Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention for Leukemia

Leukemia is a group of cancers that usually begin in the bone marrow and result in high numbers of abnormal white blood cells. These white blood cells are not fully developed and are called blasts or leukemia cells. Symptoms may include bleeding and bruising problems, feeling tired, fever, and an increased risk of infections. These symptoms occur due to a lack of normal blood cells. Diagnosis is typically made by blood tests or bone marrow biopsy.

Nursing Diagnosis and Nursing Intervention for Leukemia

Activity Intolerance related to general weakness, increased metabolic rate

Goal: Patient is able to tolerate the activity

Expected outcomes:
  • Increased tolerance activity can be measured
  • Participate in daily activities according to ability level
  • Showed decreased physiological signs of intolerance such as pulse, respiration and blood pressure within normal limits.

Nursing Intervention for Leukemia
  1. Evaluate reports of fatigue, noting inability to Participate in activities or ADLs.
    Rationale: Effects of leukemia, anemia, and chemotherapy may be cumulative, ESPECIALLY During acute and active treatment phase, necessitating assistance.
  2. Encourage clients to keep a diary of daily routines and energy levels, noting activities That increase of fatigue.
    Rationale: Helps clients prioritize activities and arrange around Them fatigue pattern.
  3. Provide quiet environment and uninterrupted rest periods. Encourage rest periods before meals.
    Rationale: RestoreS energy needed for activity and cellular regeneration and tissue healing.
  4. Implement energy-saving techniques, Such as sitting, rather than standing and use of shower chair. Assist with ambulation or other activities, as indicated.
    Rationale: Maximizes energy available for self-care tasks.
  5. Recommend small, Nutritious, high-protein meals and snacks throughout the day.
    Rationale: Smaller meals require less energy for digestion than larger meals. Increased intake provides fuel for energy.
  6. Provide supplemental oxygen.
    Rationale: Maximizes oxygen available for cellular uptake, Improving tolerance of activity.
  7. Administer blood and blood components, as indicated.
    Rationale: Correcting anemia improves client's stamina and tolerance for activity.

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