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Discussion 5

Sickle cell disease is a congenital blood illness that affects children. It’s inherited from a parent’s DNA. Sickle cell disease patient produce an abnormal kind of hemoglobin. This is a protein found in red blood cells that transport oxygen throughout the body.  A child with only one sickle cell gene is healthy. There are, nonetheless, disease carriers. There is a risk that a child born to two carriers will develop sickle cell. After having a child with sickle cell disease, there is one in four chances of having another child with sickle cell disease. Most children with sickle cell disease start having symptoms after the first year of life. Symptoms vary from child to child and from mild to severe. Some symptoms include jaundice of the eye, mouth, and skin, pain crisis, acute chest syndrome, and anemia. The role of nurse practitioners (NPs) in the early identification of sickle cell disease (SCD) patients, as well as effective monitoring and screening, pain management and prophylaxis, and health education. NPs, on the other hand, are in a unique position to help with the health promotion and maintenance that is required to reduce the high incidence of morbidity and death associated with this condition. Early identification of afflicted persons, good monitoring and screening, effective pain management,  and prophylactic are all critical for NPs to grasp. (Miller, 2020).

Managing children with sickle cell disease they need a well balance diet and lots of exercise. Sickle cell disease patients require more calories, vitamins, and mineral then the typical child. This gives them more energy and aids in the production of blood cells. Vitamins can be obtained through eating a range of meats, vegetables, and fruits. In children, penicillin prophylaxis prevents pneumococcal sepsis. Pneumococcal immunization protects children from pneumococcal infection. Simple transfusions to raise hemoglobin (Hb) levels to 10 g/dL are as effective as or safer than intensive transfusions to lower sickle hemoglobin (Hb S) levels to 30% in surgical circumstances. (Mohammed, 2019).  Children 2 and younger would manage sickle cell with preventing hydration. Advising the caregiver to wash hands frequently to reduce the spread of infection to the child. Make sure the child is up to date on their vaccines at 2 months making sure the child has a hematologist consulted. At age of 6 we would manage pain, hydration, encouraging physical activity with resting breaks as needed. At 13 we want to manage painful crises, anemia, assess for any swelling that can result when blood flow to hands and feet are block by abnormal red blood cells.

Children with sickle cell disease grow and develop more slowly than their classmates, even reaching puberty later. The lack of red blood cells causes this growth delay. In addition, those with sickle cell disease are often shorter and thinner than the general population. We would refer the patient to a hematologist. Coordination of care for sickle cell disease patient include providing oxygen, encouraging plenty of fluids, pain management, and avoiding infections and or quickly treating infections.

Reference

Miller. (2020). Sickle Cell Disease (for Parents) – Nemours KidsHealth. Https://Kidshealth.Org/En/Parents/Sickle-Cell-Anemia.Html. https://kidshealth.org/en/parents/sickle-cell-anem…

Mohammed. (2019). Signs and Symptoms of Sickle Cell Disease | Mild to Severe. Https://Www.Ihtc.Org/Sickle-Cell-Signs-Symptoms. https://www.ihtc.org/sickle-cell-signs-symptoms