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priority nursing interventions for Roslyn are to assess and monitor her vital signs

The priority nursing interventions for Roslyn are to assess and monitor her vital signs, especially her respiratory rate, and perform a pain assessment. The nurse should also administer medication to relieve pain, and considering she is pale and weak; a blood transfusion may be needed. The nurse should prepare Roslyn for that. As the nurse, it is vital to inform Roslyn and her family that her condition can cause pain and avoid students who may be sick when attending school. She should also inform them to let the school know about her condition and need to take medication to treat her symptoms while in school. The nurse can encourage them to keep Roslyn updated with her immunizations to help prevent infections. “Support groups for children with sickle cell anemia can help learn ways to cope with these conditions. These support groups can also be helpful for sharing their worries with peers who have similar concerns and feelings.” (Stanford Children’s Health, 2022, para.10) The nurse can support the family and Roslyn by providing information about support groups. The nurse needs to educate them about Sickle Cell Anemia and crisis. The nurse should instruct the family and Roslyn about the importance of handwashing. The nurse can educate them about different ways to manage pain and symptoms. Instruct them to avoid different foods and monitor things that can trigger Roslyn’s symptoms. It is vital to instruct Roslyn to avoid strenuous exercises because they can cause a crisis

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Social workers strive to make informed decisions about the interventions they implement.

Social workers strive to make informed decisions about the interventions they implement. These decisions should be driven by what the research data say. As a result, social workers have been called to systematically evaluate the effectiveness of the interventions they implement. A common way to evaluate interventions is to use a single-subject design. This involves monitoring an outcome for an intervention implemented for one client. After a social worker works with the client to determine the outcome to be measured, the following steps to the evaluation might look like this:

  • Administer the instrument before the intervention is implemented
  • Implement the intervention
  • Administer the same instrument, after a specified time period
  • Monitor to determine if there have been any changes in the outcome

In this Discussion, you use the lens of resiliency theory when reflecting on a case from your fieldwork, and then you consider how to measure the effectiveness of a possible intervention.

To prepare, read this article listed in the Learning Resources:

  • Smith-Osborne, A., & Whitehill Bolton K. (2013). Assessing resilience: A review of measures across the life course. Journal of Evidence-Based Social Work, 10(2), 111–126. doi:10.1080/15433714.2011.597305

By Day 3

Post:

  • Reflect on your fieldwork experience, and identify a case where it would have been beneficial to employ resiliency theory. Describe the case in 2 sentences.
  • Describe the presenting problem in one concise sentence.
  • Describe an intervention you would implement to promote resiliency.
  • Identify an instrument from the Smith-Osborne and Whitehill Bolton’s article that would be appropriate when employing a single-subject design to evaluate how effective the intervention is in increasing the client’s level of resiliency.
  • Explain why you selected the instrument.
    • In other words, why would the instrument be appropriate? (Consider the age of the client and for whom the instrument was designed, how feasible it would be to administer the instrument such as cost, time to administer it, etc.).
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