About
A malignancy that originates in a single lymph node. Higher incidence in men in their twenties and fifties..
Assess
Enlarged firm palpable painless lymph node; fever, chills, weight loss, night sweats.
Complications
Metastasis, second malignancies, treatment related complications ( infertility, infection, immune dysfunction, secondary cancers, growth retardation, etc).
Diagnosis
- Knowledge deficit related to disease process and management
- Ineffective coping related to concerns and fears regarding diagnosis and treatment.
- Anticipatory grieving related to diagnosis and treatment.
Goals
- The client will identify treatment options for disease.
- The client will verbalize concerns and fears related to diagnosis and treatment options.
- The client will identify factors that can increase the likelihood of additional malignancy.
Interventions
- Assess vitals, CBC with differential, knowledge about disease and treatment options.
- Prepare client for additional diagnostics to rule out other malignancies.
- Teach client factors that can increase the likelihood of additional malignancies ( smoking, excessive sun, alcohol, carcinogens).
- Teach client potential complications related to therapy ( additional malignancy, infertility, infections, immune dysfunction, fatigue).
- Administer chemotherapy and prepare for radiation therapy as indicated by physician.
- Monitor for complication of treatment ( chemo, radiation therapy).
- Provide opportunities for client to verbalize concerns, feelings, and fears related to diagnosis and treatment.
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