Admission for I.V. antibiotics is usually indicated. Back exercise program to prevent recurrences as pain improves. Treatment of the underlying disease usually takes precedence over the sickle syndrome. Assess pain on a scale of 1 to 10, describe level and characteristic of pain and factors that influence pain such as bending, lifting, or prolonged standing. Prevention of pyelonephritis and PID requires prompt treatment of symptoms.
Back problems require a regular exercise program.
Patient and Parent Education Prompt treatment of symptoms must be stressed. Patients must be educated to learn to recognize their characteristic pain and seek evaluation for atypical pain. All that hurts is not sickle cell crisis. Patients with back pain must be taught exercises and proper back care. They must also learn to differentiate this pain from acute pain episodes and to use appropriate analgesics.