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Sickle Cell Case Study

This case study presents a 10-year-old male patient diagnosed with Sickle Cell Disease, highlighting the socio-demographic data, pathophysiology, mental health impacts, and clinical presentation. It outlines the necessary investigations, treatment overview, nursing care plan, and identified nursing diagnoses, emphasizing the importance of holistic nursing care for better patient outcomes. The prognosis is fair to good with family involvement in symptom management and adherence to treatment.

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mwamlimaelisha29
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38 views19 pages

Sickle Cell Case Study

This case study presents a 10-year-old male patient diagnosed with Sickle Cell Disease, highlighting the socio-demographic data, pathophysiology, mental health impacts, and clinical presentation. It outlines the necessary investigations, treatment overview, nursing care plan, and identified nursing diagnoses, emphasizing the importance of holistic nursing care for better patient outcomes. The prognosis is fair to good with family involvement in symptom management and adherence to treatment.

Uploaded by

mwamlimaelisha29
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Nursing Care Case Study: Sickle Cell

Disease
• A Case Presentation
• Prepared by: [Your Name]
• Date: [Presentation Date]
Socio-Demographic Data
• • Name: [Confidential]
• • Age: 10 years
• • Gender: Male
• • Weight: 26 kg
• • Residence: [Confidential]
• • Diagnosis: Sickle Cell Disease (SCD)
• • Hospital: Bugando Medical Centre
• • Date of Admission: 29 January 2025
• • Previous Medical History: SCD on folic acid &
Pathophysiology of Sickle Cell
Disease
• • Genetic disorder causing abnormal
hemoglobin (HbS)
• • Red blood cells become sickle-shaped
• • Leads to vaso-occlusion, anemia, and organ
damage
Impact on Mental Health
• • Chronic pain and hospitalizations lead to
anxiety and depression
• • Social withdrawal due to physical limitations
• • Stress for patient and family
Predisposing Factors
• • Genetic inheritance (autosomal recessive)
• • Hypoxia
• • Dehydration
• • Infections
• • Stress and cold exposure
Clinical Presentation (Literature vs.
Patient)
• • Literature: Pain, fever, anemia, jaundice,
breathlessness, fatigue
• • Patient: Shortness of breath, fever,
weakness, abdominal distention, pallor, spoon
nails
Investigations Required
• • Complete Blood Count (CBC)
• • Reticulocyte count
• • Peripheral smear
• • Hemoglobin electrophoresis
• • Liver/kidney function tests
• • Blood cultures
Patient's Investigations & Results
• • RBG: 10.1 mmol/L (admission), later 5.6
mmol/L
• • MRDT: Negative
Treatment Overview
• • Common treatments: Pain management, IV
fluids, antibiotics, blood transfusion
• • Patient received:
• - Paracetamol infusion
• - DNS & Sodium chloride IV
• - Sulbactam-Ceftriaxone
• - Ciprofloxacin
Nursing Care Plan: Identified Needs
• • Pain management
• • Hydration
• • Infection prevention
• • Nutritional support
• • Psychosocial support
Nursing Diagnoses
• 1. Acute pain related to vaso-occlusive crisis
• 2. Risk for infection due to
immunocompromised state
• 3. Imbalanced nutrition
• 4. Risk for delayed growth & development
Implementation & Evaluation
• • Pain: Paracetamol, monitoring
• • Hydration: IV fluids, oral intake
• • Infection: Antibiotics, monitoring
• • Nutrition: Dietary counseling
• • Psychosocial: Support & family involvement
Complications of SCD
• • Acute chest syndrome
• • Stroke
• • Severe anemia
• • Organ damage (kidneys, liver, spleen)
Complications in Patient
• • Moderate anemia (not critical)
• • No acute chest syndrome or stroke observed
Preventive Strategies
• • Hydration
• • Avoid extreme temperatures
• • Prompt infection treatment
• • Regular medication adherence
Prognosis & Family Involvement
• • Prognosis: Fair to good
• • Family educated on symptom management
& adherence to treatment
Holistic Nursing Role
• • Physical: Pain relief, hydration, infection
prevention
• • Psychosocial: Counseling, emotional support
• • Cultural: Respect for family beliefs
• • Spiritual: Support through counseling
Conclusion
• • SCD is a chronic, genetic disorder requiring
comprehensive management
• • Holistic nursing care improves outcomes
References
• • [Include relevant medical sources &
references]

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