Intervention for the Sickle Cell Disease Order Instructions: Read the following articles:
Jenerette, C. M., Brewer, C. A., & Ataga, K. I. (2014). Care seeking for pain in young adults with sickle cell disease. Pain
Management Nursing, 15(1), 324-330 7p. doi:10.1016/j.pmn.2012.10.007
Wilson, B. H., & Nelson, J. (2015). Sickle cell disease pain management in adolescents: A literature review. Pain Management
Nursing, 16, 146-151. doi:10.1016/j.pmn.2014.05.015
An African American young adult is admitted to the emergency department in sickle cell crisis with a report of 10/10 pain. The
patient is known to several of the nurses and physicians in the department who have labeled the patient as a “drug seeker”.
Answer the following Questions:
1- Identify one intervention that can be taken by the RN to reduce the stigma and improve management of acute and chronic pain associated with sickle cell disease.
2- Does the intervention apply only to the patient? Does it apply only to the interprofessional team? Does it apply to both the patient and the members of the interprofessional team? Explain and support your answer.
Intervention for the Sickle Cell Disease Requirements
1-APA format
2-275 words minimum
3-include x2 professional references minimum, citing the above articles you’re to read along with the course textbook is preferable.
4-Double space.
Required Textbooks for this paper and for the course are:
1-Brunner and Suddarth’s textbook of medical-surgical nursing**
• Chapter 32: Assessment of Hematologic Function and Treatment Modalities
• Chapter 33: Management of Patients with Nonmalignant Hematologic Disorders (sections on “Anemia”, and “Iron Deficiency Anemia”;
the section on “Megaloblastic Anemia”; a section on “Sickle Cell Anemia”; a section on “Neutropenia”, section on “Thrombocytopenia”;
the section on “Disseminated Intravascular Coagulation”)
• Chapter 34: Management of Patients with Hematologic Neoplasms (sections on “Leukemia” and “Lymphoma”)
2-Pharmacology**
• Chapter 15: Vitamin and Mineral Replacement (section “Iron” )
Nursing Diagnosis Guidebook
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module
Maternal and child health nursing**
• Chapter 44: Nursing Care of a Family When a Child Has a Hematologic Disorder(sections on “Bone Marrow Aspiration and Biopsy”,
“Hematopoietic Stem Cell Transplantation”, “Disorders of Red Blood Cells (omit Thalassemias)”, and “Idiopathic Thrombocytopenia
Purpura” only)
• Chapter 53: Nursing Care of a Family When a Child Has a Malignancy (sections on “The Leukemias” and “The Lymphomas” only)
3-Web-Based and Other Professional Resources:
• Care seeking for pain in young adults with sickle cell disease (2014)**
• Sickle cell disease pain management in adolescents**
The course textbook:
Textbooks (Chapter numbers and titles may differ in subsequent editions of a given textbook. If your edition is different, use
the Table of Contents in the textbook to locate the appropriate chapters to read):
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA:
Lippincott Williams & Wilkins.
Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A patient-centered nursing process approach (8th ed.). St. Louis, MO:
Elsevier.
Nursing Diagnosis Guidebook
A pocket-size nursing diagnosis guidebook of your choice that is no more than one edition old, that includes NANDA
International-approved nursing diagnoses, definitions, defining characteristics, and possible nursing Interventions.
Pillitteri, A. (2014). Maternal and child health nursing: Care of the childbearing & childrearing family (7th ed.). Philadelphia,
PA: Lippincott, Williams & Wilkins.
Web-Based and Other Professional Resources:
American Heart Association. (2014). American Heart Association issues e-cigarettes recommendations.
Jenerette, C. M., Brewer, C. A., & Ataga, K. I. (2014). Care seeking for pain in young adults with sickle cell disease. Pain
Management Nursing, 15(1), 324-330 7p. doi:10.1016/j.pmn.2012.10.007
Johnson, M. and Pennington, N. (2014). Adolescent use of electronic cigarettes: An emergent health concern for pediatric nurses.
