Reference no: EM133638839

Case Study 1: Acute Lymphoblastic Leukemia (ALL)

Patient Background:

Mrs. Johnson, a 45-year-old female, was admitted to the oncology unit with a recent diagnosis of Acute Lymphoblastic Leukemia (ALL). She presents with fatigue, pallor, easy bruising, and recurrent infections. Mrs. Johnson's husband is with her at all times, and has multiple questions as to his wife's care. He states that he wants to provide the best care he can, even though he himself has medical issues.

Clinical Questions

1. Fatigue: Mrs. Johnson reports extreme tiredness, even after minimal activity. What nursing intervention should the nurse teach Mr Johnson for caring for his wife?

2. Pallor: The patient's skin and mucous membranes appear pale. What abnormality in the labs do you expect to find?

3. Easy Bruising: Petechiae and ecchymosis are evident on Mrs. Johnson's skin. What is this indicative of? What labs would you do to verify?

4. Recurrent Infections: Mrs. Johnson has a history of frequent thrush and UTI's. Why do you think this is?

5. While the patient is in the hospital, Mrs Johnson begins to cry and states that she does not want to die. She states that she has What are some interventions that the nurse can do for her?

6. Mrs Johnson states that she watched her mother die of leukemia and does not want to suffer the way that she did, being constantly on tubes in the end. What can the nurse suggest?

Case Study 2: Chronic Myeloid Leukemia (CML)

Patient Background:

Mr. Rodriguez, a 55-year-old male, has been diagnosed with Chronic Myeloid Leukemia (CML). He was admitted to the hospital due to abdominal pain and splenomegaly.

Clinical Questions:

• What kind of cancer is CML? What cells does it affect and change?
• How do we monitor the splenomegaly?
• Is the patient likely to have weight gain or weight loss?
• How should we alter the patients' diet plans in relation to being diagnosed with leukemia?