Journal of pediatric nursing
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This article reviews the current state of the knowledge in the management of children and adolescents with sickle cell disease (SCD). A thorough review of the literature concerning physiological issues including the clinical manifestations of SCD as well as current treatment modalities is included. Therapeutic management of health and illness for a child with SCD is discussed in relation to primary, secondary, and tertiary prevention. Recommendations for nursing practice and research are made.
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Clinical Trial Controlled Clinical Trial
Reducing children's immunization distress in a primary care setting.
The purpose of this study was to compare two brief, inexpensive distraction techniques for children receiving immunizations during a county-sponsored immunization clinic. Preschool children (n = 80) were assigned to a party blower intervention, a pinwheel intervention, or a control group. ⋯ Results of planned comparisons indicated significant party blower results in the children's ratings of reduced distress (P < .01) and the parents' ratings of having to hold their child less strongly (P = .04), and showed it to be more distracting than the pinwheel (P < .02). The overall pattern of results on all rating scales supports the efficacy of using a party blower for reducing children's immunization distress, with minimal staff training and no procedural delay.