, droplets, or air transmission.
- This age group needs to interact with their friends, they try to establish peer relation so it is important to include friends and classmates about the debilitating disease of the child not to be afraid and anxious when they see the child in sickle cell crisis.
- Teach the client, parents, teachers, friends and classmates about clean techniques for managing open wounds
- .As much as possible teach client to avoid vigorous activities like exercise and games.
- Provide information regarding developing drug toxicity and take medications as directed.
- Avoid travel to places with high altitudes.
- Always seek medical attention upon discovery of possible infections and when sign of impending Stroke.
- Folic Acid supplements .
- Immunizations to prevent respiratory infection when the child is not ill.
- This age group wants to have their privacy and they provide information which is sometimes untrue, so it is imperative to teach parents to be real observant about what is happening with their child.
- Signs and symptoms of stroke such as, sudden headache, sudden blurred of vision, sudden weakness, slurred of speech and ask the client to stick out his/her tounge. Teachers, parents and classmates should be alert with this kind of signs and symptoms.
- Provide child with checklist that includes instructions about his medications and fluid intake.
REFERENCE:
Timby, B., and Smith, N. Introductory Medical-Surgical Nursing. 10th Ed. (p. 433-p. 436).Wolters Kluwer/Lippincott Williams & Wilkins
Leifer, G., (2015). Introduction to Maternity Pediatric Nursing (7th Ed.). St. Louis, MO: Elsevier
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