NRP/543: Management Of Pediatric And Adolescent
Wk 6 Discussion Populations Response 1 & 2 – Orthopedic and Hematologic Disorders
Post 1 reply to each of the following discussion responses from classmates or your faculty member. Be constructive and professional.
• Each reply must be a minimum of 175 words each.
•You MUST include a question with every post response to receive full credit.
• Each response must have at least 1 scholarly peer-reviewed reference or textbook listed
below under references.
• Must cite and list references in APA 7th edition format.
Textbook for NRP/543:
Burns, C. E., Dunn, A. M., Brady, M. A., Barber Starr, N., Blosser, C. G., & Garzon, D. L. (2017). Pediatric primary care (6th ed.). Elsevier.
Wk 6 DQ Response 1. Please reply as instructed above.
1. What is the current recommendation in managing thalassemia?
Wk 6 DQ Response 2. Please reply as instructed above.
2. A dear friend and colleague of mine spent most of his career working in outpatient oncology at the children’s hospital. He loved his job and the children that he met over his career. He was heartened when a child went into remission and grieved alongside the family when the child didn’t survive. He mentioned the excitement with the newest cancer research and the hope such research provides for the future.
Class: As an FNP (family nurse practitioner) What are the most common hematologic conditions that you are likely to encounter in children? How do we manage/assist parents who are coping with children with terminal diseases?
I have clearly read and understood the question in the statement. The question asks about the most common hematologic conditions likely to be encountered in children and how to assist parents dealing with terminal illnesses in their children. I will respond to these questions and post a question on the topic for further learning.
The commonest pediatric blood disorders experienced in practice include sickle cell disease (SCD), thalassemia, iron deficiency anemia and anemia of childhood, and other congenital anemias such as sideroblastic anemia (Camitta, 2021). Sickle cell disease is an inherited blood disorder in which the affected individual is born with an abnormal sickle-shaped hemoglobin, compromising oxygen transport by red blood cells. This causes symptoms of low oxygen in blood such as anemia, and jaundice due to increased hemolysis. The patients also present with painful crises due to vaso-occlusion from the sickle shaped RBCs.
Iron deficiency anemia is another common hematologic disorder among pediatrics. Children have higher needs for iron owing to their growing nature. Therefore, a diet poor in iron exposes children to iron deficiency hence anemia.
How to assist parents coping with terminally ill children
Taking care of a terminally ill child is a difficult task for a parent to deal with. On top of explaining the physical and medical care that the caregivers should perform, they should also be emotionally prepared to deal with the challenges (Koch & Jones, 2018). This should include explaining to them the importance of explaining this to the child. This will make the child less anxious about the many medical procedures they are likely to undergo. The parents also need to be counselled on end of life decisions for when the time comes (Bradshaw et al., 2019).
Question: what are the main issues to be covered in end of life care for terminally ill patients?
Bennett, C. (2019). Pediatric Blood Diseases. News Medical Life Sciences. https://www.news-medical.net/health/Pediatric-Blood-Diseases.aspx
Bradshaw, S., Bem, D., Shaw, K., & Taylor, B. (2019). Improving health, wellbeing and parenting skills in parents of children with special health care needs and medical complexity – a scoping review. NCBI, 19(301). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716943/
Camitta, B. M. (2021). Journal of Pediatric Hematology/Oncology, 43(8). https://journals.lww.com/jpho-online/pages/contributorindex.aspx?year=2021&issue=11000
Gupta, A. (2017). Aetiology of iron deficiency in children. Nutritional Anemia in Preschool Children, 47-118. https://doi.org/10.1007/978-981-10-5178-4_5
Koch, K. D., & Jones, B. L. (2018). Supporting Parent Caregivers of Children with Life-Limiting Illness. NCBI, 5(7). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069074/
Maakaron, J. E., & Taher, A. T. (2021). Sickle Cell Disease. Medscape. https://emedicine.medscape.com/article/205926-overview