A six-year-old, Lucas, walks into the hospital with his mom. The mother explains to the nurse that the child has a fever, unexplainable bruising, and is abnormally tired (KidsHealth, 2014). The nurse takes vital signs to see how high the fever is, due to how high the fever is the mother believes this is causing the drowsiness. However, the nurse takes a look at the bruising. The mother explains that the child is not in sports and isn’t in to rough housing. The nurse then questions the boy to see if there was any rough housing and the boy says that he woke up one morning and they were there. The nurse then talks to the doctor about the suspicious signs. The doctor then walks into the room with the nurse and explains to Lucas that he is showing signs of Acute Lymphocytic Leukemia or Acute Lymphoblastic Leukemia. The clinical manifestations of ALL has led to the pathophysiology, diagnostic criteria and the treatment plans that will be discussed. …show more content…
A characteristic of ALL is that it has a rapid onset and is seen usually in ages 2-8 but can affect different age groups. It is said that, a good portion of Acute Lymphoblastic Leukemia arises as a B- cell precursor. Professionals say, “ALL is associated with various alterations in the number of chromosomes and chromosomal translocations, and each specific alteration has prognostic significance” (Braun & Anderson). Possible alterations that could cause Acute Lymphoblastic Leukemia is “. . . Down syndrome, Ataxia-telangiectasia, and Neurofibromatosis type 1 (NF1)” (KidsHealth, 2014). Also, children who have had radiation or chemotherapy in the past have a higher risk factor. However, this does not mean you will have cancer or doesn’t mean you will have
A year went by and in January 1983 Joshua was admitted into the local hospital by his father's girlfriend and former sister-in-law, Marie Deshaney. Joshua was treated for significant bruises and abrasions all over his body, In the medical report Marie Deshaney stated that Joshua had been hit in the head by another toddler with a metal toy truck. The examining physician suspected child abuse when he examined Joshua’s wounds and immediately notified the DSS.... ... middle of paper ...
At admission, Mollie’s main complaint was right hip pain. She was not oriented to person, place or time, responding with “I don’t know” to questions asked. While the emergency department nurse completed a physical assessment, Molly’s hospital record was retrieved. Molly was discharged from the hospital two weeks ago, having been admitted for dehydration. Her health history was significant for hypertension and diabetes. Her primary care provider and home health care information were included in Mollie’s hospital record, as was her daughter’s contact information. The emergency department performed an x ray to evaluate Mollie’s right hip pain and there was no evidence of a fracture. Per MD order, labs and samples were collected and processed: CBC-diff, CRP, hyperal, blood culture, prealbumin level and urinalysis. Molly was evaluated for sexual assault and the appropriate samples were gathered. The forensic nurse gently scraped material from underneath Mollie’s fingernails. Bruises were measured and age of each bruise was estimated by
7th grade brought opportunity to discover more about medicine. Mrs. Barrett asked us to research an interesting careers. I picked pediatrics. I chose to tap into a first-hand experience by sitting down with Dr. Wayne. Every patient to him was like solving a Scooby Doo mystery. Sick kids were so young that, they could not always tell what was going on and parents were also at a loss for words. However, often times there were hints as to the illness. Arriving at a
Nurses interact with families in a variety of community-based and clinical settings. The family nursing process is the same, regardless of the setting or whether the focus is on the family as a whole or on an individual in that family (Crisp & Taylor 2005). In the case of a 3 year old girl just diagnosed with leukaemia, it is important for a nurse to critically analyse the situation and address any immediate concerns. The nurse must address any professional issues that may arise and any potential impacts of hospitalisation that may affect the child and the family. Also provide support and education to reassure and comfort them. The primary concern for paediatric nurses is the welfare of the child and the family (Crisp & Taylor 2005).
This is a naturalistic observation of a child and his parents in a health care facility.
Whoosh!A bed whizzed by, surrounded by about 6 medical personnel. “What’s going on?” I thought immediately with apprehension. I knew whatever was happening it was not ideal. Ensuring I was not in the way, I stood on my toes to see what demanded so much attention. To my astonishment, I saw a coin sized hot-pink little girl. She could not have been bigger than two quarters lying side by side.She was struggling! Even with all the procedures the doctors were executing to save her life, she was performing the most work.
Cancer is a word which evokes many different images and emotions. Nothing in this world can prepare a person for the utter devastation of finding out someone has been diagnosed with cancer, especially when this person is a child. Over the past twenty five years the amount of research and the survival rate for children suffering with cancer have increased dramatically. Despite these successes, the funding for new research necessary to keep these children alive and healthy is miniscule and too dependent on short term grants. Of the billions of dollars spent each year on cancer treatments and research less than a third is contributed to researching pediatric cancer. Given the media focus on adult cancers, research for pediatric cancer is underfunded. In order to maintain the increasing survival rate of the children undergoing pediatric cancer and support those who have survived the disease, better funding is quintessential to develop and further promote research.
