genetic testing |My course tutor

Posted: February 25th, 2023

Case Study: Roslyn, a six-year-old, is attending public school for the first time. Her parents brought her to the clinic and stated, “she appears to have pain in her legs and won’t participate in playtime.” The parents noticed recently Roslyn appears pale and acts weak. Roslyn is diagnosed with sickle cell anemia. After her parents and siblings undergo genetic testing, it is found that Roslyn is the only family member with the disease.

• What are the priority nursing interventions for Roslyn?
• What anticipatory guidance should the nurse provide Roslyn and her family regarding the diagnosis of sickle cell anemia and her attending school?
• How can the nurse support the child and family?
• What discharge instructions should the nurse provide to Roslyn and her parents?
• What, if any, activity restrictions will Roslyn have after discharge?

SOLUTION

Priority Nursing Interventions for Roslyn:

1. Assess Roslyn’s pain level and provide appropriate pain management.
2. Monitor vital signs, particularly temperature, as children with sickle cell anemia are at higher risk for infections.
3. Provide oxygen therapy as needed.
4. Encourage hydration to prevent dehydration and maintain adequate blood flow.
5. Administer blood transfusions as needed to maintain hemoglobin levels.
6. Educate Roslyn and her family on the importance of infection prevention and management.
7. Administer prophylactic antibiotics as prescribed to prevent infections.