Sickle cell anemia is characterized by the growth of abnormal hemoglobin, anomalous red blood cells and consequential complications (Olowoyeye & Okwundu, 2010). This type of disorder is more prevalence in Africa, Saudi Arabia, United States and the Caribbean (Centers for Disease…
Diagnosis is usually made at birth at the time of newborn screening. Disease management is usually focused on pain, hydration and infections prevention and various complications resulting in vaso-occlusive crises (Lee, Askew, Walker, Stephen & Robertson-Artwork, 2012). This paper is a reflective essay and discusses leadership management on the caring of a patient with sickle cell disorder by applying the theoretical concept from Gibbs framework of reflection. The essay is based on the case study of a 25-year old African-Caribbean man who had been diagnosed episode of sickle cell pain. The patient has been admitted in the Lister Hospital six times on the same issue. Though the previous pains were on the abdominal and legs, this time round he came up with chest pain also. Skills, knowledge and attributes linked to leadership are also discussed and change management leadership concept applied. The paper has analyzed my accountability and delegation, ending up with conclusion summarizing the whole paper concept.
The reflective model that I have decided to apply is Gibbs model of reflection. This framework is grounded on Gibbs Reflective Cycle developed in 1988 (Gibbs, 1998). The framework is related to Kolbs Learning Cycle, but it covers the principles at large. Every step of the cycle starts with describing the event, then reviewing; reflecting on the experience then ends up with the formulation of a plan to deal with the same experience in the future. This cycle constitutes six steps of which the practitioner is expected to provide answers to various questions each leading to the next step, stressing an adequate event analysis provoking decisive thought. Fresh meanings are developed making the learner come up with an affirmative plan of action (Gibbs, 1988). The six steps involved include: description- what occurred? , feelings-what were you experiencing? , ...
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“A REFLECTIVE WRITING ON CASE STUDY 1 MANAGING A SICKLE CELL ANEMIA FOR Essay”, n.d. https://studentshare.net/nursing/795183-a-reflective-writing-on-case-study-1-managing-a-sickle-cell-anemia-for-assessment-2.
Sickle cell affects red blood cells which contain haemoglobin and according to Anon (2009) about 250,000 people are carriers of sickle cell genes. Sickle cell disease also means that if both parents are carriers, then it is more likely for the children to develop either sickle cell disease or to be a carrier of the disease.
It is the oxygen carrier in blood. In other words, Hemoglobin is responsible for distributing oxygen to different body organs. It should be noted that adequate oxygen supply is necessary for many of the body organs to function well. So any defects occur to the Hemoglobin can cause problems in the functioning of different body organs.
The term sickle cell comes from the sickle shape or the crescent type shape of the affected hemoglobin molecules. It is caused due to a change in just a single nucleotide in a DNA molecule out of a billion others present in the cells of the human body. It may seem like a minor change but the effect is disastrous.
This sickling of the cells is caused due to a change in one of the nucleotides of a DNA molecule out of the billion other cells present in the human body. This change may seem minor, but the results are disastrous. A person affected with sickle cell anemia inherits a mutated or recessive allele from both the parents.
However, the carriers will have the potential to pass on the affected gene to their offspring.
The chances of my friend being a carrier are one out of four. Both her grandparents were carrier of mutated CFTR as they were healthy and one of their progeny (uncle) had cystic fibrosis.
This process causes damage to the red blood cell membrane and sometimes the red blood cells get attached in blood vessels. This attachment or adherence of the red blood cells deprives the tissues of oxygen causing ischemia and infarction.The disease is chronic with periodic painful attacks,damage of internal organs with complications of strokes and subsequent shortened lifespan.The average life span of sickle cell patients is just 40 years.