Nursing care for Leukemia
Summary
TLDRIn this video, Professor D covers leukemia, explaining its definition, types, and impact on the blood and immune systems. He outlines the difference between acute myelogenous leukemia (AML), which mostly affects adults, and acute lymphocytic leukemia (ALL), more common in children. The video discusses leukemia's effects, such as increased immature white blood cells, bone marrow failure, and the associated risks of infection, anemia, and bleeding. Professor D also offers nursing interventions, diagnostic methods, and tips for managing chemotherapy side effects. He emphasizes patient independence, mental health, and a multi-disciplinary approach to treatment.
Takeaways
- 🔔 The presenter encourages viewers to like, subscribe, and engage with the video for better channel support and future updates.
- 💉 Leukemia is a malignant disorder affecting blood, bone marrow, lymph system, and spleen, leading to high risks of infections, anemia, and bleeding.
- 🦠 Leukemia involves an increase in immature white blood cells (WBCs) that do not function properly, taking up space that should be occupied by healthy cells.
- 📊 Chronic leukemias develop slowly and affect more mature WBCs, while acute leukemias have a sudden onset with more serious symptoms.
- 👩⚕️ Acute Myelogenous Leukemia (AML) commonly affects adults, causing abrupt, serious infections and abnormal bleeding due to overcrowding of bone marrow by myeloblasts.
- 👶 Acute Lymphocytic Leukemia (ALL) primarily affects children, with key symptoms including fever, CNS involvement, and neurological issues like increased intracranial pressure.
- 🦴 Bone marrow failure in leukemia leads to overcrowding by abnormal cells, reducing normal blood cell production and causing anemia, infections, and bleeding issues.
- 🧬 Leukemic cells infiltrate other organs, potentially causing splenomegaly, hepatomegaly, bone pain, and other organ-related issues, including life-threatening blood thickening (leucostasis).
- 🧑⚕️ Diagnosis of leukemia primarily involves peripheral blood evaluation and bone marrow examination, followed by treatment aimed at achieving remission, usually with chemotherapy.
- 👨👩👧👦 An inter-professional team, including oncology specialists, dietitians, psychiatrists, and social workers, is essential for managing the medical, emotional, and financial aspects of leukemia care.
Q & A
What is leukemia, according to the script?
-Leukemia is a group of malignant disorders affecting the blood, blood-forming tissues of the bone marrow, lymph system, and spleen. It involves the proliferation of immature white blood cells (WBCs), which are non-functional and take up space that could be occupied by healthy red blood cells (RBCs) and platelets.
Why are patients with leukemia at high risk for infections?
-Patients with leukemia are at high risk for infections because their bone marrow produces an excessive number of immature white blood cells, which are ineffective at fighting off infections. This leads to immunosuppression and makes the patient vulnerable to infections.
How does leukemia lead to anemia and bleeding tendencies?
-Leukemia leads to anemia because the proliferation of immature white blood cells crowds out the space needed for the production of red blood cells, which carry oxygen. It causes bleeding tendencies because the bone marrow also fails to produce enough platelets, which are necessary for clotting.
What is the difference between acute myelogenous leukemia (AML) and acute lymphocytic leukemia (ALL)?
-AML primarily affects adults, has an abrupt and dramatic onset, and leads to serious infections and abnormal bleeding due to uncontrolled proliferation of myeloblasts. ALL, on the other hand, is more common in children, and symptoms can be either abrupt or gradual. ALL frequently involves CNS manifestations, such as leukemic meningitis, and causes fatigue, weakness, and bleeding.
What are some clinical manifestations of leukemia?
-Clinical manifestations of leukemia include anemia, immunosuppression, fatigue, weakness, bleeding tendencies, and CNS involvement (especially in ALL). The bone marrow becomes overcrowded with abnormal cells, leading to decreased production of healthy blood cells. Leukemic cells may also infiltrate other organs, causing issues like splenomegaly, hepatomegaly, and lymphadenopathy.
What diagnostic methods are used to confirm leukemia?
-Peripheral blood evaluation and bone marrow examinations are the primary diagnostic methods used to diagnose and classify leukemia. These tests help determine the presence and type of leukemia.
Why is chemotherapy a key treatment for leukemia, and what are its side effects?
-Chemotherapy is a mainstay treatment for leukemia because it targets and kills rapidly dividing cancer cells. However, it can also damage healthy cells, leading to side effects such as mucositis, stomatitis, nausea, vomiting, diarrhea, constipation, alopecia, and cognitive changes like 'chemo brain.'
