Sickle cell disease has lifelong effects on the body that causes continuous pain and health burdens. “Sickle cell disease (SCD) is a group of disorders affecting the haemoglobin protein leading to red blood cell sickling” (Ngo, 244). The disease can not be contracted from one person to another by airborne or direct contact. Sickle cell disease is inherited from both parents that carry the actual disease. If one parent has the disease and the other parent has the trait then it is a 50% chance that the child would either have the disease or be a carrier of the gene trait. “People with the disease are born with it and can experience complications of anaemia and organ damage to any part of the body starting in infancy” (Ngo, 244). Pain, anemia, …show more content…
The sickle red blood cells are crescent shape which can sometimes get stuck in the small blood vessels. When they get stuck and cause pain in any part of the body it is a called sickle cell crisis. A sickle cell crisis can cause pain in the chest, stomach, hands, feet, or bones and it could last a day or up to a week. This can be life threatening if not properly treated. Something as small and mild as leg pain when you have sickle cell may end up being life-threatening or the cause of your death. The sickle red blood cells that are stuck and is the cause of the mild pain in the leg may cause a blood clot. That blood clot would then travel through the body into the lungs and stop the natural blood flow. People with sickle cell disease have a weak immune system and when a sickle cell crisis happens whether the pain is mild or severe they should always seek medical help. Working out, overheating, getting too cold, not drinking enough fluids, change in air pressure, and getting sick are some triggers of a sickle cell …show more content…
“During the crisis organs, including the kidneys, liver and spleen are damaged causes excruciating pain, usually in the joints” (Northen). Just like you, your body’s organs need oxygen. Whether it is from anemia or a sickle cell crisis the lack of oxygen can cause acute to severe damage in the organs. The longer the organs go without oxygen the more damage the organ will have because it begins to shut down. Organ damage can lead to infections and other complications. Infections that are hard to fight for a person with sickle cell disease. A stroke could happen due to the lack of oxygen to the brain. Strokes are a high risk for anyone with sickle cell disease. During a stroke brain cells may die causing more
Under hypoxic conditions, the abnormal hemoglobin start to change shape. They become sickled, stiff, and have greater difficulty moving though the blood vessels. As a result they begin to stick together and eventually block the tissues from receiving nutrients and oxygen. This causes the tissue to become infarcted and leads to pain. In a hypoxic states the cells are forced to make energy also known as adenosine triphosphate (ATP) without oxygen. This is called anaerobic glycolysis and results in the production of lactic acid as a byproduct (citation). The presence of lactic acid lowers the pH of the environment, the cells must recycle lactic acid back into the cells, and ATP production is significantly slowed. The cells
Sickle Cell Anemia is an autosomal recessive disorder, which increases blood thickness hence affects the smooth flow of blood. This causes by the destruction of red cells where the normal shape of red cell become a stiff sickle shape. As a result, sufficient oxygen does not reach the vital organs. A vaso-occlusive crisis arises from hindrance of blood circulation by sickled blood cells. It is characterized by sturdy pains and in some cases; it may cause permanent organ damage. This paper seeks to formulate a nursing diagnosis, as well as a plan of care that includes nursing interventions and the methods to be used to evaluate whether the interventions are successful (American Sickle Cell Anemia Association).
1. Sickle Cell Disease is life-threatening and has a risk of of causing depression. In this study I examine the experiences that Sickle Cell patients go through specifically at emergency healthcare facilities to find out if there are any negative stigmatizations surrounding this disease. There may be judgments that are made about these patients from healthcare professionals when they seek drugs for their pain relief that may cause the stigmatization to occur. I will also investigate why individuals that have Sickle Cell Disease experience longer waiting times at emergency healthcare facilities and the lack of control they may have over their care regime.
Symptoms of a sickle cell are shortness of breath or fatigue and delayed growth in the development of children. Severe pain can be caused as a symptom when the blood gets stopped up in the vessel and causes the patient 's heart to pump slower, so people begin to feel pain in the body and feel out of breath.
The name of this patient is Davon; he is a five-year-old African-American male whom just moved from Chicago. The patient was visiting his pediatrician for a physical to enter kindergarten. The patient mother gave her history about confirming that she has the sickle cell trait and would like to know if her son is also a carrier for sickle cell. ("Sickle Cell Disease", 2015) “Sickle cell trait inherited from both hemoglobin A and S, in the red blood cells”. Those with this disease are still capable of having a healthy life. For instance, if one parent has sickle cell trait, and the other parent does not will only lead to the child having sickle cell trait or nothing. If both parents have the trait, then the child will genetically develop sickle cell disease inside the mother’s womb. Sickle cell trait is a transmitted disease that travels through the red blood cells. The symptoms of sickle cell trait is that when the skin gets pale, always cold, or even tired then that is a sign of having this disease. The patient cannot prevent this disease, due to this is something that is passed on from the womb and birth. Daily doses of penicillin can control the infection; on the other hand, it is not preventable. The only way to make sure that it does not get worse is the person must eat foods with high iron and even
Sickle cell anemia is a disease that reforms the patient’s red blood cells, which makes the red blood cells has an abnormal shape like a sickle. Sickled red blood cells can result to severe anemia; decrease causes numerous painful symptoms in patients. A defective protein called hemoglobin is what cause the abnormal shape of the red blood cells in the sickle cell patients.
