Care Plan. 745769 Essay Example | Topics and Well Written Essays - 750 words

Care Plan. 745769 - Essay Example Specifically, limitation of tissue oxygenation directly due to a sluggish blood flow is the major pathophysiologic feature of sickle cell anemia. End- organ damage may result when tissue hypoxia is prolonged, which then can lead to death (Smeltzer & Bare, 2006, p. 886). II. Clinical Manifestations (Signs & Symptoms): Severity of the clinical manifestations depends largely on the proportion of RBCs that have sickled. That is, when more cells are sickled, the chances of thrombosis also increase, thus causing decreased oxygen supply to tissues and organs. Pain is one of the most common manifestations as hypoxic tissues generate lactic acid that easily irritates nerve endings and other pain receptors. When the heart tissue is involved, acute chest pain manifests and more commonly associated with tachycardia, fever, falling hemoglobin levels, and sometimes bilateral infiltrates seen on the chest x-ray. Since these cells have relatively shortened life- span, simultaneous hemolysis raises b lood bilirubin level up to toxic levels. This is manifested as jaundice. Complications result from chronic hemolysis or thrombosis (Smeltzer & Bare, 2006, p. 887). III. ... On the other hand, chemotherapy using hydroxyurea increases hemoglobin F levels in affected patients, therefore reducing the formation of sickle cells. Still, there has been no evidence yet if the drug reverses organ damage. Lastly, chronic RBC transfusion is particularly helpful in acute exacerbations of the condition causing severe anemia and infections. However, the patient may also develop complications due to iron overload and thrombosis (Smeltzer & Bare, 2006, p. 888). Nursing interventions are focused on providing continuous pain relief by prompt administration of pain medications prescribed by the physician and helping the client relax and reduce anxiety. Prevention of infection by maintaining a therapeutic environment and using aseptic technique in nursing procedures performed must be an integral part of the care plan. IV. Diagnostic Studies/Lab analysis: Blood tests reveal the presence of sickle RBCs. WBC Count- 9x103/mm3 (N: 3.54-9.06 x103/mm3). Hemoglobin level is 7 mg/ d l (N- 13- 16 mg/dl) which implies anemia and decreased tissue oxygenation, thus, necessitating blood transfusion. Discharge Planning and Client Teaching Continue medications as prescribed by physician. Determine learning needs and educate as necessary especially the common triggers of an exacerbation. Inform S.B. and his mother about his increased risk of acquiring infection and provide directions to prevent it. Caution about severe chest pain and other signs of exacerbations that warrant immediate hospitalization. NURS 401 NURSING CARE PLAN Growth and Development According to Erickson Stage: 6 Crisis: Intimacy vs. isolation (Videbect, 2007, p. 53) I. Describe your patient’s ability to achieve

EMBA 560 Exercise 6 Essay Example | Topics and Well Written Essays - 500 words

EMBA 560 Exercise 6 - Essay Example ines of communication by which followers can openly send comments and suggestions directly to the leader; this will work only, however, when the leader responds to the feedback in a manner that lets his/her followers know that their messages are given attention to. By understanding them a leader is able to formulate goals and frame his message in a context that is meaningful o them. Relational power is based on the leader’s relationships with others, not only in terms of number but more important in the strength or quality of their relationship. It requires engagement and a measure of investing oneself in relationships. Relational power means building connections between people, which for a leader means getting to know certain people not in terms of their work along but also in other contexts that are meaningful to both leader and follower. One way of building relational power is to create opportunities for contact in a context other than work related, such as company-wide or movie premieres. Another way would be to find common interests between followers and leader where they could regularly associate outside of the work environment. Being members of the same golf club, for instance, or exploring the same interests such as comic strip characters and comicon conventions, would be venues outside of work where people can develop relationships. Sometime attending the same parent-teacher meetings when their children go to the same school could be a starting point for building relationships. While personal power can be develop with groups of people, relational power can be built only selectively, and should be cultivated with key personnel. Positional power is based on the formal position the leader holds in the organization and social environment. While personal and relational power are cultivated outside the organization hierarchy, positional power essentially relates to the organization, either based on the formal title or position one holds, or the