Introduction
- Pain level is an 8/10
- Location = bilateral legs, described as deep muscle pain
- Student in college
- Lives with mother and father
- Vital signs: T 37 P 80 R 18 BP 140/68
- Weight: 140
- Height: 5 feet, 6 inches
Additional Assessments
The arterial blood gas measurements (ABG):
- used for identifying the pulmonary crisis
Magnetic resonance imaging assessment:
- revealing the tissues damage
- estimating the cerebral blood flow and volume
Pain Types
- Somatic: external pain receptors
- Acute or chronic: the severity and continuation
- Visceral pain: Internal organs
- Neuropathic: neurological distortions
Type of pain and diagnosis are correlated.
Pain Types: Patient
Patient:
- Somatic pain and myalgia
- Preventing life-threatening consequences in young
- patients (Ayuk et al., 2018)
- Myonecrosis and sickle cell crisis
- Swelling legs and acute pain
Pain Assessment Standards
PQRST standard:
- P – Provocation/Palliation
- Q – Quality/Quantity
- R – Region/Radiation
- S – Severity Scale
- T – Timing
PQRST during sickle cell crisis:
- evokes the dialogue with the patient
- provides valuable insights about the pain
- allows learning about the chronic disease details
- contributes to the more detailed information collection
Nurse Teachings
- Blood transfusions
- Intensive care knowledge
- General awareness of sickle cell disease and its implications
- Massage skills
Care Plan And Interventions
Infection-related issues monitoring:
- minimizing the symptoms of the infection
- Pain-regulative measures
- Oxygenation control
- Constant hydration
- Massage of the affected region
- Blood testing
- Blood transfusions related care
References
Ayuk, A., Eneh, C., Ezenwosu, O., Mbanefo, N., Ndu, I., & Uwaezuoke, S. (2018). Vasco-occlusive crisis in sickle cell disease: current paradigm on pain management. Journal of Pain Research, 11, 3141-3150. Web.
Besa, E., & Maakaron, J. (2021). When are ABG measurements indicated in patients with sickle cell disease (SCD)? Medscape. Web.
Murphy, K., et al. (2017). Prevalence of specific types of pain diagnoses in a sample of united states adults. Pain Physician, 20, 257-268. Web.
Stephens, G. (2019). Using a structured clinical assessment to identify the cause of chest pain. CPD, evidence & practice, 34(3), 59-66. Web.