Sickle Cell Case Study Assignment
100 points (25 points each)
Kyla is a 12-year-old with sickle cell anemia. She lives with her mother and grandmother in rural neighborhood. Kyla has experienced several “sickle cell crises, “however, they seem to have become more frequent since she became an adolescent. Kyla is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends.
Kyla’s mother brings her to the hematology clinic at the hospital with complaints of severe generalized pain following a lacrosse game in which she played mid-fielders. She is admitted to the pediatric clinic.
Her vital signs are temperature 37.6˚ C (99.7 ˚ F); pulse 118 beats/minute; respiration 33 breaths/minute; and blood pressure, 96/70. She weighs 88 lbs. Her complete blood count reveals: hemoglobin 9 g/L; hematocrit 24%, white blood cell count 12,000 cells/mm3 and platelet count 14,000 cells/mm3. Her oxygen saturation is 89%.
Discuss your impressions of Kyla clinical manifestations?
What is sickle cell crisis?
What are the priorities nursing diagnosis of care for Kyla?
Discuss the teaching priorities for Kayla before discharge from the hospital?