Inheritance of the mutated gene from both parents results in sickle cell disease. ��5W �S���C^h�e-�O�CÏX+�4�[�o�Q�������*?Y��n�t�n��Wb�pa�c^8�Ez�h�O�5�(t�3#֗�4wKwsX�I�1��%�F�6 ��5�0��=v�~Y��.Ȟ�L�5���"Wq��V������������ਛ��+�5߇K�.Yr"P�i�9��ш�#i'�*�! 1. �-v��+y���[�e�+o����(��� ����������C��U�ּ,ʒ��}�d��a�gj�2������W�dm븣N֡��2���H�鰱�R���j��}����N�EuZ��=�ձ�������� �����O�[xV\*nxfڀ�? COVID-19 is an emerging, rapidly evolving situation. 1995 Aug;10(4):232-42. doi: 10.1016/s0882-5963(05)80020-x. /�3 endstream endobj 38 0 obj 581 endobj 39 0 obj << /Filter /FlateDecode /Length 38 0 R >> stream ��틏��8��}P�4��>�s��h�;q�-q|R�Hk$��f�c�/T� '�f�τ�C�(��$�S��$:۟~gu�֩��>X�xڢaُ�s���:bH��7P�5�A]�TJN�c�Y�ciUUҺ��\ �K{|*.2l=���)���Z"�&�3�)Qkʜ��Lc�T� Dl�e������PZt!X�¹�!/X��f�9�����~�s&�6[��C����5�-g��h�*��+�J�E��%����>�� [Article in French] Urvoy D, Blot C. PMID: Manage the pain of SC crisis, promote optimal perfusion and prevention of complications. Journal of Pediatric Psychology 17(5); 651-664. �b����RHU��X��+�9�z���0 Q���l��EZS�@�pKa�r���(��e��S�We����gW�4�� ���H��B�$�"u���yk�ݳ�=#�:u��6�@Ų��ƭ�}��}�ۂΎ�N�� ���W�+�J��#ɃYY��;:䖳�K���r��j3%�ʆi�n ���=�%:?������������� ��j� endstream endobj 26 0 obj << /Type /Font /Subtype /Type1 /FirstChar 32 /LastChar 122 /Widths [ 230 269 433 470 470 844 750 245 370 370 432 617 240 365 240 320 470 470 470 470 470 470 470 470 470 470 240 240 617 617 617 336 736 633 578 643 710 542 519 682 747 331 325 647 520 877 726 726 549 726 608 478 604 720 655 907 632 571 588 370 377 370 617 500 400 474 471 360 497 385 268 413 505 270 251 450 246 778 522 452 484 469 353 319 298 525 433 660 459 432 394 ] /Encoding /WinAnsiEncoding /BaseFont /PJJIDN+Minion-Italic /FontDescriptor 29 0 R >> endobj 27 0 obj << /Type /FontDescriptor /Ascent 735 /CapHeight 700 /Descent -250 /Flags 32 /FontBBox [ -179 -250 1297 943 ] /FontName /PCOFBC+StoneSans /ItalicAngle 0 /StemV 90 /XHeight 510 /StemH 60 /CharSet (/M/i/c/h/a/e/l/space/s/one/two/hyphen/y/r/o/d/b/k/w/m/t/p/v/n/period/H/g\ /f/comma/z/u/R/x/quoteright/T/A/W/q/question/C/colon/slash/five/E/G/D/B/\ parenleft/parenright/three/four/endash/zero/nine/eight/six/L/percent/sev\ en/P/N/S/J/ampersand/I/U/semicolon/V/O/j/F/K/Q/bullet) /FontFile3 48 0 R >> endobj 28 0 obj << /Type /Font /Subtype /Type1 /FirstChar 32 /LastChar 213 /Widths [ 287 296 370 574 574 926 815 204 352 352 426 574 287 333 287 389 574 574 574 574 574 574 574 574 574 574 287 287 574 574 574 463 796 612 574 684 736 497 481 739 704 265 272 593 481 928 781 796 537 796 556 520 556 690 593 927 645 538 612 333 574 333 574 500 352 500 595 481 595 507 296 595 585 238 238 477 238 894 585 573 597 597 348 389 345 571 490 779 519 495 450 352 259 352 574 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 574 0 500 0 0 0 759 0 0 0 287 0 0 287 574 287 287 0 574 287 287 287 287 287 0 0 287 0 0 0 0 0 287 0 287 287 0 0 0 287 0 0 0 0 0 500 0 0 0 0 278 ] /Encoding /MacRomanEncoding /BaseFont /PCOFBC+StoneSans /FontDescriptor 27 0 R >> endobj 29 0 obj << /Type /FontDescriptor /Ascent 710 /CapHeight 650 /Descent -239 /Flags 98 /FontBBox [ -139 -250 1101 812 ] /FontName /PJJIDN+Minion-Italic /ItalicAngle -12 /StemV 78 /XHeight 446 /StemH 33 /CharSet (/C/a/r/e/g/i/v/space/o/l/s/t/n/comma/R/k/f/d/p/A/w/h/m/I/y/c/b/H/u/z/j/P\ /K/parenleft/parenright/N/period/S/four/three/G/D/eight/x/J/two/seven/on\ e/zero/nine/six/hyphen/O/T) /FontFile3 55 0 R >> endobj 30 0 obj 703 endobj 31 0 obj << /Filter /FlateDecode /Length 30 0 R >> stream Treatment for sickle cell anemia is the focus of continued research. Clipboard, Search History, and several other advanced features are temporarily unavailable. BACKGROUND:Specialty care for children with sickle cell disease (SCD) may be disrupted during the coronavirus (COVID-19) pandemic. The accompanying nursing care plan summarizes nursing care for the child with sickle-cell anemia. � ��>@����V�wv���&y���Zjl���5��BGFt��R"ɓ����rЂإT5 u�i�_W�+V�a��R���#�;e� Supportive therapy. ���9v�e\F��wݽʸ��Qd\�R����c�.�ʊWaf%ʚ���"�y��*�X4��~ p�m ,��w'_���/v�"B[�f,.Q$�')� Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Desired Outcome. �b����RHU��X��+�9�z���0 Q���l��EZS�@�pKa�r���(��e��S�We����gW�4�� ���H��B�$�"u���yk�ݳ�=#�:u��6�@Ų��ƭ�}��}�ۂΎ�N�� ���W�+�J��#ɃYY��;:䖳�K���r��j3%�ʆi�n ���=�%:?������������� ��j� endstream endobj 26 0 obj << /Type /Font /Subtype /Type1 /FirstChar 32 /LastChar 122 /Widths [ 230 269 433 470 470 844 750 245 370 370 432 617 240 365 240 320 470 470 470 470 470 470 470 470 470 470 240 240 617 617 617 336 736 633 578 643 710 542 519 682 747 331 325 647 520 877 726 726 549 726 608 478 604 720 655 907 632 571 588 370 377 370 617 500 400 474 471 360 497 385 268 413 505 270 251 450 246 778 522 452 484 469 353 319 298 525 433 660 459 432 394 ] /Encoding /WinAnsiEncoding /BaseFont /PJJIDN+Minion-Italic /FontDescriptor 29 0 R >> endobj 27 0 obj << /Type /FontDescriptor /Ascent 735 /CapHeight 700 /Descent -250 /Flags 32 /FontBBox [ -179 -250 1297 943 ] /FontName /PCOFBC+StoneSans /ItalicAngle 0 /StemV 90 /XHeight 510 /StemH 60 /CharSet (/M/i/c/h/a/e/l/space/s/one/two/hyphen/y/r/o/d/b/k/w/m/t/p/v/n/period/H/g\ /f/comma/z/u/R/x/quoteright/T/A/W/q/question/C/colon/slash/five/E/G/D/B/\ parenleft/parenright/three/four/endash/zero/nine/eight/six/L/percent/sev\ en/P/N/S/J/ampersand/I/U/semicolon/V/O/j/F/K/Q/bullet) /FontFile3 48 0 R >> endobj 28 0 obj << /Type /Font /Subtype /Type1 /FirstChar 32 /LastChar 213 /Widths [ 287 296 370 574 574 926 815 204 352 352 426 574 287 333 287 389 574 574 574 574 574 574 574 574 574 574 287 287 574 574 574 463 796 612 574 684 736 497 481 739 704 265 272 593 481 928 781 796 537 796 556 520 556 690 593 927 645 538 612 333 574 333 574 500 352 500 595 481 595 507 296 595 585 238 238 477 238 894 585 573 597 597 348 389 345 571 490 779 519 495 450 352 259 352 574 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 574 0 500 0 0 0 759 0 0 0 287 0 0 287 574 287 287 0 574 287 287 287 287 287 0 0 287 0 0 0 0 0 287 0 287 287 0 0 0 287 0 0 0 0 0 500 0 0 