Question

what's important for the nurse to establish if lymphatic and hematopoietic abnormalities are present

Answer 1

NURSES ROLE IN MANAGING LYMPHATIC AND HEMATOPOIETIC ABNORMALITIES

Nurses caring for a patient with a hematologic disorder can be especially challenging because this disorder affects all body systems. There is a state of confusion with the signs and symptoms of heamatologic disorders. It can mislead to other diagnosis.
To promote accurate diagnosis and effective care, there is a need to obtain a thorough history and physical assessment. This will help patients survive these disorders. Nurses can help patients make the necessary adjustments to maintain an optimal quality of life.

HEMATOLOGIC DISORDER

Signs and symptoms of hematologic disorders are nonspecific but some are more specific and can help to focus on possible disorders. These include:
• Bleeding abnormally
• Pain in the bones and joints

• Shortness of breath

• Exertional dyspnea
• Weakness and Fatigue
• Increased temperature

• Enlarged lymph nodes
• Petechiae

LYMPHATIC DISORDER

Lymphatic system is the system which removes infection and keeps our body fluids in balance. Any problems affecting this system, fluid builds in our tissues and causes swelling, called lymphedema. Other lymphatic system problems can include infections, blockage, and cancer.

IMPORTANT ROLE OF A NURSE

Main role is to avoid infections and teach the patient and family to take precautions to prevent infections.

Nurses who taking care of these patients should focus on patient's financial, communication, treatment, psychosocial, and logistical barriers.

• Financial barriers can be related to loss of job, insurance copayments, and other out-of-pocket costs related to appointments and treatment.
• Nurses play a key role in keeping the lines of communication open between the patient and medical team, as there are often misunderstandings and misconceptions related to the diagnosis and treatment of the disease. The care provided needs to be patient-centered, at a level the patient understands, and culturally appropriate. Engaging family or friends is common and can aid in making this process smooth.
• Treatment barriers can be related to compliance challenges related to oral chemotherapies. If patients participate in clinical trials, helping to maintain compliance is an integral part of the nurses role.
• The patient’s psychosocial situation identifying is important, as patients without a good support system are less likely to complete treatment. Connecting caregivers as well as patients to available resources is an important part of the treatment plan.
• Logistic barriers can be related to the need for lodging or being able to travel to and from treatment centers.