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Published on: March 14, 2017
Care of the child with sickle cell disease: acute complications
1Department of Nursing, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Insights
Sickle cell disease (SCD) management in children requires nurses to understand its genetic basis and complications. Prompt treatment and preventative measures are vital for avoiding severe outcomes and improving patient care.
Area of Science:
- Hematology
- Genetics
- Pediatrics
Background:
- Sickle cell disease (SCD) is a group of inherited blood disorders.
- It is characterized by abnormal hemoglobin S, leading to various complications.
- Common acute issues in children include pain episodes, fever, and spleen complications.
Purpose of the Study:
- To highlight the critical role of staff nurses in managing pediatric SCD.
- To emphasize the importance of understanding SCD pathophysiology for effective care.
- To underscore the need for knowledge in genetics, pathophysiology, and management strategies.
Main Methods:
- Review of SCD pathophysiology, including vaso-occlusion, hemolysis, and immune system involvement.
- Discussion of common acute complications and their management.
- Emphasis on nursing interventions and patient/family education.
Main Results:
- Nurses play a key role in prompt treatment and prevention of adverse SCD outcomes.
- Understanding basic science (genetics, pathophysiology) is essential for effective nursing care.
- Knowledge of medical and nursing management, plus education materials, is crucial.
Conclusions:
- Nurses require comprehensive knowledge of SCD to provide optimal care for affected children.
- Effective management involves understanding the disease's genetic and pathophysiological basis.
- Preventative measures and patient education are integral to improving clinical outcomes in pediatric SCD.
Abstract:
Sickle cell disease (SCD) is a term used to describe a group of genetic disorders of hemoglobin production characterized by a predominance of the abnormal hemoglobin known as hemoglobin S. Common acute complications of SCD in children requiring hospitalization include painful episodes, febrile illness, and splenic sequestration. The staff nurse has an important role in providing prompt treatment and instituting preventative measures to avoid the adverse clinical outcomes of SCD such as acute chest syndrome, severe anemia, cardiovascular instability, and bacterial sepsis. A basic understanding of the pathophysiology of vaso-occlusion, the immune system, hemolysis, and the spleen is essential in the care of a child during an acute complication of SCD. Additionally important are a knowledge of the genetics, pathophysiology, medical and nursing management, and a familiarity with patient and family education material relating to sickle cell disease.
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