Devon Bynum, an 11-year-old, is admitted to the hospital in sickle cell crisis. This is the first time he has been admitted to a hospital.

Devon Bynum, an 11-year-old, is admitted to the hospital in sickle cell crisis. This is the first time he has been admitted to a hospital. He states he hurts all over and rates his pain at a 7 out of 10. Devon has been in the emergency department all night and last received morphine 2 mg IV at 0400 for his pain. He is receiving oxygen at 2 liters per minute (LPM) via nasal cannula. He has an IV of D5 ½ NS running at 83 mL/hour. His mom, who has been with him throughout the night, is anxious for her son to feel better. His last vital signs are TO 99.3°F; P 122 bpm; R 22/min; BP 100/64 mmHg; and oxygen saturation of 93% on oxygen at 2 LPM. He says he is tired and just wants to go to sleep. Devon’s mom tells the nurse that she doesn’t know how she will be able to pay the hospital bills. She shares that she is a single parent with two other children at home.

Question 1

What are three nursing diagnoses that you would give for Devon (NANDA diagnoses)?

Question 2

Would you include his mom’s concern about finances in his plan of care? How?

Question 3

What other healthcare discipline(s) would you expect to include in Devon’s plan of care?

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