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Sickle cell disease in adults: developing an appropriate care plan
Clinical Journal of Oncology Nursing
|December 23, 2015
Summary
Nurses need enhanced knowledge of sickle cell disease (SCD) to effectively manage pain crises. Recognizing patients as experts and advocating for them ensures appropriate, timely care, reducing hospital admissions for SCD pain.
Area of Science:
- Nursing
- Hematology
- Pain Management
Background:
- Sickle cell disease (SCD) is a condition primarily defined by pain, leading to frequent hospitalizations, especially in young adults.
- Patients often report inadequate nursing knowledge regarding SCD, resulting in delayed or inappropriate care during pain crises.
Purpose of the Study:
- To highlight critical information for staff nurses to improve care for adult patients with SCD.
- To provide recommendations for enhancing nursing practice in managing SCD pain crises.
Main Methods:
- A literature review was conducted.
- Case studies were analyzed to inform recommendations.
Main Results:
- There are no objective signs for a sickle cell pain crisis; patient self-reporting is key.
- Nursing care should not be influenced by suspected opioid addiction; appropriate pain management is crucial.
- Acknowledging patients as experts and advocating for them improves care and communication.
Conclusions:
- Nurses require specialized knowledge to provide effective care for SCD pain crises.
- Collaborative care planning and patient advocacy are essential for optimal outcomes.
- Improved nursing knowledge can lead to timely interventions, reducing hospital stays and readmissions for SCD patients.
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