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Nursing Management: The Patient with Leukemia
• Assessment - Identify rage of signs and symptoms reported by patient in nursing history and physical examination. - Assess results in blood studies, and report alteration of WBCs, hematocrit, platelets, electrolytes, absolute neutrophil count (ANC), Hepatic function test and creatinine findings and culture results.
• Diagnosis: Nursing Diagnosis
– Impaired Gas Exchange – Risk for Infection and bleeding – Acute pain and discomfort related to diseases process – Anxiety due to uncertain future – Deficient knowledge of disease process – Self care deficits related to fatigue and malaise – Fatigue and activity intolerance related to anemia and infection
• Planning and Goals - self care - activity tolerance -maintenance of comfort - maintenance of adequate nutrition - promotion of positive body image - understanding of the disease process and its treatment - ability o cope with the diagnosis and prognosis - absence of complications
• Nursing Interventions
– Preventing or managing bleeding – Preventing Infection – Easing Pain and Providing Comfort – Attaining and maintaining Adequate Nutrition – Maintaining Fluid and Electrolyte Balance – Decreasing Fatigue and Deconditioning – Improving Self-Care – Managing Anxiety and Greif – Promoting Positive Body Image – Encouraging Spiritual Well-Being – Promoting Home and Community-Based Care
• Evaluation: Expected Patients Outcomes
– Demonstrates absence of infection – Demonstrates absence of bleeding – Attains optimal level nutrition – Reports Satisfaction with pain and discomfort levels – Maintains fluid and electrolyte balance – Experiences less fatigue and Increases activity – Participates in self care – Copes with anxiety and grief – Experiences absence of complication
• Assessment - Identify rage of signs and symptoms reported by patient in nursing history and physical examination. - Assess results in blood studies, and report alteration of WBCs, hematocrit, platelets, electrolytes, absolute neutrophil count (ANC), Hepatic function test and creatinine findings and culture results.
• Diagnosis: Nursing Diagnosis
– Impaired Gas Exchange – Risk for Infection and bleeding – Acute pain and discomfort related to diseases process – Anxiety due to uncertain future – Deficient knowledge of disease process – Self care deficits related to fatigue and malaise – Fatigue and activity intolerance related to anemia and infection
• Planning and Goals - self care - activity tolerance -maintenance of comfort - maintenance of adequate nutrition - promotion of positive body image - understanding of the disease process and its treatment - ability o cope with the diagnosis and prognosis - absence of complications
• Nursing Interventions
– Preventing or managing bleeding – Preventing Infection – Easing Pain and Providing Comfort – Attaining and maintaining Adequate Nutrition – Maintaining Fluid and Electrolyte Balance – Decreasing Fatigue and Deconditioning – Improving Self-Care – Managing Anxiety and Greif – Promoting Positive Body Image – Encouraging Spiritual Well-Being – Promoting Home and Community-Based Care
• Evaluation: Expected Patients Outcomes
– Demonstrates absence of infection – Demonstrates absence of bleeding – Attains optimal level nutrition – Reports Satisfaction with pain and discomfort levels – Maintains fluid and electrolyte balance – Experiences less fatigue and Increases activity – Participates in self care – Copes with anxiety and grief – Experiences absence of complication
