Managing Severe Acute Myeloid Leukimia with Collaborative Medical and Nursing Interventions: Case Study

Abstract

ABSTRACT
Assessment: An 82-year-old patient diagnosed with Acute Myeloid Leukemia (AML) was admitted to the Emergency Department with a hemoglobin level of 3.1 g/dL, requiring immediate blood transfusion. The assessment included routine blood lab tests, chest X-ray, ECG, physical examination, general condition evaluation, and Glasgow Coma Scale (GCS) scoring, which indicated full consciousness.

Diagnosis: Based on the assessment conducted, the nursing diagnoses identified are ineffective peripheral tissue perfusion, risk for bleeding associated with decreased red blood cell (RBC) levels, risk for infection due to compromised immunity, and risk for decreased cardiac output related to the patient's history of heart disease.

Planning: The following are the targeted implementations for the identified nursing diagnoses. Ineffective peripheral tissue perfusion, nurse would administer blood transfusion as per the physician's advice. Risk for bleeding, nurse would monitor for any signs of bleeding, report if bleeding occurs, and manage bleeding if present. To prevent infection, nurse would measure temperature at each shift, apply aseptic techniques, and ensure proper nutritional management. Risk for decreased cardiac output, nurse would collaborate with a cardiovascular specialist and monitor for symptoms of shortness of breath or chest pain.