Miah’s family should be educated on the correlation of the spleen and sickle cell disease. The spleen is one of the early organs to be affected with sickle cell disease. By the time Miah reaches adulthood, the spleen will most likely undergo splenic atrophy, resulting in autosplenectomy. There are times when this doesn’t happen and there can be severe complications, such as acute splenic sequestration crisis, hypersplenism, massive splenic infarction, and splenic abscess. These types of complications often lead to a higher rate of mortality. In the past, splenectomy prophylaxis was not used because of the post-operative morbidity rate unless the patient was symptomatic. Now with the advancements in medical technology and medical knowledge, the surgery is much safer (Ahmed, 2011). Miah's family should be informed about the minimal risk this poses when compared to the bigger risk when the spleen is left in the body. If the spleen is removed, she will not be able to effectively clear certain bacteria from the body, and so vaccines and other medications will be needed to prevent infection (Al-Salem, 2006). References Ahmed. A. (2011) Splenic complications of sickle cell anemia and the role of splenectomy Retrieved from Al-Salem, A. (2006). Indications and complications of splenectomy for children with sickle cell disease. Journal of Pediatric Surgery , 41(11), 1909-1915. doi:10.1016/j.jpedsurg.2006.06.020 Burns, C., Dunn, A., Brady, M., Starr, N., Blosser, C. (2016). Pediatric primary care: A handbook for nurse practitioners , (6th ed.). Philadelphia: Saunders. Hay, W., Levin, M., Deterding, R. Abzug, M. & Sondheimer, J. (2014). Current Diagnosis and Treatment: Pediatrics , (23rd ed.). Mc-Graw Hill.
Yukiko, K., & Taunton, S. (2019). Evaluation of the child with joint pain and/or swelling. Retrieved from - pain-and-or-swelling
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