What interventions can help manage the side effects of chemotherapy in leukemia patients?
-Interventions to manage chemotherapy side effects include: assessing oral mucosa for lesions, providing nutritional supplements, recommending soft and bland foods, avoiding irritating or spicy foods, administering antiemetics before chemotherapy, encouraging fluid intake for diarrhea, and advising the use of wigs or scarves for hair loss.
What are the nursing priorities for patients with leukemia?
-Nursing priorities include maximizing the patient’s physical functioning, educating the patient about the temporary nature of acute side effects from treatment, promoting independence, and encouraging discussions about quality-of-life issues and long-term care planning.
How does the inter-professional team support the care of leukemia patients?
-An inter-professional team, including psychiatrists, oncology specialists, case managers, dietitians, chaplains, and social workers, collaborates to address the physical, emotional, spiritual, and social needs of leukemia patients. This team ensures comprehensive care and support, particularly in managing side effects, emotional distress, financial issues, and transitions in care.
Outlines
🎥 Introduction and Channel Support
Professor D welcomes viewers to the channel and introduces the topic of leukemia. She emphasizes the importance of liking the video, subscribing to the channel, and engaging in the comments section, as it supports the channel’s growth and helps with the algorithm. She also mentions additional audio lessons available on her website and expresses her commitment to responding to comments and making requested videos.
🩸 Understanding Leukemia
Leukemia is introduced as a term describing a group of malignant disorders affecting blood, bone marrow, lymph system, and spleen. The discussion highlights that leukemia patients are at high risk for infections, anemia, and bleeding due to immature white blood cells (WBCs) that cannot perform their function of fighting infections. The classification of leukemia is then explained, noting that chronic leukemias involve mature forms of WBCs and develop gradually. Specific types such as AML (acute myelogenous leukemia) and ALL (acute lymphocytic leukemia) are described, noting their prevalence in adults and children, respectively, and the serious implications of immature cell proliferation in the body.
🧠 Leukemia Symptoms and Classification
The differences between AML and ALL are further elaborated, focusing on how ALL affects children more frequently and includes CNS involvement, which can lead to cognitive issues and increased intracranial pressure. Both AML and ALL can cause symptoms such as fever, fatigue, bleeding, and bone pain due to abnormal cell infiltration in bone marrow and other tissues. Leukemia leads to overcrowding in the bone marrow, affecting the production of healthy cells and contributing to anemia, thrombocytopenia, and increased infection risks.
📉 Leukemia Impact on Body Functions
The impact of leukemia on various body systems is discussed. The proliferation of immature WBCs disrupts normal blood cell production, leading to symptoms like anemia, immunosuppression, and bleeding disorders. The infiltration of leukemic cells into other body parts, including the brain and organs, is highlighted. The importance of understanding diagnostic tools, such as blood smear and bone marrow evaluation, is noted, as well as the role of chemotherapy in managing leukemia despite its side effects on healthy cells.
💉 Managing Chemotherapy Side Effects
The side effects of chemotherapy, such as stomatitis, nausea, and anorexia, are detailed along with nursing management strategies. Recommendations include maintaining oral hygiene, encouraging small, high-protein meals, and managing nausea with antiemetics. Special attention is given to managing leukopenia, thrombocytopenia, and alopecia, which are common in chemotherapy patients. The need for a supportive environment and specialized care plans to help patients cope with both physical and cognitive changes during treatment is stressed.
🧠 Coping with Cognitive Changes and Patient Care
The concept of ‘chemo brain’ is introduced, highlighting cognitive challenges such as memory loss and difficulty focusing. Suggestions for patients include using detailed planners, engaging in brain exercises, and avoiding multitasking. Nursing interventions are emphasized, including maximizing physical functioning, educating patients about the temporary nature of treatment side effects, and encouraging discussions on quality-of-life issues. The importance of a multidisciplinary approach to meet the holistic needs of leukemia patients is underscored, involving specialists such as psychiatrists, dietitians, and social workers.
💡 Key Nursing Interventions and Team Support
Nursing interventions for leukemia patients focus on managing life-threatening symptoms like neutropenia, thrombocytopenia, and anemia. Patients are encouraged to engage in self-care, understand the temporary nature of side effects, and participate in decision-making regarding their treatment. A comprehensive support team is recommended, including professionals to address medical, psychological, nutritional, and spiritual needs, ensuring continuous and coordinated care for patients navigating leukemia treatment.
