Pre-Brief Assignment Brittany Long is a 5-year-old

Pre-Brief Assignment Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen. She has been hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years for a fever. Brittany was given oral pain medication in the emergency department at 6:00 AM. She is asleep but is responsive when awakened. She has been taking small amounts of oral fluids and continues to receive intravenous maintenance fluids at 52 mL/hr. When examined this morning, her blood pressure was 101/70 and her temperature was 37.4°C (99°F). She now rates her pain as a 3. New orders have been given. What is Sickle Cell Anemia? Describe the pathophysiology for sickle cell disease. How is Sickle Cell Disease diagnosed? Why is the FACES pain scale important with Brittany? How does Sickle Cell Disease affect the hematologic system (what happens to the Red Blood Cells (RBC)? Why does hydration and rest play a role with sickle cell disease? What is a sickle cell trait? Describe the four types of sickle cell crisis. Why are immunizations important? Why should high altitude situations be avoided in a child with Sickle Cell Disease? What is abnormal in a complete blood count (CBC) when a child is in a Sickle Cell crisis? What does chronic anemia cause with Sickle Cell Disease and what are some concerns? Post-Simulation Assignment Create an SBAR report for the actions that you did in the simulation. The SBAR is a powerful tool that is used to improve the effectiveness of communication between individuals. It is easy to use and can help your staff learn the key components needed to send a complete message! Here are the key components of the SBAR: Situation: Clearly and briefly define the situation Background: Provide clear, relevant background information that relates to the situation. In the example above, you should consider including the patient’s diagnosis, the prescribing physicians, and the dates and dosages of the medications. Assessment: A statement of your professional conclusion. Recommendation: What do you need from this individual? Create a concept map for the diagnosis of Sickle Cell Disease. Pathophysiology Medication Medical Interventions Nursing Interventions Nursing Considerations Pertinent Assessment Findings Patient Education Please complete medication cards: Colace Folic Acid Morphine Example of the Drug card expected: Nitrofurantoin (Macrobid) Class: Urinary tract anti infective Actions: Inhibits bacterial acetyl-CoA interference with carbohydrate metabolism. Indications: Urinary tract infections caused by Escherichia coli, Klebsiella, Staphylococcus Side Effects: Dizziness, headache, drowsiness, peripheral neuropathy, chills confusion vertigo Nursing Considerations: Lab tests: Culture and Sensitivity of urine sample before treatment. After treatment serum BUN and Creatine. Intake and Output, dysuria fever cloudy foul- smelling urine. SCIENCE HEALTH SCIENCE NURSING CLINICALS VN430

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