Nursing Diagnoses for Thalassemia
* Deficient knowledge (treatment regimen)
* Delayed growth and development
* Disturbed body image
* Ineffective tissue perfusion: Cardiopulmonary
* Interrupted family processes
* Activity intolerance
* Risk for infection
Nursing Goal for Thalassemia
Patient and parents will:
Demonstrate age-appropriate skills and behaviors to the extent possible.
* Express positive feelings about himself.
* Develop no cardiac arrhythmias.
* Voice feelings and concerns related to the patient’s illness.
* Verbalize the importance of balancing activity, as tolerated, with frequent rest periods.
* Remain free from signs and symptoms of infection
Nursing interventions for Thalassemia
* Provide an adequate diet,
* Encourage the patient to drink plenty of fluids.
* Provide emotional support
* Help the patient and his family cope for chronic nature of Thalassemia
* Watch for adverse reactions during and after RBC transfusions.
* Collaborative an antibiotic, and observe the patient for adverse reactions.
* Explain the need for lifelong transfusions.
Patient Education for Thalassemia
* Explain how to prevent infection e.g. nutrition, wound care
* Tell about signs of hepatitis and iron overload, which are always possible with frequent transfusions.
* Explain why child must avoid strenuous athletic activity to avoid pathologic fractures.