Mindmap
Keywords
💡Leukemia
💡Immature White Blood Cells (WBCs)
💡Bone Marrow
💡Anemia
💡Thrombocytopenia
💡Acute Myelogenous Leukemia (AML)
💡Acute Lymphocytic Leukemia (ALL)
💡Central Nervous System (CNS) Manifestations
💡Chemotherapy
💡Remission
Highlights
Leukemia is a group of malignant disorders affecting blood and blood-forming tissues, including bone marrow, lymph system, and spleen.
Leukemia patients are at high risk for infections, anemia, and bleeding due to a lack of functional blood cells.
Leukemia involves an increase in immature white blood cells (WBCs) that can't fight infections or perform normal functions.
The proliferation of immature WBCs takes up space needed for healthy RBCs and platelets, leading to complications such as anemia and bleeding.
Chronic leukemias involve more mature WBCs and develop gradually, while acute leukemias have a sudden onset and dramatic symptoms.
Acute myelogenous leukemia (AML) affects adults more frequently, with an abrupt onset and symptoms such as serious infections and abnormal bleeding.
Acute lymphocytic leukemia (ALL) affects children more frequently and is characterized by CNS involvement, which can cause neurological symptoms like increased intracranial pressure.
Bone marrow failure in leukemia results in overcrowding by abnormal cells, leading to a lack of space for normal blood cells and causing anemia, thrombocytopenia, and immune suppression.
Leukemic cells may infiltrate organs such as the spleen, liver, and lymph nodes, causing organ enlargement and additional complications.
A highly leukemic white blood cell count (over 100,000) can cause leukostasis, a life-threatening condition where blood thickens and circulation is blocked.
Chemotherapy is the main treatment for leukemia, but it can cause side effects like stomatitis, esophagitis, nausea, vomiting, and cognitive changes (chemo brain).
Nursing management includes monitoring oral health, avoiding irritating foods, encouraging small frequent meals, and preventing dehydration in patients with chemotherapy side effects.
Leukopenia, thrombocytopenia, and neutropenia are critical issues in leukemia patients, increasing the risk of infections, bleeding, and anemia.
Patients undergoing chemotherapy should be encouraged to focus on one task at a time, use detailed planners, and play word games to mitigate cognitive challenges.
The interprofessional team for leukemia patients includes oncology specialists, dietitians, chaplains, psychiatrists, and social workers to address the medical, emotional, and financial aspects of care.
Transcripts
hi guys it's me Professor D and welcome
back to my YouTube channel on this video
I'm going to be covering leukemia as
promised before we even get started guys
I'm going to actually do a couple things
for me to help support this channel like
this video You're gonna love it so go
ahead press that like button subscribe
to this channel if you haven't done so
already and you'll be notified every
time a new video is released don't
forget I have audio lessons available
for you on my website
nexusnursinginstitute.com and please as
always engage with me in the comment
section it helps with the algorithm I
read all of your comments I try to
respond to as many as possible but I
definitely read the comments and I have
a running list going of any videos that
you'd like for me to make in the future
whether they're questions or content
lesson format like I'm doing right now
all right guys so let me make this a
little bit bigger for you
foreign
so look what it says it says leukemia
this is a general term used to describe
a group of malignant disorders now I
already talked to you guys about
malignancy malignant disorders affecting
blood and blood forming tissues of the
bone marrow lymph system and spleen that
says a lot to us
of the bone marrow remember those are
where our blood cells are being made
rbcs
so you'd be thinking of anemia platelets
patient be at risk for bleeding uh WBC
patient B risk for what infection
lymph system and spleen what are those
important immunity so this person with
leukemia we already know just by that
one sentence we know they're going to be
at high risk for infections for anemia
for bleeding right so take a look I
wrote this down because I just wanted
you to know it in simpler terms leukemia
this is an increase in and that's your
keyword immature
immature wbcs so you have all of these
wbcs that are doing absolutely nothing
remember those wbcs those white blood
cells are supposed to help you fight off
infection so you would think the more
wbcs you have okay even better you're
fighting off infection even more but no
all of those wbcs that increase
in the production of RBC uh rbcs and the
production of wbcs is for nothing why
because they're immature they can't do
nothing
okay increase in immature w3s wbc's the
take up space
that there could have been rbcs there
could have been platelets right so it's
taking up space and doing absolutely
nothing that's what's happening in
leukemia
let's take a look at classification
the leukemia develops after a malignant
transformation of a single type of
immature hemopoetic cell followed by
cellular replication and expansion of
that malignant clone so it keeps
reproducing keeps reproducing but
they're all what immature
chronic leukemias involve more mature
forms of the WBC and the disease onset
is more gradual and that's actually a
pattern for when it comes to chronic
diseases and disorders they're more
Insidious they don't
