The Mantle Cell Lymphoma ( Mcl )

According to the American Cancer Society website, Non-Hodgkin lymphoma (also known as non-Hodgkin’s lymphoma, Non-Hodgkin’s disease, NHL, or sometimes just lymphoma) is a cancer that starts in the cells of the lymph system, which is part of the body’s immune system.1 It is a type of cancer of the blood that affects the white blood cells, which are usually involved in protecting against infections. NHL is not a single disease, but rather a group of at least 31 closely related cancers that affect the lymphatic system.2 Although the different types of NHL have some things in common, particularly their lymphatic origin, they differ in their appearance under the microscope, their molecular features, their

CASE STUDY PROGRESS: The client has now received 3 cycles of combination chemotherapy for her breast cancer. Her last treatment with doxorubicin, cyclophosphamide, and 5-fluorouracil was approximately 12 days ago. She came to the emergency room with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are 86/43, 119, 28, 39.8° C, SaO2 85% on room air. Laboratory data include WBC 1.2 thou/cmm, Hct 24.9%, Hgb 8.7 g/dl, platelets 125 thou/cmm. Differential WBC count shows 37% granulocytes, 60% lymphocytes, 3% monocytes. Chem 14 is within normal limits, with the exception of BUN 28 mg/dl, creatinine 1.6 mg/dl, and lactic acid 2.4 mg/dl. Chest x-ray demonstrates diffuse infiltrates in the left lower lung.

This cancer of the lymph nodes starts by destroying the cells apart of the body’s immune system and can be deadly. The 10 year survival rate for this cancer is 59% and requires years of therapy for recovery. When Kate first discovered she was sick, she had to undergo severe chemotherapy that has severely damaged her Kidney. She is currently doing dialysis to try and restore her damaged kidney, but only time will tell if she will need partial removal of her kidney or a complete transplant. When she is not in the hospital herself, she’s checking other patients in. Due to health care needs, Kimball currently works weekends as a receptionist at the Tallahassee Memorial Emergency Center.

Thesis Statement: Hodgkin’s Lymphoma, although rare, can be fatal and it is important to be informed on the cause, symptoms, and treatments to further your awareness and provide a better understanding on the dynamics of this disease.

NH hospitalization record reveals a medical history of a non-injurious stroke, numerous episodes of sickle cell crisis, acute chest syndrome and chronic asthma. NH is prescribed a daily regimen of medications including a daily dose of 15,00 mg hydroxyurea, 1 mg folic acid for his SCD and 44 mcg of inhaled fluticasone for his asthma. Currently, while suffering from sickle cell crisis, NH is prescribed oxycodone 5mg, Toradol 21 mg IV solution, acetaminophen, and morphine as well as a continuous IV drip of D5 ½ NS, KCL. Due to the opioids and level of pain NH has endured the last 4 days (since beginning of crisis) he is exhausted and considered a fall risk due to his fatigue and reports that he naps off and on throughout the day and only gets out of bed to use the

In September 2015, Mr. C was re-diagnosed with multiple myeloma, which had been in remission for 4 years, and he is currently receiving cancer chemotherapy. Mr. C reported that the cancer is more debilitating this time around as he is experiencing more pain, only sleeps three to four hours a night, and has noticed a dramatic decrease in energy over the last month. This decrease in energy particularly upsets him because he reports not having the energy to spend time with his girlfriend and her son.

16. Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression secondary to chemotherapy for cancer treatment?

The primary care physician referred Patient A to a medical oncologist. The medical oncologist examined Patient A cancer conditions and found out that the cancer is still in stage one. The oncologist clarified to Patient A and Patient A’s husband that chemotherapy is not necessary. He gave her a clear explanation of the risk that the cancer cells could spread to her lymph nodes if she did not start her treatment immediately. The oncologist answered Patient A questions with sympathy and respect.

3. A 36 year-old man presents with fever, night sweats, weight loss, and a feeling of fullness in his abdomen. Subsequent lymph node biopsy reveals a diagnosis of non-Hodgkins Lymphoma (NHL).

At today visit she is home alone. She is awake, alert and oriented. She states that she will be picked up by the bus to go to her radiation treatment. She reports that she continues to have neoplasm related pain in her shoulder and bladder. She describes

There are approximately 62,000 people around the world that are diagnosed with lymphoma every year. That means about 169 people are diagnosed with lymphoma every day, and some of us aren’t even aware of what lymphoma is. Lymphoma is a blood cancer that takes place when lymphocytes start to behave abnormal. Once the cells become abnormal they stop protecting the body from infections or diseases which cause them to grow without control and form tumors. There are two main types of lymphomas, there is Hodgkin Lymphoma which involves Reed Sternberg cells, giant cells, and Non-Hodgkin Lymphoma, which would be all the ones that don’t involve Reed Sternberg cells.

Chemotherapy can increase a patient’s life span and improve the outcome of cancer treatment. However, the side effects of nausea and vomiting can be debilitating to the patient’s quality of life. According to Navari, (2013), specific patients’ characteristics and the type of chemotherapy administered can increase the risk of chemotherapy induced nausea and vomiting. For example history of motion sickness and pregnancy induced nausea and vomiting increases a patient’s risk, women are more at risk than men and in younger patients whilst patients with high alcohol consumption experiences less risk (NCCN, 2011).

At today’s visit she is accompanied by her grand niece. She is awake, alert and oriented. She reports that 3 years ago she was diagnosed with metastatic colon cancer that had spread to the liver and lungs. She has undergone chemotherapy but her cancer has progressed and she is no longer a candidate for chemotherapy. She reports that she was recently admitted to MMHS from September

Acute Lymphocytic Leukemia is a scary disease. The term “acute” means the disease can quickly spread and progress quickly and can prove fatal in months if left untreated. “Lymphocytic” simply means that it develops from immature forms of lymphocytes. Also known as Acute Lymphoblastic Leukemia, or ALL for short, it is a type of cancer that starts from the early form of white blood cells called lymphocytes in the bone marrow. ALL is the most common form of cancer in children, though adults can get it as well. For children, treatment results in a good chance of a cure. Adults have a significantly smaller chance of a cure with ALL. ALL generally invades the blood very quickly and has the potential to spread to other body parts such as the spleen,

As a home care nurse, I am designated to care for a 56-year old female patient that presents with lymphoma which has metastasized to her spine, and is presently in quest for chemotherapy treatment.