Medical-surgical nursing is the single largest nursing specialty in the United States. Registered nurses in this specialty practice primarily on hospital units and care for adult patients who are acutely ill with a wide variety of medical problems and diseases or are recovering from surgery.
Nursing Care Plan For Sickle Cell Anemia Sickle cell anemia or sickle cell disease a genetic blood disorder, which passed down through families, characterized by red blood cells that assume an abnormal, rigid, sickle shape.
Red blood cells contain an iron-rich protein called hemoglobin. This protein carries oxygen from the lungs to the rest of the body. In sickle cell anemia, hemoglobin, in the presence of low oxygen tension caused by hypoxia, acidosis, dehydration or feverit's crystallizes quickly, causing RBCs to bend in to crescent or sickle shape.
The sickle cells accumulate then obstructing capillary flow throughout the body.
The thickened blood results in capillary stasis, obstructed blood flow and thrombosis. Ischemia occurs distal to thrombosis, causing further oxygen depletion and sickling, which can lead necrosis. The body hemolyzes the fragile sickle cells, quickly producing severe anemia. Possible causes of sickle cell anemia is genetic inheritance, that the child inherits the gene that produces hemoglobin S from two healthy parents who carry the defective gene.
Assessment findings in sickle cell anemia is vary with the child's age.
Before age 4 months, symptoms are rare because fetal hemoglobin prevents excessive sickling. Splenomegaly from sequestered RBCs, Colic from pain caused by an abdominal infarction and Dactylitis or hand-foot syndrome from infarction of the small bones of the hands and feet.
Hypovolemia and shock from sequestration of large amounts of blood in spleen and Pain at site of vaso-occlusive crisis. School age children and adolescents: Enuresis, Extreme pain at crisis site, Poor healing of leg wounds from inadequate peripheral circulation of oxygenated blood, Delayed growth and development and delayed sexual maturity, History of pneumococcal pneumonia and other infection due to atrophied spleen and Priapism.
Diagnostic evaluation for sickle cell anemia: RBCs are crescent-shaped and prone to agglutination.
Nursing Diagnosis for sickle cell anemia: Ineffective tissue perfusion peripheral.Prospective medical and health services managers typically have a degree in health administration, health management, nursing, public health administration, or business administration.
Degrees that focus on both management and healthcare combine business-related courses with courses in medical terminology, hospital organization, Entry-level education: Bachelor's degree. Nursing Management has been awarded a APEX Award of Excellence for Writing/Regular Departments & Columns (Care Transitions).
Nursing Management has been awarded a American Society of Healthcare Publication Editors Silver Award for Best New Department (Care Transitions).
Nursing is a profession within the health care sector focused around the care of people, families, and groups so they may achieve, keep up, or recoup ideal wellbeing and personal satisfaction.
Nurses may be separated from other health care providers by their approach to manage understanding consideration, planning, and scope of practice.
There is a large volume of research related to medication management and the elderly. Medication management is a complex process that must be interdisciplinary in its approach. Many of the evidence-based interventions discussed are not discipline specific. A team of providers is needed to provide safe and therapeutic medication management.
Nursing care plan for Hypertension, Nursing care plan for Diabetes Mellitus, Nursing care plan Myocardial Infarction (MI), Nursing care plan Tuberculosis (TB), Nursing Management for Hypovolemic Shock, Nursing Management for Fracture, Nursing Management of the Patient with Sepsis, etc.
Medicines management in care homes Care homes must have a written policy and procedure on the administration of medicines. Staff working in the home should be aware of the policy and should be working to it at all times.