ASSESSMENT DIAGNOSIS INERENCE PLANNING INTER!ENTION RATIONALE E!ALUATION SUBJECTIVE: Napansin ko na madalas ako mgkaroon ng pasa at palagi nalang akong pagod at nanghihina (Ive noticed that I bruise easily and also I feel weak and tired all the time.) as !r"ali#!d "$ th! pati!nt. %BJECTIVE: Irrita"ilit$ &allor o' skin and m()o(s m!m"ran!s V*S tak!n as 'ollo+s T: ,-.. &: /0 1: .2 B&: .00*/0 1isk 'or in'!)tion r!lat!d to inad!3(at! primar$ d!'!ns!s. Leukemias ar! )an)!rs o' th! "lood4'orming tiss(!s. 5hit! "lood )!lls ma$ "! prod()!d in !6)!ssi! amo(nts and ar! (na"l! to +ork prop!rl$ +hi)h +!ak!ns th! imm(n! s$st!m. 7't!r / ho(rs o' n(rsing int!r!ntions th! pati!nt +ill id!nti'$ a)tions to pr!!nt or r!d()! th! risk 'or in'!)tion. IN8E&EN8ENT: &la)! th! pati!nt in priat! room. 9imit isitors as indi)at!d. &rohi"it (s! o' li! plants or )(t 'lo+!rs. 1!stri)t 'r!sh 'r(its and !g!ta"l!s or mak! s(r! th!$ ar! +ash!d or p!!l!d. 1!3(ir! good hand+ashing proto)ol 'or all p!rsonn!l and isitors. En)o(rag! 'r!3(!nt t(rning and d!!p "r!athing. :andl! pati!nt g!ntl$. ;!!p lin!ns dr$ or +rinkl! 'r!!. Insp!)t skin 'or t!nd!r< !r$th!mato(s ar!as< op!n +o(nds. Cl!ans! skin +ith anti"a)t!rial sol(tions. &rot!)t pati!nt 'rom pot!ntial so(r)!s o' pathog!ns or in'!)tion. &r!!nts )ross4 )ontamination or r!d()! risk 'or in'!)tion. &r!!nts stasis o' r!spirator$ s!)r!tions< r!d()ing risk o' at!l!)tasis or pn!(monia. &r!!nts sh!!t "(rn or skin !6)oriation. =a$ indi)at! lo)al in'!)tion. 7't!r / ho(rs o' n(rsing int!r!ntions th! pati!nt +as a"l! to id!nti'$ a)tions to pr!!nt or r!d()! th! risk 'or in'!)tion. Student Nurses Community Insp!)t oral m()o(s m!m"ran!s. &roid! good oral h$gi!n!. Us! a so't tooth"r(sh< spong!< or s+a"s 'or 'r!3(!nt mo(th )ar!. &romot! good p!rin!al h$gi!n!. E6amin! p!rianal ar!a at l!ast dail$ d(ring a)(t! illn!ss and proid! sit# "aths. Coordinat! pro)!d(r!s and t!sts to allo+ 'or (nint!rr(pt!d r!st p!riods. C%997B%17TIVE: &r!par! 'or or assist pati!nt +ith l!(k!mia tr!atm!nts s()h as )h!moth!rap$< radiation< and "on! marro+ transplantation. 7dminist!r anti"ioti)s as indi)at!d. Th! oral )ait$ is an !6)!ll!nt m!di(m 'or gro+th o' organism and is s(s)!pti"l! to (l)!ration and "l!!ding. &romot!s )l!anlin!ss< r!d()ing risk o' p!rianal a"s)!ss> !nhan)!s )ir)(lation and h!aling. Cons!r!s !n!rg$ 'or h!aling< )!ll(lar r!g!n!ration. 9!(k!mia is (s(all$ tr!at!d +ith a )om"ination o' th!s! ag!nts< !a)h r!3(iring sp!)i'i) sa'!t$ pr!)a(tions 'or pati!nt and )ar! proid!rs. =a$ "! gi!n proph$la)ti)all$ or to tr!at sp!)i'i) in'!)tion.