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NURSING CARE PLAN FOR SICKLE CELL DISEASE
PROBLEM
NURSING
DIAGNOSIS
GOAL
INTERVENTION
EVALUATION
Pain
Pain related to
tissue hypoxia
secondary to
agglutination of
sickled cells
within blood
vessel evidenced
by restlessness
and patient
verbalizing pain
in extremities.
To relief
pain by
improving
oxygen
supply to
the tissues.
Rate the pain like 1 to 10 scales by asking
the patient if he or she old enough, how
he/she is feeling the pain to guide on the
type of analgesic to give. For example,
when it is above 5 then the patient will be
given a strong analgesic.
Elevate the joint that is swollen to reduce
pain caused by compression of nerves by
edema.
Teach patient relaxation technique such as
breathing exercises to deviate the patient
focus on pain to breathing
Give prescribed analgesics such as pethidine
to block the ascending pain receptors
thereby reducing pain.
Give a lot of fluids or breastfeed on demand
to increase circulatory volume which will in
turn reduce prevent clamping of cells
Patient is relieved from pain as
evidenced by patient resting and
verbalizing reduced pain of 2 on
the pain scale.
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together.
Knowledge
deficit
Knowledge
deficit related to
patient’s age
being small (if
child is small) or
unfamiliarity with
information
resources (bigger
child or parents)
as evidenced by
patient/parents
asking questions
and verbalizing
inaccurate
information,
expressing
frustration or
confusion when
performing a task.
To help
patient and
the parents
understand
the
condition.
Explain to the patient or the parents what the
condition is, in simple terms, how the
condition comes about, that it is genetic and
it is caused by reduction of blood in the
body. Explain according to recipient’s level
of education and understanding.
To Explain the situations that can precipitate
a sickle cell crisis and the steps they can
take to prevent or diminish such crises.
Encourage keeping warm and maintaining
adequate hydration can help to prevent
attacks.
The patient understands the
disease evidenced by patient
verbalizing accurate information,
not asking too many questions,
accurate follow through of
instructions and performing tasks
nicely.
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Knowledge
deficit
Knowledge
deficit related to
patient’s age
being small (if
child is small) or
unfamiliarity with
information
resources (bigger
child or parents)
as evidenced by
patient/parents
asking questions
and verbalizing
inaccurate
information,
expressing
frustration or
confusion when
performing a task.
To help
patient and
the parents
understand
the
condition.
Explain to the patient or the parents what the
condition is, in simple terms, how the
condition comes about, that it is genetic and
it is caused by reduction of blood in the
body. Explain according to recipient’s level
of education and understanding.
To Explain the situations that can precipitate
a sickle cell crisis and the steps they can
take to prevent or diminish such crises.
Encourage keeping warm and maintaining
adequate hydration can help to prevent
attacks.
The patient understands the
disease evidenced by patient
verbalizing accurate information,
not asking too many questions,
accurate follow through of
instructions and performing tasks
nicely.
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Knowledge
deficit
Knowledge
deficit related to
patient’s age
being small (if
child is small) or
unfamiliarity with
information
resources (bigger
child or parents)
as evidenced by
patient/parents
asking questions
and verbalizing
inaccurate
information,
expressing
frustration or
confusion when
performing a task.
To help
patient and
the parents
understand
the
condition.
Explain to the patient or the parents what the
condition is, in simple terms, how the
condition comes about, that it is genetic and
it is caused by reduction of blood in the
body. Explain according to recipient’s level
of education and understanding.
To Explain the situations that can precipitate
a sickle cell crisis and the steps they can
take to prevent or diminish such crises.
Encourage keeping warm and maintaining
adequate hydration can help to prevent
attacks.
The patient understands the
disease evidenced by patient
verbalizing accurate information,
not asking too many questions,
accurate follow through of
instructions and performing tasks
nicely.

Unformatted Attachment Preview

NURSING CARE PLAN FOR SICKLE CELL DISEASE PROBLEM NURSING GOAL INTERVENTION EVALUATION DIAGNOSIS Pain Pain related to To relief tissue hypoxia • Rate the pain like 1 to 10 scales by asking Patient is relieved from pain as pain by the patient if he or she old enough, how evidenced by patient resting and secondary to improving he/she is feeling the pain to guide on the verbalizing reduced pain of 2 on agglutination of oxygen type of analgesic to give. For example, the pain scale. sickled cells supply to when it is above 5 then the patient will be within blood the tissues. given a strong analgesic. vessel evidenced • Elevate the joint that is swollen to reduce by restlessness pain caused by compression of nerves by and patient edema. verbalizing pain • in extremities. Teach patient relaxation technique such as breathing exercises to deviate the patient focus on pain to breathing • Give prescribed analgesics such as pethidine to block the ascending pain receptors thereby reducing pain. • Give a lot of fluids or breastfeed on demand to increase circulatory volume which will in turn reduce prevent clamping of cells together. • Knowledge Knowledge To help deficit deficit related to patient and condition is, in simple terms, how the disease evidenced by patient patient’s age the parents condition comes about, that it is genetic and verbalizing accurate information, being small (if understand it is caused by reduction of blood in the not asking too many questions, child is small) or the body. Explain according to recipient’s level accurate follow through of unfamiliarity with condition. of education and understanding. instructions and performing tasks information • Explain to the patient or the parents what the The patient understands the To Explain the situations that can precipitate nicely. resources (bigger a sickle cell crisis and the steps they can child or parents) take to prevent or diminish such crises. as evidenced by • Encourage keeping warm and maintaining patient/parents adequate hydration can help to prevent asking questions attacks. and verbalizing inaccurate information, expressing frustration or confusion when performing a task. • Knowledge Knowledge To help deficit deficit related to patient and condition is, in simple terms, how the disease evidenced by patient patient’s age the parents condition comes about, that it is genetic and verbalizing accurate information, being small (if understand it is caused by reduction of blood in the not asking too many questions, child is small) or the body. Explain according to recipient’s level accurate follow through of unfamiliarity with condition. of education and understanding. instructions and performing tasks information • Explain to the patient or the parents what the The patient understands the To Explain the situations that can precipitate nicely. resources (bigger a sickle cell crisis and the steps they can child or parents) take to prevent or diminish such crises. as evidenced by • Encourage keeping warm and maintaining patient/parents adequate hydration can help to prevent asking questions attacks. and verbalizing inaccurate information, expressing frustration or confusion when performing a task. • Knowledge Knowledge To help deficit deficit related to patient and condition is, in simple terms, how the disease evidenced by patient patient’s age the parents condition comes about, that it is genetic and verbalizing accurate information, being small (if understand it is caused by reduction of blood in the not asking too many questions, child is small) or the body. Explain according to recipient’s level accurate follow through of unfamiliarity with condition. of education and understanding. instructions and performing tasks information • Explain to the patient or the parents what the The patient understands the To Explain the situations that can precipitate nicely. resources (bigger a sickle cell crisis and the steps they can child or parents) take to prevent or diminish such crises. as evidenced by • Encourage keeping warm and maintaining patient/parents adequate hydration can help to prevent asking questions attacks. and verbalizing inaccurate information, expressing frustration or confusion when performing a task. Name: Description: ...
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