Abstract:

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 7^th July, 2015, was treated and discharged home on the 16^th July, 2015. He was however readmitted via Children Outpatient Department of Oni and Son Memorial Hospital, Ibadan, Nigeria on the 21^st 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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