Recall Michael, the child in the opening scenario who is admit ted with sickle cell crisis. Michael is receiving intravenous and oral fluids, oxygen, and opioids via a patient-controlled analgesia (PCA) pump. His hemoglobin on admission was 7.7 g/dl and hematocrit was 22% Michael’s father has returned to work and he visits in the evenings. Michael’s mother remains at the hospital with her son

1. Considering Michael’s age and developmental stage, what communication techniques will the nurse implement possible responses when teaching Michael about his disease and treatment?

2 Refer to Chapter 15 to plan the pain assessment and management techniques that can be used with Michael

3.What are the expected levels of hemoglobin and hemoglobin and hematocrit  at Michael ‘s age? Why are his levels abnormal? De scribe how sickle cell disease inftuences blood values .

4.What are the most immediate care needs while Michael is hospitalized? What additional immediate care will he re quire at home?.