NURSING CARE PLAN

Name: Lily Age: 5 y/o Sex: Female

Complaint: reddening and swelling of her left elbow Admitting/Working Diagnosis: Hemophilia A

Cues Nursing Planning/ Intervention Rationale Evaluation Discharge Planning

Diagnosis Outcome Criteria
Subjective: Patient Acute pain Short Term Goal: Dependent: Rice method ( ● RICE method can 1. Child has Medications:
complained of pain on related to Rest, Ice, compression and be helpful for experienced
the area inflammatio Child will reduce elevation). people with mild to reduction in ● Desmopressin (DDAVP)-
swelling and pain for milder forms of
n of left moderate pain and
elbow on the affected caution on applying ice to hemophilia A. swelling. hemophilia. Can
are skin; children's skin easily temporarily increase the
Compromis breaks. Immediate ● Replacement 2.Family was concentration of factor
ed family health teaching to replacement therapy or therapy is the able to be VIII in blood. Given via
family will be
coping injection of the deficient primary treatment educated IV, injection, or nasal
Objective: discussed and clotting factor to treat for hemophilia and about spray.
risk for understood. patient with hemophilia. is done to prevent hemophilia
Temp: 37c bleeding ● Antifibrinolytic
bleeding episodes.
because of Dependent: Administer 3.Bleeding has medications such as
hemophilia . the analgesic ● Acetaminophen( Ty been tranexamic acid and
Reddeding and swelling At risk for acetaminophen also lenol) is more decreased. aminocaproic acid for
of left elbow as seen prolonged Long term Goal known as tylenol as suitable as oral mucosal
and complained by bleeding ordered by physician. analgesic hemorrhage that can be
Family will be able
mother Immobilize and apply used as prophylaxis
to accept their ● Elastic bandages
elastic bandages to the along with replacement
childs situation ensure alignment
affected joint if indicated. therapy in certain
and adapt to it of joint while
Independent: Educating situations to help keep
the infected are properly just in healing.
the patient on the use of blood clots from
increased in size case of future
injuries Medications and side ● educating breaking down.
effects patient/parents of
use of meds and Environment-
Collaborative: physical side effects will advise parents to Provide safe
therapy after treatment allow them to environment for children with
know how to take hemophilia. ex; helmets , pads.
it correctly

● Physical therapy
will help patient Treatment
heal joints
First Aid of RICE treatment

Primary treatment of
replacement therapy FVIII for
hemophillia A can be regularly
prescribed to combat a bleeding
episode in progress and allow
the diagnosed person to live a
normal life.

Health teaching

Encouragement to parents to
bring child to hospital if bleeding
episode occurs.

teach parents what to avoid as

small and simple injuries can
cause excessive bleeding.
Out patient

After discharge- schedule for

follow up appointment.

Spiritual

Patient and parents need to

connect and share their feeling
of the situation and the
connection to their faith/belief
and Have good support system
between family members.
Encourage them to seek
consultation etc.