Case 1
Leukemia is one of the fatal blood cancers. According to statistics by Leukemia and Lymphoma society, it is expected that approximately 178520 people will be diagnosed with Leukemia by the end of 2020 in the USA. Equally, it is likely that 23,100 people will die from the condition.
Although Leukemia causes are not fully known, a combination of genetic and environmental factors is suspected to be the leading cause. The specific leukemia cells are mutational, an aspect that makes them lose their normal blood cell functions.
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A full diagnosis consists of a few exams. One could undergo a physical exam, bone marrow analysis or blood tests. The bone marrow exam is more specific to Leukemia. The removal of bone marrow from the hipbone is analyzed for any leukemia cells in the lab.
Care plans for a patient suffering from Leukemia would focus on pain reduction, an increase of activity tolerance, and a reduction of the possibility of the patient acquiring other infections. For activity tolerance, specific nursing-related undertakings include scheduling meals around chemotherapy sessions, fatigue evaluation, and encouraging them to keep a diary of when they mostly become tired and implement techniques that save energy.
I will work with a hematologist to ensure point of care to the patient in question. Besides, I will also collaborate with them to enhance my understanding of resources such as prognostic tests and hence, know when it is suitable for the patient to commence treatment.
Case Two
Alzheimer’s if one of the neurological disorders whose progression is evident over a few years. Although researchers and medics are not sure about what causes Alzheimer’s, it is believed that its onset is influenced by an abnormal buildup of proteins such as amyloid around and in the brain.
Some of the Exam studies that I would order to ascertain whether one suffers from Alzheimer’s include brain imaging, behavior change assessment, memory impairment assessment, and changes in thinking. The specific evaluation would be a amyloid brain PET scan to ascertain whether there are abnormal growths of this particular protein in and around the brain.
The plan of care for these patients would be promoting patients’ independence when they start losing memory functions and reducing anxiety and agitation. The intervention here would be CBT sessions that are scheduled as per the patients’ needs. Suppose I refer to a neurologist to help manage the situation. In that case, I will collaborate with them to better understand home-based care and approaches that reduce the quick progression of the condition.
