Pain and Sickle Cell Disease by liaoqinmei

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									Pain and Sickle Cell Disease

    Hallie Zietz, MSN, RN, CPNP
                 Pain and Sickle Cell
                       Disease
• Painful episodes are the most common
  cause for patients with Sickle Cell
  Disease to seek medical attention
• Always remember:
  – Pain is real and children oftentimes will use
    distraction as a way to control pain
                            Pain and Sickle Cell
                                  Disease

Triggers for Pain
•   Extremely cold temperatures
•   Change in weather
•   Over exertion
•   Dehydration
•   Exposure to tobacco smoke
•   Onset of menses
•   Swimming pools
•   Stress
•   As children get older they will learn the triggers for painful
    events and avoid them
                          Pain and Sickle Cell
                                Disease
Primary Locations for Pain
•   Upper and lower back
•   Arms
•   Legs
•   Chest
•   The pain is usually described as:
     – Aching
     – Throbbing
     – Sharp
     – Hurting
     – Pounding
                   Pain and Sickle Cell
                         Disease
Assessment of Pain
• Can be challenging to identify the presence
  and severity of pain
• We rely on the cognitive ability of the child to
  assess pain
• Children as young as three can be capable of
  quantifying their pain and then translate it to a
  visual representation
       Pain and Sickle Cell
             Disease

Wong-Baker FACES Scale
  Pain and Sickle Cell
        Disease

Numeric Scale
              Pain and Sickle Cell
                    Disease

Pain Management:
The goal of which is to reduce,
 control and prevent pain!
                    Pain and Sickle Cell
                          Disease

Mild Pain
• Usually recommended to use non-opioid therapy
   – NSAIDS
   – Tylenol III
• The majority of theses painful episodes are managed
  at home.
   – This doesn’t mean the child is able to attend
     school
                            Pain and Sickle Cell
                                  Disease

Moderate to Severe Pain
•   Usually admitted to the hospital for IV pain management lasting several
    days.
                                Use of a PCA is often very successful for
                                treating this level of pain.
                 Pain and Sickle Cell
                       Disease

Remember….
Painful events may be modified:
  – Allow the child to keep well hydrated with
    water
  – Allow for increased bathroom breaks
  – Try to limit exposure to extreme
    temperatures hot/cold
  – Allow for adequate rest

								
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