Sickle cell disease is autosomal recessive; that is, both parents must have at least one copy of the gene before there is a risk of producing children with the disease (homozygotes). When both parents are carriers, the risk of bearing such a child is 25 percent with each pregnancy. Carriers themselves are almost symptomless and may have no idea of their status unless they are screened.
Sickle-cell anemia is a genetic disorder that makes your body produce red blood cells that are abnormal in shape. This disease is also widely known as hemoglobin SS disease. Unlike normal red blood cells, sickle cells are rigid and tenacious. Due to their shape and rigidness, they can block blood flow. In turn, this could cause organ damage to the body. Sickle cells are also fragile and die very easily due to the fact sickle cells have a lifespan of twenty days instead of the normal one hundred and twenty days for normal red blood cells.This causes the body to have a lower blood cell count, hence the name anemia in sickle cell anemia.
Sickle cell anemia occurs when an abnormal form of hemoglobin (HbS) is produced. HbS molecules tend to clump together, making red blood cells sticky, stiff, and more fragile, and causing them to form into a curved, sickle shape. Red blood cells containing HbS can go back and forth between being shaped normally and being sickle shaped until they eventually become sickle shaped permanently. Instead of moving through the bloodstream easily, these sickle cells can clog blood vessels and deprive the body's tissues and organs of the oxygen they need to stay healthy.
“In the United States, it's estimated that sickle cell anemia affects 70,000–100,000 people, mainly African Americans” (NHLBI, NIH, Who is at risk for sickle cell anemia). SCD is a disease that is a serious disorder in which the body can make normal blood cells and sickle shape cells. Sickle shape cells can block the blood flow in your vessels and cause pain or organ damage also put you in risk for infections. SCD has no cure available but there are many treatments out there to deal with the complications of it. From over years treatments did get better from way back in the day doctors have learned. Sickle cell disease has lack of attention and funding because it’s only affecting African American the most.
The problem is that when a red blood cell with hemoglobin S releases oxygen, the cell changes from the usual doughnut shape to a sickle or S shape, and becomes stiff rather than soft and flexible like normal red blood cells. This "sickled cell," which resembles a crescent moon, can't continue to glide through the small blood vessels as usual. Instead, it gets stuck in the tiny blood vessels, blocking the flow of blood and causing pain.
There are lots of genes in each of our body’s. when one is mutated it may causes a chain reaction and in the case with sickle cell that mutated gene may become rigid and sticky and won’t allow your body to make hemoglobin the iron rich compound that gives us the red color in our blood it hemoglobin is abnormal. The red blood cell s that carries oxygen from our lungs and other parts of our body cannot happen. The gene will sickle therefore preventing the blood and oxygen to pass through freely.
has mutated. This mutation results in distorted, “sickle-shaped” cells, which often get trapped in the blood vessels of the body. Because of this, a sickle cell patient can have severe oxygen deprivation resulting in extreme pain. Oxygen is necessary to survive and thrive, but when a person doesn’t receive enough oxygen to any part of the body, the consequences are excruciating.
Sickle cell anemia is an inherited disease in mostly people of Mediterranean, African, or Southeast Asian heritage which occurs when a person inherits the genes for sickle hemoglobin(NHLB). Sickle cell anemia is named from the shape that the red blood cells take because they become a crescent/sickle shape. Normally these red blood cells are flexible and round, but with sickle cell anemia they become rigid and sticky(Mayo Clinic) This shape inhibits the normal functions of red blood cells and they also cause blockages in blood flow to the limbs. The signs and symptoms of the disease vary, ranging from mild symptoms to drastic and hospital inducing health problems. There currently exists no widely available cure for sickle cell anemia, but as time passes and more research is done it is hopeful that there will be a cure.
Individuals who inherited this disease from their parents do not possess the standard hemoglobin that should be contained in RBC. Hemoglobin is a protein present in RBC, which transports oxygen to all parts of the body (National Heart and Blood Institute, 2017). The disease which impairs the hemoglobin’s responsibility, prevents blood cells from receiving the sufficient oxygen, causes RBC to be sickle shaped. Sickle cell disease precedes to several painful health complications such as VOC (vaso- occlusive crises), which are severe pain recurring episodes, that can lead to irreversible organ damage. Sickle cell anemia causes red blood cells to hemolyze continuously through an individual’s lifetime… hemolysis is the breakdown of red blood cells (Krishnamoorthy, et al. 2017). An experimental study was conducted with SCD Townes mice to test a possible solution for sickle cell anemia. Throughout a seven-week span, mice orally conveyed dosages of 100 mg/kg of DMF. DMF known as dimethyl fumarate is small complex molecule and which binds and activates to enhance Nrf2 to enhance Hbf. “Nrf2 is a transcription factor that triggers cytoprotective and antioxidant pathways to limit oxidative damage, inflammation, and increases HbF” (Krishnamoorthy, et al. 2017). Fetal hemoglobin (Hbf) is the hemoglobin present in fetuses; it is responsible for the transportation of oxygen