0 0 278 ] /Encoding /MacRomanEncoding /BaseFont /PCOFBC+StoneSans /FontDescriptor 27 0 R >> endobj 29 0 obj << /Type /FontDescriptor /Ascent 710 /CapHeight 650 /Descent -239 /Flags 98 /FontBBox [ -139 -250 1101 812 ] /FontName /PJJIDN+Minion-Italic /ItalicAngle -12 /StemV 78 /XHeight 446 /StemH 33 /CharSet (/C/a/r/e/g/i/v/space/o/l/s/t/n/comma/R/k/f/d/p/A/w/h/m/I/y/c/b/H/u/z/j/P\ /K/parenleft/parenright/N/period/S/four/three/G/D/eight/x/J/two/seven/on\ e/zero/nine/six/hyphen/O/T) /FontFile3 55 0 R >> endobj 30 0 obj 703 endobj 31 0 obj << /Filter /FlateDecode /Length 30 0 R >> stream Based on the parents’ education, literacy, socioeconomic level, and interest, teaching focuses on the disease process (including some patho-physiology), treatment, and the assessment and monitoring skills for potential complications (see previous discussion). �3�5D#"��g����${:~T�GŷzP��d. 1992 Aug-Sep;(563-564):50-4. Nursing management for the child in crisis focuses on increasing tissue perfusion, promoting hydration, controlling pain, preventing infection, ensuring adequate nutrition, preventing complications, and providing emotional support to the child … f���p +�N�Cӂu&�^�f�x&ےp��@J��srI�����V� %����s����7��P The child will be free from infection. [Article in French] Urvoy D, Blot C. PMID: H�TPMO� ��+����BbjLzX5v��´�X Sz��Y���Ǜy3��z��7 8l�d��������&���O2��r��jUз�6�I2��$}71^��3�"�V˳�w ^���h��,�x��P��(��N[[Cp��f�te¿�`]�kvd���UU^F�)��=�Œ猧�u=x� R8lըL��0����>L��m1t$�����j�����B 1992 Aug-Sep;(563-564):50-4. 0 �,J[ endstream endobj 32 0 obj << /Type /FontDescriptor /Ascent 735 /CapHeight 700 /Descent -250 /Flags 262176 /FontBBox [ -158 -250 1540 946 ] /FontName /PDIOJN+StoneSans-Bold /ItalicAngle 0 /StemV 200 /XHeight 510 /StemH 89 /CharSet (/quotedblleft/M/Y/A/J/O/R/C/N/E/I/S/H/L/P/G/T/B/F/hyphen/period/space/W/\ D/comma/X/U/quotedblright/a/n/e/m/i/c/h/y/o/s/r/t/p/g/l/b/d/u/k/v/two/on\ e/eight/f/colon/V/K/w) /FontFile3 51 0 R >> endobj 33 0 obj << /Type /Font /Subtype /Type1 /FirstChar 32 /LastChar 211 /Widths [ 315 370 420 630 630 1093 796 240 444 444 444 630 315 350 315 574 630 630 630 630 630 630 630 630 630 630 315 315 630 630 630 574 870 742 668 667 761 556 519 748 758 331 331 706 556 969 743 778 648 778 667 557 631 722 723 1094 740 684 684 407 593 407 630 500 370 592 667 517 666 572 426 666 664 320 320 629 320 990 664 635 666 666 463 463 463 644 557 891 600 556 536 426 426 426 630 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 630 630 0 0 0 0 0 796 0 0 0 315 0 0 315 630 315 315 0 648 315 315 315 315 315 0 0 315 0 0 0 0 0 315 0 315 315 0 0 0 315 0 0 0 0 0 0 0 550 550 ] /Encoding /MacRomanEncoding /BaseFont /PDIOJN+StoneSans-Bold /FontDescriptor 32 0 R >> endobj 34 0 obj 525 endobj 35 0 obj << /Filter /FlateDecode /Length 34 0 R >> stream -����i���:' H���ώ�0�%�y�9&H�u��ܫ!$8�88Τ5�ؕ�t[ޓ�a��� ��D��3����� gy�Z�b^k��$�q�she�nP:{2�� � ��>@����V�wv���&y���Zjl���5��BGFt��R"ɓ����rЂإT5 u�i�_W�+V�a��R���#�;e�
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