um uh um uh what's the word I'm looking
for
they're not acute chronic disorders are
more gradual they're more Insidious they
just kind of like creep up on you versus
acute Okay
we have AML and a l l so we're going to
talk about the AML first acute
myelogenous leukemia and on the side I
wrote here more adults because when you
think of the AML I want you to think
about adults adults are affected more
with this disease than children okay
with AML the onset is abrupt as in acute
like that it's abrupt and dramatic
patients may have serious infections and
abnormal bleeding
why serious infections because it's got
wbcs It's not doing anything why
abnormal bleeding remember in the bone
cells what's made are rbcs our wbcs and
our platelets our platelets which help
us clot and not bleed to death
okay so now you have all these wbcs
taking spaces taking the space of what
should have been normal healthy cells of
course yes that's going to put the
patient at risk for and males
characterized by uncontrolled
proliferation of myeloblast which are
the precursors of granulocytes
there's hyperplasia of the bone marrow
the clinical manifestations are usually
related to replacement of the normal
hematopoetic cells in the bone marrow by
leukemic myeloblast and to a lesser
extent infiltration of other organ and
tissues
so these cells which are doing nothing
but causing harm are taking place of
where other normal cells should have
been it's not only happening in the bone
marrow it's also happening in other
tissues and organs and we'll look at
that in a second
now let's look at all when you think of
a l l c on the side I wrote what did I
write on the side I wrote more children
this affects children more than it does
adults okay
in all the acute lymphocytical leukemia
small lymphocyte proliferate in the bone
marrow most are B cell origin the
majority of patients have a fever at the
time of diagnosis signs and symptoms may
appear abruptly with bleeding you need
to know that fever or they may be
Insidious that word Insidious means
sneaky right they may be Insidious with
Progressive weakness fatigue bone and or
joint pain and bleeding Tendencies You
need to know that CNS manifestations are
especially common in all and they
represent a serious problem
leukemic meningitis caused by arachnoid
infiltration occurs in many patients
with all so let's take a look let's take
a look at the difference between our AML
and the all
something I want to bring to your
attention I'm not going to read all of
this guys you can read that on your own
but something I want to bring to your
attention when it comes to the AL member
of the AL we see this more in what
children right look at these
neurological manifestations
CNS involvement and whenever that CNS is
involved you're expecting to see a
decrease in cognition how the person
thinks look at this increased
intracranial pressure and that could
cause the nausea
vomiting lethargy cranial nerve
dysfunction secondary to meningo
infiltration
okay other signs and symptoms that you
can see in both is going to be your
weakness your fatigue your bleeding okay
those you'll see in both but
specifically for the all I want you to
remember that children are more affected
and I want you to remember those
neurological manifestations
foreign
clinical manifestation signs and
symptoms
all right clinical manifestations they
relate to the problems caused by bone
marrow failure and the formation of
leukemic infiltrates bone marrow failure
results from one the bone marrow look at
that guys overcrowding
overcrowding by abnormal cells which
means there's no room for the actual
good cells that are functioning and two
inadequate production of normal marrow
elements so what happens after a while
of the body making all of this abnormal
um cells the bone marrow will actually
slow down or even stop making the normal
cells because you already have so much
of it even though it's abnormal
the price the patients predisposed to
anemia why are they predisposed to
anemia because of the decrease in RBC
remember rbc's carry hemoglobin
hemoglobin carries what oxygen
thrombocytopenia why because in the
decreased number of platelets and
decreasing the number of function of
wbcs and we know that because in
leukemia all it is is a proliferation an
increase in immature wbcs
the abnormal wbcs continue to accumulate
because they do not go through the
normal life cycle to death the leukemic
cells May infiltrate the patient's
organs leading to problems such as
splenomegaly when it gets into Sweden
hepatomegaly when it gets into the liver
lymphadenopathy when it gets into those
lymph nodes bone pain a meningo
irritation and oral lesions
a highly leukemic white count in the
peripheral blood more than a hundred
thousand can cause the blood to thicken
and potentially block circulatory
Pathways guys remember the blood is
what's carrying oxygen the tissues the
organ every Sun the body needs oxygen to
survive okay so this is called
leucostasis and it can be
life-threatening that can cause the
patient to die
take a look at this figure
so it says leukemia proliferation of
immature that's our keyword immature
white blood cells
and over here bone marrow failure blast
cells replace bone marrow
and look how it's affected
the erythrocytes
can cause anemia the causes that patient
to have the weakness and Power
it affects the lymphocytes that causes
immunosuppression remember I told you
how the those lymph nodes in the spleen
are associated with with what immunity
