5 Leukemia Nursing Care Plans

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Leukemia is a malignant proliferation of white blood cell precursors in bone marrow or lymph tissue and their accumulation in peripheral blood, bone marrow, and body tissues. The blood’s cellular components originate primarily in the marrow of bones such as the sternum, iliac crest, and cranium. All blood cells begin as immature cells (blasts or stem cells) that differentiate and mature into RBCs, platelets, and various types of WBCs. In leukemia, many immature or ineffective WBCs crowd out the developing normal cells. As the normal cells are replaced by leukemic cells, anemia, neutropenia, and thrombocytopenia occur.

Nursing Care Plans

The care plan for patients with leukemia should be emphasized on comfort, minimize the adverse effects of chemotherapy, promote preservation of veins, manage complications, and provide teaching and psychological support.

Here are five (5) nursing care plans (NCP) and nursing diagnosis for patients with leukemia: 

  1. Risk for Infection
  2. Risk for Deficient Fluid Volume
  3. Acute Pain
  4. Activity Intolerance
  5. Deficient Knowledge
  6. Other Possible Nursing Care Plans
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Deficient Knowledge

Deficient Knowledge: Absence or deficiency of cognitive information related to specific topic.

May be related to

  • Lack of exposure to resources
  • Information misinterpretation/lack of recall

Possibly evidenced by

  • Verbalization of problem/request for information
  • Statement of misconception

Desired Outcomes

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  • Verbalize understanding of condition/disease process and potential complications.
  • Verbalize understanding of therapeutic needs.
  • Initiate necessary lifestyle changes.
  • Participate in treatment regimen.
Nursing InterventionsRationale
Review pathology of specific form of leukemia and various treatment options.Treatments can include various antineoplastic drugs, transfusions, peripheral progenitor (stem) cell transplant or bone marrow transplant.
Provide psychological support by establishing a trusting relationship to promote communication. Allow the patient and family to discuss or verbalize their anger and depression. Let the family participate in patient care as much as possible.Diagnosis of cancer can be devastating to the family. Providing avenues for verbalization can help promote understand and cooperation throughout the course of care.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans for hematologic and lymphatic system disorders:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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