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You are 25 years old with a life expectancy around 40. You're a member of a racial minority and you lack education partly because your illness made you miss so much school. You have suffered intense pain from the time you were a toddler. You currently have chronic severe pain and when you go to the emergency room for treatment you have two choices: 1 ; you can lay quietly using the coping skills that you have been taught over the years. Often that makes you appear as not being in real need, or, 2 ; you can let your pain be heard. Trouble is, if you draw attention to yourself you are often labeled as a "drug seeking" patient. You have Sickle Cell Disease SCD ; and you have been here before. People who suffer from Sickle Cell Disease must manage not only a difficult health condition but also deal with a healthcare establishment that is under-informed about the needs of the patient. With that in mind, the Division of Social Services hosted a symposium on the management of the sickle cell patient, sponsored by the Medical Society of Delaware. What were the conclusions of the daylong seminar? Believe the Patient! Pharmacists, physicians, nurses, case managers, and social workers who attended the symposium learned that the pain suffered by the SCD patient is very real in spite of the inability to objectively measure that pain. SCD is a lifelong condition whose process prevents adequate oxygenation of the cells. The lungs, bones, and kidneys are particularly affected. Toddlers require narcotic analgesics to control the pain of dactylitis involving the bones of the hands and feet. Dehydration, stress, and exposure to cold weather are trigger points for SCD crises. Pain management is often initially handled in the hospital or the emergency department using parenteral narcotic analgesics. Pain can persist for days, requiring a change to oral therapy as the pain diminishes and the SCD patient is discharged from the health care facility. Sickle Cell Disease affects every major organ of the body and may also lead to arthritis, bone necrosis, kidney disorder. The system shall provide the ability to explicitly indicate that a patient has no known drug allergies. The system shall provide the ability to capture history collected from outside sources, for example, diflucan com.

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