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Nursing management of children with sickle cell disease: an update
D Gribbons1, L K Zahr, S R Opas
1Division of Hematology/Oncology, Children's Hospital, Los Angeles, CA, USA.
Insights
This review covers managing pediatric sickle cell disease (SCD), focusing on current trends, pathophysiology, and nursing care. It highlights improving prognosis and the nurse
Area of Science:
- Pediatric Hematology
- Nursing Care Management
- Chronic Disease Management
Background:
- Sickle cell disease (SCD) is a prevalent genetic blood disorder affecting children worldwide.
- Effective management of SCD in children requires a multidisciplinary approach addressing complex pathophysiology and potential complications.
- Nursing plays a critical role in patient education, complication prevention, and supportive care for children with SCD.
Purpose of the Study:
- To review current management trends for pediatric sickle cell disease.
- To discuss the pathophysiology, medical/nursing care, and complications of SCD in children.
- To highlight research findings aimed at improving the prognosis for children with SCD.
Main Methods:
- Literature review of current trends and research in pediatric SCD management.
- Discussion of pathophysiology, medical interventions, and nursing care strategies.
- Presentation of a nursing care plan for children with SCD.
Main Results:
- Current trends focus on proactive management and early intervention to improve outcomes.
- Understanding SCD pathophysiology is key to anticipating and managing complications.
- Nursing interventions, including family education, are crucial for preventing and managing complications.
Conclusions:
- Optimizing the prognosis of children with SCD relies on current management strategies and ongoing research.
- The nurse's role in educating families and implementing targeted interventions is vital for comprehensive SCD care.
- A structured nursing care plan aids in addressing the specific needs of children with SCD.
Abstract:
This article reviews current trends in managing children with sickle cell disease (SCD). The pathophysiology, medical and nursing management, and complications of SCD are discussed. Current trends and research findings related to improving the prognosis of children with SCD are offered. The importance of the nurse's role in educating the family about the disease process and clinical interventions to prevent or manage complications are stressed. Lastly, a nursing care plan is offered which focuses on pertinent nursing diagnosis.