so when it affects those lymph nodes you
better uh you better expect that
patient's going to have
immunosuppression which puts them at
risk for infection
fever
platelets
remember in the bone marrow guys WBC RBC
and platelets are formed so it affects
the platelets which causes decreased
bleeding which decrease bleeding
decreased clotting excuse me
and that decreased clothing puts the
patient at risk for what bleeding
disorders
patient has a thrombocytopenia thrombo
clot cytol that cell penny a little bit
of a little bit of clot cells that's
what platelets and we'll see petite
bruising and purpura
now on this side because of leukemia
that proliferation of immature white
blood cells the cells infiltrate sites
outside of the bone marrow as well such
as what the brain
and that's how you will see all those
CNS symptoms
testicles other
um organs lymph nodes liver spleen and
Joints guys I know as students um you
love skipping over those tables those
diagrams those charts those figures
those illustrations uh those nursing
alerts but guess what those are where
your test questions are coming from
if the author of the book took time
to give you an illustration or chart or
table or figure whatever it is to give
you another way of looking at
information that they gave to you in
text that means it's important it's so
important that giving it to you in
another format because they really want
you to know it most likely you're going
to see it on an exam so stop skipping
over them guys
all right diagnostic
studies
peripheral blood evaluation and bone
marrow examinations okay those are the
primary methods used for diagnosing and
classifying the types of leukemia okay
peripheral blood smear and bone marrow
evaluation
foreign
once the diagnosis of leukemia has been
made care is focused on the initial goal
of attaining remission
because chemotherapy is a Mainstay of
treatment you have to understand the
principles of
um cancer chemo so I'm going to jump
over to those principles because there
are lots of
things that can happen with chemo
because chemo yes chemo can kill those
bad cells but they can also kill those
good cells as well and so they can cause
other disorders in the patient you have
to know how to care for them so let me
switch over and then I'll come back here
let me fold this over so I don't forget
where I was
all right so let's start with the GI
system the stomatitis mucosa mucositis
esophagitis
nursing management for those
make sure you're always assessing the
patient's oral mucosa you're going to be
looking for lesions encourage
nutritional supplements why because if
that patient has those oral lesions you
think they're going to want to eat no
and remember nutrition is part of
physiological Integrity that is part of
the things that keeps the patient alive
so they have to eat so you can encourage
them to drink maybe ensure Carnation
Instant Breakfast
instruct them to avoid irritating spicy
or acidic Foods or foods that are too
hot or too cold remember they have
lesions in their mouth it's already
painful for for them so you don't want
them eating anything that's spicy or too
hot okay teach them to avoid extremes in
temperature
instruct them how to select moist Bland
and softer Foods we want foods that are
very easy for them to chew that will not
irritate their oral mucosa that's
already irritated encourage your patient
to use artificial saliva to manage
dryness from the radiation
discourage your use of irritants such as
tobacco and alcohol stay away from them
all right for nausea and vomiting nausea
and vomiting is a very common adverse
effect of a chemotherapy radiation
you're going to encourage the patient to
eat and drink when they're not nauseated
and you're going to give
anti-medics prophylactically before
chemo we know chemo causes nausea and
vomiting so before chemo we're going to
go ahead and give them that antiemetic
prophylactically
for anorexia patient doesn't want to eat
we're going to be monitoring their
weight we're going to encourage the
patient to eat small frequent meals
small frequent meals is good for GI
irritation okay but those smart frequent
meals we want them to be high in protein
why protein is not only good for
building muscle protein is also good for
wound healing
okay we're going to ask them to eat high
protein and high calorie foods because
this patient doesn't want to eat so the
little bit that they do eat we want them
to be of high calorie uh value
serve food in Pleasant environment
why would you
put a plate of food for your patient and
right next to them
um is the emesis basin
there might be some sputum in there or
something right
so make sure it's a pleasant environment
so that patient will want to eat for
diarrhea you're going to encourage low
fiber right they don't need any more
fiber they've got diarrhea low fiber low
residue diet encourage fluid intake of
at least three liters per day because
with diarrhea that patient's losing
fluid and electrolytes that were in the
GI tract
we don't want that patient to be
dehydrated so we're going to encourage
fluids
constipation you're going to encourage
high fiber foods and increasing fluids
that fluid guys is going to help make
the stool not be as hard so the patient
can pass the stool easier
increase activity you know that moving
around walking that increase in activity
increases the peristalsis in the GI
tract
how about leukopenia
leuko type what do you think of Luke
when you hear leuko like leukocyte type
