Imbalanced Nutrition Less Than Body Requirements - NCP Acute Lymphoblastic Leukemia

Nursing Care Plan for Acute Lymphoblastic Leukemia


Acute lymphoblastic leukemia (ALL) also called acute lymphocytic leukemia or acute lymphoid leukemia is a malignant (clonal) disease of the bone marrow in which early lymphoid precursors proliferate and replace the normal hematopoietic cells of the marrow.

Causes

• Most of the time, no clear cause can be found. But the following may play a role in the development of leukemia in general:
• Certain chromosome problems
• Past treatment with chemotherapy drugs
• Exposure to radiation, including x-rays before birth
• Toxins, such as benzene
• Receiving a bone marrow transplant

Signs and symptoms

• Fever
• Bone and joint pain
• Feeling weak or tired
• Easy bruising and bleeding (such as bleeding gums, skin bleeding, nosebleeds, abnormal periods)
• Pain or feeling of fullness below the ribs
• Loss of appetite and weight loss
• Paleness
• Swollen glands (lymphadenopathy) in the neck, under arms, and groin
• Night sweats
• Pinpoint red spots on the skin (petechiae)

Nursing Diagnosis for Acute Lymphoblastic Leukemia : Imbalanced Nutrition Less Than Body Requirements related to fluid restriction, diet, and the loss of protein.

Definition : Intake of nutrients is not sufficient for the purposes of the body's metabolism.

Defining characteristics :

• Weight 20 % or more below the ideal.
• Reports of food intake less than RDA (Recomended Daily Allowance)
• Pale mucous membranes and conjunctiva.
• Weakness of the muscles used for swallowing / chewing.
• Wounds, inflammation of the oral cavity.
• Easy to feel full , shortly after the chewing of food.
• Reported or the fact that there is a shortage of food.
• Reported a change in taste sensation.
• The feeling of inability to chew food.
• Misconceptions.
• Losing weight with enough food.
• Reluctance to eat.
• Cramps in the abdomen.
• Poor muscle tone.
• Abdominal pain with or without pathology.
• Less interested in food.
• Fragile capillary vessels.
• Diarrhea and or steatorrhea.
• Hair loss is quite a lot (loss).
• Hyperactive bowel sounds.
• Lack of information, misinformation.

Related factors :

• Inability to enter or digest food or absorb nutrients associated with biological factors, psychological or economic.

NOC :
Nutritional status : food and Fluid Intake

Outcomes :

• An increase in body weight in accordance with the purpose.
• Ideal weight according to height.
• Being able to identify nutritional needs.
• No signs of malnutrition.
• Weight loss does not happen that means.

NIC :

Nutrition Management

• Assess the food allergy.
• Collaboration with a nutritionist to determine the amount of calories and nutrients needed by the patient.
• Instruct the patient to increase the intake of Fe.
• Instruct the patient to increase the protein and vitamin C.
• Give the substance of sugar.
• Make sure the diet contains high fiber eaten to prevent constipation.
• Give foods elected (already consulted with a nutritionist).
• Teach patients how to make food diaries.
• Monitor the amount of nutrients and calories.
• Provide information about nutritional needs.

Nutrition Monitoring

• Patient's weight within normal limits.
• Monitor change in body weight.
• Monitor the type and amount of regular activity.
• Monitor interaction between children or parents during meals.
• Monitor the environment for eating.
• Schedule of treatment and no action during a meal.
• Monitor dry skin and pigmentation changes.
• Monitor skin turgor.
• Monitor dryness, dull hair, and brittle.
• Monitor nausea and vomiting.
• Monitor levels of albumin, total protein, hemoglobin, and hematocrit levels.
• Monitor food preferences.
• Monitor growth and development.
• Monitor pale, redness, and dryness of the conjunctiva tissue.
• Monitor and calorie intake nuntrisi.
• Note the presence of edema, hyperaemic, hypertonic papillae of the tongue and oral cavity.
• Note if the tongue magenta, scarlet.
• Assess the patient's ability to get needed nutrients.