Journal of Pediatric Nursing. doi:10.1016/j.pedn2014.11.006
Lisy, K. (2014). Chest physiotherapy for pneumonia in children. The American Journal of Nursing, 114(5), 16.
doi:10.1097/01.NAJ.0000446761.33589.70
Mahon, S. Screening for breast cancer: Evidence and recommendations. (2012). Clinical Journal of Oncology Nursing, 16 (6), 567-
571. doi10.1188/12.CJON.567-571
Makic, M., Rauen, C., Jones, K. and Fisk, A. (2015) Continuing to challenge practice to be evidence-based. Critical Care Nurse,
35(2), 39-50. doi:10.4037/ccn2015693
Mayer, D. K. (2012). Anatomy of a drug shortage. Clinical Journal of Oncology Nursing, 16(2), 107-108.
McKeever, A. E., Bloch, J. R., & Bratic, A. (2013). Drug shortages and the burden of access to care: A critical issue affecting
patients with cancer. Clinical Journal of Oncology Nursing, 17(5), 490-495. doi:10.1188/13.CJON.490-495
Purbaugh, T. (2014). Alarm fatigue: A roadmap for mitigating the cacophony of beeps. Dimensions of Critical Care Nursing; 33 (1),
4-7.
Stevens, S. (2015). Preventing 30-day Readmissions. Nursing Clinics of North America, 50 (Transformational Tool Kit for Front
Line Nurses), 123-137. doi:10.1016/j.cnur.2014.10.010
Wilson, B. H., & Nelson, J. (2015). Sickle cell disease pain management in adolescents: A literature review. Pain Management
Nursing, 16, 146-151. doi:10.1016/j.pmn.2014.05.015
American Cancer Society
CDC guidelines for the pneumococcal vaccine
Drug Shortages page of the Food and Drug Administration website
Pulmonary Hypertension Association
Intervention for the Sickle Cell Disease Sample Answer
INTERVENTION FOR THE SCD
Question 1
Identification of the proper standards of care helps in the reduction of stigma and improvement of treatment as well as proper pain management. The RN nurse can adopt various strategies aimed at ensuring the issue of stigmatization is thoroughly dealt with while at the same time ensuring proper management of pain for those suffering from sickle cell disease (Janerette et al, 2014). Clinical practice recommendations and provision of education are the appropriate interventions for the crisis. Some of the strategies used by the RN to control health-related stigma include cognitive behavior therapy, treatment, and counseling. Education is one of the key interventions that can be administered using the support groups channel, empowerment, and advocacy to help in solving the issue (Janerette et al, 2014). The RN enhances better communication of the patient’s needs and satisfaction. Skills of living with the disease should be taught early while it is also essential for the nurses to reduce the cases of delays in seeking drugs and medication. Provision for the rapid control of pain and acute illness and monitoring of the vital signs and management of the pain algorithm are strategies used in improving pain management (Wilson & Nelson, 2015).
Question 2
The intervention and other strategies employed also apply to the inter-professional team as they are the main managers of pain. The intervention is effective in contributing to the improvement of the health outcomes and nursing knowledge for the SCD clients (Janerette et al, 2014). The inter-professional team also needs education on the disease process and management of pain. The members of the inter-professional team significantly help in reducing the mortality and morbidity of the sickle cell patients through the adoption of evidence-based practices (Wilson & Nelson, 2015). The improvement of the care-seeking experience requires the involvement of the family members of the SCD client, the patient, and the health professional team to ensure that the adopted intervention is fully effective.
Intervention for the Sickle Cell Disease References
Jenerette, C. M. et al (2014). Care seeking for pain in young adults with sickle cell disease. Pain Management Nursing, 15(1), 324-330 7p. doi:10.1016/j.pmn.2012.10.007
Wilson, B. H., & Nelson, J. (2015). Sickle cell disease pain management in adolescents: A literature review. Pain Management Nursing, 16, 146-151. doi:10.1016/j.pmn.2014.05.015
