This case study is
about Master A. A, a 4 year old boy with sickle cell disease who was diagnosed
of osteomyelitis with pathological fracture of the right humerus. Patient has
been hospitalised before for dactylitis on the 7th July, 2015, was
treated and discharged home on the 16th July, 2015. He was however
readmitted via Children Outpatient Department of Oni and Son Memorial Hospital,
Ibadan, Nigeria on the 21st July, 2015 on account of history of
fever of 6 days duration and swelling of the distal 2/3 third of the left
forearm, there was also swelling of the right upper hand which was associated
with pain and loss of function. A provisional diagnosis of osteomyelitis with
pathological fracture of the right humerus was made by the doctor in charge. He
was later reviewed by the paediatric team and was admitted into Ward I for
further investigations and proper management. Afterwards, Master A, A had cast
applied on the right humerus due to the fracture as confirmed by the X-ray
report. Nursing management was carried out by adopting Quality Care Model which
was proposed by Duffy J. R (2005).
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