Narrowing health inequalities in SCD

what is Sickle Cell Disease

A genetic disorder inherited in an autosomal recessive pattern, more common in individuals of African and Caribbean backgrounds.

what are Health Inequalities

Disparities in healthcare outcomes and access, crucial in sickle cell disease due to higher risks and poorer outcomes in deprived areas and ethnic minority groups.

when do patients required immediate attention in an Acute Sickle Cell Crisis

Requires immediate medical attention for symptoms like severe pain, shortness of breath, chest pain, fatigue, swelling, infections, neurological disturbances, and vision problems.

why do patients with sickle cell experience fatigue

Sickle cells break apart easily and die within 10 to 20 days, leaving a shortage of red blood cells

why do sickle cell patients experience swelling of hands and feet

 sickle shaped red blood cells blocking blood circulation to hands and feet

why are sickle cell patients vulnerable to infections

Sickle cells can damage the spleen, increasing vulnerability to infections.

why do sickle cell patients experience vision problems

Tiny blood vessels that supply the eyes can become plugged with sickle cells. This can damage the retina, the portion of the eye that processes visual images, and lead to vision problems.

Healthcare Professionals' Role

Involves vigilant monitoring for sickle cell crises, following NICE guidance, involving specialists, individualized care plans, shared decision-making, and addressing sociocultural factors.

what monitoring needs to be carried out on patients presenting with sickle cell episode

• blood pressure

• oxygen saturation on air (if oxygen saturation is 95% or below, offer oxygen therapy)

• pulse rate

• respiratory rate

• temperature

Pain Management

Critical in acute sickle cell crisis, should be provided within 30 minutes of presentation, with regular monitoring and clinical assessment of vital signs.