Concept Map: Concept Map Sickle Cell Disease

Concept Map: Sickle Cell Disease
October 8, 2010
Duke University School of Nursing

Introduction

My client, known as 20SE03, is a four year old preschooler that lives in a two-parent household along with his younger one year old sister. His family has recently moved to North Carolina where he was recently presented with new onset of seizures and status post cerebral vascular accident (CVA). He has a history of sickle cell disease, ulcerative colitis, acute chest syndrome, and asthma. Symptoms began about 18 months ago when his mother observed that he complained of intense pain in his lower extremities. As the pain worsened, he started having breathing problems; resulting in a series of subsequent hospitalization starting 13 months ago for pulmonary embolus. Upon
The father and mother play an instrumental|
| |role in child’s development. A paternal aunt babysits for the parents. Few friends and primarily plays indoors with sister; lives with |
| |both parents, sister, and paternal grandmother. Lots of family that live nearby and come to visit. |
| | |
| |Risk Assessment: Risk for infection r/t Sickle Cell Disease; Risk for fluid and electrolyte imbalance; Fall risk; Braden Score: 22 |

Laboratory