Tuesday, April 14, 2015

Nursing Care

Acute Lymphoblastic Leukemia (ALL):
Nursing Care


Today, I will be talking about the nursing care involved with ALL.  This care can vary greatly depending on the stage of cancer, whether the patient is in the hospital or at home, and the age of the patient.  I will start with the basic care considerations the nurse will go through.


Fever: Because the body is compromised it may have a hard time fighting infection.  This decreased immunity places the patient at an increased risk for infection and is often displayed through a fever.  Monitoring if an ALL patient has a fever can save their life.  Even a slight increase in fever needs to be quickly noted to start infection management.  Additionally, it is important to stay away from medications like tylenol that may mask fevers.  Your health care team wants to know immediately if a fever occurs! 

Bleeding: With an increased amount of immature lymphocytes there are not as many platelet cells that are responsible for clotting the blood.  A low platelet count places the patient at an increased risk for bleeds.  The nurse is aware of this risk and will closely monitor the patient for any signs of internal or external bleeds. 

Bone Pain: Bone pain is a common side effect of ALL.  This pain can be severe and very uncomfortable.  Addressing and managing this pain is a primary concern.  Many times alternatives to medication can be used like the use of hot/cold packs, listening to calming music, or acupuncture.  Additionally, medication can be used to help with comfort.  There are many different pain management plans that could be used.  Ask your nurse about these many options, don't feel you need to settle on one plan!

Diet: The treatments for ALL like chemotherapy can be very wearing on the body resulting in extreme fatigue.  Maintaining a well balanced diet is essential for recovery and keeping the body strong to withstand treatment.

Nausea/Vomiting: A dreaded side effect of chemotherapy is nausea/vomiting.  This side effect can be very intense and again make the patient lose a lot of strength.  Anti-nausea medications can be given to help with this side effect.

Positive Attitude: The nurse needs to stay positive for the patient.  Receiving a cancer diagnosis can be extremely overwhelming and can be hard to accept.  Remaining positive and supportive is essential for the patient.




Works Cited:

Acute Lymphocytic Leukemia In Children. (n.d.). Retrieved April 14, 2015, from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Acute-Lymphocytic-Leukemia-In-Children.aspx

Caregiving for a Loved One With Leukemia. (n.d.). Retrieved April 14, 2015, from http://www.everydayhealth.com/leukemia/caregiving-for-leukemia.aspx

Integrative Cancer Care: Communication is Key - Desert Health®. (n.d.). Retrieved April 14, 2015, from http://deserthealthnews.com/stories/integrative-cancer-care-communication-is-key/

2 comments:

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