Help - Hodgkin's Lymphoma

Published

Hi everyone,

I was wondering if anyone was willing me to let me look at a care plan you've done. Not to copy of course!! But just to give me a springboard and ideas to start my own. Or even if anyone wants to discuss it here...I'm really just looking for a starting point. My pt is a 17yo female with Hodgkin's Lymphoma, stage III.

Some initial ideas I'm tossing around are:

Management of side-effects from chemotheraphy (6wks initially)

Pain management.

Particular issues that apply to adolescents - body image, peer support etc.

Working closely with family members.

Infection control issues.

Nutrition and hydration (esp while on chemo)

Mobility (not sure what to expect here - but assuming she will be bed-bound for a good portion of time).

Any other ideas??? Thanks a bunch :-)

Up Vote Up Vote ×

activity intolerance r/t fatigue and anemia

pt out comes pt will have acitvites of adls needs met by self or caregiver

evaluation is pt able to carry out adl's or are adl needs met by caretaker

interventions ssess amount of activity that cases fatigue

evaluation how much can pt do before becomeing fatigues

provide o2 therapy as orderd eval-does pt tolerateactivity better with o2 therapy

risk for infection r/t bone marrow involvement adn side effects of treatmen

hope this helps

Up Vote Up Vote ×

Thanks a bunch!! Esp about the anaemia...I had this one in my mind last week but forgot all about it. And it's a big one!

Cheers :-)

Up Vote Up Vote ×

anytime. how are you with ped care plans he has had a t&a sleep apnea and asthma and he smokes he is 16 and i have to have a growth and development with it as well any ideas

Up Vote Up Vote ×
Specializes in er, pediatric er.

Risk for infection r/t chemotherapy and/or disease process. The chemo causes the patient to be nuetropenic. The patient would need to be on neutropenic precautions like no fresh flowers in room, no fresh fruits. People coming into room must wash there hands. No one with an active upper respiratory infection should enter his room.

Risk for injury r/t low platlet count. if the patient's platlet count is low which is common with many who have hematologic cancers, he would need to be on bleeding precautions.

Up Vote Up Vote ×
Specializes in Labor and Delivery.

how about risk for infection r/t compromised immune status

Up Vote Up Vote ×

Hi everybody!

I am writing an essay about aetiology of non hodgkins disease and its pathophysiology. I would be very glad if anybody can help me please!!!!!!!!!!!

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

hi, michiboat!

good luck with your essay!

information on the pathyphysiology of non-hodgkin's lymphoma from one of my books is as follows: "non--hodgkin's lymphoma is pathophysiologically similar to hodgkin's disease, but reed-sternberg cells aren't present, and the specific mechanism of lymph node destruction is different. the abnormal lymphoid tissue is identified by its tissue architecture and patterns of infiltration. these lymphomas are defined as follicular, interfollicular, mantle, or medullary, depending on the distribution of malignant cells in specific regions of the lymph node. the tissue is then described by the pattern of infiltration as diffuse or nodular." atlas of pathophysiology, second edition, lippincott williams & wilkins, 2006, pg. 252.

here are some internet links you can check out:

http://www.fpnotebook.com/hem137.htm - there are also links on the left side of this webpage to information about lymphdenopathy, lymphoma and hodgkins' lymphoma

http://kidshealth.org/teen/diseases_conditions/cancer/non_hodgkins.html - non-hodgkin's lymphoma from teenshealth.org

http://www.cancer.org/docroot/cri/content/cri_2_4_1x_what_is_non_hodgkins_lymphoma_32.asp - "what is non-hodgkin lymphoma" by the american cancer society. quite a detailed article.

http://www.nlm.nih.gov/medlineplus/ency/article/000581.htm - non-hodgkin's lymphoma from medline plus medical encyclopedia

Up Vote Up Vote ×
+ Join the Discussion