Acute Lymphoblastic Leukemia (ALL):
Nursing Diagnosis
Today, I will be discussing nursing diagnoses! Nursing diagnosis is the “nurse’s clinical judgment about the patients to actual or potential heath conditions or needs.” Unlike a medical diagnosis, a nursing diagnosis provides more in-depth information specific to the patient. Although there are many different nursing diagnosis for ALL I will highlight five important ones:
- Risk for Infection: ALL patients often have very low WBC count placing them at risk for infections. Additionally, with a lot of invasive procedures a patient is at an increased risk for getting an infection.
- Risk for Dehydration: treatments for ALL like chemotherapy has side effects like nausea and vomiting. These side effects can prevent patients from wanting to eat/drink or they may lose fluids through vomiting and/or diarrhea.
- Acute Pain: ALL can cause a lot of body aches and bone pain. Additionally, the different treatment and procedures can result in acute pain.
- Risk for Fatigue: An altered immune system can cause the patient to be extremely tired. Treatment and procedures also take a toll of the body draining it of energy. Lastly, the chronic stress of managing cancer places a large strain on the body.
- Risk for Developmental Delay: If a child is diagnosed with ALL at a young age they may spend a large amount of their time in health care facilities. This lack of a normal childhood can cause developmental delays or a regression in development. Working with the hospital staff to establish a regular routine is crucial for child development.
I have chosen to explore the nursing diagnosis of risk for infection. Below I have put together a table that explores the nursing diagnosis and its many components.
|
Actual/Potential
Manifestation
|
·
Low WBC
·
Immunosuppressed
·
Fever
·
Flushed skin
·
Altered mental status
·
Abnormal vital signs
|
|
Related to
|
·
Alteration in mature WBC
·
Bone marrow suppression
·
Invasive procedures
·
Malnutrition
|
|
Nursing
Interventions
|
·
Place in private room
·
Proper hand washing technique
·
Closely monitor temperature
·
Monitor breath and heart sounds
·
Closely monitor catheters
·
Limit invasive procedures
·
Closely monitor CBC
|
|
Plan/Outcome
|
·
Lifestyle changes to promote safe environment
·
Plan in place for if fever occurs
·
Identify actions to prevent/reduce risk for
infection
|
Works Cited:
5 Leukemia Nursing Care Plans - Nurseslabs. (2014, February 27). Retrieved April 17, 2015, from http://nurseslabs.com/5-leukemia-nursing-care-plans/
Childhood Acute Lymphoblastic Leukemia Treatment (PDQ®). (2015, March 15). Retrieved March 21, 2015, fromhttp://www.cancer.gov/cancertopics/pdq/treatment/childALL/Patient/page1
Herdman. (n.d.). What is Nursing Diagnosis And Why Should I Care? Retrieved February 22, 2015, fromhttp://www.nanda.org/What-is-Nursing-Diagnosis-And-Why-Should-I-Care_b_2.html
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