30 January 2012

NCP For Thalassemia Diagnosis and Intervention

NCP For Thalassemia Diagnosis and Intervention
Thalassemia is a genetic disorder in which one of the two proteins that makeup hemoglobin in red blood cells is deficient. Hemoglobin helps carry oxygenthrough the blood to all parts of the body.

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.