I was on my Monday evening shift and I was assigned for eight patients where seven of them were older and this teen named Mr.Govanni was with sickle cell anemia. When I took the handover from the dayshift nurse, I particularly noticed this patient from my assignment list because of his age and condition and at the same time the nurse who handed over the duty specifically told me that the teen boy was non-cooperative and also I saw it from the chart that the patient was getting the normal saline at 75cc/hr, CBC result morning( 6 am) showed HB-82g/dl, WBC 10.6. According to doctor’s order repeat CBC at 1600hr and if the HB is less than 80 transfuse two units of PRBC and lasix 40 mg in between the transfusion.
John, a ten-year-old, normally active child has been feeling ill for about a week. John came down with a dry cough and fever around a week ago, which his parents dismissed as just a simple cold. After taking over the counter medication he was feeling relief the following day. A few days pass, and he began to feel ill once again at school. He was feeling lethargic, had a sore throat, and wasn’t active during recess as usual. His teacher noticed these symptoms and decided to call his parents. His parents picked him up and took him to a nearby urgent care to get checked out. His symptoms were not significant enough to warrant a lab test and the attending physician ruled it as a mild case of the flu. The attending told Johns parents,
The patient has also been suffering from frequent fevers in the past two months. He has also suffered from frequent headaches but has always taken painkillers (Bloland & Williams, 2003, p. 58). On fevers, the patient has frequently visited a local health clinic that has never done any diagnosis but has given medication, which reduces the fever.
Many, C.S. & Co., Inc. (2003). The 'Secondary' of the 'Secondary'. Diagnosis, treatment, and nursing care of acute leukemia. Seminars in Oncology Nursing, 19(2), 98-108. Retrieved from http://www.nursingconsult.com/nursing/journals/0749-2081/full-text/PDF/s0749208103000068.pdf?issn=0749-2081&full_text=pdf&pdfName=s0749208103000068.pdf&spid=13652985&article_id=487088.
If someone that has leukemia is not getting treatment can cause a bone marrow failure this happens when the leukemic cells are overwhelm the bone marrow. This eventually goes in to the bloodstream which will cause harm to parts in the body such as the liver, spleen and lymph nodes. There’s no clear answer on leukemia is inherited, some studies indicate that some people that has leukemia might have inherited from past relative that had leukemia, but as of now it is unclear. The diagnosis age depends on the type of leukemia, there are six types of leukemia, acute leukemia affects children while chronic leukemia affects adults .there is no specific age of diagnosis of
The nurse stopped and looked at the boy, she felt sympathy for him. She observed how the boys skinned turned pale. No child should go through this, said the nurse under her breath. Continuing her walk, she as the boy decides to lie on the ground. Hey buddy. How’s it going? There was no answer. Lying down on the cold, sterile floor, the pain was indescribable. The nurse could not stand the stink like pain on her back, deciding to get up; she crouched down giving her hand to the boy. Come with me, okay? Grabbing her hand was the only communication they have had so far. His hands were cold as steel, the nurses face grew concerned. Let’s get you warmed up okay? Holding hands they walked to the front desk on floor eight, Hey, do you if the cafeteria is still up? I think it is, but you better hurry its almost eleven. The boy looked up at the nurse, tears running down his face. Oh don’t cry. Giving him a hug. Lets go get some coco.
How does one see the symptoms for childhood cancer? First one must know that there are many different types. There are forty different types of children’s cancer, including: Leukemia, Lymphoma, Sarcomas, cancers of the nervous system, liver cancers, kidney cancer, and more. Out of these cancers, the two most common childhood cancers are Leukemia, and brain tumors. What is leukemia? It is a cancer in which the bone marrow and other organs that produce blood produce and increased amount of immature or abnormal white blood cells. The symptoms of leukemia are paleness, excessive bruising, pain in the joints, and fatigue. Brain tumors are formed when a massive amount of cells are produced on the brain. The symptoms for this are frequent headaches, vomiting, seizures, decreased coordination, weakness, and problems concerning vision.
...L), and chronic myeloid leukemia (CML). All four types affect both children and adults, but children are more prone because of their weak immune systems. Many of their white blood cells get destroyed, making their body work harder to fight off infections. Various treatments are giving to patients, and some may cure them while others prolong them. Some have signs and symptoms while it takes a while to develop in others. Treatment effectiveness depends on the person and other factors including age. Let’s pray for our leukemia patients and celebrate with those that have beat cancer.