I'm a 1st semester nursing student and am needing help with coming up with 6 nursing interventions for my care plan on a 34 yo female with acute sickle cell crisis. For some reason my instructor has zeroed in on wanting interventions for peripheral tissue perfusion as related to risk for DVT. I could probably do acute pain in my sleep now but I guess she considers that too easy. My nursing dx is: Risk for ineffective peripheral tissue perfusion R/T abnormal RBC morphology. I'm using the nursing care plan book by Gulanick/Myers which is usually to the point and dead on. In this case, there's no clear cut plan of action and I've been flipping thru all sorts of different dxs to try. I talked to the nurses on the floor while at clinical and was told that the usual protocol is HOP - hydration, oxygenation and pain. They were mystified why I would have to come up with 6 interventions but didn't really give me anything to go on. I'd be beyond grateful if someone could help me out here! By the way - she also admits to smoking 1/2 ppd - which I know is a big deal to someone with abn RBCs.