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Thalassemia is a genetic blood disorder characterized by reduced or absent production of hemoglobin, leading to anemia and other complications. In paediatric nursing, managing a child with thalassemia requires a systematic approach based on the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation.

Nursing Problems and Interventions Based on Nursing Process

1. Assessment

• History Collection: Family history of thalassemia, frequency of blood transfusions, history of infections, and growth milestones.
• Physical Examination: Pallor, jaundice, hepatosplenomegaly, signs of iron overload, delayed growth, skeletal deformities, and fatigue.
• Laboratory Investigations: Hemoglobin levels, serum ferritin, liver function tests, and genetic testing.

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