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Richard Thomas is a 28 -year-old African-American client who was diagnosed with sickle cell anemia since he was 3 years old. Richard works for a computer company and has been clocking in 12-hour days to get a system installed for a large online company. He has been under pressure lately because his boss is pressuring him and other employees to get the job done in a timely manner and without problems. Being physically and mentally drained, Richard decided to relax by playing golf on a warm Saturday morning with his friends. At the seventh hole, Richard experienced dyspnea and tingling and numbness in his legs. He initially waived it off thinking it might have been the fact that he just walked up a steep hill on the fairway. After the next hole, he experienced severe pain in his ankles and knees. This made walking excruciating. He decided that he couldn't take the pain anymore and asked his friend to drive him to the nearest emergency room. Richard told the ER nurses that he is a "sickler" and when asked to rate his pain, he said 10/10. The physician ordered oxygen by nasal cannula, IV fluids, and a PCA pump with morphine sulfate STAT. List physical symptoms that the patient is experiencing that is suggestive of their diagnosis. Which nursing diagnosis would you identify as a priority for this patient? Please write a car plan. Come up with two. In addition, please state the: a. Goals/Expected Outcomes. b. Interventions (at least 3).
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