of WBC Pena a little bit of so what are
we going to do for that we're going to
obviously monitor the WBC count report
any temperature elevation because
remember guys those leukocytes which is
a type of WBC they help fight off
infection if this patient's wbcs are low
their leukocytes are low they're at risk
for infection infections so the first
hint of infections such as fever redness
out of sight inflammation any sign of
symptom of infection we're going to
report immediately so you're going to
report temperature elevation and any
other manifestation of infection teach a
patient to avoid large crowds and people
with infections this person
excuse me it's already immunocompromised
you think they need to go on a crowded
bus or Subway or concert absolutely not
we want to keep them safe and away from
infection
thrombocytopenia thromboclat cytal cell
penny a little bit of this patient has a
little bit of platelets which puts them
at risk for
um hemorrhaging
or bleeding so we're going to observe
the side for signs of bleeding such as
petechiae echymosis we're going to
monitor the platelet count
integumentary system alopecia
we're going to suggest ways to cope with
hair loss such as hair pieces scarves
wigs let me explain something about this
because this is shown up on Eclipse
enough times for me to mention that so
when it comes to this guys
you want to help the patient pick out a
wig before they start chemo radiation
all right and what you do is before they
start you want to help them pick out a
wig that is closest to their hair color
closest to their hair structure their
hair type
why because it's not when their hair is
thinning and brittle and falling out
that's when they're looking for a way
because most likely they're already
going to be depressed as it is so you
want to help the patient choose that wig
before they start preferably okay
cut long hair before therapy
not when they're getting therapy and
they're seeing that hair become dry and
brittle and fall out
okay lastly cognitive changes
where the CNS is involved that's known
as the chemo brain
you're going to teach the patient to use
a detailed planner because they may
forget things so you're going to teach
them to use a very detailed planner to
exercise their brain play word games
they can play word games on their phone
puzzles do things to exercise their
brains focus on one thing don't try to
try to Mo I can't speak don't try to
multitask focus on one thing at a time
and that will help with what's known as
a chemo brain all right let's go back to
the patient I was on
foreign
nursing implementation important nursing
interventions include one maximizing the
patient's physical functioning we want
that patient to move around as much as
possible we want that patient to do as
much for themselves as possible remember
one of our goals is always going to be
patient Independence
two teach patients that the acute side
effects of treatment are usually
temporary and you have to tell them that
because they will go into a depression
if they don't know that it's usually
temporary and three encourage patients
to discuss their quality of life issues
now while you can make these decisions
for yourself and you can speak for
yourself what would you like in the case
of that that you become incapacitating
you cannot make those decisions
the needs of the patient
with leukemia are best met by an
inter-professional team
psychiatrist oncology clinical nurse
specialist case manager dietitians a
chaplain social worker
let's talk about this for a minute
obviously the psychiatrist because as I
said guys this is a very
pervasive disorder okay and lots of
patients who have to have of this
disease or they go through chemo
radiation it causes some sort of
depression okay so we want to have
psychiatry in on it of course oncology
that's a cancer nurse on it case manager
case manager make sure that the ball
isn't dropped
um during transfers or the patient's
leaving that acute care facility and
they're going to rehab or they're going
to home they're going to make sure that
there's home health or you know just
make sure that everybody's on board so
there's no Gap in care
dietitian and that's very important
especially guys this patient
um is going to be on a special diet
chaplained to meet those spiritual needs
social workers to help that patient find
resources in the community specific
specifically if there are Financial
deficits maybe the patient you know
because this is a very expensive disease
to have chemo irradiation is not cheap
so there may be some Financial
constraints that the social worker can
help the patient and the family with
the life-threatening results of bone
marrow suppression again how many times
have we seen this guy's neutropenia
thrombocytopenia and anemia require
aggressive nursing interventions
teach a patient caregiver about the
importance of continued diligence in
disease management and the need for
follow-up care and guys that's her
leukemia in a nutshell much easier than
you thought right I know it was if you
haven't done so already guys please like
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support my channel by engaging with me
in the comment section let me know what
you thought about this video let me know
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nexusnursinginstitute.com and almost
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watching this video and you guys will
see me on the next video
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